Metro Therapy has occupational therapists and speech-language pathologists available to work with your child. At our clinic we provide individualized occupational and/or speech-language therapy sessions for your child. We work with psychologists, other medical professionals, social workers, teachers, school therapists and other community based providers in order to meet your child’s needs at home and within the community.
- Occupational Therapy
Occupational therapists at Metro Therapy specialize in sensory integration, focusing on helping children develop motor skills, self help, appropriate emotional responses/social function, and homeostatic (i.e. sleep) function by addressing underlying sensory processing (tactile, proprioceptive, and vestibular) deficits which can significantly impact children and their family’s quality of life.
Metro Therapy’s occupational therapists work with children with multiple diagnoses who have sensory processing dysfunction. Children diagnosed with: autism spectrum disorders, Down syndrome, behavior or learning disorders, sensory integration and processing disorders, fine and visual motor delays, neurological disorders or dyspraxia may benefit for occupational therapy services.
When to refer?
A referral for an occupational therapy evaluation is appropriate if your child exhibits any of the following:
- Poor attention/posture
- Has poor balance or is clumsy
- Poor coordination
- Behavioral problems
- Limited food intake or limited variety of accepted foods
- Delayed gross and/or fine motor skills
- Avoidance of touch, movement, climbing, taste, smell, sound, sight
- Seeking of touch, movement, climbing, taste, smell, sound, sight
- A need to bump and crash
- Poor cycles (hunger, sleep/wake)
What does this therapy include?
We work to increase children’s participation in everyday activities through the use of specialized sensory integration principles, neuro-muscular and motor learning techniques to improve:
- Gross motor and coordination skills
- Visual motor and fine motor skills
- Social-emotional and self-regulation skills
- Play and leisure skills
- Daily living and self-care skills
Our experience & training
Our occupational therapists have experience and training in:
- Gross, fine and visual motor assessment and treatment
- Sensory Integration Treatment (Sensory Integration and Praxis Test, SIPT)
- Therapeutic Listening®
- Deep Pressure and Proprioceptive Technique (Wilbarger brushing program)
- Burpee Brushing Program
- Motor-Oral-Respiration-Eyes (M.O.R.E)
- Alert Program-How Does Your Engine Run®
- The Musgutova Neurosensorimotor Reflex Integration Method® (Therapist in training)
- Rhythmic Movement Training
- Astronaut Training: A Sound Activated Vestibular-Visual Protocol
- Sequential-Oral-Sensory Feeding (S.O.S. Approach to feeding)
- Beckman Oral Motor
Metro Therapy has designed its space to be tailored for the needs of a variety of children and adapted for many types of treatment interventions. We have several small rooms used to decrease distractions and provide a quiet environment for directed learning when needed. Each area has a unique purpose, such as a sensory room for calming, a fine motor room and messy play areas.
- Speech Therapy
While the terms speech and language are often used interchangeably, they refer to two different things. ‘Language’ refers to the system of symbols (words, signs, and gestures) we use to convey meaning. ‘Speech’ refers to the physical process of using the brain, respiratory system, voice, and mouth to create sounds that form words. Speech-language pathologists are trained to diagnose and treat issues in both of these areas.
Pediatric speech-language pathologists work with children who have a variety of diagnoses including: autism spectrum disorders, Down syndrome, developmental delays, cleft-palate and other craniofacial disorders, apraxia of speech, seizure disorders, hearing loss, fluency disorders (stuttering), specific language disorders, and articulation/phonological disorders.
When to refer?
A referral for a speech-language evaluation is appropriate if:
- Your child is not using 8-10 words by 18 months of age
- By 2 years of age, your child has less than 50 words and/or is not combining words into phrases
- Your child has difficulty with following 1-2 step directions by 2 years
- Your child experiences frustration or meltdowns due to limited communication
- You understand less than 75% of your child’s speech at 3 years of age or less than 100% of his/her speech at 4 years of age
- Your child is not performing up to expectations in school
- Your child has difficulty conveying information in clear, logical, efficient manner
- You have concerns about your child’s voice (hoarseness, breathiness, inappropriate volume or pitch)
- Your child has difficulty producing fluent speech (stutters)
- Your child has trouble understanding and following “hidden” social rules
- Any time you are concerned about your child’s speech, language, or communication skills
What does this therapy include?
Although the goals of speech-language therapy are always individualized and adapted to each child, some of the general targets we may address include:
- Increasing vocabulary
- Improving grammar
- Improving ability to produce specific sounds and speak intelligibly
- Improving social skills
- Increasing understanding of basic concepts
- Improving ability to follow directions and answer questions
- Learning strategies to organize language for everyday use
- Implementing alternative means of communication when necessary
Our experience & training
Speech-language pathologists at Metro Therapy have experience in the evaluation and treatment of the following:
- Pre-linguistic skills: Important skills that need to develop prior to using language such as establishing joint attention, demonstrating communicative intent with affect, gestures, and vocalizations, and imitating a variety of actions to play purposefully with toys.
- Receptive and expressive language: The ability to understand and produce language.
- Articulation and phonology: The ability to correctly produce speech sounds and use appropriate speech sound patterns to formulate words.
- Apraxia of speech: A motor planning disorder that significantly affects the ability to sequence and produce speech sounds for intelligible speech.
- Pragmatic/social language and skills: The understanding and use of language for social interaction including skills such as body positioning, facial expressions, topic maintenance, understanding figurative language, reacting to various scenarios/problems, and active listening skills.
- Fluency: The ability to produce forward flowing speech that is free from excessive dysfluencies such as sound or word repetitions, sound prolongations, blocks, interjections, and with optimal speech rate.
- Voice disorders: Working to improve vocal quality to reduce hoarseness, breathiness, inadequate or excessive volume, or unusual pitch.
- Alternative and Augmentative Communication (AAC): The implementation of strategies or devices that replace or supplement verbal speech including speech generating devices/apps, picture symbols, written communication, etc.
- Community Education
Metro Therapy provides certified and licensed occupational therapists and speech-language pathologists for consult, trainings, and speaking engagements. We also provide free screenings to local childcare providers.
Previous speaking engagements include:
- Typical and Atypical Sensory and Motor Development
- Introduction to Sensory Processing Disorders
- Early Speech and Language Development
- Communication and Sensory Considerations in Autism Spectrum Disorders
Organizations presented to:
- Local school districts’ Early Intervention programs
- Licensed childcare facilities
- Community groups
- Mental health organizations
- Volunteers groups
If your organization is interested in having our therapists come to present, please contact the clinic and we will work with you to meet your educational needs.