3. Pediatric Clinical Reasoning Flow
Summarizing strengths and needs across developmental domains in a quasi-quantifiable manner allows for clarity in the treatment planning process and accuracy in progress monitoring. This produces a general developmental summary. This summary is then taken and utilized to devise a treatment plan following the STEPSI format (Stackhouse, et al. 1997). Finally, from the STEPSI process, intervention including direct treatment, activity selection, and selection of specialized intervention programs or protocols can occur. The intervention is extended to include connection to occupational roles, skills, and capacities and for home or community programming and includes consultation or coaching that might allow for implementation. This flow allows the clinician to integrate treatment and select appropriate methodologies based on the client’s profile, which is the aim of clinical reasoning. The flow includes progress monitoring with a modification of the COPM process, so that goal attainment guides the entirety of the reasoning model.