Occupational and Recreational Therapy


Through Occupational Therapy we use a client centered approach with adults, seniors and children to increase their ability to perform skills for the job of living.


Through Recreational therapists we utilize play, recreation, and leisure activities to improve the physical, cognitive and social/emotional abilities of infants, toddlers, children, adolescents and young adults. The primary purpose of their treatment is to identify, improve and/or enhance the functional abilities and independence of the children through leisure and play as well as reduce or eliminate the effects of illness or disability.   We also address community integration where patients will be placed in situations that will challenge their skills acquired during their therapy sessions and apply them in a practical community-setting to empower success. Our specialized services include animal assisted therapy, aquatic therapy, special events and community-adapted recreation programs. 


The LTS Occupational Therapy and Recreational Therapy staff provide treatment for the following:

  • Strokes

  • Motor vehicle accidents

  • Traumatic Brain Injury

  • Work related injuries

  • Visual deficits

  • Shoulder concerns including generalized pain, weakness, dislocation, rotator cuff injuries, bursitis, and frozen shoulder

  • Elbow concerns including generalized pain, epidcondylitis, trauma, and Cubital Tunnel Syndrome

  • Hand and wrist concerns including generalized pain, Carpal Tunnel Syndrome, trigger finger, arthritis, tendon repair, DeQuervain's Syndrome, lacerations, burns/wounds, fractures, tendonitis, weakness, scar adhesions, and customized splint or brace fittings

  • Autism related disorders

  • Sensory-motor disorders

  • Upper extremity (shoulder, arm and hand) injuries including brachial plexus injuries, burns, fractures, etc.


  • Developmental disabilities

  • Down Syndrome and other genetic diagnoses

  • Cerebral Palsy and other neurological diagnoses

  • Traumatic brain injury

  • Delays in fine motor and visual motor skills directly affecting academic performance


Free screenings are available to determine a need for occupational therapy services. If services are recommended, an order from the client's primary care physician will be pursued.


Other specialized services and evaluations include:

  • Ergonomic assessments

  • Sensory Integration

  • Stress management evaluations

  • Wheelchair and equipment assessments

  • Home safety evaluations

  • Balance Evaluations

  • Self-feeding evaluations

  • Training in the use of adaptive equipment

  • Energy conservation training

  • Feeding and Oral Motor Evaluations

  • Training inProgressive muscle relaxation

    • Guided imagery

    • Deep breathing

    • Biofeedback - based relaxation techniques

  • A low ropes course or initiatives interventions

  • Adapted sports:  aquatics, horseback, and shooting sports

  • Manual, visual, and expressive arts

  • Horticulture

  • A therapeutic outing designed to meet specific goals for community integration

  • A family intervention

  • A therapeutic exercise or aquatic therapy session

  • Self-care skills including feeding, dressing, and grooming 

  • Hand strengthening and coordination skills required for activities such as cutting with scissors, coloring, and writing, buttoning, using feeding utensils, etc. 

  • Sensory-motor processing and integration

  • Upper extremity (shoulder, arm and hand) splinting & serial casting

  • Recommendation, training, and use of adaptive equipment

  • Neurodevelopmental treatment

  • Visual motor and handwriting skills

  • Pain management

  • Pelvic floor rehabilitation for urinary incontinence

  • Functional Electrical Stimulation


Recreational therapy is defined as “a treatment service designed to restore, remediate and rehabilitate a person’s level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate the activity limitations and restriction to participation in life situations caused by an illness or disabling condition” (American Therapeutic Recreation Association [ATRA], 2009). Recreational therapy, an aspect of therapeutic recreation, is a skilled therapy provided as active treatment (as defined by the Centers for Medicare and Medicaid Services). Recreational therapy, which was recognized as an allied health discipline by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) at its 2010 annual meeting, is part of the broader field of therapeutic recreation, which also encompasses trained professionals dedicated to providing outcome-based recreation services to all citizens.

Hours for Outpatients:

Outpatient Services:  By appointment


WVBTT 9-2:30 Tuesdays-Thursdays and Fridays 9-7:00 pm


RCTRC:  4:00 pm - 8:00 pm 

Tuesdays - Thursdays



To Make an Appointment

Physician orders are required for occupational therapy services. However, referrals may be provided by Nurse Practitioners, Chiropractors, Optometrists, Physical Therapists, Physician Assistant, Psychologists or other health care providers.

Once an order is obtained, appointments can be scheduled by calling 304-634-1845


As a West Virginia Birth to Three Agency we are available to assist you in helping your child to attain his/her milestones. 


What is WV Birth to Three?

WV Birth to Three is a statewide system of services and supports for children under age three who have a delay in their development, or may be at risk of having a delay, and their family.  The Department of Health and Human Resources, through the Bureau for Public Health and the Office of Maternal, Child and Family Health, WV Birth to Three, as the lead agency for Part C of the Individuals with Disabilities Education Act (IDEA), assures that family centered, community based services are available to all eligible children and families. 


Who is eligible?

To be eligible for WV Birth to Three services, an infant or toddler under the age of three can either have a delay in one or more areas of their development, or be at risk of possibly having delays in the future.

A child may have delays in one or more of the following areas:

  • Cognitive - thinking and learning

  • Physical - moving, seeing and hearing

  • Social/emotional - feeling, coping, getting along with others

  • Adaptive - doing things for him/herself

  • Communication - understanding and communicating with others

A child may have risk factors such as:

  • A condition which is typically associated with a developmental delay such as Down Syndrome; or

  • A combination of biological and other risk factors. Some of these factors may include family stressors.

How do I make a referral?

To refer a child to the WV Birth to Three system in state, you may call 


Play enables children to exert control over various aspects of their environment while helping to create a sense of mastery in circumstances they may not have control over. We offer various activities to help normalize the hospital stay, including supervised play, evening and weekend activities, special events, and holiday parties. 

Animal Assisted Therapy 
Animal Assisted Therapy (AAT) is a therapeutic intervention designed to improve the physical, cognitive, and social-emotional functioning of patients. AAT uses specially trained therapy dogs. AAT integrates the use of the human/animal bond and goal directed interventions as an integral part of the treatment process. Working animals and handlers must be screened, trained and meet specific criteria. The recreational therapist is responsible for setting therapeutic goals and guides the interaction between the patient and the dog. Events We offer a variety of special themed events throughout the year, celebrating holidays, special visits, or other occasions, for patients and families. 

Outdoor Play and Community Trips 
Outdoor play areas are accessible from all our buildings. Participating in outdoor play helps to increase relaxation, and decrease stress while connecting to nature. Being outdoors helps reset the “internal clock”, balances hormones, and promotes healthy weight. Trips into the community are arranged whenever appropriate for our patients, whether it be to the movies, the mall, a sports game, concert, or other event. 

Pet Visitation 
Pet Visitation is designed to promote socialization, reduce stress, increase self esteem, and increase quality of life. During pet visitation, Recreational Therapists and dog handlers facilitate interaction between the dogs and patients in a group setting. Patients are given the opportunity to participate in various diversional activities. Some activities include playing catch, grooming, petting, giving treats and socializing. 

We provide several safe and fun environments for children to grow and develop while participating in RCTRC programs. During inclement weather we utilize board games, computers, crafts, video games, and other activities for school-age and adolescents to pursue their leisure interests. This can be either structured or unstructured. At our facilities - infants, toddlers, and pre-school age children are given opportunities to explore and develop their play and social skills in a supervised playroom. Age appropriate toys and gross motor play are available. 

Sibling Support 
Whether your child is being seen for only a short time or if your child has on-going special health needs, your typically developing children have their own unique needs. Though siblings are often resilient, they benefit from opportunities to express their thoughts and feelings.