Student’s Name ___________________________________________________________

Pediatric SPA Intervention Grading Rubric

Intervention Plan Grading Criteria Skill Level Demonstrated

Kenzie Smith Below Meets Outstanding
expectations Expectations +.5-2pt.
-.5 – 3pts.
1. Demographic information, diagnosis, concerns, x
precautions, reason for referral, therapist’s name
2. Occupational Profile +1.5
• States comprehensive understanding of occ. Hx, experiences,
patterns of daily living, interests, values, and needs & reason x
for seeking services.
• strengths and weaknesses (person) identified
• potential areas of occupation disruption identified
• Supports and barriers (context & environment) identified
• Parent’s Priorities & concerns for intervention identified
3. Analysis of occupational performance +1.5
• Assets & px more specifically identified from observation
• Actual performance data described from observation x
• Performance analyzed & identified priorities supported
• Identified targeted outcomes
• Concise, cogent and comprehensive narrative
4. Problems prioritized x
5. Identifies two personal supports/strengths X
• Appropriately identify two specific personal factors (client
factors/performance skills) that are promoting participation in
selected occupations/priorities of intervention (use OTPF
language)
6. Identifies two contextual supports/strengths X
• Appropriately identify two specific contextual factors that are
promoting participation in selected occupations/priorities of
intervention (use OTPF language)
7. Identifies two activity demand supports/strengths X
• Appropriately identify two specific activity demands that are
promoting participation in selected occupations/priorities of
intervention (use OTPF language)
8. Identifies two personal barriers/limitations X
• Appropriately identify two specific personal factors (client
factors/performance skills) that are limiting participation in
selected occupations/priorities of intervention (use OTPF
language)
9. Identifies two environmental barriers/limitations X
• Appropriately identify two specific contextual factors that are
limiting participation in selected occupations/priorities of
intervention (use OTPF language)
10. Identifies two activity demand barriers/limitations X
• Appropriately identify two specific activity demands that are
promoting participation in selected occupations/priorities of
intervention (use OTPF language)
11. Correctly writes two long term goals nailed it! +2
• Uses COAST/SMART format
Student’s Name ___________________________________________________________

• Outcomes emphasize function x

12. Correctly writes two short term goals for each long term +2
goal – K you get to teach this from now on!!!! Perfect!
• Uses COAST/SMART format (includes 6th item – Contributing client x
factor or performance skill)
• Outcomes emphasize function
13. Correctly identifies FofR/ practice model and rationale with x
each STG
• Write a rationale & explain how and why you chose
the model(s) to address this specific short term goal and how it
addresses the contributing ‘client factor/performance skill’
stated in STG that is problematic in client performing specific
occupation targeted in the goal.
14. Correctly identifies intervention approach(es)/ type(s) x
15. Correctly identifies 3 relevant outcomes x
16. Lists person(s) developing plan and date x
17. Spelling/Grammar +2
• Clearly communicates information x
• Checks spelling
Grading Rubric
• Student “meets expectations” in all criterion categories = 138/150 (~92/100)
• Add 2 points for each box marked “outstanding” +9
• Subtract 3 points for reach box marked “below expectations” -0
147/150 = 98%
Students Final Grade = 220.5/225 total pts.
SPA Total Points: 300 (75 pts. interview/225 written documentation)
Written SPA: 220.5
Interview: 74.25
Total SPA Score: 294.75/300 = 98.25%

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