Occupational Therapy

 

What is Occupational Therapy?

What an occupational therapist do can vary drastically from one setting to another.  At Cherish Clinic, we specializes in occupational therapy services for neurodivergent children between 4-18 years old. We specializes in offering:

Experience facilitation, Awareness, Neurodevelopment, Integration, and Psychoeducation

  • Highly in-depth and Nuanced Multisystem Sensory Processing
  • Interoceptive-Social-Emotional Processing
  • Autonomic Nervous System Processing
  • Play-based, Kinesthetic Approach

Holistic/System change through consultation, advocacy

  • Identifying systemic barriers and incompatibilities
  • Home, school, and work accommodations and adaptations. 
  • Creating Equitable, sensory compatible, and accessible environment

Woh! Those are some big science-y words! Typically, occupational therapist provides functional and developmental skills such as tying shoe laces, walking correctly, using a wheel chair, how to take a bus, and etc.  And we do these things too!  These are considered as tertiary goals at Cherish Clinic. We can do much much MUCH more than that.   We help our client answer the questions:

What is my human experience?
What is a good quality of life for me?
What feel authentic, empowering, and nourishing for me?
How do I embody the person I am and want to be?

 

Ethical Boundaries

We approach child-lead therapy literally. We prioritize relationship building, nervous system safety, respecting the autonomy of our clients, and positive and authentic experience. 

As a neurodivergent-centred agency with strong commitment to disability rights, we take a radical stance to occupational therapy

1. We approach disability from the social model of disability

2. Therapists must not perpetuate the tyranny of normal and rehabilitation.

3. Therapists must not perpetuate or enable ableist social values through their therapeutic interventions.

4. Therapists must be approach clients with humility.  We see human and not their disability.  We see our client as competent, autonomous, and powerful humans, who are the expert of their existence.

For example, we will only teach the child keyboarding if that is what the child has requested, while providing information and advocating for a wide range of other accommodations and adaptations around written communication.  These offerings would be presented and provided in a “cool” way (socially empowering). We will never sensitize the client to neurotypical social or system demand or shame them from their ability differences in order to “motivate” them.

Multidisciplinary Approach

Typically, occupational therapists would take on multiple roles with the family as parent consultant, therapy programming, rehabilitation interventionist, school advocate, play therapist, counselling, life coach, and etc.  Yes, we can do that too, but we want to highlight research showed that families and clients experience better outcome within a multidisciplinary setting and benefit from more in-depth support and care from multiple collaborating specialists.  Cherish Clinic work collaboratively with EverydayOT to support the family along with Shay. Please inquire with us on how to build your team.

Pathological Demand Avoidance

Shay, our occupational therapist, has a preference for children and teens with persistent drive for autonomy, which is a rarity within her profession. 

Fee Schedule

 

Default Fees:

Initial Intake Call: $100*

Sessions: $200 per hour

Biannual Goal update and overall summaries: $100 per update (twice a year)

Additional Services:

School / Home Visit

  1. 15-30-minute parent meeting for planning and identifying areas of focus for the visit
  2. Session hour rate +$80/hour travel + $1.2/km
  3. 30-45minute  post-observation meeting
  4. 1-hour Report Fee

Total: $700 + travel

Signature for Justification for Equipment Form (JFE):  $80 (does not include writing reasoning)*

School or IEP meeting: $200 per hour (minimum one hour is billed even if the meeting is shorter)

Report Fee: $200 per hour. For some distributed learning programs, Shay may need to charge 2 hours for the report to meet the additional requirements.

*In-depth Case Intake: $300
(This is for clients who have done a sensory assessment prior or have numerous assessment reports)
*Cherish has resources and support to help parents fill in the reasoning or we can write the reasoning for additional fee of $80.

Additional Services:

Read More about Cherish Payment Policies.

Funding

Shay’s service is also eligible through many different third-party funding such as at-home funding, AFU, distributed learning programs, and charities.

Termination

Parents can terminate Shay’s service with 48-hour notice before the next session time.

 

Intake Process

 

Step 1: Discovery/Intake Meeting

Cherish Clinic will reach out to you for a discovery call and we will ask you for some background information about the family and the client.  We will also explain Shay’s therapy framework and scope of service.

Then you will be placed in waitlist in sequence. 

Step 2: Client Offering

Our matcher will present the case to our occupational therapist.  The therapist will decide if they will accept the case. 

Shay only accepts clients whose caregivers are neurodiversity affirmative and understands that she takes client-centred practice very seriously.  This means that she will not “fix” or “address the problem” on the parent’s behalf, but rather focus on relationship building, providing developmentally nourishing experiences, and supporting clients in areas of growth that matter to them. 

Step 3: Consent and payment arrangement

Once Shay accepts a client, then Cherish Clinic will reach out to the client or caregiver to complete the following

Step 4: Intake Call and First Session

Once we have all the forms completed and payment arrangement in place, Shay will reach out for 10-30minute to chat to the client or their caregiver.  This call is charged at $100.  

After this call is completed, then we will schedule the first session.

 

Step 5: Screening

As a default, the client will be screened for retained reflex and visual processing impairment as a part of ongoing sessions.  If developmental or sensory processing challenges are flagged, then Shay may communicate about her findings.   

Parents can also choose regular or on-demand parent consult sessions with Shay.  Once the relationship has been established and Shay has a strong grasp of the client’s challenges, the parents can also request a school observation or one-time in-home consult.

 

Not sure about the service?

We offer multiple accessible options to communicate with us!