FAQ – Frequently Asked Questions

1. What does an Occupational Therapy Assessment involve?

At Toronto Children’s Therapy Center, Occupational Therapy (OT) Assessments are streamlined based on the concerns of the parents.  Generally speaking an OT is able to evaluate 1 or 2 areas of concern identified by the parent within the first session.  In certain cases, if there are multiple concerns that need to be evaluated a second session may be required.  Common areas of concern include fine motor, printing, gross motor, or sensory.

The following is an example of the skills that an OT would evaluate in an assessment for fine motor and printing:

  • Fine motor skills (hand strength, coordination, in-hand manipulation and dexterity)
  • Scissor skills
  • Visuo-motor integration
  • Printing/writing/letter formation
  • Pencil grasp
  • Gross motor skills (e.g. balance, bilateral coordination, strength)
  • Sensory processing concerns (e.g. tactile and auditory defensiveness, sensory seeking behaviors, attention etc.)

Each session is between 30 to 45 minutes depending on the child and areas of concern. The OT will provide the parent with verbal feedback and recommendations  for treatment. Standardized assessments are scored by the Therapist after the assessment. A written report outlining the assessment results, observations, and recommendations can be provided upon request. There is an additional fee of $120 for the written report.

2. How many sessions will my child need before I see improvement?

The number of sessions varies from one child to the next depending on the severity of the concerns and the goals established for therapy. We recommend that the family commit to 6 to 8 sessions in order to see improvement.  Like going to the gym, it’s difficult to see progress within the first two to three weeks.

Parents can stop the program at any time if they are not satisfied with their child’s progress.

3. What type of intervention would work best for my child, group or private sessions?

The type of intervention that a child may benefit from varies from one child to the next. Here are some benefits and disadvantage to both:

Benefits to Group:

  • Social interaction with peers at the same skill level may boost your child’s self-esteem
  • Groups are more economic than private therapy
  • Students are frequently more motivated to participate in activities with their peers


  • The printing program lesson plan is established. Individual goals are established for each child, however, the lesson plan pace is maintained based on group progress rather than individual progress.

Benefits to Private Therapy:

  • The lesson plan can be individualized to each student and skill level. Therefore, if your child is able to progress at a faster pace than the established program, then the program will be modified accordingly. If your child requires extra time or assistance to consolidate a skill, the lessons can be provided at a slower pace.
  • Each treatment session is specifically designed to meet all of the Occupational Therapy goals established in consultation with the parent and student.

4. Will my child be bored if he/she has to print for 45 minutes at every session?

 Your child will not be expected to print for the entire session. He/she will learn how to print using various mediums such as chalkboards, Play Doh, and games, after which they will practice what they have learned with paper and pencil. They will also work on their various fine motor skills by playing fun games, exercises and fun crafts. Depending on the goals established, your child would also participate in gross motor activities that facilitate printing skills. For example, a child with poor sitting posture when writing would benefit from games and exercises that promote tummy and back strenght.  Our Occupational Therapists will keep the session positive and fun by catering to each child’s unique interests in order to encourage their participation throughout the session and facilitate the learning process.