650 CLARK WAY, PALO ALTO, CA 94304 TEL 650.326.5530 FAX
P A I D
PALO ALTO, CALIFORNIA
PERMIT NO. 20
Newsletter of the Children’s Health Council
News in Brief
Occupational Therapy for
N ovember 25 - 26: CHC Ar t Show
showcases client and staff talent
The CHC Art Show included over 200 pieces
of artwork. Contributors included students from The American Occupational Therapy Association has designated
the Esther B. Clark School, clients of the Chil- the month of April to be National Occupational Therapy Month.
dren with Complex Medical Problems (CCMP)
Program , and CHC staff. Artwork by the EBC For most of us, dressing ourselves and brushing our
School students focused on exploring legend- teeth are simple tasks done habitually every morning.
ary artists throughout history. They utilized vari- Rarely do we think twice about how our body moves
ous art mediums in a therapeutic manner by to allow us to accomplish these feats. However, for
In this issue: exploring the expression and techniques of many people who have survived a physically debilitating
artists including Renoir, Matisse, Andy Warhol,
disease or accident, performing these daily activi-
and Henry Moore. Artwork by the CCMP cli-
ents depicted their own experiences, feelings ties may require hard work and time. Fortunately,
Page 1 - State reviews EBC School and thoughts as children with medical difficul- with the help of occupational therapy, patients of all
ties. For more information on the CHC Art ages can now get the specialized assistance they
Page 3 - Celebrating Our 50th Anniversary
Therapy Program, please call (650) 326-5530. need.
Page 6 - Auxiliary Corner Occupational Therapy (OT) is a profession that emerged
February 17 - 20: Schools Attuned Training shortly after World War I when soldiers who had physical and
continues to educate K-12 teachers
psychological deficits required rehabilitation. Since then, the field has ex-
Featured Topic As a regional training site for Schools Attuned,
26 educators from across the country came to panded significantly and, in the last 20 years, has become one of the fastest
Occupational Therapy for Children growing professions.
CHC and received new information, as well a
system of innovative tools, to meet the diverse
needs of K-12 students. Based on over thirty Pediatric OT
years of work by Dr. Mel Levine, Schools Attuned While the three traditional areas of practice in OT are rehabilitation, psychia-
Calendar of Events offers teachers new methods of recognizing, un- try and pediatrics, over one-third of all occupational therapists work in pediatric
Summer Symphony 2004 derstanding, and managing students with differ-
ences in learning. Two upcoming workshops in
hospitals, school systems and pediatric health care facilities. Patients from
April 22 CHC Spring Exchange: Staying Connected June and August are expected to bring over 150 pediatric hospitals often require OT for their acute or chronic disabilities,
with Your Teenager educators from around the world. See Occupational Therapy on page 4.
A dinner and discussion moderated by Dr. Michael Riera. CHC continues to take Schools Attuned “on
This event is sponsored by the CHC Auxiliary. For more featuring the road” with local customized trainings, by School receives excellent results from state review
information, please call (650) 617-3814. bringing programs and seminars onsite to The Esther B. Clark School certainly has much to be proud of this year. On
Kenny Loggins schools. Marin County has embraced the January 22, a reviewer from the California Department of Education (CDE) met
May 15 - 16 Sunset Celebration Schools Attuned methodology and, for the sec-
and interviewed EBC School staff as part of a Coordinated Compliance Review
Sign up as a CHC volunteer! Sunset will make a donation ond year running, has requested a county-wide
to CHC for every hour worked by a CHC volunteer! For local customized training. For more information
(CCR), an onsite review required for all certified non-public schools. Upon a
more information, please call (650) 617-3818 or email on Schools Attuned at the Children’s Health complete review of the EBC School, the reviewer gave the school full-approved
Opening performance by the certification with no required corrective actions.
email@example.com. Council, please call (650) 688-3675 or email “Less than 10% of
California Youth Symphony firstname.lastname@example.org. “We are very proud of this accomplishment as it
these sites pass the
May 22 Professional Development: Pediatric assures us that we are indeed providing a quality
Psychopharmacology Update February 25: Guest artist announced for program with outstanding results and making a CCR visitation...”
Lecturers, who are leaders in their respective fields, will Summer Symphony 2004
measurable difference in the lives of our students,” beams Lucia D’Souza, EBC
share the latest research & medications/treatments Sunday, July 18, 2004 Grammy-award winning artist Kenny Loggins
will be headlining the 45th annual Summer
regarding ADHD, anxiety, depression, mood disorders & Every four years, the CDE conducts these visits to review current operating
Symphony concert on Sunday, July 18th.
juvenile aggression. For more information or to register, Individual and corporate sponsorship packages policies and procedures, current behavioral, academic and therapeutic pro-
Loggins is well known for his contribution to hit
please call (650) 617-3806. available now for advanced purchase. movie soundtracks, including Footloose and Top grams and to review the quality of the overall program. The information is then
Gun. The event will also feature an opening shared with parents, school districts and staff.
June 21 - 25 Schools Attuned Training performance by the California Youth Symphony.
CHC is one of nine regional training sites in the country for To become a sponsor, please call (650) 326-0643 The reviewer met and interviewed staff, took a tour of the facilities, observed
Last year, legendary trio Peter, Paul and Mary
the nationally acclaimed Schools Attuned Program created or visit www.summersymphony.org. classrooms and reviewed student files and other required documentation.
helped raise over $600,000 for CHC programs
by Dr. Mel Levine. For more information, call (650) 688- and services. For more information on the event,
“The CDE monitors over 350 [non-public school] sites in and out of CA. Less
3675 or email email@example.com. More Individual tickets go on sale June 1. please call the Summer Symphony Hotline at than 10% of these sites pass the CCR visitation without requiring any correc-
information can also be found at www.schoolsattuned.org. (650) 617-3859 or go online to See State Review on page 7
From the Executive Director
Esther B. Clark, M.D. (1900 - 1990)
State Review (continued from cover)
tive action,” says Jerry Elmore, Site Reviewer for the
Special Gifts the Children’s Health Council
BOARD OF DIRECTORS CDE.
2003-2004 The following special gifts were made to CHC in honor or memory of loved ones
The EBC School and its staff received commen- between November 1, 2003 and March 24, 2004. (Names of honorees are
Dear Friends of CHC, Patrick J. McGaraghan dations for the following: indicated in bold.)
· Administration, faculty and support staff for MEMORIALS May Elsinger Perkins
Typically winter is a time for hibernation – for drawing in, Ross Jaffe, M.D.
their dedication in providing a quality educa- Ila Anderson John S. Perkins
for slowed down activity, but as you will clearly see in this tion to all their students Chuck and Marion Hauser Judith M. Peterson
John Kriewall Mollie Apple Sarah and Tom Clark
issue of New Futures, such is not the case at CHC. We Secretary · Behavior intervention program
Myles and Carol Berg William “Bill” Phy
have found ourselves at an exciting time to look back, · Transition program Marian Barry Carol M. Phy
Mark Gates, Jr.
assess the present and eagerly anticipate the possibili- Treasurer · Art and Music Therapy programs Gail Drewes, CHC Auxiliary Miles Poinier
ties of our future. · Organization of the on-site review process Bobbie and Charlie Munch The Sanders Family Fund
Harvey Cohen, M.D. · Extra-curricular activities that allow student Mildred S. Nilsson Yvonne Fay Raffel
Bruce G. Fielding, Jr. participation, including such activities as Linda Plount Anonymous
Our rich history, so replete of wonderful volunteers Rita DeSales French, Ph.D. Grace and Frank Vitale Barbara D. Read
accomplishing remarkable feats, is being captured under Thomas J. Friel Black History Month and Summer Symphony Shirley Boeddiker Lee S. Read, Jr.
Christopher Harris · On-site clinical component
the leadership of this year’s Auxiliary President, Gail Susan M. Hyatt Mr. Robert E. Boeddiker Alice Anne Roberts
Drewes. Gail and a team of Auxiliary members have Mark G. Hyde · Service delivery model for Designated In- Janice R. Bull Maxine Anderson
Jacque Jarve structional Services (Speech & Language and Claire Masso-Bull and William Bull Jean Shoemaker
been searching through boxes and albums of photos and Christine Johnson, Ph.D.
Bobbie and Charlie Munch Ruth and John Richter
Robert Keller Occupational Therapy)
news clippings from the last 50 years. They are planning Michele Kirsch Mary Lore Callas Grant Stevens
Bettina McAdoo, M.D.
For more information about the EBC School, please
to produce a special compilation to document our first 50 Myles and Carol Berg Chuck and Marion Hauser
Jeff Pickard call (650) 322-3065 or visit www.chconline.org. Carol Cauwet Susan K. Thede
years. Larry Schwab
Elizabeth Shen Mrs. Marjorie Cary Robert H. Thede
Barbara Silverman Janet and Dawn Moser Graham Wolf
The present is represented by our Occupational Therapy Hans Steiner, M.D. You! You!
Thank You! Thank You! Al and Carole Jacobs Cynthia Gilbert
Rosalie Whitlock The Esther B. Clark School would like to thank Betsy Haehl
programs where children experiencing clumsiness, John G. Williams
Jean and Charles Lee Sally B. Gilbert
and John Kriewall for their generous gift of $10,000 in Patricia Menary
awkwardness and fine motor problems can come to Kimberly Young
honor of the EBC School’s successful onsite review. Jeannie Menary-Winefield TRIBUTES
improve their ability to function in their home and in the EX-OFFICIO Patricia S. Miller Penelope “Poppy” Baker Roberts
classroom. Our Occupational Therapy program currently Gail Drewes Mr. and Mrs. Robert L. Nedd Anonymous
has two gyms – soon to be three – specially equipped Auxiliary President EBC Celebrates Black History Month Virginia W. Perkins Tristan Bince
with therapeutic gadgets like big round balls, a trapeze Sherill and Andrew Sass Anonymous
Eve Jaffe “When I discover who I am, I’ll be free.” Mr. and Mrs. Thomas P. Shellworth Robyn Carmel
and a slide. I hope you will take some time to read Lou Ann Winchell
Summer Symphony Co-Chairs - Ralph Ellison, American Writer Velda H. Skagen and Karen S. Hiller Dr. and Mrs. Jeffrey A. Carmel
through the feature article on occupational therapy. This Amidst the rich pan-African offerings of the hour Gloria and Owen Sullivan Kristin France
is a fascinating therapy that has been largely misunder- EXECUTIVE MANAGEMENT and a half EBC School assembly, the Black History Carole Woods John A. Kriewall and Betsy A. Haehl
stood. Betty Codrington John Galen’s 80th Birthday
Month Celebration was more than a history lesson: CHC Auxiliary & Lolly and Stuart Erlanger
Executive Director it was an invitation. Eager to share their talents and Bargain Box Volunteers Karen Grites
And for the future, we look with eager anticipation to our passion, EBC School students emceed the celebra- Betty DeBusk Evans John A. Kriewall and Betsy A. Haehl
Leon Wanerman, M.D.
Summer Symphony concert, this year featuring Kenny Clinical Director tion and read poetry by Langston Hughes. A group Mildred S. Nilsson Barbara Sourkes
Loggins, a personal favorite of mine (especially during of students danced and lip-synced to a popular hip- Sarah Cava Crane Katherine Hangauer’s 90th Birthday
Lucia D’Souza Association of Postdoctoral Lisa and Robert McCann
the days of Loggins and Messina in the 1970’s). Of Esther B. Clark School Director hop song, and the EBC Blues Band provided a & Internship Centers Christopher Harris
course, the Summer Symphony represents so much Lynne Huffman, M.D.
soulful musical offering. There was also a Capoeira Cameron Cray, M.D. Susan and Bill Daniel
more than just entertainment. Just in the past two years, Research Director (Afro-Brazilian martial art) presentation and two Mrs. Marjorie O. Cray Eve Jaffe
this event, led by remarkable co-chairs Lou Ann Winchell Karen Grites keynote speakers: an Olympic hopeful of the Palo Richard Cameron Cray Pilar and Lew Davies
Training Director, Alto track club and EBC School Classroom 5 Mary Cutting Sally and Craig Falkenhagen
and Eve Jaffe, has generated over $1 million of funding Educational Services Gail Drewes, CHC Auxiliary Ross and Eve Jaffe and Family
to support children and families who might otherwise not Therapist John Pina, PhD. Robert Donovan Jennifer and David Lombardi
Tom McPherson John encouraged the students to discover where
be able to receive excellent and much needed services. Client Care Director
Elizabeth and Dean Shen Junior League Members of
they came from by sharing his own story of discov- Clarice Fay the EBC Society Committee
Hank Morgan ery. “My father was from the Cape Verde Islands, Gail Drewes, CHC Auxiliary Sally and Craig Falkenhagen
Finally, it’s a time for me personally to reflect on a very Finance Director Jonathan Grossman Dr. Bettina McAdoo
off the west coast of Africa, near Senegal. He was
fulfilling eight years of affiliation with the Children’s Terry Kurfess Ms. Sherry Grossman Gordon Russell
the first person in our family to come over to the
Health Council and to look forward at the end of the Marketing and Development Director Marie Hutton Placido Mallillin
States. It was only after someone else encouraged Bonnie Scholes Anne Ayers Butler
summer to new experiences as I move onto new endeav- Carol Roccuzzo
Human Resources Director
me to investigate my heritage that it became clear Agnes Jarman Tom McPherson
ors on the East Coast closer to extended family.
to me that I had been neglecting it,” shares John. Elizabeth Wills Hans Steiner, M.D.
Paulette Giovannoni “Now, I am happy to have had that opportunity to Louise Kurfess Hansman Dylan Plount
Operations Director Kathy and Ralph Parker Kathy Lee Fier and Jeff Fier
learn about a very special part of my life. A lot of Dorothy Rathbun Barbara Silverman
Sincerely, Tass Sperring people define themselves by what’s on the outside,
Information Systems Director Jean B. Legg Roslyn and Mervin Morris
but learning about yourself helps define yourself Mrs. Marion B. Raff LouAnn Winchell
Isabel Chou, New Futures Editor from the inside”. John’s presentation was met by Craig Mackey Marie and Craig Gladstone Vought
firstname.lastname@example.org applause and eager students hoping to share Chuck and Marion Hauser
Christopher Harris Betty Lou Mathews
Please send your comments to: stories of their own families. Jane Waggoner
Care has been taken to provide an accurate
Executive Director New Futures The Black History Month Celebration is one of listing of donors and gifts received. Please
The Children’s Health Council
Paul and Donna Hedstrom accept our apologies for any error or
650 Clark Way many unique activities at the EBC School to enrich Fran O’Rourke omission and contact the Development
Palo Alto, CA 94304 the education of students. Jean R. and Robert E. Boeddiker Office for corrections, (650) 326-0643.
A U X I L I A R Y C O R N E R Celebrating our first 50 years:
A Journey of Discovery
Annual Domino Tournament a “domino trainings” in preparation for next tions. The students look forward to her
success for 43rd year year’s tournament to encourage a new visit and benefit greatly from the one-
Forty-three teams gathered for the generation of players. on-one attention,” says Guy.
For the past several months, CHC about 6 years old,” Gail remembers. opportunity for the archiving team to
43rd Annual Masters Domino Tourna- Since each classroom at the EBC
Auxiliary members giving time to School consists of students from mul- Auxiliary President Gail Drewes and a Last fall, in honor of CHC’s 50th capture their stories.
ment. The event sponsored by the CHC dedicated group of Auxiliary volunteers Anniversary, a group of volunteers The Auxiliary plans to produce the
Auxiliary made CHC the winner, raising work with students tiple grades, having volunteers such as
Wednesdays bring a little extra cheer Fran Baron in Classroom 1 allows the have been taking a sentimental decided it would be an opportune time
$14,000 for the agency.
Many players have been playing in the at the Esther B. Clark School. Mem- staff to give proper attention to all of the journey through boxes of past records, to take on the archiving project. More
tournament every year for the last 43 bers of the CHC Auxiliary are lending a grade levels. Says School Director Auxiliary scrapbooks, old photo than a dozen “historical” boxes that
years. “One player came up from San hand to the lower division classrooms. Lucia D’Souza, “It is a great help to have albums and other treasures that had been in storage were moved into
Diego for this long-standing tradition,” By working one-on-one with EBC Stu- Fran come in during reading time and capture the history of CHC’s first 50 an empty office in the CHC Marketing
shares co-chair Connie West. dents, these special Auxiliary members work with one or two students – it is so years. and Development Office – and the
Diane Bottoms, co-chair of the event, are helping students practice their so- important for our students to work in the For Gail, the 50th Anniversary digging began.
is always excited about the energy in cial skills. appropriate grade level.”
Every Wednesday, Auxiliary members archiving project has been both a labor There are binders with Board
the room. Says Diane, “At 9:30 you can In addition to getting the kids excited
like Glenda Derman and Fran Baron about reading, Fran is filling another im- of love and a journey of discovery. “It’s meeting minutes, rosters and reports.
hear the dominos clicking loud and amazing to see the information about There are files of photos, including
quick, and by late afternoon, there is a spend time with a class. Glenda joins portant role for many of the EBC stu-
Classroom 3 (grades 4-6) for lunch and dents. “She is a grandmother figure that CHC that was saved – largely by some of Dr. Clark’s family, taken at the
more serious tone in the air.”
Both of the event chairs acknowl- engages the students in conversation many of our kids don’t have,” shares volunteers. We’ve found a lot of very turn of the century. The boxes also
edged that their working committee about their weekend, favorite activities Mark Foust, Lead Teacher in Classroom interesting bits about the early days of held scrapbooks that – until just a few
makes the tournament the fun success- and more. Guy Morrow, Lead Teacher 1. “Fran makes a point of visiting with the Children’s Health Council, the years ago – were faithfully kept by Dr. Clark, far right in the first row, poses with
ful event that it has grown into today. for Classroom 3 came up with the idea all of the kids and they truly enjoy her various fundraisers, and the members Auxiliary volunteers with invitations, her Stanford Medical School class. She was
“They make it easy and fun to raise as a way to strengthen the student’s in- energy and excitement.” of the community who supported us in photos and news clippings that high- one of three women in her class.
money for CHC,” explains Diane. The terpersonal relationships. For more information about the CHC those early years,” she notes. light various CHC fundraisers held history – organized decade by
Domino Committee is planning to hold “Glenda does a great job connecting Auxiliary or the programs they support
with the kids and initiating conversa- Gail has volunteered with CHC for over the years. decade like a “yearbook” – by June,
please call 650-617-3816.
more than 12 years, but her connec- “Dr. Clark’s nephew told me that, as a close to the 50th Anniversary
tion to CHC and founder Esther B. when Dr. Clark died, her personal year.
Summer Symphony success lies Summer Symphony 2004
Clark goes back even further. She
grew up in Palo Alto, and Dr. Clark was
effects were all moved to her home in
Mendocino, but that home later burned
Among the quotations that are sure
to find a place in the history is this
in dedication of volunteers Committee her pediatrician. “She was one of the
few pediatricians in town at that time
down in a fire,” Gail explains. “So, we
apparently have rare photos of Dr.
one from Dr. Clark – in which she
describes her vision:
For 45 years now, great performers co-chair Eve Jaffe. “We Event Co-Chairs and I have a strong memory of Dr. Clark and her family. And it’s a trea-
like Ella Fitzgerald, Rosemary would not be able to do all of Eve Jaffe
Clark giving me a shot when I was sure to have them!”
Clooney, Ben E. King, Trisha Yearwood this without our volunteers.” Lou Ann Winchell
The archiving team quickly decided
and Peter, Paul and Mary have been This year, Kenny Loggins they’d need to focus their work – or
captivating fans at the Summer has been signed to headline
Committee Katherine Westerman From the “Attic” of CHC they’d be sorting through boxes for the
Annie Barnett Quin Whitman
Symphony, the annual fundraiser for the concert. Having raised a The history of an organization like next several years!
Amy Boyle Carol Young
the Children’s Health Council. As the record-breaking $600,000 “We decided to focus on CHC’s
Julie Brody Kimberly Young CHC is not found in just a single
agency’s largest fundraising event, the last year with a sellout event Charlene B. Cogan founding and how it grew, on the
document or file or photo, but in a
success of Summer Symphony lies in featuring legendary folk trio Lisa Gerould Members at Large fundraising efforts, and on the building
large collection of materials that records
the dedication and hard work of a Peter, Paul and Mary, this Shelley Hutter Suki Bigham efforts,” Gail explains.
small group of volunteers. who, what, when, and where. Among
year’s 23-member committee Suzanne W. Killea Susan Ford Dorsey They are reviewing old documents,
Each year, a committee of commu- is hopeful for another suc- the treasures the Auxiliary volunteers
Kathy Layendecker Lulu Frye files and photos by decade – and then
nity volunteers work over 3,000 hours cessful concert. have discovered:
Michael J. Lazarus Alexandra Gifford will use this wealth of materials to
in planning the event. Each volunteer “Kenny Loggins appeals to Ellen Leanse Jan Harris prepare a comprehensive history of
belongs to a sub-committee and is such a large audience, we Kim LeMieux Julie Helfrich An album of photos taken by Dr.
CHC’s first 50 years. “Our goal has
responsible for at least one aspect of hope that fans will come out Janice Meisel Jacque Jarve Clark of family and friends in the
been to prepare a history that we can
the event, including finding individual to hear him and support the Lisa Mooring Lisa Keith Palo Alto area. One photo shows a
distribute to Board members, major
and corporate sponsorships, market- wonderful work of CHC,” Chris Rivera Anne Lawler view of the western hills long donors and others who are interested
ing, hospitality, securing talent and says event co-chair Lou Ann Annette C. Siegel Betsy Matteson before the 280 freeway was built. in CHC’s work,” Gail says.
organizing operations on the day of Winchell. Mary Stevens Ellen Rose Photos of the original building that Dr. Clark with her two favorite animals.
As part of the project, the team also
the event. In addition to the commit- “There are no words to Suzanne Valdez Lisa Wan Dr. Clark obtained for $1 – and the contacted past Auxiliary presidents “I got the idea, a little naïve, to have
tee volunteers, an additional 200 express the agency’s grati- process of moving it to the Willow and other long-time volunteers and an area in the world where any child’s
volunteers are needed on the day of tude for the tremendous Road site. requested personal histories of their needs would be provided for. I looked
the event to usher, set-up chairs, take fundraising accomplished by the programs that CHC offers to children A 1960 report about CHC that volunteer efforts at CHC. To date, around Palo Alto and there were
tickets and more. committee, “ remarks Terry Kurfess, and families. And those introductions Gail believes was largely authored more than 15 volunteers have contrib- plenty of good pediatricians, but there
“Summer Symphony is a full- Director of Marketing and Develop- translate into interest and financial by Dr. Clark herself. uted their personal memories – which was a lack of a single place where
production concert, with 6,000 people ment. “Members of the committee support of CHC!” A 1981 proclamation from the will all become part of CHC’s rich mix children with emotional upsets,
in attendance, complete with talent assume personal pride and responsi- City of Palo Alto honoring Dr. of history and memory. In April, the learning problems, physical handi-
agents, caterers, police, news crews bility in introducing friends, family and If you would like to volunteer on July Clark and her brother, Birge, as Auxiliary will host a brunch for long- caps or mental retardation could go to
and a full symphony!” describes event corporations to the services and 18, please call 650-617-3859 for more distinguished citizens. time volunteers. It will be another and have diagnosis and treatment all
information. in one place. That was the essence
of what I wanted, and the CHC came
One Child’s Story:
Brandon Autism: A Review
Occupational Therapy requires OT services is to get a thor-
[continued from cover] ough assessment,” says CHC occupa-
including juvenile rheumatoid arthritis, tional therapist and department head
birth defects, cystic fibrosis, cerebral Barbara Ram. “That will guide what you April is also National Autism Aware-
Brandon was diagnosed with Autism at the age of 3 in Singapore. He came to CHC in the
palsy, or muscular dystrophy. Occupa- should do for treatment.” ness Month. In recognition of this
Fall of 2003 when he joined SPOT, a speech and occupational therapy group for
tional therapists in schools often see A comprehensive assessment is observance, we hope you will take
preschool-aged children. CHC Occupational Therapist Elizabeth Zias evaluated Brandon
children with developmental delays, dependent on the level of detail, the some time to review the following
and due to his low scores on tests of motor functioning, he was diagnosed with
learning disabilities and deficits because number of assessments used and the information on Autism.*
Developmental Coordination Disorder. Shortly thereafter, he started one-on-one sessions
of prematurity, and help children pursue number of skills assessed. Often, the
occupational therapist is looking for a with Elizabeth.
the “occupations” of learning, playing, What is Autism?
and growing. child’s developmental level, dexterity, Children with autistic disorder have
Initially, Brandon had great difficulty remaining alert and attentive during circle time.
Premature infants often benefit from endurance, flexibility, joint range of difficulties in social interaction and
Because he would often come into sessions lethargic and resist participating in one-on-
occupational therapy. Some of a baby’s motion, primitive postural reflexes, communication, as well as restricted
muscle tone and strength, sensory one and group activities, Elizabeth implemented strategies that helped him gain a greater
“occupations” are to eat and grow, but if ability to focus. For instance, she had him participate in a movement activity at the interests and/or repetitive behaviors.
developmental complications cause function, rate in rhythm of movement, responding to techniques and strate- Notably, they have difficulty under-
independence in self-care, sensory gies we are providing?” beginning of each session to help increase his activity level and attentiveness. Brandon’s
feeding problems, a pediatric occupa- standing and using language, using
integrative skills, and psychosocial, “Sensory motor intervention can be mom was also asked to give him more opportunities for movement before coming to OT
tional therapist can often provide nonverbal communication (gestures,
cognitive and visual-perceptual skills. likened to a computer CPU. There is a and throughout the day to help him maintain an even level of alertness.
treatments that improve the baby’s eye gaze, a range of facial expres-
ability to take in nourishment. sensory input, a neurological through-
Brandon has shown great progress in therapy. Several months ago, he would lean on his sions), developing conversational
The goal of pediatric OT is to help Treatment put, and a resulting motor output,”
Following a detailed assessment to explains Barbara. “Some children love arms rather than sit with an upright posture; he needed many verbal and physical cues to and other turn-taking abilities,
infants and children achieve age- developing friendships and showing
guide the goals for therapy intervention, these sensations, but some are fearful correct his posture. Now, he is showing improved trunk strength and does not lean onto his
appropriate self-help, play, and leisure imagination and creativity in play.
a family may decide to proceed with of them. We have to approach each arms. While he will sit with a slumped posture, Elizabeth only needs to touch his lower
skills. By using purposeful activity, Though the exact cause of autism is
occupational therapy aims to minimize treatment. child according to his or her comfort back and/or his shoulders lightly and he will respond by correcting his own posture.
“We use a number of neurological and level.” still unknown, experts have generally
the effects of disease, injury, congenital
sensory strategies and facilitation Parent follow-through and compli- Brandon was also tactilely accepted that the disorder is caused
deficit, disability, developmental delay, or
techniques as well as developmental ance at home also play major roles in defensive and reacted negatively “He would often come into sessions by irregularities in brain structure or
approaches,” explains Barbara. “But a child’s rate of progress. Parents to certain types of touch or the lethargic and resist participating in function. Autism is the most com-
Assessment overall, we have to keep the therapy must remember that while a few way certain textures felt against one-on-one and group activities...” mon among five forms of Pervasive
“One of the most important first steps focus playful because play is a child’s children do make dramatic changes, his skin, like having glue on his Developmental Disorders (PDD).
in determining whether or not a child primary occupation. It is their primary most children typically make slow and hands. Tactile defensiveness is
learning modality. steady incremental gains over the an over-reaction or aversion to
“We typically use sus- course of several months. touch that is considered
Did you know?
What to look for pended equipment, like
excessive by most standards. When a child like Brandon demonstrates this defensiveness,
swings and hammocks, as CHC as a resource he also often shows a great need to touch others or touch objects. It is hypothesized that
in a 3-4 year old facilitation techniques
because we are facilitating
CHC offers a comprehensive pediat-
ric occupational therapy program with
deep pressure touch helps to organize the nervous system and ultimately helps the child ... 1.5 million Americans are
affected by autism
remain focused on a task. Often these children will seek out deep pressure as long as they
Mobility in Standing certain areas in the brain four occupational therapists on staff. are in control of it, but when they cannot control it (i.e. another child touches them), they
Runs around obstacles; turns corners in terms of sensory re- While the therapists do conduct feel threatened and over-react. Brandon’s sensory seeking behaviors included frequently ... 50 children are diagnosed
sponsiveness. We are individual single-discipline assess- touching his carpet square, moving about on the square, rocking, touching his face and, at with autism every day
Development of Grasp trying to elicit specific ments, each therapist does a sizable
Crayon held with fingers; hand on top of tool; times, touching other children seated next to him. He would take his carpet square and
motor responses.” number of collaborative team assess- ... autism is the fastest
forearm turned so thumb is directed downward; wrap it around his legs tightly while sitting on it. He often needed Elizabeth to sit behind
While the length of ments with therapists in other disci- growing developmental
pencil held with mature grasp, but no isolated him and assist him back to the center of his square. Now he is able to self-monitor his
therapy depends on the plines. disability in the U.S.
movements within the hand position and does not need this assistance at all.
progress of the individual Clients who come to CHC are often
child, it is important to of a sub-specialty group. Many are
Development of Manipulative Prehension Brandon was often fearful to try new motor tasks, especially climbing activities. With step-
remember that a child young children, starting at less than
Holds paper with one hand while writing with the by-step instruction, prompting and encouragement, he is less fearful. He can now climb
should be treated on a
continuum. “Compared to
one year old, and have problems like
feeding disorders. Other clients are up a rope ladder with little fear though he continues to need instruction to know where to For more information
adults, children are still older, through adolescence, and place his feet and hands.
Jumping Skills www.autism-society.org
Hops on one foot; skips on one foot; jumps over learning in all phases of require OT because of problems like
With fine motor tasks (i.e. coloring, writing, drawing), Brandon often became extremely www.autism.org
objects development – cognitively, Autism, ADHD, fine motor coordination
distracted by the materials presented to him. They usually had to be removed then given to
motorically and behavior- and handwriting.
Development of Climbing ally,” says Barbara. “While “One of the reasons to come to CHC him one at a time. He can now attend more easily to the task at hand and does not need For more information on services,
Climbs easy nursery apparatus we evaluate and compare is to obtain the comprehensive evalua- this excessive structuring in order to complete these activities. To help Brandon gain better please call CHC at (650) 688-3625
each child to his or her tion and to benefit from the team motor control when writing or coloring, Elizabeth uses adaptive equipment, like slant or email email@example.com
Development of Ball Skills boards and pencil grips. He used an immature and less functional pencil grasp and
Catches ball with elbows bent in front of body; peers, we are more collaboration – if it is warranted,”
concerned with the indi- describes Barbara. “Our therapists required constant cues to coach the use of a tripod hold. Now, with the use of the pencil
throws ball using shoulders and elbows grip and practice he rarely needs cues and can hold a pencil appropriately much of the
vidual child’s rate of tend to be more experienced, senior-
* From Transdisciplinary Play-Based Assessment, Linder, 1990 progress. How quickly is level clinicians with advanced training time * Information originally appeared in
their nervous system and advanced practice certification.” New Futures Fall/Winter 2002.
For more information about occupa-
tional therapy and services provided