The Rails Project
A Self-Paced Roadmap to 
Prescribing Powerful, Effective 
and Evidence Based Rails 
for Occupational Therapists

Immediate Access*
$697 or 4 payments of $187

The 6-week Intensive Program to build your competency in basic and complex rail prescriptions, with bonus 12-month access!

*Access within 24 hours of signing up. 

as seen at..

Did you know that 80% of rails prescribed by occupational therapists failed after 6-24 months?

I was shocked too.
After all, we all learn about how to prescribe rails at university, so why the high failure rate?
In my research, I discovered that while universities teach theory, the practice of prescribing compliant and effective rails is a completely different skill.

There are so many aspects to consider:
  • Is the rail compliant with legislation?
  • What are the movement patterns of the client, and how will the rail impact them?
  • What are the product options and what environments are they suitable for?
  • How will the rail be installed? Does the builder understand what is needed and will they install it correctly?
Most OT’s rely on templates and handed-down information for their rail prescriptions that is either out of date or comes recommended by the manufacturer (who is more interested in selling products than being compliant).
This results in the 80% failure rate I mentioned, which then means:
  • Ineffective rails that either don’t get used or worse, cause injury
  • Unhappy clients that feel like OT’s are a waste of money
  • Unpaid time wasted on rectifying the failed rail and a damaged reputation, as OT’s are increasingly being held liable for their work
With increasing pressures and changes in the health and disability spaces in Australia, more than ever ensuring clinical competency across all areas of clinical practice is vital.

Whilst handrail and grabrail prescriptions are seen to be a basic intervention, the impact of a failed script both to client and required rectification works can be significant.

The Rails Project unpacks the key elements of rail prescription in detail, exploring all key evidenced areas required for sound practice. 

Whether you have been an OT for 20 years or just 2 years into your training, this course will provide you with what you need to know to ensure solid rail prescriptions and foundation for further modifications.

Introducing the Rails Project

This introductory home modification course will highlight the importance of a wholistic understanding of the Person, Product and the Environment. 

We will also explore common miss-conceptions regarding duty of care, scope of practice, competency indicators, handling objections and managing multiple stakeholders.

Participants will also explore multiple product options, their impact on prescription and how they can impact the Occupational Therapy Prescription.

You will also review failed scripts, and be able to identify the cause of the rail failure and consider the following questions:

  - where and with whom does the duty of care from the failed scripts lie
  - what considerations need to be weighted when developing a prescription
  - How does uninformed consent or decline impact health outcomes
  - The impact of layout and product on the long term sustainability of script
  - where rail prescriptions go wrong, and the short, medium and long term impact
  - Perform a guided prescription - how do you ensure the assessment and
    prescription communication is both reliable, compliant and clear.

If you want a robust understanding of what clinical competency in handrail prescription looks like and to have clear tools to apply to your own clinical practice, join with the button below!

In The Rails Project You Get Access To...

Office Hours
Q&A with Janelle

Submit your questions for Janelle to unpack live and also Learn from others in the program.

All questions and answers will be recorded and available 24/7 - so you can connect when convenient for you. 

The Rails Project 
Workbook

The benefits to your clinical practice will be amped up by the completion of The Rails Project Workbook...
giving you 100+ pages to refer to as you move forward in your rails prescription journey!

Customised Training Portal

24/7 Access to the 6 week, 12 module course including videos, tasks and reflective learning opportunities. 

With 90 Day access, you will be able to meet your learning goals without losing out on lifestyle. 

Behind the Scenes

For Janelle and the Team at Kadia, context and a strong foundation are key.

Go behind the scenes with rail fabrication methods, engineering reports and close ups of rail prescriptions through to sign off visits. 

This 6 week  experience includes...


The Rails Project is a 10 Module course designed to walk you through the core elements of safe rail prescription. This course is like none other in terms of the depth and detail that is explored. 

The course includes:
 
 - 10 Modules + 2 Bonus Modules covering everything from Tools to use, how to translate legislation into practice and develop person centred, evidence-based prescriptions. 

✔️   6-Week online self paced course - invest in your career no matter where you are. 
✔️  12 modules packed full of in depth detail so you can build a solid foundation for home        modifications 
✔️   2 live office hours Q&A sessions where you will be able to explore your questions 
✔️   24/7 access to Recordings of the Q&A sessions so you can stay connected.
✔️   Access to all course materials - jump back in and consolidate in context
✔️   20 CPD points (equivalent to 20 hours including practical tasks)

Not only do you get all this, but you get 12 months bonus access so you can imbed it into practice. 

Here's what The Rails Project Looks Like... 

        Module 1:  The Power Of Rails 

        Module 2: The Prescribing Process

        Module 3: Legislation and Compliance 

        Module 4: The OT and The Team 

        Module 5: Environment

        Module 6: Product considerations

        Module 7: Product Practicalities 

        Module 8: The Person

        Module 9: Measuring 

        Module 10: Sketching and concepts

 Bonus Modules:
When it Goes Wrong
 Helpful Case Studies 
Janelle Arnold is a multi-award-winning Occupational Therapist who has worked across the Acute, sub-acute and community health spaces over the last one and a half decades in both clinical, educational and clinical roles. 

She has spoken at numerous state and national conferences, addressing the developmental and support needs of Occupational Therapists in Australia.

Janelle is now the Clinical Director of Kadia Therapy - a boutique Occupational Therapy service (shortlisted for team culture 2021 Allied Health Awards) in Victoria and is a lead educator and director of The Kadia Lab - a space for Occupational Therapists and Students across Australia to access quality education. 

She is passionate about the personal development of every therapist and student that comes across her path. When she is not spending time with her team, mentoring or supporting other therapists, or exploring new learnings, she is enjoying quality time with her husband, two cats and a love of coffee and adventure. 

OTs Set Up To Fail ... With Rail Fails Happening Far Too Often.

If you have heard Janelle speak at a conference, your workplace or in any of her rails webinars, you will have heard about the high rate of failed rails across Australia. The inconsistencies of prescriptions and low level of compliance in client customisations is more than a little scary. 

To give an idea of some of the failed rails identified in her research, check out the images below.  

In an ideal world, we OTs would not leave university without having a solid grasp on the seemingly foundational skill of rail prescription. But there is a big difference between academic theory and the practical realities of the community - and universities aren't built to provide that level of training. 

So we rely on our mentors and supervisors for support - but they don't necessarily have all the answers either! We are all using hand-me-down information and out-of-date templates infused with misinformation that is the best we and those who came before us could cobble together based on their understanding of the rules at the time. 

Which leads to inadvertently incorrectly prescribed rails that are not only ineffective, but also leave you as a Therapist liable under duty of care. 

But in this information age, we can do better.
Rails should be a simple, straightforward prescription that you KNOW will help your clients.  

The Rails Project is a self-paced course designed to provide clinical support for OT's who are currently providing home modifications (minor or complex) or who have an emerging interest in this field.

In this course you will explore and uncover the complexities hiding behind the misconception that handrail and grabrail prescriptions are 'basic' or 'simple' and step into a world where assumptions are challenged and a solid framework for rail prescriptions are explored.

Whether you have been an OT for 20 years or just 2 years into your training, this course will provide you with what you need to know to ensure solid rail prescriptions and foundation for further modifications.

This course supports OTs across the health care continuum from acute, subacute and community who are wanting to confidently and competently tailor rail prescriptions to the unique needs of their clients / patients.

In completing this course, you will be able to adjust your prescription to the specifics of your client and their environment, ensuring compliance to legislation and ensuring the long-term suitability of your prescription.

Sign Up Now For Some Incredible Bonuses !

The Beginning Of The Rails Project...

When Janelle was in the early stages of her career, she learnt handrail prescription the "standard" way: templates landing on her desk, and a brief handover of how to prescribe according to the template. 

However, when she started working in community, she started to see things like:

- Rails coming away from walls, 
- Clients with injuries for whom rails were either unusable, or worsening their movement patterns. 

These rails had been in place for 6 months to 2 years, and were all prescribed by qualified therapists. 

After exploring the training and concept of works behind these installations, Janelle quickly discovered that with the prescriptions she was reviewing were consistent with her own training - so where had the training gone wrong that rails were being prescribed so poorly?. 

From a heart of curiosity and a strong drive to get it right for her own clients, Janelle started a deep dive into handrails. 

What she found was scary.
  • Builders reported they had little confidence in OT prescriptions
  • ​Scripts that contradict Standards, putting clients and Therapists at risk
  • ​Therapists that have limited clinical reasoning for rail prescriptions and are confused regarding who was responsible for what. 
  • ​Significant prescription variances and unsafe implementation across a wide catchment area (Northern, Eastern and South Eastern Melbourne)
  • ​Therapists reporting 'client was happy' as the primary indicator for success.
All of this lead to a false sense of security, increased risk to clients and Therapists left vulnerable under duty of care. 

This highlighted the clear need for clarity and comprehensive training about rails. 

Following pursuit of this area of research in post grad studies at the University of South Australia, Janelle has now presented her research at Sydney OT Australia Conference, Melbourne Assistive Technology Conference (OTA), Monash Health, and other groups across Australia. 

This research has led to the development of this training, as well as additional student lead projects with Australian Catholic University, Monash Health and The Kadia Lab. 

Janelle is passionate about supporting therapists to have the information and the tools she wished she had had earlier in her career, so that she could serve her clients to the best of her ability, and support the growth and reputation of Occupational Therapy in Australia. 
Check out what therapists have said so far...

Hear From More OT's Across Australia Who Have Started Their Rails Journey...

“Learning about legislation, different rail configurations, rail products and how to bring it all together was so helpful. Definitely the best PD I have completed this year… if not ever…” (Senior OT)


 “Janelle’s Knowledge is great. She has made the sessions very enjoyable”


“Very relevant.. Very practical and within my scope of practice”

Private Practice OT
 “I saw my clinical practice through new eyes - and I only did the training a week ago!”
“Amazing! Well Researched content and advice on legislative implications”

“Fantastic, enthusiastic, and very knowledgeable presenter. Inspiring to think outside the box of what I thought we can do with rails. It would be good to attend another (course) with you again Janelle”

Sub-Acute Grade 3 OT
“I have to say, teaching is something that (Janelle is) amazing at..”
“Clear explanation of issues, problems solving and different types of rails was most appropriate for my clinical practice”

“ I (now) take the initiative to find more about the product and its weight capacity. I ask questions to the family about the type of frames used and make the recommendations accordingly. I was never confident like this before. Now I could at least find out the problems and able to problem solve with appropriate solutions…” 

Grade 2 Community OT

“Having worked in a community for many years, I thought I knew most of the relevant information required to make recommendations for rails. After the completion of home mods course present by Janelle, I understood the importance of making appropriate recommendations …. I now have new confidence to prescribe the rails appropriately… Highly recommend it any time to advance your knowledge.”

Community Therapist / Private Practice Owner
Why Train With Us...
The Kadia Lab is a space dedicated to the growth, learning and support of innovation within the Occupational Therapy field in Australia. 

The team at The Kadia Lab believe that every OT in Australia - no matter their location, or demographic /setting, deserve high quality, engaging and inspirational support and education. 

We believe that the Occupational Therapists and students of today are the key to unlocking the potential of disability and health care in Australia - and the time is NOW!

Our Logo represents the long reaching ripple effect that OT can have, when therapists are supported, connected and equipped. We know that together we can reach great heights - never before even considered by the generations before. 

The Kadia Lab is the brain child the truly innovative team at Kadia Occupational Therapy - a boutique, culture setting Occupational Therapy Service in Melbourne. 

The Kadia Team believe that when you combine investment in quality training, a heart of vulnerability, and remove the constraints of hierarchy, all whilst embracing the very models on which Occupational Therapy are founded - Incredible things happen.

The team at Kadia Occupational Therapy have created something pretty special, hitting the ball out of the park in terms of client satisfaction, clinical outcomes and significant success within the Assistive Technology, Home Modification and Out of the Box clinical solutions for their clients... even being listed as one of the top 5 in Team Culture in the 20-21 Allied Health Awards. 

The Kadia Lab is our way of ensuring that the magic of what occurs in Kadia Occupational Therapy is shared with you, so that together - we can start the movement which is Occupational Therapy in Australia!

We look forward to journeying with You!
Want To Confidently Prescribe Rails? 
 
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