Jean Polichino, OTR, MS, FAOTA
Senior
Director, School Based Therapy Services, HCDE
It's About Time!
OR
What is a Therapist’s Obligation for Making Up Missed
Therapy Sessions? 
As with many things in special education,
the answer to the question, “Do we have to make up missed therapy sessions?” is,
“It depends.”
The significant factor in determining how to proceed can be
found in the reason for the missed session. If a session is
missed because the therapist was ill, a special assembly was held, or because
the student’s sessions are scheduled on Mondays when holidays result in school
closure, it is the responsibility of the school district to ensure those
sessions are made up. The therapist should allow for flexibility within his or
her own schedule for make-up visits as the need for them is an inevitable
reality in school practice.
If,
on the other hand, the occasional missed visit is due to the student’s absence,
there is no legal obligation to make up the visit. Having said that, most school
districts will want therapists to make a good faith effort to make up the missed
session as it is in the student’s best interest to do so.
On
those rare occasions when a student is chronically absent, school attorneys
advise convening an ARD/IEP meeting to reconsider the IEP. All services are
impacted by chronic absences, so it is likely that goals/objectives would need
to be revised and the time, frequency and duration of needed services will need
to be adjusted.
In all cases, therapists should document the missed
session and the reason it occurred. In cases of chronic absences, therapists
should communicate what is occurring to the special education administration and
plan together with campus personnel so that appropriate action is
taken.
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