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Ideas at Play: An Occupational Therapy (OT) Podcast

Michele Alaniz & Lacy Wright
Ideas at Play: An Occupational Therapy (OT) Podcast
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  • Ep. 30 Making Hospitals Sensory-Friendly
    70% of autistic individuals have at least one mental health condition, but here's the kicker—the very hospitals meant to help them might be making everything worse. Picture this: you're already in crisis, then you're hit with buzzing fluorescent lights, scratchy bedsheets, and the smell of industrial cleaning solutions. For autistic teens, it's a recipe for prolonged stays and increased meltdowns. But what if we actually asked them what would help? That's exactly what UK researchers did, and their findings will change how OTPs think about every clinical space. From the surprising impact of curved walls on the vestibular system to the "spiky sensory profiles" - this episode discusses surprisingly simple occupational therapy interventions that could transform care overnight.We share our own thoughts in the Research Review and encourage you to read the article too.Williams, G., Corbyn, J., & Hart, A. (2023). Improving the sensory environments of mental health in-patient facilities for autistic children and young people. Child Care in Practice, 29(1), 35–53. https://doi.org/10.1080/13575279.2022.2126437KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; autism; mental health; hospital; sensory; sensory supports; sensory friendly; neurodiversityThank you to our sponsor OccupationalTherapy.com! Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link https://fas.st/t/Fe79v8vUStay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at [email protected] 👉 Find us on Instagram @ideas.at.play
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  • Ep. 29 A Sleep Intervention with Dreamy Outcomes
    95% of kids with neurodevelopmental disorders struggle with sleep—but there's an OT intervention that gives families an extra hour of sleep per night! In this episode, we discuss an occupational therapy study from Argentina that used telehealth and coaching to transform bedtime battles. This isn't the typical "try melatonin" approach—it's a comprehensive 5-step program addressing everything from parent self-care to zeitgeber (yes - that’s a real term and it’s amazing). Michele breaks down this intensive OT intervention, delivering significant improvements in bedtime resistance, sleep onset, and duration. We're sharing exactly how occupational therapists can implement these strategies and highlight the freely available assessment tools and day-by-day protocols. If you've ever had a parent desperately ask for sleep help, this episode is your new secret weapon.We share our own thoughts in the Research Review and encourage you to read the article too.Leive, L., Melfi, D., Lipovetzky, J., Cukier, S., Abelenda, J., & Morrison, R. (2024). Program to Support Child Sleep from the Occupational Therapy Perspective during the COVID-19 pandemic. Programa de Acompañamiento del Sueño en la Infancia con Terapia Ocupacional durante la pandemia por COVID-19. Archivos argentinos de pediatria, 122(1), e202303029. https://doi.org/10.5546/aap.2023-03029.engKEYWORDS: Occupational therapy; evidence-based practice; OT; Peds OT; pediatric occupational therapy; sleep disorders; sleep intervention; sleep strategies; coaching; telehealth; neurodevelopmental disordersThank you to our sponsor OccupationalTherapy.com! Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link https://fas.st/t/Fe79v8vUStay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at [email protected] 👉 Find us on Instagram @ideas.at.play
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  • Ep. 28 Responsive Feeding (and how OTPs are using this approach)
    Many of our families know that sinking feeling when mealtime becomes a battlefield—tears, tantrums, and the stress of watching a child refuse meal after meal. But what is the best way to help? This week, we dive into a brand-new scoping review on responsive feeding for pediatric feeding disorders—an approach that's finally putting words to what many OTPs have been doing intuitively. We'll break down the two key pillars: environmental supports (consistent meal schedules, intentional positioning, and sensory-minded food preparation) and strengthening caregiver-child relationships through coaching and education. While this approach might sound familiar to OTs—focusing on child autonomy, self-regulation, and trust-building—the research is just catching up to validate what works. This episode will give you concrete occupational therapy strategies to transform mealtimes from stressful battles into opportunities for connection and growth.We share our own thoughts in the Research Review and encourage you to read the article too.Mattner, M. R., Guzman, A. L., Moore, E., Fortuna, J., & Cantwell-Jurkovic, L. (2025). Responsive feeding therapy for children with pediatric feeding disorder (PFD): A scoping review. Appetite, 214, 108211. Advance online publication. https://doi-org.kumc.idm.oclc.org/10.1016/j.appet.2025.108211 Foster, L., Lawson, L. M., & Moreland, H. (2025). Impact of a Responsive Feeding Intervention on Children and Caregivers: A Nonrandomized, Repeated-Measures Study. The American Journal of Occupational Therapy, 79(5), 7905205060. https://doi.org/10.5014/ajot.2025.051100 KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; responsive feeding; pediatric feeding disorder; feeding therapyThank you to our sponsor OccupationalTherapy.com! Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link https://fas.st/t/Fe79v8vUStay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at [email protected] 👉 Find us on Instagram @ideas.at.play
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  • Ep. 27 Group vs. Individual OT for Autistic Toddlers
    Drowning in long therapy wait lists? Researchers found that group DIR Floortime (4 kids, 2 therapists) produced the same outcomes as individual occupational therapy sessions for autistic toddlers—AND slashed wait times from 108 to 52 days! We break down what worked, the challenges (parent participation was tricky), and what the therapists thought about it. Plus Michele's epic "Failed It" moment with bleeding lips and Lacy's activity up & down-grading breakthrough. If you're looking to serve more kids faster without sacrificing quality, this episode delivers a solution that you could try tomorrow.We share our own thoughts in the Research Review and encourage you to read the article too.Hirschmann, S., Magnezi, R., Bassan, H., & Tal, O. (2023). Group versus individual occupational therapy for toddlers with autism as a means to improve access to public health-care services. Randomised controlled pilot study. Australian occupational therapy journal, 70(4), 434–445. https://doi.org/10.1111/1440-1630.12865KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; group therapy; autism; DIRFloortime; early interventionThank you to our sponsor OccupationalTherapy.com! Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link https://fas.st/t/Fe79v8vUStay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at [email protected] 👉 Find us on Instagram @ideas.at.play
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  • Ep. 26 Have Impostor Syndrome? (Here’s what to do)
    Ever feel like you are in over your head? You're not alone—new research shows 84% of occupational therapy practitioners and students secretly battle impostor syndrome. From OT students to seasoned therapists, despite being well qualified, we're all wondering if we actually know what we're doing! In this episode, we break down the study that puts numbers to what we feel and reveal who may be hit hardest by these "Am I good enough?" thoughts. Then, Michele & Lacy share their strategies to move past impostor syndrome. Whether you're an OTA doubting your skills, an occupational therapy student feeling overwhelmed, or a veteran OT questioning yourself, we've got real cognitive and behavioral tools you can use starting today. We share our own thoughts in the Research Review and encourage you to read the article too.Prisco, D., & Walsh, S. (2025). A Survey-Based Quantification of Imposter Phenomenon In Occupational Therapy. The Open Journal of Occupational Therapy, 13(2), 1-15. https://doi.org/10.15453/2168-6408.2344KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; impostor syndrome; impostor phenomenon; professional growthThank you to our sponsor OccupationalTherapy.com! Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link https://fas.st/t/Fe79v8vUStay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at [email protected] 👉 Find us on Instagram @ideas.at.play
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About Ideas at Play: An Occupational Therapy (OT) Podcast

Welcome to Ideas at Play, the go-to podcast for busy pediatric occupational therapy professionals! Whether you're in school-based settings, early intervention, or outpatient practice, we bring you evidence-based strategies, practical tips, and engaging discussions to support your OT practice with children, teens, and young adults.Each episode features:A deep dive into recent pediatric OT research and how to apply it."Nailed It or Failed It," where we share what’s working—and what isn’t—in our pediatric OT practice.Real-world examples and listener questions about all things pediatric occupational therapy.Shout outs to People, Places, and Products that fill our occupational therapy heartsJoin the hosts, Michele Alaniz, OTD, OTR/L, BCP and Lacy Wright, OTD, OTR/L, BCP, as we explore innovative OT ideas, share professional insights, and help you stay up-to-date with the latest trends in pediatric occupational therapy. Subscribe now and unlock actionable strategies to help the children you serve thrive!Stay informed, stay curious, and stay playful!✏️ Sign up for our newsletter https://forms.gle/2aceiDDHBq6LR5TV6.📧 Email us a question or comment at [email protected]👉 Find us on Instagram @ideas.at.playKeywords: occupational therapy, OT, pediatric occupational therapy, evidence based practice, peds OT
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