Capable Kids, LLC
540 Lafayette Road
Capital Kids, Pediatric Occupational Threrapy, LLC
Suite H, 124 Hall Street
A Community in Motion
23 Mahan Street
Easter Seals New Hampshire
The Family Place
555 Auburn Street
Manchester, NH 03103
(603) 621 3516
Exeter Hospital, Department of Pediatric Rehabilitation
137 Epping Road 207 So. Main Street
Exeter, NH 03833 Newmarket, NH 03865
24 Plaistow Road, Unit 4
Plaistow, NH 03865
OT in Motion
30 Sargent Rd # G
OT Works 4 Kids, LLC
27 Roulston Road, Unit 1
Windham, NH 03087
Swing for the Stars Pediatric Therapy Center
2 Pillsbury Street, Suite 404
Concord, NH 03301
Reviewing information prepared by the professional association of a therapeutic provider can help parents become more informed consumers of these services. To see what the AOTA says about the role of occupational therapy in supporting an individual with autism, link here.
The following are practices offering Occupational Therapy to children with autism spectrum disorders. This list does not include the many OTR/L and COTA's who support children with ASD in NH schools.
What is Occupational Therapy?
For individuals who experience ASD, occupational therapy has a wide range of applications. Many children receive OT services as part of an intensive, early intervention program designed to address delays in gross and fine motor skills, as well as apparent differences in responding to environmental stimuli such as noise, motion, or touch. OT services may continue as part of the child's individualized education plan (IEP) to support greater independence in the school environment and a wider range of play, recreational, and early education skills. OT may also help a child to acquire daily living skills, including toileting, dressing, and eating.
Over the course of the individual's lifetime, OT should not be overlooked as means toward supporting more adult skills related to independence in the community and the workplace. These may include cooking, driving, or adapting one's work environment to address sensory differences.
What do Quality OT Services Look Like?
A well designed occupational therapy program is
- Based on thorough assessment, including careful observation of the individual's skills, specific testing, and input from family, school, and community support providers.
- Person-centered, meaning that there is a thoughtful appreciation of what the individual (or in the case of a child, the parent/caregiver) considers most important to his or her well being,
- Individualized in that both the goals and the strategies employed to achieve them are based on the strengths, needs and preferences of the individual.
How is the Field Regulated?
As with any healthcare field, occupational therapists are held to a high professional standard. In NH, occupational therapists are licensed as one of the five "allied health professions." Additionally, their national association has adopted a Scope of Practice, on which relevant NH law is based, and a Code of Ethics. To learn more see:
How are Occupational Therapists Trained?
Occupational therapists study human growth and development. They are experts in the social, emotional, and physiological effects of illness, injury, and developmental differences. An OTR/L is a licensed healthcare professional who has received masters level training in the field. There are also doctoral level (PhD) occupational therapists, who typically teach and conduct research in connection with clinical practice. Here in the Granite State, the University of New Hampshire offers graduate degrees at the masters and the doctoral level in occupational therapy.
A COTA is certified occupational therapy assistant, who has received some, but fewer, hours of academic training. The scope of practice for a COTA does not include conducting assessments although s/he may administer specific tests and provide input as part of an assessment team.
Who Pays for Occupational Therapy?
For individuals with ASD, occupational therapy may be paid for by a variety of sources, depending upon the age of the individual, the goals of the therapy, and the setting in which the treatment activities take place.
- Insurance, both private (based on employment) and public (Medicaid): Many policies include occupational therapy as a covered service. There are two state laws that support this coverage: (1) The "Early Childhood Mandate" requires policies subject to NH regulation to cover occupational therapy for children birth to three years up to a $3600 cap. (2) Connor's Law for autism treatment names occupational therapy as a covered service and states that services may not be denied because they are "habilitative." To learn more, link here.
- NH Family Centered Early Supports and Services (ESS): When insurance is not available, occupational therapy may be includes in a child's intervention plan. However, it is important to ask your ESS coordinator about whether OT can be included in the plan and billed by the area agency to your insurance. This will help to maximizing all available benefits.
- Special Education. A child's Individualized Education Plan (IEP) may include occupational therapy as a related service. Typically these services take place in the school and support the child's ability to participate in school activities.
Current Medicaid rules do not permit occupational therapy to be included in "waivered services." This means that OT cannot be paid for by a child's in-home support waiver. Ask your area agency coordinator for further information.
Although it sounds like this term might refer to job coaching, the "occupations" targeted by Occupational Therapy (OT) are much broader and often foundational. They include self-regulation, attention to one's environment, and safe community mobility.
Occupational therapy is a science-based intervention that seeks to improve one's ability to engage in everyday activities at home, work, school, and other community settings. The occupations assessed and supported are those that the individual identifies as most important to his or her physical and mental health, well-being, and quality of life.
New Hampshire Council on Autism Spectrum Disorders
Putting the Pieces Together in the Granite State
RESOURCES, Occupational Therapy
The NH Council on Autism Spectrum Disorders
21 S. Fruit Street
Concord, NH 03301
Please note that inclusion on this website does not imply endorsement of any organization, treatment methodology, or provider.
This informational website is not a substitute for clinical, legal, or business advice as it applies to your individual situation.
This website was created by the NH Council on Autism Spectrum Disorders, 2012, all rights reserved.