Ideas at Play: An Occupational Therapy (OT) Podcast

Ep. 5 Tier 1, Tier 2, Tier 3: Top School-Based OT Interventions That Work

Michele Alaniz & Lacy Wright

Overwhelmed by your school-based OT caseload? Join Drs. Michele Alaniz and Lacy Wright as they discuss three decades of research into actionable, tiered interventions that deliver measurable results. Learn why the most successful school-based OTs are shifting from traditional pull-out services to classroom-embedded support, dramatically reducing waitlists while expanding their influence. This episode unpacks game-changing approaches at every tier with concrete, research-supported strategies, specific intervention dosage guidelines, and methods to convert teachers into enthusiastic collaborators. 


We share our own thoughts in the Research Review and encourage you to read the article too.

Lynch, H., Moore, A., O’Connor, D., & Boyle, B. (2023). Evidence for implementing tiered approaches in school-based occupational therapy in elementary schools: A scoping review. American Journal of Occupational Therapy, 77(1), 7701205110. https://doi.org/10.5014/ajot.2023.050027


Keywords: Occupational therapy; OT; evidence based practice; OT ideas; Peds OT; pediatric occupational therapy; school-based; workload; tiered intervention

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