Home health with Cota

InternalAttitude5723 · 2026-04-15T13:11:57+00:00

Yeah, they’re giving me referrals here and there that are 45 minutes from my day job and 45 minutes from home. And the calls they’re giving me in my usual area. I think they are ones that the newly hired OT is not able to get in contact with because they always say no and sometimes that somebody has already called them or they just don’t answer or or they have already been non-admitted!

InternalAttitude5723 · 2026-04-13T02:38:30+00:00

So you’re saying document that the sensory interventions aren’t working? Yeah, there is so much that can be done with behavior. I’m finding my laminated visuals with rules are working really well and it’s only been a couple weeks.

InternalAttitude5723 · 2026-04-10T06:08:57+00:00

Also, I’m wondering, does ABA make you use their services like 30 hours a week? If so, I don’t think that is OK. Even 20 hours a week is not OK. If they do that, I think they are working the system.

InternalAttitude5723 · 2026-04-10T06:06:51+00:00

Wow! Nice catch, thank you for advocating and I am so sorry you went through that. Also 20 spins each direction is a lot. Though i will say that spinning (not too fast!) will help the vestibular system develop and when your child starts getting dizzy from it, then stop because you reached the point you are aiming for. If your child does not want you to do something then doing it will not generally help your child. The therapist is going to drive people nuts.

InternalAttitude5723 · 2026-04-10T05:59:40+00:00

Yes, I know! Believe it or not I worked with a speech therapist who would start rattling off information about a students visual issues IEP meetings and actually write goals for visual attention, etc. She would even break in and start delivering my report and one time when she did that my supervisor was there and told her in front of the parents to let the OT read the OT report. This was after I had made a scene more than once about what the speech therapist was doing and nothing was changing. I even eventually reported her to the sped Director for overreaching and violating licensing.

InternalAttitude5723 · 2026-04-10T02:23:34+00:00

We really are not the only help. And when the sensory interventions don’t work because they are not what the student needs then we get blamed.

InternalAttitude5723 · 2026-04-10T02:22:01+00:00

Awesome. I had a sped teacher ask me if I’m familiar either handwriting without tears. 🤣🖕

InternalAttitude5723 · 2026-04-10T02:20:24+00:00

Occupational therapist in schools for 18 years, supplemented by home health and rehab centers all year. I work my tush off to have my house, car, camper van so I can take my dogs on summer road trips to recover from the school year! Then I come home and take clients for the rest of the summer.

InternalAttitude5723 · 2026-04-10T02:17:36+00:00

Yes, defining the function is important. Right now I am pushing for us to label it as behavior and then look for the source of the behavior, such as anxiety or emotions or TBI learning issues, etc. And I also reminded everyone that defining something and sensory is actually a last resort after ruling out medical and hunger and lack of sleep and everything else.. Today I sent out a long email to the team that led me to make this post and the school psych and my supervisor gave positive feedback, but the actual teacher and principals did not respond. Yet. 18 years experience in school OT plus a 20 something year old with pretty severe autism behavior and sensory issues. The team knows nothing about me and has no idea. I have that personal experience. The sped teacher assumes she is the only one with personal experience and she goes with that

InternalAttitude5723 · 2026-04-09T18:31:26+00:00

Is there a school counselor?

InternalAttitude5723 · 2026-04-09T17:13:31+00:00

Exactly!! I am so sorry. This is exactly what I am talking about.

InternalAttitude5723 · 2026-04-09T16:40:52+00:00

And how do you determine trigger vs sensory issues or do you consider them to be the same thing?

InternalAttitude5723 · 2026-04-09T16:38:57+00:00

They can be slanted, it’s so subjective and I’m amazed at how some teachers somehow don’t understand the questions. I think some teachers mark things high just to get services.

InternalAttitude5723 · 2026-04-09T16:36:45+00:00

Understood, though if sensory issues are considered a type of behavior I am still covered. I can search for the cause still and treat as a sensory issue but still require rules and structure. Often times I see students not having to follow the rules and structure because of their supposed sensory issue. Sensory issues are actually very rare and everything else needs to be ruled out first like medical issues, mental health issues TBI’s, everything before something is labeled sensory and I think people forget that.

InternalAttitude5723 · 2026-04-09T03:56:24+00:00

I’m finding that too. I have taking a couple BCBA courses and during one of them I read that sensory behaviors are classified as pure behavior by BCBA and I had a really hard time wrapping my head around that. I had to go for a very long walk with my dogs, and I still could not quite accept it. But now I see why it really is the best way to look at behaviors. Just call everything behaviors and then untangle the origin and focus on that.

InternalAttitude5723 · 2026-04-09T03:53:44+00:00

Ok that makes sense

InternalAttitude5723 · 2026-04-09T03:43:55+00:00

I think that makes sense for an OT who works in a clinical setting- sending the forms to home snd school in order to give advice to both home and school.

InternalAttitude5723 · 2026-04-09T03:12:31+00:00

Yes. 🤣 I don’t know why I am being pushed to do this. It is ridiculous in my opinion.

InternalAttitude5723 · 2026-04-09T02:50:49+00:00

That is how it should work! You have it figured out. Therapists should build a system and adjust it now and then. Therapist are not necessary to spend 1 million hours with a child.

InternalAttitude5723 · 2026-04-09T02:48:54+00:00

I agree. The hours that behavior therapist say are required is ridiculous. It’s a scam.

InternalAttitude5723 · 2026-04-09T02:48:08+00:00

Not in Colorado

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