Sex is an occupation, but how do we (or should we) address this in pediatric OT practice? This episode discusses why avoiding this topic is an occupational injustice and what we can do about it. We talk about the research and cover everything from sensory considerations in relationships to teaching boundaries and safety. If you work with adolescents or young adults, this episode will give you the framework, practical tools, and confidence to start supporting clients and caregivers in this critical—and often overlooked—area of daily life.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Urban, T. M., & Douglas, R. R. (2024). Occupational Therapists' Role in Sexual Education for Teens and Young Adults Living with Autism Spectrum Disorder. The Open Journal of Occupational Therapy, 12(1), 1-4. https://doi.org/10.15453/2168-6408.2093

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; sex education; autism; teens

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Holiday shopping with purpose starts here! This week we're sharing our favorite gift ideas for therapists, kids, and everyone on your list. Discover directories of disabled-owned businesses for fun new ideas, then hear about our favorite therapy products like light-up pop tubes, bubble tongs, and the bow-and-arrow set. We're also highlighting self-care essentials every therapist needs—from anxiety-reducing playlists to washable clinic rugs. Whether you're filling stockings or treating yourself, these are genuine recommendations from two OTs who love using great products. Check the newsletter (sign-up below) for links to everything we mentioned!

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Running in circles, flapping arms, spinning with ribbons—Heather Kuhaneck, PhD, OTR/L, FAOTA, explains why joining in play with kids creates the connection that makes therapy possible. As editor of Case-Smith’s Occupational Therapy for Children and Adolescents, co-creator of the Sensory Processing Measure, and program director at Southern Connecticut State University, Heather knows play and sensory integration inside out. She shares research-backed strategies for using imitation to spark connection, introduces her Classroom Sensory Environment Assessment (C-SEA) tool for collaborating with teachers, and how to make the most of boring playgrounds. You'll hear unforgettable "nailed it" and "failed it" moments—first words emerging on swings, basketball victories with dad, and one critical safety lesson. This conversation will change how you approach play with autistic children in any setting.

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; play; autism; sensory integration; Heather Kuhaneck

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What do early career occupational therapists really prioritize when choosing their first OT job? Spoiler alert: salary ranks 9th out of 16 factors. In this episode, we break down a fascinating Canadian study that surveyed early career occupational therapists about what actually matters in their job search—and the findings might surprise you. We reveal the top intrinsic and extrinsic factors driving OT employment decisions, why 60% of new grad occupational therapists have jobs lined up before graduation, and how OT priorities shift between your first job and your second (or third!) job. Occupational therapy students will learn what to look for in job searches, OT employers will discover how to attract top talent, and experienced therapists can reflect on whether their current position aligns with what truly matters to them.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Lui S, Boniface J, Boniface G, Drynan D. Employment Decisions of Newly Graduated Occupational Therapists. Canadian Journal of Occupational Therapy. 2024;92(2):76-84. doi:10.1177/00084174241274742

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; new grad OT; early career OT; employment

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Want an OT intervention that tackles motor skills AND social communication? This week we're unpacking seated play intervention for autistic children—exactly what it looks like, why it works, and how occupational therapists can use these key ingredients in practice. We explore research revealing surprising BOT-2 results, the power of structured repetition, and whether telehealth matches face-to-face therapy effectiveness. Plus, Michele shares a vulnerable "Failed It" about balancing relationship-building with skill development. This episode delivers actionable, research-backed strategies for school-based and outpatient OTs—the research article even includes incredibly detailed supplemental materials that walk you through the intervention step-by-step.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Su, W. C., Cleffi, C., Srinivasan, S., & Bhat, A. (2023). Telehealth Versus Face-to-Face Fine Motor and Social Communication Interventions for Children With Autism Spectrum Disorder: Efficacy, Fidelity, Acceptability, and Feasibility. The American journal of occupational therapy, 77(6), 7706205130.  https://doi.org/10.5014/ajot.2023.050282

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; autism; play; motor skills; social connection; telehealth

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Interoception is everywhere in pediatric occupational therapy—but does the evidence support what OTPs are doing? We dig into a 2025 scoping review revealing the surprising truth: most research is preliminary and thin. We break down 3  intervention curricula (Kelly Mahler is leading the charge), explain why your brain's insula is the "Inside Out" dashboard for body sensations and emotions, and get real about the assessment gap leaving occupational therapists flying blind. Michele shares her honest experience with interoception interventions and we tackle the burning question: should OTPs use approaches with this little evidence? Spoiler: maybe, but only if you're measuring progress closely. If you've wondered whether to jump on the interoception bandwagon or you're already using it in your occupational therapy practice, this episode is your reality check.

We share our own thoughts in the Research Review and encourage you to read the original article too.

Clark, E., Brown, T., & Yu, M.-L. (2025). Interoception and its application to paediatric occupational therapy: A scoping review. Australian Occupational Therapy Journal, 72(1), e12997. https://doi.org/10.1111/1440-1630.12997  

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; interoception; interoception intervention; interoception assessment; sensory processing

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An occupational therapist came into Michele's office complaining that parents weren't following through with home programs—sound familiar? The problem isn't the parents; it's how we're setting them up from day one. This episode flips that script with evidence from a 2024 scoping review on what actually drives caregiver home program adherence. You'll learn OT strategies to create programs that fit into real family life, train parents effectively (hint: it's not a five-page handout), and build the relationships that make collaboration actually work. Plus, Lacy shares a pediatric OT dentistry program, Nailed It!

We share our own thoughts in the Research Review and encourage you to read the original articles too.

Wingrat, J., Price, C., & Wright, T. (2024). Facilitators of and Barriers to Caregiver Adherence to Home Therapy Recommendations for Infants and Children With Neuromotor and Neuromuscular Diagnoses: A Scoping Review. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 78(5), 7805205070. https://doi.org/10.5014/ajot.2024.050567

*Update Nov. 7, 2025* Author Jennifer Wingrat was excited to hear her work featured on the podcast and shared the link to her new article that was just published called Caregiver Perceptions of and Confidence in Training in Home Programs for Brachial Plexus Birth Injury:  https://www.tandfonline.com/eprint/7UM3ZJWCB5TXEGIR3PFF/full?target=10.1080/01942638.2025.2583372

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; home program; family collaboration

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What if you could peek inside a child's brain and actually SEE therapy working? That's exactly what researchers did with CO-OP (Cognitive Orientation to Occupational Performance)—and the results are amazing! Join Lacy and Michele as they break down the 12-week protocol and the 7 surprisingly simple cognitive strategies (you're probably already using some!) that help kids meet THEIR goals for play/leisure, academics, and daily self-care activities. From verbal cues to body positioning, learn how OTs teach children to problem-solve their own challenges. Plus, brain imaging reveals CO-OP literally rewiring neural connections.

We share our own thoughts in the Research Review and encourage you to read the original articles too.

Schwartz, S. P., Northrup, S. R. K., Izadi-Najafabadi, S., & Zwicker, J. G. (2020). CO-OP for children with DCD: Goals addressed and strategies used. Canadian Journal of Occupational Therapy, 87(4), 278–286. https://doi.org/10.1177/0008417420941980

Polatajko, H. J., Mandich, A. D., Missiuna, C., Miller, L. T., Macnab, J. J., Malloy-Miller, T., & Kinsella, E. A. (2001). Cognitive orientation to daily occupational performance (CO-OP): Part III—the protocol in brief. Physical & Occupational Therapy in Pediatrics, 20(2–3), 107–123. https://doi.org/10.1080/J006v20n02_07 

Izadi-Najafabadi, S., Rinat, S., & Zwicker, J. G. (2022). Brain functional connectivity in children with developmental coordination disorder following rehabilitation intervention. Pediatric Research, 91(6), 1459–1468. https://doi.org/10.1038/s41390-021-01517-3

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; CO-OP; cognitive strategies; DCD; brain changes

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Can sensory integration really work in schools, or are we just wasting instructional time? This week we're reviewing a study that finally gives us answers. Three students, 17.5 hours of intervention, and results that impressed both teachers and researchers. Michele and Lacy break down this single-subject design study using Ayres SI and weekly teacher consultation with outcome measures sensitive enough to show real change. You'll learn the exact intervention protocol, hear what teachers actually said about pulling kids from class, and discover why this feasibility study matters for your practice.

We share our own thoughts in the Research Review and encourage you to read the article too.

Whiting, C. C., Schoen, S. A., & Niemeyer, L. (2023). A sensory integration intervention in the school setting to support performance and participation: A multiple-baseline study. American Journal of Occupational Therapy, 77(2), 7702205060. https://doi.org/10.5014/ajot.2023.050135

Another article referenced:

Whiting, C. C., Schoen, S. A., Bundy, A., Lane, S. J., Mailloux, Z., Roley, S. S., May-Benson, T. A., & Schaaf, R. C. (2025). Occupational therapy using Ayres Sensory Integration® in school-based practice: A call to action. American Journal of Occupational Therapy, 79(1), 7901347020. https://doi.org/10.5014/ajot.2025.050971

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; school based; sensory integration; Ayres SI; single subject design

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What if the biggest barrier to children's play isn't the kids—it's us? We are thrilled to chat with our special guest, Dr. Anita Bundy—the world-renowned OT behind some of the most transformative play research out there.  She explains why kids actually need to take risks in play, how she facilitates risk-reframing conversations, and why American kids have way less play than their Norwegian counterparts. You'll hear stories about autistic kids finding their people through tire forts and pool noodle creations, Anita’s “Failed It” story (yes, she keeps it real!), and discover the game-changing difference between using play as a tool versus treating it as the main event.

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