Abstract
Adolescents are faced with developmentally based physical, cognitive, and social changes, and children with disabilities may experience these changes differently. Occupational therapy practitioners in school-based contexts are faced with new challenges in their approach to intervention when addressing the needs of adolescents with disability. This article proposes a paradigm shift in practice based on a review of the literature. Resulting recommendations indicate the need to integrate the psychosocial frame of reference into occupational therapy practice to address the needs of adolescents. The authors suggest innovative approaches for school-based practice to address the psychosocial and community participation needs of this population. Specific frames of reference, strategies, and case reports are presented to solidify these recommendations for future practice.
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