What is the Occupational Therapy process?
Interview
When a child is identified as needing an assessment, the process starts with an initial interview between the parents and the therapist. This provides some background information and history regarding the child’s development and functioning. This initial interview will take place at 12 Delheim Road, Table View and it is not necessary for your child to attend this meeting.
Assessment
The assessment appointment is a 2-hour appointment and is for your child. It takes place at our practice in Tableview. You are welcome to drop your child off and leave, or stay and wait as we do have a waiting room with free wi-fi where you can get some work done while you wait. With younger children we advise that you are present, however, older children are more able to separate from their parents and can be dropped off and collected later – you know your child best.
During the assessment, a variety of standardised tests and non-standardised observations and assessments will be carried out. This will be done to certain whether or not your little one requires Occupational Therapy.
Feedback
Once the results of the assessment have been analysed we will draw up a report stating our findings and our recommendations for your child.
Therapy
Therapy takes the form of weekly sessions. Children are usually in therapy for 6-9 months. School visits are done once a term. The purpose of this visit is to observe the child in his/her usual classroom setting and to review his/her workbooks. After 24 sessions a formal re-assessment is done to monitor the child’s progress. Often children will require a period of consolidation thereafter. Sometimes children will be discharged after the re-assessment, provided that they have reached their goals and are functional at home and at school.
We provide Occupational Therapy services to improve your child’s gross motor, fine motor, visual perceptual and sensory-motor skills to meet the ever increasing demands at school. Within 6-9 months of Occupational Therapy, your child will be supported to meet uniquely assessed and formulated goals and will grow in self-confidence as he meets “just-right” challenges weekly.
Codes & Costs
Below are the assessment and therapy codes that are used on medical aid accounts. We are a cash-based practice and do not negotiate with medical aids, this means that you have to settle with us and claim back from your medical aid.
Developmental Assessment
| Code | Description | Cost |
|---|---|---|
| 66108 | Initial Interview | R 410.00 |
| 66109 | Additional 15 minutes for interview before assessment x 2 @ R189.00 | R 378.00 |
| 66211 | Assessment | R 1,524.00 |
| 66108 | Feedback | R 410.00 |
| 66109 | Additional 15 minutes for feedback after assessment x 2 @ R189.00 | R 378.00 |
| TOTAL ASSESSMENT COST | R 3,100.00 | |
Evaluation in Ayers Sensory Integration (EASI)
| Code | Description | Cost |
|---|---|---|
| 66108 | Initial Interview | R 410.00 |
| 66209 | Assessment part 1 | R 1090.00 |
| 66211 | Assessment part 2 | R 1,524.00 |
| 66108 | Interview 30 minutes | R 410.00 |
| 66109 | Additional 15 minutes for feedback after assessment x 2 @ R189.00 | R 378.00 |
| 66401 | Recommendation and School Visit | R 295.00 |
| 66110 | Report Cost | R 293.00 |
| TOTAL ASSESSMENT COST | R 4,400.00 | |
Handedness Profile (HP)
Many preschool children swap hands during activities. But is the preferred hand necessarily the better one? Occupational therapists are often confronted with the decision to determine the writing hand. A wrong decision could result in „converted“ or switched handedness, which in turn may have serious consequences. Therefore, it is important to understand the complexity of handedness when assessing its various dimensions in order to provide targeted and effective therapy.
The Handedness Profile (HP) is a standardised assessment developed by Dr. Elke Kraus, a South African occupational therapist, currently OT professor in Germany.
- It records not only the direction (left or right) but also the degree of handedness (how strongly handed).
- It differentiates between trained & untrained aspects in unimanual and bimanual tasks related to preference and performance.
- Bimanual cooperation between the hands is recorded.
- Crossing the body midline as a dimension of hand preference are included.
| Code | Description | Cost |
|---|---|---|
| 66108 | Initial Interview | R 410.00 |
| 66109 | Additional 15 minutes for interview before assessment x 2 @ R189.00 | R 378.00 |
| 66209 | Assessment | R 1,090.00 |
| 66108 | Feedback | R 410.00 |
| 66109 | Additional 15 minutes for feedback after assessment x 2 @ R189.00 | R 378.00 |
| TOTAL ASSESSMENT COST | R 2,666.00 | |
Therapy
| Code | Description | Cost |
|---|---|---|
| 66311 | 30 minute therapy session | R 405.00 |
| 66313 | 45 minute therapy session | R 535.00 |
| 66315 | 60 minute therapy session | R 725.00 |
| 66401 | Recommendation and School visit (once a term) | R 295.00 |