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Individual Services
Outdoor-Based Occupational Therapy
1:1 Services
Individual sessions are skilled 1:1 occupational therapy services. This is for children who thrive in a sensory-rich outdoor environment and could use some extra support in any of the skills listed below. A comprehensive evaluation will be completed to determine if your child would benefit from receiving services. If services are deemed appropriate, goals will be developed and addressed during treatment sessions.
Initial Consultation Call
Free (15 minutes)
Not sure if your child would benefit from outdoor-based OT services? Do you have concerns with any of the targeted skills listed below? Please complete the intake form below and you will receive information to set up a phone call to discuss concerns and determine if your child would benefit from a comprehensive evaluation.
Outdoor-Based OT Evaluation
A comprehensive OT evaluation is designed to understand your child’s strengths, sensory needs, participation challenges, regulation patterns, motor skills, and functional abilities within natural environments.
Ideal for children who:
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Sensory processing differences
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Autism spectrum disorder
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ADHD, executive functioning challenges
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Developmental delays
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Motor coordination difficulties
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Fine and gross motor delays
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Emotional regulation challenges
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Confidence and independence building
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Children who benefit from movement-based and outdoor learning experiences
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Children who may feel overwhelmed in a traditional therapy clinic
**Your child needs an OT referral from their doctor in order to receive services.**
Outdoor-Based OT Treatment Sessions
Individualized occupational therapy sessions are designed around your child’s interests, strengths, and goals. They are outdoor-based and are structured to take place in any outdoor space deemed appropriate in order to work on goal areas (park, home, playground, etc.). Families also receive ongoing collaboration and individualized recommendations as needed.
Sessions may focus on:
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Sensory regulation
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Motor planning and coordination
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Fine/visual motor skills
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Executive functioning
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Social-emotional development
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Self-care skills
Because Hikeabilities is a specialized private-pay service, sessions are designed to be highly individualized, relationship-centered, and grounded in real-world participation rather than insurance limitations. This model allows for flexible, child-led care in natural outdoor environments while providing families with meaningful support, collaboration, and personalized recommendations.
Families may be able to submit documentation for potential out-of-network reimbursement depending on their insurance plan. Upon request, Hikeabilities can provide a superbill for eligible services.
Skills Targeted
Fine Motor
Fine motor skills help kids with the small but mighty tasks—like grasping a stick, tying a knot, or picking up rocks. Outdoor play naturally strengthens these muscles. Think of zipping a backpack, opening a water bottle, and collecting leaves. These activities boost hand strength, coordination, and precision all while simply hiking along a trail.
Gross Motor
Gross motor skills support your child’s ability to explore, play, and navigate the world. Climbing over logs, jumping in puddles, balancing on rocks—these are nature’s ways of building strong, confident movers. Trails and outdoor spaces will be used as natural gyms that develop strength, balance, and coordination.
Nature is the ultimate sensory playground. The rustle of leaves, the crunch of gravel, the scent of pine—all these sensory experiences help kids learn to process and respond to the world around them. Whether your child needs more calming input or more alerting sensations, the outdoors offers a rich, flexible environment to support sensory regulation in a gentle, engaging way.
Sensory Processing
Visual Motor Integration
Visual-motor integration helps kids match what they see with how they move. Nature is full of chances to practice—from marking a location on a map to placing a walking stick on sturdy ground. Even games like following a winding path or tracing patterns in the sand build skills for handwriting, sports, and more.
Social-Emotional
Nature helps children slow down, connect, and regulate. Outdoor play encourages turn-taking, sharing space, and working together—whether building forts, navigating trails, or spotting wild life. With the right support, these moments become stepping stones for emotional awareness, self-regulation, and friendship skills.
Executive Functioning
Executive functioning skills help kids plan, organize, and stay flexible—key for everything from getting dressed to tackling schoolwork. Outdoors, these skills come to life through adventure: figuring out how to read a map, remembering the rules of a nature scavenger hunt, or adapting when the trail gets muddy. Nature’s unpredictability becomes a powerful tool for growing mental flexibility and focus.