All assessments will consider the child’s role as a learner and how foundation skills impact on their ability to access learning opportunities.

Therapists can adopt a bottom-up, a top-down or a mixed directional approach to clients’ assessment, it is important to be cognisant of both assessment approaches and the implications associated with each. Occupational therapists should decide which assessment direction is the most appropriate so as to ensure the provision of high quality, and client-centred service.