title: Partnering for change: an innovative school-based occupational therapy service delivery model for children with developmental coordination disorder.
abstract: BACKGROUND
  Developmental coordination disorder (DCD) is a common, chronic health condition that is poorly recognized and understood in school settings. Without appropriate support, children with DCD are at increased risk of depression, decreased fitness, and obesity. Evidence shows that occupational therapy intervention needs to shift from remediation of impairment to chronic disease management.
  
  
  OBJECTIVE
  This paper describes Partnering for Change (P4C), an innovative, empirically derived school health service delivery model for children with DCD.
  
  
  RESULTS
  The model emphasizes the partnership of the occupational therapist with educators and parents to change the life and daily environment of a child. The P4C partnership focuses on capacity building through collaboration and coaching in context. The model uses a tiered approach which includes whole class instruction, dynamic performance analysis, and monitoring response to intervention.
  
  
  CONCLUSIONS
  P4C is a model that responds to the needs of this population, addresses issues identified in research, and provides a continuum of services designed to build capacity.
authors.affiliation: McMaster University, School of Rehabilitation Science, Hamilton, ON, L8S 1C7. missiuna@mcmaster.ca
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Missiuna
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Pollock
authors.forename: Danielle E
authors.initials: DE
authors.lastname: Levac
authors.forename: Wenonah N
authors.initials: WN
authors.lastname: Campbell
authors.forename: Sandra D Sahagian
authors.initials: SD
authors.lastname: Whalen
authors.forename: Sheila M
authors.initials: SM
authors.lastname: Bennett
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Hecimovich
authors.forename: B Robin
authors.initials: BR
authors.lastname: Gaines
authors.forename: John
authors.initials: J
authors.lastname: Cairney
authors.forename: Dianne J
authors.initials: DJ
authors.lastname: Russell
mesh_terms: D057191:Capacity Building; D002648:Child; D003695:Delivery of Health Care / Q000379:methods*; D005178:Faculty; D006801:Humans; D019957:Motor Skills Disorders / Q000628:therapy*; D009788:Occupational Therapy / Q000379:methods*; D010290:Parents; D012572:School Health Services