Marion Wilm

When your child's therapist recommends discharge from therapy (either occupational therapy, physical therapy or speech therapy), a parent typically reacts in one of two ways.  Either the parent is happy that the child has reached the goals set for them or the parent starts to fear that their child will no longer progress without the regular visits to the therapist.  Here are some questions that a parent should ask the therapist before the last visit is scheduled.  

What progress did the child make during the course of therapy?
Are there still areas of weakness that need to be worked on at  home or in the community?
What activities will help the child to continue to progress?
What are the next skills that the child should achieve during the following 6 months?
Is there additional support available through a school program?
When should you contact the therapist for a re-evaluation?
What if the child has difficulty acquiring new skills on their own?
Is there a different type of therapeutic support needed at this stage?


Most important of all, the parent needs to celebrate that the child is ready for a new stage in their life that does not require as much support from therapists.   Your child has acquired a solid foundation of skills that will support their continued progress.  It is now time to let them grow on their own.  Your therapist has recommended discharge because they see your child's potential to thrive and be successful. 

One of the goals of therapy should be to empower you as the parent.  If that has happened then you will feel comfortable with the idea of discharge and you will have the confidence to monitor your child's skills and move forward.