Based on direct measures and continuous assessment, Christy is able to use fingers and hands for many small manipulations; for example, holding a marker$/$crayon with thumb and two fingers making a closed circle $30\%$ of the time. Using a model, she copies vertical and horizontal strokes with verbal prompting. Christy makes a closed circle with visual prompts; however, she unable to copy shapes or letters in her name. Based on work samples, she holds a regular pair of scissors, using the correct form to snip edges of paper during four out of five attempts. She is able to cut along a wide $2"$ line with regular scissors with verbal prompts for visual attending and hand positioning. She is unable to cut along a $4"$ line or cut out basic shapes with regular scissors. Christy is able to use balance and coordination to move purposefully throughout the school environment $($e$.$g$.$ varied flat surfaces without falling$).$ Christy walks with an open gait and is unable to walk along a wide stripe or low balance beam without physical assistance beyond one step. She can throw and release an object with $100\%$ accuracy; however, she is unable to throw with direction or intent $($e$.$g$.$ toward a target$).$ Christy alternates her feet when ascending stairs while holding a handrail with $100\%$ accuracy. When descending stairs, Christy seeks adult assistance, and places both feet on the step before moving to the next step rather than alternating her feet. Weaknesses in fine and gross motor skills adversely affect Christy$$s ability to participate in preschool activities requiring her to write, cut with scissors, use advanced balance skills, and interact with recreational equipment.

What can be done to help Christy?