1. Individual Direct Time
OT/PT Department
Page 1
Individual Direct Time
Process for Transfer of Function to Therapy Support Worker
Therapist identifies a client
who would benefit from services
from the Therapy Support
Worker (TSW).
Points to emphasize with family/guardian:
TSW is not a therapist
TSW works with the child under the supervision
of the therapist
TSW is not responsible for setting goals or developing
activities – these are done with the guidance
of the supervising therapist
TSW is not qualified to assess skills or provide
information about a child’s diagnosis, progress
or prognosis
Therapist discusses the role of
the TSW with the family/guardian,
and assesses their interest in
having TSW work with their child.
If the family/guardian is interested
in having TSW services, the child
Is put on the TSW program waitlist,
using the Internal Referral form
Receptionist adds client name to
TSW program waitlist
TSW waitlist is discussed at monthly
department meetings, and
priority/urgency is set with input
from all therapists. TSW
schedule is developed through
conversation with all therapists
in the department.
Source: OSNS Child Development Centre, 2009; Reviewed/Adapted by Sunny Hill Health Centre for Children, 2018

2. Moving from TSW Waitlist to Active
Individual Direct Time
Process for Transfer of Function to Therapy Support Worker
Page 2
Moving from TSW Waitlist to Active
Therapist establishes goals with the family/
guardian to be targeted during TSW service
delivery time. Activities are developed with
family/guardian, therapist and TSW input. Clear
timelines are decided upon (how many weeks,
how often per week, start date and end date.)
Therapist joins the TSW
at least twice more during visits,
once in the middle of the
arranged sessions, and at the
final one to assess progress..
Some families may benefit
from a printed schedule
to outline visit dates, identify
who will be attending, and
provide a contact phone no.
in case of cancellations (see
Sample attached)
Therapist attends first visit with TSW
to introduce the child and family,
to observe TSW working with the
child, and to ensure competency.
Ongoing communication between TSW
and therapist is important to ensure
that activities progress as appropriate,
that therapist is aware of what
activities work and do not work,
and that modifications can be made
as necessary
Therapist completes and signs
Review of Competency Form
and files this in client’s file
Source: OSNS Child Development Centre, 2009; Reviewed/Adapted by Sunny Hill Health Centre for Children, 2018

3. Therapy Support Worker (TSW) Upon Completion of TSW Service Delivery
Page 3
Individual Direct Time
Process for Transfer of Function to Therapy Support Worker
Documentation
Therapist
Therapy Support Worker (TSW)
Therapist moves client from
Monitoring to Active, if not
already in the Active program
TSW moves client from Therapy Support
Waitlist to Therapy Support OT/PT program.
Therapist revises Needs
Assessment to reflect
the goals being targeted by TSW.
TSW documents activities and observations
under Therapy Support OT/PT
Program.
Therapist documents:
1) clients will be seen by TSW
2) transfer of function is complete.
Therapist writes out goals and
activities for TSW to follow
(see Sample attached).
Upon Completion of TSW Service Delivery
Therapist conducts re-assessment
at end of sessions, and documents
progress on revised goal form.
TSW discharges client from Therapy
Support OT/PT program, and files
case notes in client’s working file
Therapist discusses with family future
Intervention and documents this
in case notes
Therapist completes Needs
Assessment to reflect change/
progress, and the future focus of
intervention
Therapist moves client to Monitoring
if that is appropriate
Source: OSNS Child Development Centre, 2009; Reviewed/Adapted by Sunny Hill Health Centre for Children, 2018