Changes in federal legislation require public education education to provide early intervening services such as Response to Intervention for all students. There is a need for clarification on the role and responsibilities of the occupational therapist in school-based practice based on the evidence in the literature. This program supports the occupational therapist with a clear understanding of their role and provides an outline of responsibilities in supporting all students in the educational environment. The provision of services to support students’ participation of activities throughout the school day includes the occupational therapist as a collaborative member of the educational team. In addition to collaboration, the occupational therapists can provide universally designed strategies for the whole classrooms or schools. Additionally, the occupational therapists can provide targeted strategies for implementation with individual students or groups of students. In a large school district, there is a need to formalize a process for school-wide initiatives to ensure consistency of services across the district. This guidance maintains the fidelity of the implementation plan across the district.
