Clinical pathway
Community mobility
The student is hesitant or unsafe navigating hallways, stairs, crowds, curbs, or unfamiliar community settings.
Step 1
Occupational performance problem
The student is hesitant or unsafe navigating hallways, stairs, crowds, curbs, or unfamiliar community settings.
Step 2
Clinical reasoning
- Distinguish confidence from capability — both need intervention, but not the same one.
- Depth, contrast, and lighting transitions are frequent culprits at stairs and doorways.
- Coordinate with O&M and TVI colleagues when a documented visual impairment is involved.
Step 3
Likely limiting level
Level 1: Visual Access
Contrast and field determine what can be detected in travel.
Level 5: Functional Integration
Travel demands sustained visual work while moving.
Step 4
Intervention options
Nothing tagged for this step yet.
See all matching resourcesStep 5
Movement-based options
Nothing tagged for this step yet.
Step 6
Teacher strategies
- High-contrast stair edges and doorway markings on the student's route.
- Consistent, rehearsed routes before novel ones; early passing time when hallways are crowded.
Step 7
Parent carryover
- Practice familiar community routes at low-traffic times, then increase complexity.
Step 8
Progress monitoring
- Level of assistance on a defined route.
- Student-reported confidence rating before and after.
Step 9
Reassessment
Re-screen the limiting level after 6–8 weeks of consistent intervention. If the occupational problem has not changed while the contributing level has, look upstream for a different limiting factor. If neither has changed, or symptoms are worsening, refer out rather than continuing to treat.