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Occupational Therapy & Transition Support for Neurodivergent Young Adults

Learn what matters, where it matters.

At Skills for Life, we support neurodivergent individuals 16+ in developing the skills, routines, and personal capacities—such as self-awareness, conscientiousness, resilience, and self-determination—needed for meaningful adult life.

Our program was designed in 2016 as a home and community-based model—working with clients in their homes, schools, workplaces, and community settings.

To ensure consistent quality and sustainable services, we now only provide in-person visits primarily within the metro Boston area. That said, whenever possible, we also offer virtual services to extend access, reduce travel barriers, and maintain continuity of care for clients both inside and outside our immediate service area throughout MA.

Since 2022, we have been credentialed with major insurance payers—including Medicare, MassHealth, and BCBS—to support equitable access to our services. However, since 2025 our insurance-funded services must now align with what an insurance plan defines as “medically necessary.” This means, if using an insurance benefit, our work together will focus only on self-care, home management, and health management activities completed within the home (see below for more details).

If you want the full scope of our model as it was designed and intended, including support for community participation, travel training, employment, education, and social goals, this is available through our private pay or district-funded services, which are not bound by insurance restrictions and may be provided at home, in the community, in schools, or virtually.

Focus of our work:

As Occupational Therapists, we are uniquely trained to facilitate opportunities for our clients to develop life skills.

Living with greater independence may include:  

Direct skill development

Self-determination

Interdependence

Habits and routines

Our Clients

  • Age 16+
  • Can set goals for themselves when given a structure to do so
  • Able to work on specific, goal-related tasks between sessions with minimal support
  • Are motivated to build new skills and make changes to habits and routines that are in service of their goals and vision
  • Commonly we work with individuals who identify as having ASD (formerly, Asperger’s), NVLD, ADHD, TBI, or other neurological and/or behavioral diagnoses.
  • We work with individuals in the Greater Boston Area.

We recognize how challenging it is to make changes and we honor the pace of our clients and families to move through the work at a speed that feels comfortable.  

Our team knows that growth never happens in isolation. We work in partnership with our clients’ families and other team members to build skills and routines together, supporting each young adult in building both independence and interdependence.