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Schools 101: The OTP Starter Guide

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1.  According to the survey findings from Zeitlin (2025) regarding school-based OTPs, what do many practitioners still prioritize/default to?
  1. Consultative service models
  2. Direct intervention (e.g., fine motor/handwriting)
  3. Environmental classroom adaptations
  4. Embedded participation-focused roles
2.  What is the primary focus of school-based OT under the Educational Model compared to the Medical Model?
  1. Impairment remediation and reducing deficits
  2. 1:1 clinic-based therapy driving medical diagnosis
  3. Access to education and participation in school routines
  4. Fixing body structure and function
3.  According to the OT Service Delivery Decision Tree, what is the most appropriate service model if a student CAN succeed with environmental supports alone (e.g., visuals, seating, tools, teacher strategies)?
  1. Pull-Out Services (Direct Therapy)
  2. Consultative Services
  3. Hybrid Model
  4. Push-In Services
4.  According to the Workload Model (Best Practice), what concept best describes "Workload" in school-based therapy?
  1. Only the direct intervention minutes scheduled on a student's IEP
  2. The total number of students assigned to a therapist's caseload
  3. Everything you actually do, reflecting the true scope of school-based therapy (e.g., IEP meetings, documentation, teacher collaboration, MTSS support)
  4. The total hours spent providing 1-on-1 pull-out therapy each week
5.  Based on the handwriting intervention case study comparing bottom-up and top-down approaches, what is the key takeaway for school-based practice?
  1. Bottom-up interventions alone provide complete carryover to classroom writing.
  2. Top-down approaches should be avoided when addressing handwriting legibility.
  3. Isolated fine motor drills (e.g., Theraputty) replace the need for classroom-based writing practice.
  4. Use bottom-up strategies in service of top-down, occupation-based goals.