This session explores supports and barriers to student’s academic engagement in a therapeutic day school setting. The session describes outcomes of a mixed methods study that examined academic needs of children with a variety of psychological, socioemotional and behavioral differences and diagnoses, including: Autism Spectrum Disorder (ASD), Attention-Deficit Disorder, Attention-Deficit/Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Anxiety, Depression, and Post-Traumatic Stress Disorder (PTSD) . Outcomes of occupational therapy consultations with educators aimed at supporting student’s classroom participation through environmental accommodations are discussed. Educator and occupational therapy perspectives on supports and barriers to participation for students are presented.