Turn taking is something that requires sufficient skill at the task or interaction that is taking place. Peoples skills are hidden within layers so may not be visible to those around them. This is especially so when individuals are only exposed to the same types of activities or environments or types of interactions repeatedly. Stereotypical roles of who takes care of what tasks or who is given permission to move into certain types of environments can be a result of pathways that have been set long ago or are actually a result of the environment where other options are blocked or the jump of skill level is too great. How much time is spent engaging in preparing for movement to a new environment can be easily documented and compared against other tasks or required interactions over the course of the day, month, year or lifespan so far. Certain types of activities demand complete and utter isolated focus on their attention due to safety requirements. This is where routines are helpful to have already been established to enable focus on those urgent priorities. Where routines are not present the impact can be great. This can be as a result of the tasks being completed being simply too complex to be managed effectively given the strategies being used or that the environment internally or externally doesn’t support stability. People protect themselves about what they show others of their roles and of the tasks and successes within those tasks. Detailed analysis is part of an Occupational Therapists role to determine where balance options can lie based on the resources available and skills for each individual within the family. Tracking these options and how they are used over time can help future planning about where supports will be needed in the future.