We partnered with Wendi Trummert, DrOT, OTR/L, an occupational therapist in a school district in Puyallup, Washington. We collaborated to examine what school-based Tier II & Tier III Response to Intervention (RTI) interventions can be used by occupational therapists, teachers, and paraeducators to improve school participation in children aged 3-13 who have experienced trauma. It was found that various forms of Cognitive Behavioral Therapy (CBT) interventions may reduce post-traumatic stress disorder (PTSD) symptoms, depression, and anxiety in children age birth - 13 who have experienced trauma. CBT was the most effective intervention based on the current literature. Additionally, there is emerging research on six other interventions which may improve school participation for children who have experienced trauma.

To translate this knowledge, a manual of research-based interventions was created for the collaborating clinician as well as a kit of one of the interventions deemed most appropriate for the school setting by the collaborating clinician. The Bounce Back (Langley & Jaycox, 2015) intervention was perceived as the most feasible and appropriate for her practice. A satisfaction survey was provided to the collaborating clinician to monitor the effectiveness of the intervention kit. We recommend that school-based clinicians familiarize themselves with evidence-based and academically relevant intervention for children who have experienced trauma.

Publication Place

Tacoma, Washington


University of Puget Sound

Faculty Advisor

Yvonne Swinth, PhD, OTR/L, FAOTA

Project Chairperson

Publication Date



Capstone Project





Degree Program

Occupational Therapy

Degree Level

Master of Science


Occupational Therapy


University of Puget Sound