You walk into your last visit with Brayden’s family before the holidays. The visit goes well, and as you are wrapping up, Brayden’s mother hands you a wrapped gift and wishes you “Happy Holidays.” On the outside, you’re smiling and thanking her, but on the inside, you’re stumbling because your agency has a policy against …

I was driving down a narrow back road on my way to a visit when my car simply died. There was no where to pull off the road so, where I stopped was where I stayed. I wasn’t too far from the family’s home so I turned on my emergency flashers and started walking. When …

“Emma runs away every chance she gets. Open a door and she bolts. Try to walk with her into a store and she screams until she wiggles free. We can’t take her anywhere!”

This is how Emma’s mother describes one of the family’s main concerns. Emma’s behavior is difficult for them to manage, and one of …

Twenty years ago, I was living in rural Vermont as a single parent of two daughters who had disabilities.  The oldest daughter was diagnosed with medical issues….asthma and allergies, trauma, emotional behavioral challenges and developmental delays at age 4 years of age. The youngest daughter at age 8 struggled with depression, learning disability and being …

Both of Isabel’s parents are present for the visit, which offers you a golden opportunity to talk with them. When you ask how things are going with Isabel’s signing, her mother replies, “Well, she’d be learning if her father didn’t just do everything for her. Isabel doesn’t even have to sign at all.” These two sentences set …

The outcomes have been written, so now it’s time to determine services. The team sorts through possibilities for Arnold, a two year old with global developmental delays, and his family. Multiple team members recommend multiple services, then Winnie, the service coordinator, suggests they consider a primary service provider (PSP). The team decides that Patrick, the …

As a guest in Amelia’s family’s home, you do your best to be polite and respectful. You enjoy working with her grandparents, and feel that they are doing their best to encourage Amelia’s development. The only challenge you have is the fact that they smoke during the visit. You’re concerned about the fact that you leave …

If you haven’t read it yet, be sure to check out the first blog post in this 2-part series, Milestone or Modern Convenience?  – Part I: Overuse of the Sippy Cup and Pacifier, to learn important information about an infant’s need for sucking and the risks involved with overuse of the pacifier and sippy, cup!

Now that …

Although shocking to many, the sippy cup is NOT a developmental milestone.  Nor is sucking on a pacifier, for that matter.  But why do we (therapists, parents and caregivers) celebrate these acquired “skills” as developmentally appropriate achievements?  Why do we allow these “skills” to happen for much longer than they should?  Is it just easier …

We definitely have challenges in getting specific-to-speech-related services paid for in early intervention (EI). And we should!  Targeting specific speech sounds in isolation before the age of three years does NOT make sense on a developmental level—and this is exactly why insurance companies tend to question the claims.  We know, however, that we need to …