Children with deficits in trunk control pose significant challenges for functional positioning in home and school settings. A segmental approach offers hope of increased function, participation, and engagement in family and educational activities. The Segmental Assessment of Trunk Control (SATCo) serves as the foundation for determining optimal support strategies for these children. However, administration, scoring, and routine use of SATCo in home and school settings can be challenging to implement. The speakers will describe their experience with using a knowledge translation framework to implement SATCo and segmental positioning for students with moderate to severe motor impairments across a large public school system. They will describe barriers and facilitators related to administration and interpretation of SATCo in home and school environments. They will also share case examples demonstrating how the principles of segmental posture control can be combined with innovative methods for adapting existing positioning equipment to optimize trunk support and increase upright function and participation of students with moderate to severe disability in the classroom and at home. Attendees will learn how knowledge translation strategies can be used to facilitate the systematic implementation of innovative practices in their own early intervention or school setting.