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Occupational Therapy Ideas for Older Kiddos

When receiving therapy services in a pediatric clinic, it is important for therapists to remember that the older children who come in require a slightly different approach to their intervention plan. This is just as important when working with these older kiddos in the home. Some activities that are fun and intriguing to the younger kids just may not be “cool” for the older kids! When working with middle school and high school aged kids, we need to be a bit more creative to find fun, yet effective ways to address OT goals. We need to make sure that the activities provide just the right challenge but are not patronizing to these older kiddos.

OT goals may look completely different if you compare a three year old to a 15 year old’s goals. When kids are younger, the goals may often reflect skills such as simple cutting tasks, pre-writing skills, eating or feeding, or self-dressing. When kids are older, their goals may reflect skills such as writing, typing, strengthening, or pre-vocational skills. For example, a high school aged individual and their family may be looking at life after school which comes with a new skill set. This certain kiddo may want to get a job or move out of their parents’ home. In this case, it is important for OT to focus on the skills that this individual will need to be independent on their own. After all, that is all an OT wants, for their clients to be as independent as possible!

The following are just a few activities that can be done at home for those older kiddos to increase their skill set.

Fine Motor/Dexterity

  • Crumple Paper: Have your child crumple a sheet of newspaper or scrap paper in both hands until it is a tight ball. If you need a challenge, only let them use one hand at a time. Make it fun and toss it in a basket- 2 points!!
  • Walk a Ball: Have your child use their fingers to walk a small ball up and down the legs. If you need a challenge, only let them use their tripod fingers (thumb, index finger, middle finger).
  • Theraputty Search: Hide small manipulatives into a strong theraputty and have your child search for each piece with their fingers. Have them stretch the theraputty and use their pincer grasp (thumb and index finger) to remove each piece that is found. For a challenge, use a stronger theraputty.
  • Coin Slot: Make multiple small slits in the top of a shoe box, both vertically and horizontally. Have your child pick up coins using a pincer grasp (thumb and index finger) and insert the coins into the slots.

Upper Body Strengthening/Coordination

  • Hand Grip Squeezes: Using a hand gripper, have your child squeeze the gripper for 3 sets of 10 repetitions with each hand.
  • Tennis Ball Toss: Toss a tennis back and forth with your child. You can toss and catch the ball with both hands and then with only one hand. Add a challenge by distancing yourselves or adding in additional moves to the activity (put the ball around your back, bounce the ball to each other, hop three times, etc.)
  • Resistance Band Exercises: There are a variety of exercises that can be used with a resistance band. Securely step on one end of the theraband. Bicep curls: Bend elbow up toward shoulder, hold for 1 second and slowly return to starting position. Tricep pull down: Elbow is bent with palm downward. Hold band at waist level, then straighten elbow and hold for 1 second. Slowly return to starting position. Band pull apart: Loop band around each palm and put arms in front of body with elbows slightly bent. Pull band outwards, across your chest, hold for 1 second and slowly return to starting position.

Pre-Vocational Tasks

  • Typing: Complete typing classes with your child using This program promotes the use of the home row keys and makes your child comfortable with the keyboard. There are also games on the program to improve typing speed.
  • Handwriting: Have your child copy sentences from their favorite book. Ensure that their letters are placed properly on the baseline, and have appropriate spacing and sizing of letters.
  • Home Management: Have your child sort laundry into similar colors. Have them complete the washing  and drying cycles and then fold them properly with visual or verbal prompts.
  • Retail/Grocery: Give your child a budget and let them make a list. Label clothing items or groceries around the house with prices and have them complete a simulated shopping trip.
  • Cooking: Have your child find a simple recipe of a yummy treat and have them make a list of the items that are needed for ingredients. Have them follow the recipe with visual or verbal prompting as needed to keep them safe.
  • Filing Paperwork: Provide your child with a list of names and simulate filing information in alphabetical order. Provide a challenge by giving a longer list of names with last names using the same first letter.

Always keep in mind that it is important to grade these activities to the appropriate skill level. We do not want frustrations to arise and a child to no longer want to participate because the activities are too difficult. Some older kids just need to put in some extra work sometimes, and that is just fine, as long as we have the right approach!

-Rachel Guiser, OTR/L

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Patient Reviews

LLA Therapy

Patient Reviews

Crystal Scheibe

Great place, glad we found them. Been going to Medina over 2 months now and he loves Lauryn and Kyler. Wish they had more ABA therapy places available... live in Wooster and long drive everyday.

Karrie Swan LaRock

My 11 year old son has dyslexia and has made noticeable gains in working At LLA THERAPY. Katie is strong in her approach toward him and also keeps him comfortable enough to perform well. We will continue visiting both the Fairlawn and Hudson offices and recommend them highly.

Ron Monroe

My 9 year old just completed about 9 months of weekly speech sessions (due to his stuttering) with Matt Hagge at LLA and we are thrilled with the experience and results. What I thought might be a negative (what kid really wants to go to speech class?) was made very positive by Matt, and my son never hesitated or complained when we talked about class. He really enjoyed it and really took what Matt taught him to heart. His speech has been greatly improved and we definitely recommend LLA. Thank you so much!

Heather Dougherty-Pantoja

My son’s Occupational Therapist, Jess, is an amazing OT! She gives practical tips on working with my son at home and school!

Terri Apgar

I cannot say enough good things about LLA Therapy. My daughter was a client of Teal Simmons’ for approximately 2 years and was just released from speech therapy! She was diagnosed with Apraxia in 2015 and worked with Teal twice a week. Through Teal’s application of PROMPT therapy, my daughter had age-appropriate speech after one year. All of the staff we interacted with at LLA were absolutely wonderful. They really care about what they do and making sure your child achieves their goals.

Kelli Geisler Davisson

LLA Therapy has been an excellent experience for my son as well as my family! My son always asks, "When can I go see Ms. Jeannine again, is it Monday??" He has also made huge gains in only 5 months! I would highly recommend LLA and have already shared my experience with friends looking for services!

Victoria Hansford-Price

We are so grateful for our Speech Therapist Ms.Teal. We have seen a great improvement with our sons confidence and communication abilities since we have started "Prompt" therapy. What we love the most about LLA and Ms. Teal is that Kohl feels comfortable and relaxed which has played a critical role in his progress. Thank you Ms. Teal for all you have done.

Laura Lee Hogsett

They have helped in numerous ways. Speech, OT and behavioral. I've had numerous compliments on my son's progress thanks in very large part to LLA. I would recommend LLA before I recommend our local children's hospitals, though they are good, they don't have the staff that LLA does.

Amy Furukawa

We had a great experience with Matt Hagge at LLA! Our Middle School age son was becoming very conscious of his voice, which is nasal due to a cleft palate. Matt helped him to better form his sounds and project his voice in a way that makes the unavoidable nasality less noticeable.Our son is more confident and outgoing & even took on a speaking role in the church play. Matt has the perfect personality to relate with our son, and we would recommend him to anyone needing speech therapy services!

Jessica Havalotti

LLA Therapy has been an excellent experience for our daughter. I would highly recommend LLA. Miss Grace was so amazing and I can't believe how quickly our daughter showed improvement. Thank you!
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