5. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1
Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health
workers
3D printers &
training
Assistive
device
manufacturers
(ATiA)
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits
per day Sa-Th
PT/OT 120
patient visits per
month (each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers trained
in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased
mobility and
functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
6. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
7. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
8. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
9. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
10. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
1,500 peer dyads
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
11. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
12. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
13. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
14. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
15. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
16. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
(ATiA)
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
17. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
(ATiA)
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
18. 2 custom
mobile units
4 support staff
2 social
workers
6 para-social
workers
1 Physical
therapist
1 Occupational
therapist
Teacher
resources
3D printer
supplies
Film crew
Operations
costs
CHARMS
bracelets
Psychosocial
training
PT/OT training
S/L therapy
training
Special
education
training
School
teachers
Health workers
3D printers &
training
Assistive
device
manufacturers
(ATiA)
Needs
assessment
Mobile Child
Friendly Space
(MCFS)
Mobile distance
learning
classroom
PSS 60 visits per
day Sa-Th
PT/OT 120
patient visits
per month
(each)
600 prostheses
per year
Inclusive Design
Champions
online episode
Peer-to-Peer
Connections
program
CQI/Evaluation
6,000 families
receive PSS (12
visits)
960 patients receive
PT (6 visits)
960 patients receive
OT (6 visits)
2,400 prostheses
produced &
distributed
72 teachers trained
in low vision
education
72 teachers trained
in deaf education
72 teachers trained
in special education
144 teachers
trained in PSS
3,000 students
paired with peers
Teacher resource
library
Decreased
severity of
psychopathology
Increased mobility
and functionality
Increased school
enrollment/attend
ance
Increased access
to special
education
services
Increased local
capacity for PSS,
PT, OT, S/L, and
special education
Disability-
inclusive society
Resilient new
generation
REACH
Inputs
Partner
Inputs
Outputs:
Programs
Outputs:
Program reach
Short term
outcomes
Long term
outcomes
21. Budget over 5 years
Mobile units with customization $230,000
2 Social workers, 6 para-social workers, 4
support staff, PT, OT
$1,200,000
3D printing material and supplies $200,000
IT: Satellite connection (VSAT), solar
panels, film crew, adaptive technology $150,000
Gas, repairs, insurance, parking rental,
advertisements, training materials, safety
funds
$220,000
22. Program Evaluation
Activity
Continuous Quality Improvement &
5 Year Outcomes Assessment
Needs
Assessment
Coordination with district heads, school administrators,
community leaders; community census
Mobile unit
development
Focus groups with providers and pilot families
Professional
trainings
Pre/post knowledge tests; satisfaction questionnaires; in
vivo fidelity checks
PT/OT
services
Chart review pre/post Bruininks-Oseretsky Test of Motor
Proficiency, 2nd Ed. (BOT-II) scores
PSS
programs
Chart review pre/post Behavior Assessment System for
Children, 3rd Ed. (BASC-3) scores
Program
reach
# receiving goods/services
23. Sustainability
Economic
Impact
Use charm bracelets as a fundraising tool as well
as increasing awareness and decreasing stigma
Residents of camp can rent out printers during the
evening
ATiA profit-sharing used to subsidize printing costs
Applying for future grants: scaling up the
operation to reach more families
People gaining ability to contribute to the
community and gain employment skills
24. Feasibility & Scalability
Mobile units are future direction of refugee service provision
Versatile, mobile, efficient
PT/OT and PSS are best practice treatments for traumatic disabilities
Outpatient programs can increase efficiency of existing inpatient programs
Convention of Rights of Persons with Disabilities (CRPD) promotes expanding special
education services and accommodations for persons with disabilities
3D printing is a rapidly growing industry
3D printed prostheses have a 75% faster production time and 90% lower production cost
than traditional advanced prostheses
Talent searches and engineering competitions are popular among refugees and
populations in the Middle East
Stars of Science
Kakuma Got Talent
Refugees Got Talent
25. Challenges
Dependence on partnerships
Difficulty of conducting census of children with disabilities
Safety of mobile units
Instability of individuals/camps
Staff turnover
Need exceeds resources
26. Next Steps to Increase PSS Access and
Inclusivity
Expand MCFS and after-school PSS programming
Expand Peer-to-Peer Connections program
Expand PSS teacher training opportunities through
Distance Learning Classroom
28. Promoting Child Health, Ability, and
Resilience through Mobile Services
Sloan Oliver, Swati Sakhuja, Marissa Swanson
Editor's Notes
Hello,
What is the problem
Rates of disability
Challenges, why we need to go to them
Difficult mobility especially for children with physical limitations
Divided into 12 districts
5,681,901 total Syrian refugees
362,888 in designated refugee camps
78,357 in Zaatari camp
https://data2.unhcr.org/en/situations/syria
UNICEF estimates that 1 in 5 Syrian refugees living in Jordan and Lebanon have an impairment, 42% of which are physical impairments. -from doc