Who gives the SPD Diagnosis?

by Amy

My 1st grader recently had an OT evaluation at school. It was mentioned in his ARD for speech that he had some fine motor issues. They pursued this concern and the OT report shows that he has some issues with fine motor skills which sounds to me like dysgraphia, scored below average on the test for visual motor integration, the short sensory profile indicated that he was having difficulty interpreting and using the sensory information from the world around him, particularly touch and movement. This was also evident by observation by the therapist during classroom observation time.

The sensory processing observations showed that he was observed seeking out increased tactile sensation and movement during classroom tasks. He followed instructions well, in one on one. He demonstrated difficulty imitating physical movement. The OT's report also said that he demonstrates a fine motor delay and sensory processing difficulties.

What I am wondering is, does this mean he has SPD? Who gives that diagnosis?