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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. If you have a child or teen that requires additional support for fine motor, sensory, or social/life skills, or just want your child to maintain or increase their skills, then Skill-by-Skill is for you. We provide training in a small group setting as a supplement to individual therapy, or on its own, if your child is not receiving therapy. All our groups are run by registered and licensed occupational therapists. 

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 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, does not like to be bathed or hugged, problem eater)
  • 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/Life skills

Occupational Therapy is most often defined as "skills for the job of living". For children these skills are play, socialization, and basic self-care. These skills are essential for making friends and promoting a positive school experience. Without them, children will lack the building blocks for growth and independence beyond childhood. 

What to watch for:

  • Difficulty making friends or getting along with peers
  • Difficulty paying attention or following instructions
  • Does not participate in age-appropriate play
  • Poor eye contact
  • Difficulty with brushing teeth, washing hands, dressing self, or toileting

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