Category Archives: School-Based Practice

Discover school-based therapy resources and intervention strategies tailored to therapists working in educational environments. Support student engagement, learning, and development through targeted tools that align with IEP goals, classroom expectations, and inclusive practices.

Using RTI-P to Manage Therapy Caseloads

S'Cool Moves

A physical therapist called me from Ohio wanting to know more about the S’Cool Moves products, but what she really needed from me were some insights that I’ve gained from doing what I do for the last twenty years. She was a therapist making the huge shift from clinical practice to educational practice in schools. She told me that she was the ONLY physical therapist for the entire district and was spread really thin. Let’s call our therapist Amber. Amber said that the teachers seemed to want to know what they could do in the classrooms for all the students to improve foundation skills. But how was she going to reach all these teachers and satisfy the IEP goals for her huge caseload?

It was interesting. Do you know where my mind went to help Amber create a framework? It went to sharing about the Response-to-Intervention model (RTI). RTI was designed as an alternative to the discrepancy model used to determine if a child qualified for special education services. With RTI, methods of intervention are validated and data collected prior to referring a child for special education testing. Though some report RTI working well, for others it’s a mixed bag depending on how it is being implemented.

What if we could use RTI personally? Let’s call it the RTI-P model. During our conversation, I found myself explaining to Amber how RTI models work and personalizing the model for her. She got off the call with clarity and new tools to help guide her as she navigates her new position.

Today’s thought is, “How can we use RTI-P to organize our jobs and therapy caseloads?” Think in terms of tiers. RTI has three tiers. The first tier includes interventions and strategies we can use with all students in the classroom. The second tier includes modifications we need to make for small groups of students who are having difficulty with the class-wide strategies. The third tier focuses on individual strategies for the most involved students.

In your caseload, what students do you have that you could support in the classroom setting, Tier 1? Are there opportunities for you to present some strategies during staff meetings or on PD days to support teachers and students in the classroom?

Now think about Tier 2. What students need small group support either in the classroom or within designated smaller group environments?

And finally, Tier 3. What students are very involved and need your one-on-one, hands-on support?

Once you create your own personal framework, then you can figure out what materials or products will help you reach your goals, but first create your RTI-P framework.

For instance, Therapro’s Drive Thru Menus works well with all student in a classroom so this could be considered as an important tool for Tier 1 intervention. For small groups of students who are working on improving visual-motor integration, consider

  • Origami Fun for Beginners – 55 fun-to-do projects! Includes 96 sheets of authentic origami paper in a gorgeous array of colors and designs.
  • Letter Treasure Hunt Game – Handwriting fun!
    1. Sail your ship to an Alphabet Island,
    2. Follow Captain’s orders when you draw a card,
    3. Collect your treasure by writing the letter in the Captain’s log.

For students needing one-on-on intervention, add Developing Visual Motor Integration and Trace the Eights to your intervention strategies.

 

Let me know if the RTI-P makes sense to you and how you’ve used it to be more effective in your job and less stressed!

Thanks for all you do for children, Dr. Debra Em Wilson

Guest Blogger: Dr. Debra Em Wilson. I’m excited to join Therapro as a guest blogger. I am a reading specialist and the founder of S’cool Moves. I enjoy collaborating and appreciate this opportunity to connect with the Therapro community.

Math Fact Moves: Therapro’s Free Activity of the Month

Looking for a fun, active way to reinforce arithmetic skills and build motor coordination? Therapro’s Math Fact Moves Activity combines physical movement with math practice, turning flashcard drills into dynamic exercises. Ideal for classrooms, therapy sessions, or home learning, this activity keeps students engaged while strengthening number fluency and gross motor planning. Let’s get moving and make math facts stick!

This month we are moving and learning. Our activity comes from our Drive-Thru Menus Body Challenges cards.  Drive-Thru Body Challenges are meant to be used in the K-5 elementary classroom; the cards are designed to help teachers incorporate movement into foundation skills such as literacy, math, science and social studies.

Each of the 25 cards provides a script for leading students through the Body Challenge and several suggested Academic Challenges for teaching and reinforcing the curriculum.

Drive-Thru Body Challenges package cover - contains the Math Fact Moves ActivityExample cards from Drive-Thru Body Challenges

Math Fun Facts Moves

Directions

  1. Instruct the group to stand against the wall, side- by-side.
  2. Ask a math question. (Tell the group to raise their hand if they know the answer)
  3. Pick a student to answer the question.
  4. If the answer is correct assign them a “move” (skip, hop, jump, twirl, etc.)
  5. The student will “move” towards the other side of the room and they sit and wait for the other students.

Math Facts

Practice math facts. If the problem is 10 minus 6 the students “move” 4 times. Provide other math challenges using math fact families (4+1, 4+2, 4+3, and so on).

Moving in Pairs

Have children work in pairs. For example, if the problem is “2+3” one child jumps twice and the other jumps three times. Together they jump the answer of five.

Show Us Your Moves!

Example Math Fact Moves Card f

Take this body challenge outside to practice math, emphasizing gross motor movements. Try some of these moves:

  • Hopping on one foot
  • Jumping with two feet
  • Giant Steps
  • Twirls
  • Side Stepping
  • Army Crawling
  • Walking Backward
  • Heel-Toe Steps
  • Tip-Toe Walking
  • Stomping
  • Marching
  • Scissor Walking
  • Skipping
  • Crab-Walking

School-Based Feeding Therapy: Strategies and Tools

Eating a snack or lunch is an essential part of a student’s day at school. For students who have “feeding issues” that limit their participation at snack or lunchtime, a therapeutic feeding program might be an appropriate part of their Individualized Educational Plan (IEP). Occupational therapist, Lisa van Gorder, addressed the topic of school-based feeding therapy comprehensively in Therapro’s Saturday seminar entitled: Working with Feeding Problems in the School Setting. Lisa is the owner and Executive Director of Integrated Children’s Therapies in Hudson, MA.

Lisa reviewed some basic feeding facts and safety issues that must be considered prior to starting a feeding program. She explained reasons why a child may not eat, which include but are not limited to:

  • sensory processing problems
  • poor postural stability
  • underlying medical issues

She presented an interesting model in describing how discrimination and regulation play a vital role in oral feeding for the child with SPD.

Lisa cautioned that school systems differ widely in the provision of feeding therapy services. How to initiate treating a feeding problem in the school setting begins with a team approach that includes the child, parent, teacher, therapist, and teaching assistant. This group lays the ground rules for treatment, based on the child’s needs and the expectations within the school setting, i.e. 1:1 feeding therapy or addressing the issue within the school cafeteria where the primary goal may be successful socialization.

Lisa walked us through a hypothetical feeding therapy session, and stressed the importance of engagement of the student, which is very dependent on communicating to the student what the therapist will be doing. Touch cues paired with verbal and visual cues help the student feel safe and at ease with feeding therapy. Lisa described a variety of treatment approaches, including food chaining, in her talk. Her jam-packed toolbox includes the many available cups, spoons, straws, food with varied textures, and regulation activities she has found effective, which include suggestions for creating a therapeutic environment in the cafeteria.

Lisa supported her discussion with many cited research studies. She advised that learning to eat is a long process that evolves over time. The school setting may be one place where the child can gain eating skills, as it is an activity that occurs daily at school. However, further feeding support may be necessary with additional therapeutic input from an outpatient facility or clinic.

Take a look at some positive reviews attendees offered:

“I thought it was helpful – I am walking away with some ideas to try on Monday.” Rose O.

“The information was clear, comprehensive, applicable, & interesting.” Anonymous

“The presenter was extremely knowledgeable and realistic. She was very engaging. Thank you!” Melissa M.

Thank you, Lisa!

Filomena Connor, MS, OTR/L

March 14, 2015