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05.22.08, 13:03 PM General Topics
16 replies
what's the difference between an OT evaluation (for sensory integration issues) and an evaluation by a neurologist (for processing issues)? who would do either? does anyone do both? [ Reply | Watch | Flag ]
General Topics 05.22.08, 01:03 PM Flag
 

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have you gone to a developmental pediatrician? seems like you could have both evaluations done in one place that way. [ Reply | More
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General Topics 05.22.08, 01:12 PM Flag
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You can't get an OT evaluation done by a developmental ped. It has to be done by an Occupational Therapist. This is extremely helpful in learning how to change yourself/behavior in order to help your child learn to deal with special issues-like sensory integration. GL [ Reply | More
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General Topics 05.22.08, 01:43 PM Flag
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NP But how do you know you need to go to an OT? Is it based on your informal observations? Is someone telling you to go? [ Reply | More
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General Topics 05.22.08, 01:48 PM Flag
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With a young kid, often parents are self-referring (peds rarely catch this stuff). Or, a preschool teacher might notice that a child has sensory issues in the classroom and mention it to the parent. [ Reply | More
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General Topics 05.22.08, 01:50 PM Flag
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I'm aware of that. Was wondering what OP's situation is. When I taught I would never tell a parent to go directly to OT without having an overall evaluation. I think it's really important to have someone with a broader perspective of child development do initial eval. [ Reply | More
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General Topics 05.22.08, 01:54 PM Flag
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But the wait can be extremely long for a dev ped, so the best course of action is to get a CPSE eval going. Also, an OT issue doesn't necessarily translate into a broader disorder, so it may be jumping the gun to go to a dev ped unless the OT eval has shown that there are issues. Hopefully the parent will ask for a full eval in each domain, if she has worries in more than one area. [ Reply | More
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General Topics 05.22.08, 01:56 PM Flag
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NP: IMO, get the OT eval, but I'd still see a dev. ped as well. An OT is not versed in all areas and will not know if there's more to the picture. [ Reply | More
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General Topics 05.22.08, 02:10 PM Flag
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As those of us with SN kids know, there is very little reason to see a neurologist, period. Unless your child has a medical condition, they are the last people you want to see because they are (sadly) very ignorant and uninformed about developmental issues. [ Reply | More
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General Topics 05.22.08, 01:39 PM Flag
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totally. seizure disorder? headaches? see a neurologist. anything else? development ped or (depending) psychiatrist. [ Reply | More
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General Topics 05.22.08, 01:42 PM Flag
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Most families I've worked with as a teacher start with a general evaluation with a developmental psychologist who then sends them to OT, PT, speech, what have you. I think that's the best approach. [ Reply | More
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General Topics 05.22.08, 01:47 PM Flag
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I agree that in an older child you are right to start with a psychological because there are already issues with learning. But for kids 4 and under you're best off with EI/CPSE and a developmental ped, to get the broadest possible view. [ Reply | More
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General Topics 05.22.08, 01:48 PM Flag
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But the EI starts with an evaluation by a dev. psychologist in the NY board of Ed. I should have clarified that families I worked with either did EI through the BOE or hired their own dev. psychologist (or the private nursery provided one). This was for kids 3 and up. I guess peds probably do deal with the younger ones. [ Reply | More
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General Topics 05.22.08, 01:52 PM Flag
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Where are you getting your info? EI doesn't start that way at all. EI starts with individual evals from speech, PT, and OT therapists, as well as from an educator. Many EI kids don't get an eval from a psychologist at all - usually only if an EI dev ped is not available, because they are a lesser choice. Are you sure you don't mean a developmental pediatrician? [ Reply | More
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General Topics 05.22.08, 01:54 PM Flag
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When I worked in low income schools, the first eval. was always with a psych. (head start). When I worked in a tt, the first eval. was generally with a psych. hired by family. It's just an annecdotal, not conjuring information. [ Reply | More
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General Topics 05.22.08, 01:55 PM Flag
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That is definitely not what I'm used to! Interesting to hear about different methods. Most of the people I know started in EI, but those who started at CPSE always did the eval while waiting to get into a dev ped. No one ever goes to a psych. At 4, you see a neuropsych for a psycho-educational eval, but it's not the same. [ Reply | More
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General Topics 05.22.08, 01:58 PM Flag
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I think you may be a bit misinformed. EI is not at all related to the DOE. It's administered by the Dept of Health. Once kids transition to CPSE, that's the Dept of Ed. [ Reply | More
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General Topics 05.22.08, 01:54 PM Flag
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