To further enhance the effects of therapy the therapist may design a home program to provide carry over at home and school. Activities may be created to be carried out under the direction of parents or caregivers. These activities are typically ones that can be easily incorporated into demanding schedules and become part of the routine of daily life.

More extensive home programs may be designed for children who are unable to receive ongoing direct therapy.

For a child whose primary concerns have to do with difficulty regulating sensory information, the occupational therapist may design a "sensory diet" to be used at home and/or school. This plan is created to dampen the impact of noxious stimuli. Strategies are implemented to increase the individual child's awareness of the times when he/she may become overstimulated, feel uncomfortable or overwhelmed by incoming stimuli. This is the first step toward enabling a child to respond to uncomfortable situations more appropriately.