The Role of Occupational Therapists

Schools employ various types of therapists, each offering specialized support to help students succeed; one such professional is the occupational therapist. While the term may initially suggest job training, in this context, “occupation” refers to how individuals spend their time and engage in daily activities.

Occupational therapists (OTs) help individuals with physical, developmental, emotional, or mental challenges improve their ability to function in everyday environments—whether at home, at work, or in school. The specific type of support an OT provides depends on each person’s unique needs and conditions.

An adult helps a child as they sit at a table with an open book.

What Do Occupational Therapists Do in Schools?

In a school setting, occupational therapists assist students in participating in daily school routines and activities and help students build the skills they need to succeed after graduation.

Students may receive OT services in school if they qualify for support under the Individuals with Disabilities Education Act (IDEA) or require accommodations through a Section 504 Plan. Before services begin, the OT conducts a comprehensive assessment, collaborates with the team, and develops a tailored care plan based on the student’s specific needs.

A boy with glasses sits at a classroom desk with a pencil in his hand.

Students Who May Benefit from OT Services

Occupational therapy in schools supports students with:

  • Physical disabilities
  • Difficulties with school-related activities (e.g., handwriting or keyboarding)
  • Developmental delays or disabilities (e.g., autism spectrum disorder)
  • Behavioral or emotional challenges (e.g., ADHD)
A child paints with a paintbrush in each hand.

How Occupational Therapists Support Students

Occupational therapists collaborate closely with teachers, parents, and other professionals to understand a student’s challenges and ensure they receive the right support. Their services may include:

  • Evaluating school environments to reduce barriers that limit participation
  • Adapting classroom workspaces to enhance focus and comfort
  • Creating structured schedules to increase predictability and reduce stress
  • Matching tasks to a student’s abilities to encourage success
  • Recommending assistive devices or learning tools
  • Supporting the development of organizational and time management skills
  • Facilitating development of motor skills for tasks like handwriting and self-care
  • Teaching behavioral regulation and coping strategies
  • Improving sensory processing, self-awareness, cognitive, and communication skills
  • Collaborating with teachers on inclusive classroom strategies, both in general and as relates to specific students
  • Partnering with parents to reinforce progress and support at home

By fostering a supportive and inclusive learning environment, occupational therapists help students thrive both in and out of the classroom.

Are you interested in learning more about being a school occupational therapist? Join the Stellar Therapy Team! We are actively recruiting for the new school year!

Sources

Occupational Therapist. Cleveland Clinic. Accessed June 18, 2025. https://my.clevelandclinic.org/health/articles/24617-occupational-therapist

Occupational Therapist. Ohio Department of Education and Workforce. Accessed June 18, 2025. https://education.ohio.gov/Topics/Special-Education/Related-Services/Occupational-Therapist

School-Based Occupational Therapy. Stanford Medicine. Accessed June 18, 2025. https://www.stanfordchildrens.org/en/topic/default?id=school-based-occupational-therapy-160-55

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