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Occupational Therapy Pediatric Goal Bank

Free Goal Bank For Speech Occupational Physical And Feeding Therapy Goals

Inpatient Pediatric Rehabilitation at Children’s Hospital of Philadelphia

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Do All Picky Eaters Need Feeding Goals

Picky eating is a BROAD term that encompasses everything from a child that doesnt like vegetables to a child that gags when he sees any new foods.

Picky eaters that need feeding goals have severely limited diets that are either impacting their growth and height, and/or are causing significant stress in the child or familys life on a daily basis.

Kids with a developmental delay, autism spectrum disorders, or sensory processing disorder commonly have feeding difficulties. However, lots of kids that are typically developing in every other way can have feeding difficulties.

If youre a parent and arent sure where your child falls on this spectrum, take our picky eating test, to see which category of picky eating your child falls into.

PFD, ARFID, Problem Feeders, and Extreme Picky Eaters

Fortunately, we now have a proper feeding disorder diagnosis for kids that are struggling to eat a variety of food that captures the challenge much better than picky eating, which is Pediatric Feeding Disorder .

In the past, terms such problem feeders and extreme picky eaters were frequently used by therapists to describe these children who had a difficult time eating because of their sensory processing, oral motor skills, or physical conditions.

Those terms are still used for kids that dont have the diagnosis, but generally have less than 20 foods and have extreme reactions or consistent utter refusal to eat new or different foods.

Long Term Occupational Therapy Goal Examples

For more clarity on what a long term occupational therapy goal looks like, weve created some examples below.

  • Client will get dressed independently with 90% accuracy in trials.
  • Client will be able to hold a pencil with a developmentally appropriate grasp and write their name independently with 80% accuracy in trials.
  • Client will be able to don their lower extremity clothing including their socks and shoes, while following hip precautions with 100% accuracy in trials.
  • Client will demonstrate developmentally appropriate engagement with their sibling, without aversion 80% of the time, in trials.

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What I Mean By No Pressure In Feeding Goals For Picky Eaters

I follow the research of Ellyn Satter and my treatment approaches align with Responsive Feeding movement and SOS approach to feeding, which is why you see notations about not pressuring in several of the feeding goals for picky eaters.

While traditional feeding therapy behavioral techniques are still used by some, I think OTs and speech language pathologists that want to use a positive child directed approach for treatment can be tempted to pressure during data collection of these goals.

If I indicated the goal is touching to lips, taking a small bite, or even licking a food, I want to be clear that Im not sitting across from a child and repeatedly asking them to do that, nor am I rewarding them when they do. Instead, Im using play with food, cooking, sensory bins, and other strategies to work on them exploring food on their own volition.

However, if a child doesnt have the motor skills to feed themselves, close their lips, or chew, you may need to use physical assistance and verbal cues to help them complete the task theyre working on.

How To Create Feeding Goals For Picky Eaters

Pediatric Occupational Therapy Goal Bank

When a therapist creates a new feeding goal for a picky eater, there are several factors that include:

1. What is important to the parent and/or child?

  • Sometimes therapists see a childs challenge or difficulty and can immediately see all the things they can do to help the child. Thats not a bad thing, but if we move ahead without finding out what the family and childs priorities are, then were missing the point. And, parents are likely to not be invested and carry over treatment at home.

2. What is realistic or obtainable?

  • Its critical the goal thats set is able to be achieved with intervention, otherwise everyone is frustrated and disappointed when working to reach a goal that is far too hard. New goals can be created as old ones are reached.

3. What is measurable?

  • Feeding goals must have a measurable component so therapists are able to assess if a child has been successful or not. The goal should be clearly objective, not subjective.

4. How long will you measure this goal?

  • Most feeding goals do well to be over a several month period as intervention strategies take time and consistency. But, this will also depend on the feeding therapy setting and the families circumstances, you may have shorter or lengthen time frames and the amount of trials as part of your goal.

5. Use your clinical knowledge, education, and the results of the assessment to determine how much assistance, if any, a child will need to reach the goal.

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Managing Osteoporosis With Physical Therapy

If you are living with osteoporosis, know that is it never too late to take steps to improve your symptoms and bone quality by making certain lifestyle changes. They are not just good for bones they are good for your entire body and mind!

Physical therapy is also ideal for patients with osteoporosis and other conditions associated with aging. Safe, supervised physical therapy helps to increase bone strength and slow bone loss, correct posture to protect against fractures, and improve balance to avoid falls. To learn more about how physical therapy can help you stay strong and active, schedule a screening at a clinic near you.

Goal Writing And Goal Bank Guide For Adults Ebook:

Quick Summary: The Occupational Therapy Goal Writing & Goal Bank Guide is a 60 page ebook that focuses on helping you create measurable, client centered and attainable goals for your clients!

Not only does it give practical tips and instruction for goal setting in an easy to follow format, it provides outcome measure examples for a variety of goals plus a bank of short term goals and long term goals.


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Online Pediatric Physiotherapy Services In Ontario

When I was asked to write a blog on what physiotherapy looks like on-line and how do we actually make this happen, I jumped at the chance, because this actually works! Physiotherapy is a health care profession which assists people to gain/ achieve skills , maintain and maximize their strength, function, movement, and overall well-being and address difficulties related to function and achieving functional goals.

A big part of physiotherapy treatment is exercise. We use exercises and other modalities as well as we provide education regarding the prevention of injury, and promotion of health and fitness. Physiotherapy helps to improve physical function, independence, keep you moving, keep you active, thereby assisting in keeping you healthy and improving quality of life. On-line physiotherapy sessions are done using secure videoconferencing, in the comfort of your home. You can see the physiotherapist on-line and they can see you.

The physiotherapy team at Anderson Therapy Services has made several videos, all with a focus on physical activity, which are fun and will keep your child moving.

My Overall Personal Recommendations

Occupational therapy for children
  • I strongly recommend both the Goal Writing & Goal Bank Guide and the Goal Writing Workbook to: occupational therapy students, especially those who will have a Level 2 fieldwork clinical in an adult setting of any kind new grad practitioners through first few years of practice of any adult setting.
  • I greatly recommend the Goal Writing & Goal Bank Guide to practitioners who have been in practice for over three years, but find themselves in a rut when it comes to writing the same things over and over again.
  • I recommend the Goal Writing Workbook to practitioners who have been in practice for over three years, but believe if you have experience in goal writing that you may be able to get by without the workbook.
  • I strongly recommend the Goal Writing & Goal Bank Guide and recommend the Goal Writing Workbook if you are a practitioner who is making the switch from pediatrics to adult rehab of any form.
  • PSA***Times are really odd right now to say the least. If you are in a pickle in purchasing both, my recommendations are to purchase the Goal Writing & Goal Bank Guide first and see if from there you need additional insight and assistance to determine if you also want to purchase the Workbook.

Questions or comments???

Much love,

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Writing Executive Functioning Goals

– If you havent already, check out our article that outlines How to Write Speech Therapy Goals. – For the purpose of this article, we will focus specifically on writing goals for increasing executive function skills during therapy.- The first step to writing goals is identifying the area of need. This may include formal and informal assessments, observations, and interviews with clients, parents, teachers, and/or caregivers. Once you have identified the area or need, you can begin composing the goals you are going to write and target.

As seen above, speech goals should be written with 3* components in mind: the DO statement, the CONDITION statement, and the CRITERION statement.

*Also commonly included is consistency . Aka: does the individual have to meet a specific criterion more than once? A common example of this may include across 3 consecutive sessions. This is usually something understood by the therapy organization/service provider and is sometimes/sometimes not included in the written goal itself. Including consistency statements ensure that the skill has been generalized and provides more reliable data that the skill has been properly mastered.

Writing Smart Iep Goals

My first months working in school based therapy as a new OT left me feeling ill equipped and insecure in my skills as a therapist. Nothing humbles you quite like being a new graduate working in the schools does .

Back when I was a new graduate and had just taken a contract position in Hawaii, I remember feeling WAY in over my head. I was to have a mentor help me become better acquainted with the ins and outs of providing occupational therapy in the school setting.

However, due to heavy caseloads and distance between schools, I rarely got to meet her in person or talk to her on the phone. I was left to figure it out for myself. One of the many challenges I faced was collaborating to write, or working to write, GOOD IEP goals.

I often came across goals such as the following:

Jacob will demonstrate improved fine motor skills in order to copy simple pre-writing shapes such as a circle, a square, a triangle, a cross and an X with 80% accuracy utilizing a tripod grasp in 4 out of 5 opportunities observed.

I also have been guilty of writing cringe worthy IEP goals myself. Just taking a look back at some IEP goals I wrote three years ago, although well meaning, measurable, they were not.

How I learned:

Following a due process case, during which the settlement process I rewrote my OT related goal three separate times, I decided I had to do better. I had to make sure I was not absent minded and coming up with goals on the fly. I started thinking of it in these terms:

S- Specific

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Handwriting Skills For Students

When a child lacks a skill, you either teach the skill or make accommodations for the lack of skill. Or, you can do both. Handwriting is a good example of this, but many schools and parents fail to realize it.

What I mean is, handwriting does not have to be either, or. In that, the child either learns to write or use voice-to-text . You can, and should, do both.

Common Core Standards only call for teaching handwriting in Kindergarten and First Grade. Because of this, many schools are leaning away from advanced handwriting skills. But at what cost?

Children not only learn to read more quickly when they first learn to write by hand, but they also remain better able to generate ideas and retain information.

According to the New York Times:

A 2012 study led by Karin James, a psychologist at Indiana University, lent support to that view. Children who had not yet learned to read and write were presented with a letter or a shape on an index card and asked to reproduce it in one of three ways: trace the image on a page with a dotted outline, draw it on a blank white sheet, or type it on a computer. They were then placed in a brain scanner and shown the image again.

The researchers found that the initial duplication process mattered a great deal. When children had drawn a letter freehand, they exhibited increased activity in three areas of the brain that are activated in adults when they read and write.

Review Of The Ot Goal Writing & Goal Bank Guide

Occupational Therapy Goals Bank Ebook

If youre an occupational therapy student or OT practitioner, youre probably well aware of the difficulties of goal writing. Adult-based occupational therapist Mandy Chamberlain, OTR/L, knows the feeling all too well.

So she decided to create two great OT goal writing resources to help solve this problem. These resources include an all-inclusive guide , as well as an additional OT Goal Writing Workbook to complement the guide.

I was excited to score a copy of both and wanted to do a quick write-up for anyone interested in purchasing it.

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What Are The Signs Of Osteoporosis

Osteoporosis has no real symptoms in the early stages, which is why it is considered a silent disease. As the disease progresses, someone with osteoporosis may appear to stoop over and they can have pain due to a collapsed vertebrae, or compression fracture. It is also the reason some people get shorter as they age. Yet for many individuals, a broken bone is the first sign of bone loss from osteoporosis.

Occupational Therapy Goals And Examples

Occupational therapy goals serve many purposes. One of those is to ensure a client is benefiting and progressing from their sessions. Occupational therapy goals also track client progress, in addition to identifying when a client is ready to take a break from therapy. These goals also help determine when a client requires additional services such as speech therapy, physical therapy, or behavioral health support.

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Problem : We Aren’t Always Taught To Use Outcome Measures Or Use Our Initial Evaluations To Guide Our Goals

We end up writing goals that are:

  • not the most client-centered,
  • using too many measurements to make the goal difficult to achieve or
  • labeled as “not functional.’


Within 2 weeks, the patient will perform upper body dressing independently with use of adaptive equipment while sitting edge of bed with “good” dynamic sitting balance.


Within 2 weeks, the patient will perform UB dressing with “good” dynamic sitting balance.

Whats Included In The Ot Goal Writing & Goal Bank Guide

Rolling Back to Side, Head Control: Pediatric PT Strengthening for Babies #6

The main guide is the Occupational Therapy Goal Writing and Goal Bank Guide for Adults . It is the larger of the two goal writing resources.

It is 60 pages and covers pretty much everything you need to know when getting started with goal writing. The goal of the guide is to help you create measurable, client centered and attainable goals for your clients in any adult focused setting.

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Pediatric Occupational Therapy Goals: Developmental Ages 3

This occupational therapy pediatric goal bank is designed to make your goal writing task easier and quicker!

Pediatric OT Goals bank book is a cut and paste goal bank to make goal writing quick and easy! Simplify your goal writing for children with developmental ages 3-6 years!

The occupational therapy goals in this book were developed over fifteen years of evaluating and working with children of all ages.

This occupational therapy pediatric goal bank book contains fine motor, gross motor, visual motor, and visual perceptual goals. 100 goals total, broken down into 6 month age groups. Plus motor planning and cutting goals for developmental ages 3-6.

There are five books planned for this Pediatric Occupational Therapy Goal book series.

NEW! Book 5:Fine motor, visual motor, visual perceptual, motor planning, and cutting abilities. Developmental ages 3-6.

Want to see a Sample Page from one of the Pediatric Occupational Therapy Goals Books? here!

I hope you find this goal bank helpful in completing goal planning quickly and easily for the children you evaluate and treat!


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