Clinical pathway

Visual attention

The student appears inattentive during visual tasks but sustains attention well in listening or hands-on tasks.

Step 1

Occupational performance problem

The student appears inattentive during visual tasks but sustains attention well in listening or hands-on tasks.

Step 2

Clinical reasoning

  • Attention that is task-specific to visual work is a visual performance question before it is a behavioral one.
  • Reduce visual load and watch what happens; if attention recovers, the load was the driver.
  • Document participation impact, not diagnosis.

Step 3

Likely limiting level

  • Level 5: Functional Integration

    Effort cost drives avoidance and drift.

  • Level 3: Visual Processing

    Cluttered fields make target-finding expensive.

Step 4

Intervention options

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Step 5

Movement-based options

Nothing tagged for this step yet.

Step 6

Teacher strategies

  • Reduce items per page and per slide before reducing expectations.
  • Give a visual anchor — highlight, frame, or point of entry — on dense material.
  • Schedule movement breaks between visually loaded blocks.

Step 7

Parent carryover

  • Clear the homework surface to only what is needed.
  • Two short work blocks instead of one long one.

Step 8

Progress monitoring

  • On-task minutes during a visual task versus a listening task.
  • Items completed per work block.

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.