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Play & School Based Services

TermDefinition
play Primary occupation of children Provides social, emotional, cog, & motor dev Is pleasurable, freely chosen, child driven In safe, resourced, challenging env
3 characteristics of play Control- internal (kiddo in charge), external Motivation- intrinsic or extrinsic Suspension of reality- free (lost) or not free (follow rules)
free play vs. guided play Child initiates, child directs, no learning goal vs. Adult initiates (pick toy), child directs (decides what to do with toy), has a learning goal
co-opted play vs. playful instruction & direct instruction Child initiates, adult directs, work to goal vs. Adult initiates & directs, achieve learning goal (school based is like this)
play development Sensorimotor Symbolic & simple constructive Dramatic & complex constructive Games & rules Recreational & competitive
sensorimotor vs. symbolic & simple constructive Peekaboo, playing in different textures, cause & effect vs. Blocks, learning to build & stack, cause & effect play, rolling stuff, manipulated toys
dramatic & complex constructive 4-7 yo Learn about imagination, getting lost in own free play Planning & ideation Problem solve when things don't work out Stick stuff together, sorting, molding
games with rules vs. recreational & competitive Video games, problem solving vs. Sports, playground play, more indoor activities
solitary vs. parallel play Child in own world, unaware/ uninterested what's going on beyond world vs. Friend is playing beside, don't interact Not worried about sharing
associative vs. cooperative play Intermingling Borrow objects but may not have same play goals vs. Both working towards same goals, interacting together Reciprocal, turn taking, switch between guiding roles
play-based OT as outcome vs. means Promote play participation opportunities Address play skills w/ env mods & task analysis vs. Means to an end Use play activities to address occupational deficits
evaluation of play Test of playfulness Test of environmental supportiveness Pediatric interest profiles Knox preschool play scale
play based interventions & strategies DIR/ Floor time (parent-child interaction) Integrated play groups Learn to play program Social emotional programs
consider play based interventions to be In playful env Client centered Unstructured & child directed tx Peer interaction activities Imitation & modeling Positive reinforcement, body cues
play occupations are Child initiated Internally motivated Fun & flexible Non-productive Spontaneous
play based work occupations are Adult initiated Externally controlled Structured Expectation bound Goal focused Productive Compulsory
play & adolescence Slow paced video games enhanced problem solving skills & grades Sport games increase engagement in PA Find balance btwn length of time & lvl of enjoyment Leisure activities are essential
play & kids w/ severe multiple disabilities May not be considered More dependent on caregivers Diff accessing materials & asking for own activities Hand over hand Watch others play
children who are hospitalized should play since Reduces anxiety Negative emotions Lower BP Lower pulse Increase cooperation in medical procedures while in hospital
iCan-Play Interactive child activity narrative of play Guides therapists to create meaningful & client centered goals Expands developmentally appropriate play
role of AT in play Increased incidence of playing independently & active participation Indicates to caregivers on preferred play activities Increased playfulness
autistic play in literature Less frequently Limited flexibility & creativity Use of play objects atypically or respectively Lack of symbolic play Results in limited friendships, bullying, greater anxiety during peer interactions
ASD play interventions Imitation & modeling Modifications of play env (physical, cog, sensory) & modifying materials Alter adult interaction w/ kid (encourage, cue, responding contingently) Play groups, jnt attention Learn to play programs DIR floortime
autistic play & learning Sensor exploration of self Self & environment Recognition of pattern & form Discovery of others Engagement w/ others
why risky play less common New safety measures Safe as necessary vs. safe as possible Technology Unscheduled free play vs. structured activities Less opportunity to explore risky play environments
what is risky play Thrilling & exciting forms of free play Involves uncertainty of outcome Possibility of physical injury
categories of risky play Height Speed Involving tools & potentially dangerous elements Rough & tumble Risk of disappearing/ lost Involving impacts Vicarious play
physical risky play benefits More mod- vigorous PA/day Less sedentary Support engagement in PA of life Improve health (less sport injury) Modulate immune system
mental & social-emotional health benefits of risky play Less bullying Resilience Conflict resolution skills for boys Self esteem & concentration More likely to recognize & test their limits & tackle new challenges
benefits of risky play for disabled kids Awareness of abilities Autonomy Self-responsibility Reduction in social exclusion
OT role in risky play for disabled kids Education & make opportunities (reframe risk perception) Adapt play environment Advocacy Involved in community planning, developing outdoor spaces
traditional play Colonization resulted in less traditional play Need to look at holistic development of African children Educators & parents have to use model that includes both
complications of play deprivation Delayed developmental milestone achievement Associated w/ challenges w/ emotional & aggression Social participation Hidden barriers
role of OT in schools Participate in academic & non-academic activities Early identification of difficulties & referral to other supports Shift to therapy in class environment Inclusive practice & strength based approach Holistic view of kid & school participation
specialist vs. targeted school OT Kids with complex needs who need 1:1 input as indicated in EHCP Intense vs. Time limited classroom based group work Focalized
universal services school OT Support within classroom Work closely w/ staff enable them to implement strategies throughout day Therapist is consultative
types of school OT Consultation 1:1 intervention Small group Whole classroom input Coaching
key interventions & strategies in school Engage kid in goal setting Practice real- life activities Work in natural environments Repeat often (neuroplasticity) Scaffolding, just right challenge Collaborative & team process
school team Student Parent EA Teacher, principal OT, PT, SLP, psych Family liaison worker Special ed coordinator
PUF (program unit funding) Funding provided to school Individualized to meet needs 32 months- 6yo (max 3 years of funding) Centre, home based, community setting Severe disability/ lang delay Standard ax results for codes IPP created & renewed
school based process Different processes Teachers/ leads/ assistant principles identify priorities Classroom observations Screens, standard ax, reports PUF- written reports & sent to Alberta ed. Consultative & coaching Therapy packages sent home to parents
how can we work with teachers Perceptions, communication, presence Combo of direct input w/ students and consultative service School based coaching Curriculum & classroom planning Communities of practice
Created by: craftycats_
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