The time and individualized practice required to develop a mature pencil grasp, dexterity and fine motor coordination, visual-motor integration for drawing and writing, and fine motor endurance are not always available in the school setting.

Many children benefit from additional support to build these skills for tracing, drawing, cutting, tying shoes, classroom work, and more comfortable, confident handwriting.

Every child has their own way of moving through the world. Occupational therapy supports balance, strength and endurance, body awareness, bilateral integration, coordination, and motor planning—the foundations children draw from during play, self-care, school routines, sports, and everyday tasks.

Some children are building skills and confidence with running, jumping, climbing, ball skills, or playground activities. Others benefit from mobility support, including positioning, transfers, navigating everyday environments, or incorporating mobility devices into daily routines. The Capable Coast optimizes a person's function in movement, whether that's throwing farther or addressing low/high tone. 

Activities and supports are adapted to each child’s body, interests, and family priorities. The goal is not for every child to move in the same way, but for each child to participate as comfortably and confidently as possible in the activities and environments that matter to them.

Developing practical skills for dressing, fasteners and utensils, grooming, household participation, and daily routines can support greater autonomy and confidence.

Differences in bilateral integration, fine motor planning, body scheme and body awareness, or physical endurance can make self-care tasks more demanding. When self-care is avoided or becomes a source of distress, it may reflect underlying sensory, sensorimotor, fine motor, or other differences—even when those differences are subtle.

The Capable Coast supports people across the lifespan—from infancy through adulthood—in building the skills, strategies, and adaptations that help them participate in daily life with as much independence and confidence as possible.

Play is one of the primary ways children explore, learn, express themselves, and connect with others. Occupational therapy can support imaginative play, flexibility, peer interaction, social confidence, and the sensory, motor, and self-regulation foundations that help make participation possible.

Some children benefit from support initiating or joining play, managing social dynamics, physical endurance, navigating changes and unexpected moments, sharing space or materials, or participating in group activities. Others may be building confidence in communicating preferences, setting boundaries, asking for help, and finding meaningful ways to connect at home, at school, on the playground, and in the community.

At The Capable Coast we do not expect every child to play, communicate, or socialize in the same way. Support is shaped around each child’s interests, communication style, strengths, and autonomy—with the goal of helping them build meaningful relationships and participate with greater confidence and belonging.

Some children benefit from care that brings together deep experience across sensory, motor, neurological, developmental, and adaptive needs.

The Capable Coast provides occupational therapy for people with autism, cerebral palsy, global developmental delays, Down syndrome, dyspraxia, low or high muscle tone, neurological conditions, and complex or multiple support needs. We consider the whole person and how their body, nervous system, environment, and daily routines interact.

Therapy may support postural control, upper-extremity function, bilateral coordination, lower-extremity function, motor planning, positioning, mobility, sensory regulation, self-care, and purposeful participation. Care may also include compensatory strategies, adaptive equipment, caregiver coaching, and collaboration with schools and other members of a child’s care team. Each program is grounded in the child’s strengths, autonomy, communication style, comfort, and family priorities.

There are times in an individual's life when an intensive approach may be helpful. Daily therapy and longer sessions allow for a highly productive result due to frequent goal-directed sessions over a defined period. Session frequency, duration, and goals are individualized and set collaboratively with the family. Following a comprehensive evaluation and planned around each child’s endurance, schedule, regulation, and well-being, intensives are an option. The goal is meaningful functional change that carries beyond therapeutic context into everyday life.

Parents and caregivers bring essential expertise about their child, and therapy is most meaningful when support extends into the places where daily life happens. The Capable Coast partners with families to understand what they are noticing, connect sensory, motor, self-regulation, and daily-living needs, and develop practical strategies for home, school, and community life.

Support may include caregiver coaching and parent guidance related to occupational therapy goals, adapting routines or environments, planning for transitions, carrying therapeutic strategies across settings, and reviewing relevant evaluations and plans through an occupational therapy lens. Roxanne can also help families clarify priorities and questions for IEP, 504, IFSP, or other school-support meetings and, when invited, participate to share her clinical perspective. With family permission, she may collaborate with educators, physicians, therapists, and other providers.

The Capable Coast believes children are best supported when families, educators, and clinicians work from a shared understanding. We are committed to thoughtful, comprehensive solutions that connect therapy with everyday life—helping caregivers feel informed, strategies feel consistent, and each child’s strengths, needs, and autonomy remain at the center.