School-based occupational therapists observe, assess, and address the child’s strengths and needs within the natural school settings (e.g., classroom, lunchroom, playground) in order to support the student’s educational program. Services may be directed to the child and on behalf of the child in the school environment (e.g., training educational staff).

Hospital and clinic-based occupational therapists typically assess and address the child’s strengths and needs in a clinic setting in order to support participation in life activities. The focus in non-school settings may be more varied and may or may not address specific educational needs.