Traditionally they have worked on a pull-out basis for providing direct service. But, as is happening everywhere, caseloads are increasing and I feel that not as much progress is being made with just once a week visits by O.T. and no or very little carry over in the scools. I used to work with another OTR, and last year we were attempting to implement more consultation. I'd appreciate any and all feedback. Sorry this got lengthy.
Consultation varies from teacher to teacher, school to school.
Also, some teachers cannot talk with anyone within their classroom as they cannot break stride from managing their classroom and we need to respect their different styles. I have only fair success with making consult arrangements. The teachers that are the hardest to make arrangements with are probably least likely to be interested in new ideas. The IEP process can force the issue sometimes, and some schools make arrangements for classroom coverage so the teacher can have planning time with specialists. I am having to be more flexible with my scheduling to accomodate the teachers' availability.