Building Kids Up


Offering group-based occupational therapy at a reduced cost.    

Providing Small Group Occupational Therapy for Children and Teens.

Our mission is to provide quality therapeutic life skill training at a decreased cost to parents, using a fun group setting. All groups are run by registered and licensed occupational therapists.

Who can benefit from Skill-by-Skill?

  • Any child that requires additional support for fine motor, sensory processing, social/emotional or self care skills
  • A child receiving individual occupational therapy who would benefit from supplemental services in a group setting
  • A child who has been discharged from occupational therapy who would benefit from continued support
  • A child with observed difficulties in any of the above skills as compared to peers, who may not qualify (under insurance/early intervention) for traditional occupational therapy

Areas of Practice

Fine MOtor Skills

Occupational Therapists specialize in fine motor training for children with and without developmental delays. Fine motor skills are the building blocks for success with self-feeding, handwriting, cutting, typing, and many other life skills. Fine motor skills are also essential for play, which is a child's main purpose and vocation.  

What to watch for:

  • Poor hand/eye coordination
  • Lack of interest in grasping activities, including self-feeding
  • Clumsiness
  • Weak hand strength
  • Difficulty holding a pencil or poor handwriting
  • Difficulty holding/using scissors
  • Does not use both hands during fine-motor activities
  • Difficulty with buttons and zippers on clothing

Sensory Processing Skills

Occupational Therapy is the leader in sensory integration treatment. Sensory Processing refers to the way that a child's nervous system receives and interprets information in order to create appropriate motor and behavioral responses.  Sensory skills are vital for emotional regulation, attention, fine motor development, and social interaction.

What to Watch for:

  • Poor balance, clumsiness, falls often
  • Difficulty with attention or sitting still
  • Very sensitive (bothered by tags in clothes, loud noises, and/or scents, does not like to be bathed or hugged, problem eater)
  • Decreased awareness, does not appear to hear when spoken to, touches/squeezes frequently, does not appear to respond to pain
  • Excessive or age inappropriate biting, hitting or screaming
  • Fearful/avoids activities (swinging, being upside down) OR very risky behavior (jumping off things)

Social/emotional Skills

Occupational Therapists are uniquely skilled to facilitate social skills both in and between peer groups. Social/emotional skills directly affect a child's ability to participate fully in play, make friends, succeed in learning activities, and develop positive sense of self. A supported group environment is the perfect place to practice social/emotional skills-where they naturally occur.   

What to Watch for:

  • Poor eye contact or basic conversation skills
  • Difficulty making and/or maintaining friends  
  • Difficulty getting along with peers and/or controlling impulses
  • Difficulty paying attention or following instructions
  • Does not participate in or avoids age-appropriate play or socialization
  • Demonstrates anxiety in social situations
  • Difficulty with turn-taking or cooperating with others

Self care skills

Occupational Therapists promote independence and mastery of  "skills for the job of living" in order for children to participate fully and experience meaning in the occupations of their lives: play, schooling, socialization (relationships), and self-care (activities of daily living ADLs). Without these skills, children will lack the building blocks for growth and independence beyond childhood. 

What to watch for:

  • Difficulty with basic self care (BADLs): brushing teeth, washing hands, dressing self, bathing, toileting, eating or feeding self
  • Difficulty with instrumental self care (IADLs)(teens): simple meal preparation, money management, personal health maintenance, basic home management (clothing care, cleaning)
  • Difficulty with age-appropriate: planning, organization, decision-making, goal setting, time management

Watching a child makes it obvious that the development of his mind comes through his movements.
— Maria Montessori