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On-Demand Holistic Clinical Reasoning
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Kim Barthel & Shelley Mannell

Organization: Relationship Matters

CEUs: 8 Contact Hours

Course Preview
Check out this 2-minute video introduction to the course
OT, PT, SLP, and interested others 
Course Description

There are so many layers that can contribute to the difficulties our children experience. Sensory processing, postural control, attachment, motor control, emotional regulation and cognition; all of these factors can play a part. When looking at the big picture, what are the clues that lead us to effective assessment and treatment?

Join Kim Barthel, OTR and Shelley Mannell, PT for a unique series of live online learning. Participants will be invited to submit a video of a client for analysis and with the ones that are selected, participants will have the opportunity to clinically reason together with the instructors. Video analysis will allow the group to collectively view (and review) the diverse needs of the children observed. What do we notice that is working for the child functionally? What points towards an area of challenge? How might clinicians know which lens to use when watching a child interact with their environment?


Shelley and Kim have worked and taught together for over 25 years. Their interaction around supporting children is a partnership, a working conversation that serves as a model for considering multiple factors in assessment and treatment. The highlight is their collaboration, deepening the understanding around how all these factors can come together in forming a cohesive plan for any
individual child.

Course Objectives

Participants will be able to:

  1. Identify and explain a dynamic systems model of postural control and its connection to functional skills.

  2. Identify and explain sensory processing contributions to the development of functional skills.

  3. Identify and explain affective and relational contributions to the development of functional skills.

  4. Identify and explain potential cortical processing and cognitive contributions to the development of functional skills.

  5. Differentiate these models during the assessment of clients (videotape analysis) with different presentations/diagnoses.

  6. Examine the interconnections between the systems in these models and how these apply to each client.

  7. Discuss treatment plans to address functional skills for children with different sensory and motor diagnoses.

  8. Identify pre-test/post-test measures to determine effectiveness of treatment and in support of the creation of short-term and long-term functional goals.


The course will be split into (4) 2-hour sessions. Each session will follow this format:

  • Introductions

  • Client history

  • Videotape analysis

  • Clinical reasoning:

    • Assessment

    • Treatment planning

    • Pre and post-test measures

    • Short- and long-term goals

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