Karrie Kingsley OTD, OTR/L (they/them/theirs)
Associate Professor of Clinical Occupational Therapy
Karrie Kingsley earned their Doctorate of Occupational Therapy degree from USC with a portfolio program focused on occupation-based approaches to developing social skills in elementary school. They received their Master of Arts degree in occupational therapy from USC, and Bachelor of Arts degree in human development from California State University, Long Beach. Dr. Kingsley is an expert in early intervention and school-based occupational therapy. They were the Project Director of the Training Occupational Therapy Specialists (TOTS) grant, a U.S. Department of Education training grant which trained dozens of USC occupational therapy graduate students to provide interventions for young children and their families.
Dr. Kingsley frequently provides trainings and presentations on issues related to diversity, equity and access at the local, national and international level. They have specific expertise and interest in the impact of implicit bias in care settings and LGBTQ2IA inclusivity in clinical practice. Dr. Kingsley is the faculty advisor for OTs for OuTreach, a student organization committed to working with underserved and marginalized communities.
Doctorate of Occupational Therapy (OTD)
2007 | University of Southern California
Master of Arts (MA)
in Occupational Therapy
2001 | University of Southern California
Bachelor of Arts (BA)
in Human Development
1998 | California State University, Long Beach
Kingsley, K. L., Ungco, J., & Como, D. H. (2023). Sexuality, bias and impact: Preventing clinician harm. In K. Ellis & J. C. Ungco (Eds.), Sexuality and intimacy: An occupational therapy approach (pp. 59-92). AOTA Press.
Kingsley, K., & Glennon, T. J. (2023). Environmental barriers and their impact on participation for youth with physical disabilities. In E. A. Pyatak & E. S. Lee (Eds.), 50 studies every occupational therapist should know (pp. 241-246). Oxford, UK: Oxford University Press. https://doi.org/10.1093/med/9780197630402.003.0035 Show abstract
Dyads of 427 parents and children, aged 6–14 years and with a range of health and developmental difficulties, were surveyed, interviewed, and scored on three structured tools to evaluate the perceptions of barriers to participation in school, recreation, and community activities. Perceived barriers were noted in all contexts, ranked highest to lowest in school and work, natural and built environments, policies, services and assistance, and attitudes, respectively. The authors recorded environmental characteristics of accessibility, accommodation, resource availability, social support, and equality as interfering factors and barriers to participation. Adolescents, children with behavioral challenges, and young children with physical limitations were demographic groups with greater perceived barriers.
Keywords. children, adolescent, physical disability, participation, parent perception, environmental barrier, social barrier, cerebral palsy, behavior challenge, occupational therapy
Kingsley, K. L. (2022). Community programs — Program 3: The Moving to Make Friends© program. In E. I. Blanche, C. Giuffrida, M. Hallway, B. Edwards, & L. A. Test (Eds.), An evidence-based guide to combining interventions with sensory integration in pediatric practice (pp. 268-273). Routledge. https://doi.org/10.4324/9781003050810-18
Kingsley, K. L. (2022). LGBTQ and gender expansive children and youth. In L. C. Grajo & A. K. Boisselle (Eds.), Adaptation, coping, and resilience in children and youth: A comprehensive occupational therapy approach (pp. 289-312). Slack Incorporated. Full text
Kingsley, K. L. (2021). Best practices in supporting social, emotional, and self-regulation skills. In G. F. Clark & S. Parks (Eds.), Best practices for occupational therapy in early childhood (pp. 291-299). Bethesda, MD: AOTA Press. Full text
Frolek Clark, G., & Kingsley, K. L. (2020). Occupational therapy practice guidelines for early childhood: birth–5 years. American Journal of Occupational Therapy, 74, 7403397010. https://doi.org/10.5014/ajot.2020.743001 Show abstract
Importance. This Practice Guideline provides stakeholders with a condensed summary of a large number of effectiveness studies. It is a valuable tool for facilitating decision making related to occupational therapy interventions for children ages birth–5 yr.
Objective. Early childhood (birth–5 yr) is a critical period in which the foundation of key life occupations is developed (e.g., eating, dressing, play, learning, social participation, rest and sleep, and chores). The development of cognitive, motor, social–emotional, and self-care skills is important to support these occupations. This Practice Guideline synthesizes recent systematic reviews (SRs) on these areas of development to promote decision making for and high-quality interventions with this population.
Method. Four SRs related to cognition, mental health, motor function, and ADLs analyzed studies published from 2010 to 2017 retrieved from six electronic databases (MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane).
Results. A total of 196 articles were included in the SRs, which served as a guide to final clinical recommendations. Case studies describe translation and application to practice.
Conclusions and Recommendations. A variety of interventions within the domain of occupational therapy were found to support the development of cognitive, social–emotional, motor, and self-care skills. Although some of these interventions are typically implemented by occupational therapy practitioners, others can be implemented by parents after training or by teams working in preschool settings. These findings should be used to inform evidence-based practice provided by occupational therapy practitioners working in various early childhood settings.
What This Article Adds. This Practice Guideline gives occupational therapy practitioners clear information about which interventions will be effective for specific outcomes. Better intervention choices mean better outcomes for young children and their families.
Kingsley, K., Sagester, G., & Weaver, L. L. (2020). Interventions supporting mental health and positive behavior in children ages birth–5 yr: A systematic review. American Journal of Occupational Therapy, 74, 7402180050. https://doi.org/10.5014/ajot.2020.039768 Show abstract
Importance. It is critical for providers to use evidence-based interventions to address mental health and behavioral barriers to occupational performance during early childhood.
Objective. To identify evidence-based interventions within the scope of occupational therapy practice to improve mental health and positive behavior for children ages 0–5 yr and their families.
Data Sources. PsycINFO, Cochrane, ERIC, MEDLINE, and OTseeker databases were searched for publications from 2010 through March 2017.
Study Selection and Data Collection. This review was completed in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Risk of bias was assessed for each article using either A Measurement Tool to Assess Systematic Reviews (AMSTAR) or the Cochrane method. Articles meeting inclusion criteria were critically appraised.
Findings. Forty-six articles met inclusion criteria and were organized into three themes: touch-based interventions (n = 9), parent–child interaction therapy (PCIT; n = 4), and instruction-based interventions (n = 33). Statistically significant findings and overall risk of bias supported the use of touch-based interventions, PCIT, and parent training.
Conclusions and Relevance. The evidence indicates that touch-based interventions can improve infant self-regulation (strong), social behavior, and attachment (moderate) and reduce maternal stress, anxiety, and depression (low). Moderate-strength evidence supports PCIT to improve child behavior. The evidence indicates that parent training can improve parent behavior, maternal–infant attachment (strong), and parent mental health (moderate). Teacher training can improve mental health and behavior (moderate). Group-based parent training and sleep training have insufficient support (low).
What This Article Adds. Occupational therapy professionals working with children younger than age 5 yr can use the results of this systematic review to guide clinical decision making related to mental health and behavioral outcomes.
Grajo, L. C., Laverdure, P., Weaver, L. L., & Kingsley, K. (2020). Becoming critical consumers of evidence in occupational therapy for children and youth [Editorial]. American Journal of Occupational Therapy, 74, 7402170020. https://doi.org/10.5014/ajot.2020.742001 Show abstract
This special issue of the American Journal of Occupational Therapy on interventions for children and youth highlights the current developments in and evidence for the effectiveness of occupational therapy interventions and psychometric properties of assessments for children and youth. In this guest editorial, we identify various factors that challenge the implementation of evidence-based strategies in daily clinical practice. We assert that scholars, educators, and practitioners need to address several strategic steps. To facilitate critical consumption of evidence in practice, efforts need to be made to build capacity for evidence production and evidence use through implementation science and to ensure that evidence-based practice is not only taught but also reflectively applied across the educational curriculum and that clinicians are given more access to resources that are easy to translate to daily clinical practice.
Kingsley, K. L., & Mailloux, Z. (2013). Evidence for the effectiveness of different service delivery models in early intervention services. American Journal of Occupational Therapy, 67(4), 431-436. https://doi.org/10.5014/ajot.2013.006171 Show abstract
Consideration of the evidence for all aspects of service delivery is a growing relevant concern of occupational therapists, including those providing early intervention to children and families. We conducted a review of the literature to uncover what evidence existed for determining the effectiveness of different service delivery models and methods used to improve occupational performance for children and families who receive early intervention services. Through a comprehensive search, we reviewed and synthesized studies, finding common themes of family-centered and routine-based approaches, service setting, and the inclusion of parent participation and training. Families consistently reported positive perceptions of family-centered and routine-based approaches. Parent participation and training resulted in positive outcomes. No specific setting or method of service delivery was identified as clearly most effective, with most studies reporting combined approaches and environments for interventions.
During early childhood, most children in the United States achieve their developmental milestones; however, about 1 of every 6 children will have a developmental disability or disabling behavioral problem before age 18. Less than half are identified during early childhood. Occupational therapists and occupational therapy assistants work with families and caregivers to support and enhance young children's ability to engage in occupations appropriate to their age. This is a critical time not only to educate children but to also provide them with support to participate fully throughout their lives.
This publication addresses occupational therapy practice for children birth to age 5 years, including early intervention and preschool practice. It defines the occupational therapy domain, process, and intervention that occur within the boundaries of acceptable practice. Topics include prematurity, ASDs, feeding disorders, obesity, the NICU, and cerebral palsy, as well as motor and praxis skills, sensory-perceptual skills, emotional regulation, cognitive skills, and communication and social skills. Interventions discussed include those promoting social-emotional development; for feeding, eating, and swallowing; for improving cognitive development; for promoting motor performance; and for service delivery in early childhood. Appendices contain additional information relating to early childhood practice, coding for intervention and evaluations, funding sources affecting early childhood settings, and methodologies used in the evidence-based literature review.
June 22, 2020
As we celebrate Pride Month, it is necessary to address the importance of inclusive LGBTQIA+ patient care. Four members of our division — Ava Tehrani, Daphne Carcedo Cravens, Dr. Karrie Kingsley and Dr. Tessa Milman – discuss with our student ambassador, Lamoni, how heteronormativity is harmful…
January 27, 2020
Karrie Kingsley to serve in newly created administrative role.
January 17, 2019
By Evan Nicholas It’s widely accepted that institutions of higher learning have an ethical obligation to promote diversity, but a growing body of evidence suggests that, within healthcare professions, diversity is much more than a moral issue. In the United States, people of color still die most…
October 19, 2017
More than 80 Trojan faculty members, students and alumni are presenting during the 2017 conference of the Occupational Therapy Association of California, including master's degree student Ranier Barrett MA ’18; Student Ambassador Erika Lim MA ’18 spoke with Barrett about her experience…
March 26, 2014
Congratulations to the 68 USC Trojan faculty, alumni, students and staff who presented at the 2014 Conference of the American Occupational Therapy Association, March 3-6 in Baltimore. Additionally of special note, alumnae Dottie Ecker Cert. ’58, MA ’68 and Sue Knox MA ’68, PhD ’97 were…
July 22, 2013
Assistant professor of clinical occupational Karrie Kingsley MA ’01, OTD ’07 and alumna Zoe Mailloux ’77, MA ’81, OTD ’12 have published the article "Evidence for Effectiveness of Different Service Delivery Models in Early Intervention Services" in the July/August 2013 issue of the…
April 23, 2013
128 USC alumni, faculty, and students are scheduled to present at the 2013 Conference of the American Occupational Therapy Association, April 25-28 at the San Diego Convention Center. Presentation formats include a pre-conference institute, workshops, short courses, research and professional posters…
October 1, 2012
46 USC faculty, alumni, and students are scheduled to present lectures and/or posters during the Occupational Therapy Association of California 2012 Conference, October 4-7 in Pasadena. Click below to view the full list of USC presenters, to plan your conference accordingly, and remember to reunite…
Ramon ‘Ray’ Delgado, in
USC News | June 20, 2023
Faculty member Karrie Kingsley, USC's associate chief inclusion and diversity officer for faculty and staff success, hopes to create a safe environment and serve as a role model for students who struggle with their gender identity.