You’ve built a strong foundation in attachment, trauma, and sensory regulation in Level 1: Roots of Safety: An OT's Guide to Attachment and Trauma Foundations. Level 2 helps you apply that understanding with clarity and confidence. This next step in the ATTACh OT Certificate pathway focuses on assessment, clinical reasoning, and intentional intervention planning for complex trauma presentations. It supports occupational therapists in translating neurobiological and relational insight into ethical, effective practice.

In Level 2, you will learn how to:

  • Read nervous system states and attachment strategies during assessment
  • Interpret OT assessment tools without pathologizing survival responses
  • Develop integrated case formulations that guide treatment decisions
  • Understand the impact of empathy, shame, and resilience on participation
  • Sequence interventions from bottom-up regulation through executive functioning
  • Navigate multiple trauma frameworks while maintaining a strong OT identity

Level 2 is designed for occupational therapists who work with complex developmental histories and want greater confidence in what to assess, what to prioritize, and what to do next. If Level 1 helped you understand why clients respond the way they do, Level 2 helps you decide how to respond, and when.

* This course is a peer-developed, expert-led professional program offered by ATTACh (the Association for Training on Trauma and Attachment in Children). Complete information on agenda, requirements, objectives, instructors, and continuing education credits can be found on the flyer.

How the Course Works

  • Register for the Course: Sign up to secure your spot.
  • Receive Instructions: Get detailed access instructions from CIAO for the self-paced video modules.
  • Complete Self-Paced Videos within 30 Days from Activation : Watch and engage with the pre-recorded content at your convenience.
  • Complete the Test: Pass the assessment with an 80% or higher grade. (Administered by Ciao)
  • Complete the Survey: Provide feedback on the course experience. (Administered by Ciao)
  • Receive CE Certificate: Obtain your NBCOT continuing education certificate upon successful completion.

Complete information on course schedule, requirements, objectives, instructors, and continuing education credits can be found on the flyer. 


Level 2- Mapping the Terrain Flyer.pdf

Mapping the Terrain CEU Info.pdf

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