DS will be 5 tomorrow (sigh...) and is in kindie in an awesome ASD program. He's previously been in self-contained classrooms and struggled, so making this switch was a great choice. I am constantly getting reports on how good he is doing and how smart he is. The class is 5 kids, 1 teacher, 2 aides, with OT and ST per IEPs. He gets a lot of one-on-one time with the teacher, but will also work independently at his station on assignments. He gets 1.5 hours of speech and 1 hour of OT through school. OT does How Does Your Engine Run with him, and there is a sensory area in the classroom, with crash pads, spinny chairs, swings, etc.
We have been supplementing with private therapy since he was 2. Right now he gets 2 hours of speech, 1 hour of OT, plus private swimming lessons once a week. So our time is pretty full. We are in the process of getting approved for ABA through a Medicaid waiver -- he will certainly be approved, it is just a matter of completing the paperwork. This will be to help with behavioral concerns -- bolting, hitting, screaming, etc. So we are confronted with dropping some therapy, because the just is not enough time in the day to do everything. DH and I already agreed to drop down to 1 private speech a week, but now I am considering dropping OT as well, with the idea being that he gets OT at school to help with sensory issues and a lot of one-on-one time working on fine motor skills with the teacher and the aides. We're seeing less and less of the sensory outbursts that led us to seek OT in the first instance -- he is pretty good at stepping aside and calming himself when things get overwhelming.
Obviously, you don't know my kid so you can't tell me what to do. But has anyone else had to decide between ABA and OT? Am I crazy to think of dropping the hour of private OT? Is there anything else we should consider before making the decision?