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Chris Alterio Occupational Therapist

East Amherst, New York
I am an occupational therapist and owner of ABC Therapeutics.  I have practiced OT for over 20 years and have a  post-professional clinical doctorate in occupational therapy. These postings (extended from my blog at ) represent an ongoing experiment in a mostly open-source... Full Bio
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Is NY State taking steps toward a paraprofessional delivery model for their Early Intervention... by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine New York State has an electronic information management system for the Early Intervention Program that involves a mechanism for billing and reporting services to the municip ... Read on »
Speech to occupational therapy students and parents: Ways You Will Be Paid. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine I was invited to speak at a PTE induction ceremony.  Here is the text of my speech.  Please excuse the vernacular and form; it was written for oral delivery _______________ ... Read on »
Occupational therapy blogs you must read. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine This weekend I participated in a presentation with four OT colleagues at the AOTA National Conference in Indianapolis.  Conference can be a little stodgy at times- but n ... Read on »
On tin foil hats and sensory integration by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine There was an open forum at the AOTA conference in Indianapolis so I took the opportunity to raise a question about the profession's advocacy regarding research on sensor ... Read on »
How CPSE to CSE transitions are being handled in some districts. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine I just saw a flyer from a local advocacy and educational center about a seminar they are offering for parents about the transition process between CPSE and CSE. This is a v ... Read on »
Thoughts on the validity of subtypes of sensory processing disorder by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine There is a study that was announced this week by the Sensory Processing Disorder Foundation about classification of sensory processing differences in children (James, et. a ... Read on »
When life is too full: Social and cultural impact on parenting practices by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine During a lecture that I was giving to students yesterday I found myself rattling through a list of gross motor and fine motor play experiences that OTs might suggest to pa ... Read on »
Sensory integration and insurance coverage by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine My tongue-in-cheek commentary on fidelity in sensory integration and coverage for geriatric SI has generated a lot of email questions: a lot of people wanted to know the p ... Read on »
On the Great Frontier and Trendelenburg gait patterns. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine The morning was ticking slowly by, which suited my needs and my mood. I am generally at peace with the passage of time. Answers don't always happen quickly - but I like ... Read on »
Field report: Fidelity problems persist with 'sensory integration' by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine Consider this as Part II of Sensory integration: More evidence that OTs have lost control of the narrative. A major HMO in my region just published a clinical practice gu ... Read on »
More regulatory changes to impact NYS occupational therapists very soon. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine This is a follow-up to my entry on 2/16/12: In NYS a single OT can still supervise a million OTAs, for a while at least. Something will happen on June 13th... Unless ... Read on »
Going the extra mile. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine I recall being a newbie occupational therapist and having a keen sense of "having to put my time in." It is probably a broad cultural value passed to me first from my fam ... Read on »
Will my child be eligible for services this year? by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine This is a common question that parents ask this time of year - many children are having their annual reviews and determinations are being made for eligibility. In an inter ... Read on »
Why I support DSM-V criteria to make autism diagnosis more difficult. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine Be patient as you read, please - and in advance I ask forbearance from autism advocates for use of this issue to make a point. The Diagnostic and Statistical Manual is un ... Read on »
In NYS a single OT can still supervise a million OTAs, for a while at least. by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine According to the NYS OT Board, supervision guidance for OTAs in NYS has been placed on hold, at least until the next Board Meeting. Of course the State Board wouldn't sta ... Read on »
Update on OT Practice Act and new regulations re: COTAs and supervision by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine Feb.6 letter from Doug Lentivech to the Professional Practice Committee of the NYS Board of Regents re: emergency regulations relating to OT Assistants, OT Students, and Li ... Read on »
When professional decision making is compromised by policy: A study of preschool outcome measures... by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine Quality indicators are monitored when public monies are used, such as for Public Law 108-446, the Individuals with Disabilities Education Act (IDEA) 2004. The act mandates ... Read on »
Practitioners around NY State begin learning about EI reform proposals by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine Earlier this week I noticed a large uptick in Google searches regarding early intervention that were landing on this blog so I started wondering what was going on. Turns ou ... Read on »
'Non Traditional Fieldwork' runs face first into proposed New York State regulations by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine My sensitivity for the challenges of being an Academic Fieldwork Coordinator runs quite deep; I held that position at a college for three years and experienced the difficult ... Read on »
Are three hour autism training courses helpful? by Chris Alterio Occupational Therapist Posted in: Blog Posts in General Medicine I received an email today from an agency that provides three hour training courses on autism required by the NY State Office of Teaching Initiatives (OTI) for all candidates ... Read on »