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Simple Hacks to Optimize Backpack Safety and Organization

by Cathy Collyer

One of the essential back-to-school items on every parent’s shopping list is a new backpack.  Beginning in preschool and progressing all the way through high school, kids use their backpacks every day.   As therapists, we are aware that how that backpack is filled and carried will either create problems for kids or solve them.   A pack that is too heavy, so full that it creates perceptual, sensory or cognitive roadblocks to organization, or missing essential tools for kids with special needs, is not doing it’s job.  With targeted education and the introduction of simple alternative strategies, we can improve the chances that backpacks end up helping every child perform well during this school year.

Here are some ways to help students manage their backpacks for optimal performance throughout the school year:

  • Lighten up. Kids tend to make their packs heavier than they need to be.  Hypermobile kids, kids with orthopedic issues and kids with low tone may be carrying packs that put them at significant risk for injury.  Make sure parents are aware of this issue, and help them by suggesting a review of backpack contents and downsizing the “essentials” whenever possible.  Small water bottles, travel sizes of toiletries, and a minimum number of pencils, pens or markers lighten the load.  For kids that aren’t aware of the sensory or cognitive overload of an overfilled pack, a backpack checklist or a smaller pack help them manage without an adult assuming responsibility for content management.

  • Teach kids how to pack and wear their pack. The heaviest items should be carried close to the body and content weight should be distributed equally across the back. Kids should use both straps when wearing their backpack.  The one-shoulder carry can be preferred by middle-schoolers wishing to look “cool”.  This overweighting of one side of the body puts them off balance and at-risk for injury.  It may be hard to change habitual behavior in children at this age.  Try identifying the child or children who seem to be admired and copied by their peers.  Influencing the kids who are acknowledged social leaders can change class culture quickly.   Don’t wait until children report neck and shoulder pain, but remind parents and teachers that the risk of strains, sprains and exacerbations of issues seen in tweens and teens like scoliosis are real.
  • Frequently used items should be quickly accessible in surface pockets, and items they need for their first class are reachable when they open their pack, not packed under other materials. Laminated photos of pocket contents can help children learn the habits of efficient storage.

  • Help kids remember to use their sensory tools by having them handy. Tools like Highlighter Strips and the Desk Buddy Multi-Textured Ruler are slim and can be left between pages of a book or workbook, ready to be used.  Calming tools like the Wristful Fidget can be worn, not shoved into a pack.  Since it looks like a sport wrap, kids aren’t as eager to toss it away when they pack up and go!  Kids may need more than one set of tools so that they can leave a set at school and another one at home. Items that do more than one job, like the Desk Buddy Ruler, have an advantage over carrying a bunch of fidgets and then an equal number of classroom tools.

  • Accept that altering behavior is a long game. Don’t get discouraged if kids only use some of these strategies to improve how they manage their backpacks.  Habits change slowly, and as the demands of the school year mount, it may take periodic reviews and revisions to find the right combination of equipment, organization and carrying strategies to make a difference!

Cathy Collyer, OTR, LMT, PLLC

Cathy Collyer, OTR, LMT has treated children with neurological, orthopedic and sensory processing disorders for over 20 years.  She is the author of The Practical Guide To Toilet Training Your Child With Low Muscle Tone.  Learn more about her work at tranquilbabies.com.

Self-Care with Flair!

Creative authors, Bhanu Raghavan, MS, OTR/L and Ginger McDonald, OTR/L developed a unique curriculum for increasing independence with self-care skills. The program instructs how to teach the skills of dressing, grooming, toilet training, and eating by using a uniform approach with pictures and rhyming while employing visual, verbal, and tactile/kinesthetic cues. Each task is broken down into steps through activity analysis. In June of this year, Bhanu shared her expertise with therapists, caregivers, and children in Guatemala. Here is the account of her experience.

Visit the Self Care with Flair! website.

Bhanu Raghavan, MS, OTR/L

Self-Care with Flair! goes international once again…

Teaching basic self-care skills to children can be tedious and is often not prioritized in school or at home, even though these skills are critical for successful transition into the community. Occupational therapists are often consulted for support with this task.  A uniform approach to teaching daily living skills is critical to helping the child generalize the skills to all situations. Learning can be delayed when small differences in method and/or terminology confuse the child or when the number of steps prove to be overwhelming for the child, parent and/or teacher. Occupational therapists, Bhanu Raghavan and Ginger McDonald, authors of Self Care with Flair!, have shared their expertise in teaching self-care skills in a creative, fun way with therapists across the globe. Their methodology involves teaching self-care skills using rhymes to promote mastery and retention within a short period of time. They have based their method on evidence-based research that demonstrates that novel experiences such as rhymes and rhythm trigger the brain to sustain attention. In 2015, they presented at the British Occupational Therapy conference about their effective strategies for teaching self-care skills from their book to a packed audience.

In June 2017, when Bhanu accompanied a team of students, therapists and Professors from Xavier University (Cincinnati, Ohio) to participate in a weeklong volunteer service project in Guatemala at the Missionaries of the Highways, a clinic and residential facility for children with a variety of physical and mental disabilities. Over the course of the week, many questions about teaching self-care skills to children with disabilities arose. Bhanu shared strategies from Self Care with Flair! when she presented an in-service to the staff.  During that week, strategies from Self-Care with Flair! were shared with parents and caregivers as well. Although Spanish is the national language of Guatemala, the illustrations (300+) in the book made teaching/learning quite simple and universal.

Using Self-Care with Flair! Bhanu aided the staff, parents, and caregivers in understanding that the brain learns and retains when visual, auditory and kinesthetic cues are embedded in the teaching/learning process, resulting in success for life.

At the end of the week-long service project, the staff of the Missionaries of the Highway acknowledged the ease of use and success of the Self Care with Flair! approach to self-care activities and requested a copy of the book, which was gladly given to them (See photos).  Much to Bhanu’s delight, one of the OTs at the facility volunteered to translate the rhymes in the book into the Spanish language as needs arose!  The week was a joyful learning experience for all!!

Self-Care with Flair!
Self-Care with Flair!
Self-Care with Flair!


Bhanu Raghavan, MS, OTR/L

Bhanu RaghavanA graduate of Indiana University and The Ohio State University, Bhanu has over 25 years of experience in pediatrics. She is certified in pediatric NDT and the READY Approach (Bonnie Hanschu) for Sensory Integration Disorders. Frequently, she presents workshops on topics related to self-care independence, sensory processing disorders and fine motor/handwriting skill development to therapists, teachers and parents/caregivers. She works at Centerville City schools, OH. She is a firm believer of the following Confucian principle: “I hear and I forget, I see and I remember, I do and I understand.”

I Can Work!

Educator, Rebecca Tock, teaches at the Elsie Allen High School in Santa Rosa, California. She generously gave us permission to share her glowing testimonial about the I Can Work! curriculum, a 5 module pre-vocational program designed by Therapro author, Angela  (Angie) Mahoney, M.Ed. With Angie’s broad experience as a pre-vocational teacher and as a consultant to other schools in developing their pre-voc programs, her I Can Work! program continues to evolve into a practical, exciting course that builds on basic job readiness skills such as how to greet a supervisor, how to dress for work, how to fill out a job application, appropriate job behaviors, etc. Learning those basic skills provides a firm foundation on which to build more advanced skills. The I Can Work! curriculum instructs students in 5 different jobs: clerical, food service, retail, and grocery.

Rebecca Tock‎

I Can Work

I was introduced to the “I Can Work” curriculum at an educational conference I attended in Spring 2015. Immediately, I knew it was special. It was so different from other vocational curriculums I have used in the past and I thought that this may be the piece that I needed to provide a well rounded pre-vocational education experience in my class. After the presentation, I approached Angela Mahoney, the developer of the curriculum, for some clarifying questions about the program. I was impressed by how user friendly the program appeared to be. Angela was clear, concise and knows her stuff! She was very helpful. What was quite amazing was that it was a total of $49.95. That is unheard of in this profession!

I was able to immediately purchase the curriculum due to its affordability and size. The modules provide comprehensive and clear lesson plans that are easy to use and even easier to incorporate into an existing classroom curriculum. The material presented provides visuals and a guide for the use of real world everyday materials. When working with young adults who have severe disabilities the use of familiar objects is imperative for success. I appreciate the way in which “I Can Work” really uses large graphics and touches upon prior knowledge of the students.

The instructions to set up lessons are easy to follow, and really make this an accessible space for my students. It has definitely enhanced my pre-vocational lessons and given my students more ways to participate in pre-vocational activities.

I love ‘I Can Work!’ It was the best class curricular decision I could have made. I recommend it to any teacher who teaches a pre-vocational class to students/individuals with moderate to severe disabilities.


Ms. Tock teaches students in grades 9-12 who have been identified as having severe special needs.  We would like to direct you to her request for funding ADA accessible tables for her students’ use at mealtimes in school, so they can join their peers. Please visit the site to learn more about her project.