machealth | Resources

The FIRST KIT is a companion to the FIRST Course and provides practical resources to support rehabilitation professionals to learn about, adopt, and advocate for tiered approaches to rehabilitation services in schools and early childcare settings.

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FIRST FAQs

Using a tiered service delivery model is a change for many professionals. We have compiled a list of frequently asked questions and hope we have answered yours.

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The Partnering for Change Model 2016

The Partnering for Change model 2016

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Three Depictions of a Tiered Service Model

Three infographics of the tiered service model.

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Factors to consider at Tier 2 to Determine if more Intensive Services are Needed for a Child

A list of factors to consider at tier 2 to determine if more intensive services are needed.

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Getting Started on Building Collaborative Relationships

These tips will help you get started on building positive, productive, and trusting relationships with educators and families.

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Targeted (Tier 2) Services

From the FIRST FAQs: Tiered Services 2020: FAQs specific to Tier 2 services including: Are all interventions at tier 2 provided in groups? Is the purpose of tiers 1 and 2 to screen children to determine if they qualify for tier 3, 1:1 service?

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Individualized (Tier 3) Services

From the FIRST FAQs: Tiered Services 2020, pgs 12-13. FAQs specific to Tier 3 services including: Do Tier 3 interventions have to be 1:1 with a single child? For a child to receive Tier 3 services, do they require a medical diagnosis or designation as requiring special education support?

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Lunch and Learn Activities for JK and SK Children

A series of pre-designed lunch-and-learn activities for kindergarten-aged children to help with a variety of skills.

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Matching OT Strategies to the Universal Design for Learning Framework

A list of strategies generated from a scoping review to explore how universal design for learning is described and implemented by rehabilitation health professionals in school settings.

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Models of Service Delivery at Tier 3

Models, descriptions and examples that can be useful at tier 3.

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Infographics: School-Based Tiered Models and Occupational Therapy in Ontario Schools: Enabling Students’ Performance and Participation

Two infographics demonstrating the school-based tiered models in use in Canada and what each tier represents in the school environment.

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Questions to Support Collaborative Relationships with Educators

This is a list of suggested questions to support collaborative conversations.

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Universal (Tier 1) Services

From the FIRST FAQs: Tiered Services 2020: FAQs specific to Tier 1 services including: If we provide families on our waiting list with general information and resources, are we providing Universal Services? Do therapists have a role in Universal Design for LEARNING? Isn't that the education system's job? Why might I do an activity with an entire class? I am a therapist not an educator.

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Why is collaboration so important when delivering tiered services, and how does it differ from consultation?

From the FIRST FAQs: Tiered Services 2020, pgs. 15-18 This document discusses building capacity and collaborative relationships between educators and support services.

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P4C Implementation Guide

The website was developed to share evidence- based resources, including a theory of P4C that explains how, when, why, and for whom P4C works.

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