OT (Occupational Therapy): Beyond the Handwriting

pisode: OT Beyond the Handwriting Special Ed IEPs, 504s & Conversations with DCSEAC

Guest: Patty Kreinbrink, Occupational Therapist Lead, Douglas County School District

Episode Summary: Host Meredith sits down with Patty Kreinbrink, the OT Lead for Douglas County Schools, to pull back the curtain on what school-based occupational therapy really is — and isn't. From sensory processing and core strength to the difference between school OT and private clinic OT, this episode is packed with insights for parents navigating IEPs and 504 plans.

Topics Covered:

• What OT actually does in schools beyond handwriting
• How core strength connects to writing skills
• Sensory processing vs. misbehavior — how OTs tell the difference
• Proactive vs. reactive use of sensory tools
• School-based OT vs. private/clinic OT: key differences
• Collaborative goal writing and why it changed
• Shoe tying, life skills, and SSN students
• What "educationally necessary" actually means
• OT in an IEP vs. OT in a 504 plan
• The CERT tool: how Douglas County ensures consistent, individualized services
• What language to use at an IEP meeting if you're concerned about fine motor or sensory needs
• Assistive technology and neuroplasticity — why early intervention matters
• Simple at-home activities to support OT goals

At-Home OT Tips from Patty:

• Let kids open containers, carry backpacks, and do chores
• Stir resistive textures (pudding, bread dough) to build bilateral skills
• Play games or color lying on the belly propped on forearms
• Do activities vertically (on a wall or easel) to build shoulder and wrist strength
• Break crayons into small pieces to promote a functional grasp
• Use squirt bottles, tongs, and tweezers for fine motor play

Connect with DCSEAC:

• Website: DCSEAC.org
• Email: [email protected]
• Social media: search DCSEAC

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