Clinical pathway

Executive function

The student loses materials, misses steps, and cannot organize a multi-step visual task even when each step is known.

Step 1

Occupational performance problem

The student loses materials, misses steps, and cannot organize a multi-step visual task even when each step is known.

Step 2

Clinical reasoning

  • Ask whether the breakdown is planning or visual retrieval — a cluttered desk failure is not the same as a sequencing failure.
  • When visual work is expensive, executive resources get spent on seeing rather than on organizing.

Step 3

Likely limiting level

  • Level 5: Functional Integration

    Visual effort competes with organization and planning.

  • Level 3: Visual Processing

    Spatial organization of materials and pages.

Step 4

Intervention options

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Step 5

Movement-based options

Nothing tagged for this step yet.

Step 6

Teacher strategies

  • Visual checklists placed where the task happens, not in a binder.
  • One consistent place for each material; reduce the number of visual decisions.

Step 7

Parent carryover

  • Same launch pad for backpack and materials every day.
  • Photograph the finished setup as the visual model.

Step 8

Progress monitoring

  • Steps completed independently on a routine checklist.
  • Materials-ready rate at the start of class.

Step 9

Reassessment

Re-screen the limiting level after 6–8 weeks of consistent intervention. If the occupational problem has not changed while the contributing level has, look upstream for a different limiting factor. If neither has changed, or symptoms are worsening, refer out rather than continuing to treat.