• Use a colored highlighter to highlight writing lines, or every other line to be read.• Use commercially available raised-lined paper that bumps when the pencil crosses over it.
• Teach letters by having the child write in sand, shaving cream, or on paper laid over sand paper or other bumpy surfaces.
• Use graph paper for spacing issues. Instruct the child to place letters or numbers in each box and the child can leave empty boxes for spaces.
• Use a ruler or folded piece of paper as a guide to expose the line being read or written on to help focus on one line at a time.
• Place work on a slanted surface such as a 3-inch binder turned sideways, or purchase a slant board
. These can be visually helpful. 
Excellent strategies. For visual attention, self-regulation seems to be a major issue. Offering a sensory diet and then performing attention-based tasks is helpful, such as navigating an obstacle course while visually targeting a specific (preferred) play component. For example, I was setting up a construction scene and had vehicles around the room. The kiddo had to pick which one he wanted and visually keep his eyes on it while going through the course. I also like to do "dark" activities because kids have to slow down and focus when light is limited. I wrote a continuing education course for occupational and physical therapists at www.edlantis.com called "Flashlight Therapy For Kids."
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