You are Tia's OT. Tia is a 3 1/2 year old girl whose greatest needs are in the motor area. Tia has Spina Bifida as well as other health impairments. She is very verbal and can express her needs for suctioning of her trach, etc. She definitely has a mind of her own. When she doesn't get her way or enjoy an activity she may hold her breath until she passes out which is very dangerous with her compromised respiratory situation. She often cries when asked to work on range of motion or strengthening activities. She is highly distractible.

You are scheduled to work with Tia for 20 minutes each day during Tia's recess time. Sometimes it is difficult for you to make it to her school at the assigned time. Although recess is a good time for you to be involved with her class, you also feel that some time for you to be alone with Tia is important.

You try to keep the classroom teachers up-to-date on Tia's needs, accomplishments and challenges, but you have no time to meet immediately following Tia's time and you have a very heavy case load. Making it to the many meetings concerning Tia is also quite difficult.

Today the team is meeting to address Tia's progress and your concerns about serving Tia and sharing information with classroom staff.

What questions do you have for this meeting? What would you like to see as outcomes from this meeting?