OT session - no feedback

[Anonymous]

Anonymous wrote:I pay for private OT for my daughter who pushes into the school setting. She always provides me with a short summary of the session via text immediately upon its completion along with a brief explanation of why they worked on the specific skill, and a note of what to work on at home this week. [b]We pay $125 for a 30 min session every week, [b]and I don’t think it’s unreasonable to expect for a short summary like this!

Wow this is super expensive for someone who doesn’t have to pay overhead for a clinic. So she’s 250 per hr? Is that what the going rate is?? Good luck finding someone in network. They hardly exist !

[Anonymous]

Anonymous wrote:Our son has ADHD and receives weekly OT session (45 min) on campus. He goes to a private school and this is provided by an independent OT who comes to campus. We have to cover the cost on top of tuition, which quickly adds up.

We don't expect it after every session, but is it normal that there is absolutely no feedback coming from OT? After a month or two, I'd like to hear a summary of what areas he is working on, progress he is making, something we can incorporate at home, or just "something" especially considering how much we are paying. The only thing we hear from her is an automatic weekly SMS for credit card payment confirmation.

When we finally asked for some updates, we were told to make an appointment for “consultation” with additional hourly fee. This is the OT who did “full” OT evaluation for $1k, and it was silly of us to assume that an hour of consultation to discuss key findings was included in the fee, not to mention the report even had our son’s name wrong.

Our 5 yo son cannot tell us much about his school life in general, but recently he kept telling us that the main OT did not come, but his session was with another lady, who is a fresh out of college young lady or other times with recently hired intern.

Is it rude to ask the qualifications of these two ladies? And/or reduced rate?
After finding an in-network OT provider, we suggested to the school we may want to go with them, the school staff clearly seemed bothered and insinuated that it’s best to stay with the OT on campus for seamlessly integrated environments.

I’d hate to say this but something feels off, like some sort of collusion with some kick back, or something. Do I sound crazy?

Ask for a compilation of treatment notes. On a monthly or weekly basis.

[Anonymous]

Anonymous wrote:OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

The problem with OT is they don’t take regular notes, regular data, regular anything. They might jot something down quickly to cover insurance but it’s not a data driven profession. They only know if it’s working by doing an eval. Pick a better type of provider if you want more info- OT isn’t it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here, after 15 sessions in the past 5 months, we only heard from the private practice provider 3 times, each with 2 paragraph text. Since we just got a spot at outside reputable OT provider, who is in-network for our insurance, after being on their waitlist for several months, we decided to transition.

Instead of 1 hour meeting ($150), we requested a written report summarizing what he's been working on, what the progress has been, what would be recommended areas to continue working on etc. Just a quick one-page summary to share with a new provider.

In response to our request, she said re-evaluation can be done ($800) with a separate progress report ($400).

we don't need re-evaluation, we just need simple progress report, a summary of what has been done and observed. How can I counter-argue?

I am frustrated after spending $2500 out of pocket, all we get is 3 short emails, each of which literally takes 5 minutes to write.

Does anyone have similar experience? or any advice?

The problem with OT is they don’t take regular notes, regular data, regular anything. They might jot something down quickly to cover insurance but it’s not a data driven profession. They only know if it’s working by doing an eval. Pick a better type of provider if you want more info- OT isn’t it.

This is not true. The therapist sets measurable goals based on the evaluation needs and each session’s bot should reflect working on those goals and how the kid did on his trials