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Executive Function Is Hiding in Plain Sight
When clinicians hear the words executive function, it is easy to think about the skills we traditionally associate with it: planning, organization, working memory, and time management. But executive function is much bigger than keeping track of homework or remembering what comes next. It is woven throughout a child's day. Executive function can influence how a child gets started, responds when something changes, keeps track of information, organizes actions, persists when som
Cara Koscinski
6 days ago5 min read


Executive Function Assessment: Why Traditional Approaches Miss the Bigger Picture
The EFX™ Access Profiler™ is a new participation-focused executive function assessment and clinical reasoning system designed to help professionals better understand executive function access across real-world contexts, supports, regulation states, and participation demands. Beta testing opportunities are opening soon.
Cara Koscinski
Jun 35 min read


Why School-Based OTs, PTs, and SLPs Need to Understand MTSS
When MTSS feels stuck, the issue may not be student motivation; it may be access. This body-first, access-based perspective helps school teams look beneath observable challenges to better support regulation, executive function, and meaningful participation.
Cara Koscinski
May 126 min read


Toileting Starts with Access: A Body-First Approach to Support
Toileting depends on much more than learning a routine. Interoception, regulation, sensory processing, nervous system state, and body awareness all influence how children access toileting participation. This body-first, neurodiversity-affirming approach helps caregivers and professionals better understand the systems underneath daily routines and support children through access, safety, and participation.
Cara Koscinski
May 105 min read
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