The observation assessment that was performed on C.W. was the Comprehensive Occupational Therapy Evaluation (COTE). The COTE is a criterion referenced measure that allows therapists to identify certain client factors and performance skills that may influence occupational performances and guide intervention planning (Allison & Shotwell, in press). According to Allison and Shotwell (in press), the COTE is a rating scale that provides therapists with a quick overview or “snapshot” of a “client’s functioning at a particular moment in time as measured during the performance of an activity” (p. 1). This measure is designed to track a client’s progress over time based on behaviors observed during group or individual therapy sessions. The COTE examines
