Pathways and Resources for Engagement and Participation

PREP is an intervention that encourages and empowers children, youth and adults with disabilities to participate in activities they enjoy by addressing environmental barriers and building capacity through coaching. Learn More

What is PREP?

The PREP model is a skills-based, family- and client-centred approach to treatment. PREP helps to facilitate participation in activities by modifying aspects of the environment.

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For Clinicians

Designed for occupational therapists, PREP is a collaborative tool.

For Managers

PREP can be used as part of an interdisciplinary model of intervention.

For Parents & Kids

Parents, caregivers, teachers, coaches and volunteers can learn about PREP.

1 Make Goals

The occupational therapist enables the client to identify issues that they are having with participation in activities at home, at school, in the workplace, or in the community.

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2 Map Out a Plan

For each of the client’s chosen goals, the occupational therapist will work with them to develop an environment-based plan for improving their participation.

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3 Make it Happen

Changes to the environment and activity have been discussed and planned prior to participation. At this stage it will be important to decide on which changes to try first and there may be some trial and error involved.

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4 Measure the Process

Measurement happens on a regular basis throughout the intervention. Other measures may be administered before and after the intervention to measure changes in the person’s participation profile.

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5 Move Forward

Using PREP as a tool to empower clients to participate in desired activities supports a strengths- and skills-based approach to intervention. A next step is to encourage clients to share their participation success with others.

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Enjoying Music in a Social Group

By Dr. Dana Anaby

Ella is a 13-year-old girl with diagnoses of global developmental delay and cortical visual impairment who wants to enjoy music with other youth.