Clinic sessions run similar to a preschool setting, including but not limited to, circle time, group and individual activities, free play, snack time, and outdoor play. This program is based upon evidenced-based developmental naturalistic ABA models with emphasis on the Early Start Denver Model (ESDM). We use a transdisciplinary intervention approach, in which speech, physical, and occupational therapy are integrated as needed to support each individual child. Parents will be required to participate in parent training as part of this program.
We offer both clinic-based and home- based ABA programs. The number of hours and service delivery location is determined after our initial assessment and varies based upon each child's unique needs. Our programming is based upon naturalistic developmental behavioral intervention models, such as Early Start Denver Model (ESDM) and Pivotal Response Training (PRT). We believe collaboration with teachers, parents, speech/occupational/physical therapists, and mental health providers is important.
We believe the purpose of social skills groups is to build friendships. Children are matched into groups based upon similar interests, ages, and developmental levels. Our Friendship Groups may be supported by Speech and Occupational therapists in addition to ABA. While structured programs are beneficial in introducing social concepts, it is even more important that social competencies are practiced in natural learning opportunities with other children.
Project Improving Parents as Communication Teachers (Project ImPACT) is a 12-week parent-mediated curriculum designed for the families of young children with autism and related social communication delays. Families, alongside our trained coaches, will learn techniques that will empower you to enhance your child’s skills in social engagement, communication, imitation, and play skills throughout your existing daily routines. Research has shown that parents can learn to implement these strategies effectively and see significant increases in social communication skills and decreases in challenging behavior. Because you know your child best, and techniques are used in the natural environment and use natural consequences, children experience better generalization and maintenance of skills! In our group model, you will receive two 1–2-hour sessions per week – one group session with other parents to learn the techniques and discuss challenges or successes for that week, and 1 individual session with your child to practice the techniques directly.
Parent Training for Disruptive Behavior: The RUBI Autism Network
Built on the principles of applied behavior analysis, this curriculum has empirical support for reducing disruptive behavior. The parent training curriculum is delivered 1:1 to the parent via in-person or through telehealth and contains step-by-step detailed procedures for assessing and treating specific behavioral challenges. The program expands over 11 weeks and will cover a number of topics including behavioral principles, prevention strategies, daily schedules, reinforcement, functional communication training, teaching skills and generalization and maintenance of learned skills. Supplemental sessions are provided as needed and provide parents with information on the proper use of token economies and time outs, as well as behavioral strategies for a range of feeding, bedtime/sleep, and toileting challenges.
Milestones Pediatric Therapy, PLLC
801 East 2nd Avenue, Spokane, Washington 99202, United States
Phone: (509) 835-4404 Fax: (509) 835-4400
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