Developmental hand program activities would be provided as indicated and addressed specifically in treatment in the case of fine motor/hand skill difficulties. Handwriting Without Tears (developed by Jan Olsen, OTR) is a simple developmentally based curriculum for writing readiness, printing, and cursive. For the older child who is struggling with cursive writing, the Loops 'N Other Groups program (developed by Mary Benlow, OTR) may be used.