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Module Overview

Supporting Participation with Cara’s Kit

Early Childhood Universal Access

This module describes how to use CARA’s Kit to promote the participation of all children in your setting. Participants will learn how basic CARA ideas about adaptations within typical routines and activities may be used in infant, toddler, and preschool-aged early childhood settings to increase engagement and participation of all young children. Participants may benefit from viewing the Adaptations and Assistive Technology Interventions module within the Universal Access series prior to this module.

Learning Objectives:

  • Identify routines and activities in a child’s environment with caregiver input.
  • Brainstorm adaptations to the environment, the activity, materials, and instruction.
  • Apply CARA’s framework to generate ideas appropriate strategies.
Estimated Time to Complete: 1 1/2 hours

Author and Presenter:

Philippa Campbell, Ph.D. is an Occupational Therapist who was formerly Professor, Occupational Therapy Department, Jefferson College of Rehabilitation Sciences and currently serves as a collaborator within the Center for Outcomes and Measurement. She is self-employed and provides consultation and contract services to a number of states, colleges, universities, and public health corporations with an emphasis on inclusion, early intervention for high need infants, toddlers, and preschoolers, and family-centered intervention approaches. Over a more than 30-year career, Dr. Campbell has conducted numerous studies and published articles and books related to teaching (e.g., coaching) families, participation and inclusion of children in home, school, and community settings, and use of adaptation and assistive technology interventions with a special emphasis on children with significant and complex needs.

Reflection Questions

The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.


This module has received the Ohio Approved (OA) designation.

This module is eligible for one and a half (1.5) unit hours in the areas of EI developmental specialist/supervisor and EI service coordinator/supervisor as approved by the Ohio Department of Developmental Disabilities (DODD).


Table of Contents

Locked Pre-Assessment Locked Chapter 1: Participation and Skill Development Locked Chapter 2: The CARA Adaptation Hierarchy Locked Chapter 3: Meet Jacob Locked Chapter 4: Planning for Adaptations Locked Chapter 5: Adaptation Hierarchy Considerations Locked Chapter 6: Adaptations: A Powerful Intervention Locked Post-Assessment Locked Survey