Traditionally trained in a medical model of disability, physical and occupational therapists are now challenged to provide intervention services in naturalistic early childhood settings. These changes in therapeutic milieu have led to new service delivery models for therapists working with young children and their families. This article describes several new approaches and reviews the limited body of literature examining their efficacy. It offers assessment and intervention strategies that support a normalized approach to intervention. We identify limitations in current training for physical and occupational therapists and make suggestions for augmenting preservice and inservice training to support the recommended practices.
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