NBCOT Occupational Therapy Certification Practice Exam

The inclusion of observation of the child in social and motor tasks during the evaluation process for a preschool child with autism spectrum disorder is crucial for several reasons. Observational methods provide direct insight into the child's natural behaviors and interactions, allowing the occupational therapist to assess functional skills in real-life contexts.

In the case of preschool children, structured environments often do not reflect true capabilities, while observation in more naturalistic settings reveals how the child engages with peers, responds to social cues, and performs motor tasks that are relevant to daily life. This approach aligns well with best practices in evaluating children with autism, as it highlights challenges in social communication and sensorimotor performance that might not be evident through standardized assessments or interview methods alone.

Additionally, through observation, the therapist can gather qualitative data on the child's play patterns, emotional responses, and interaction styles, which are essential for tailoring interventions to meet specific needs. This comprehensive understanding helps in developing effective, individualized treatment plans aimed at improving the child's overall participation in daily activities and social contexts.