Early intervention services are based on chronological and developmental skills and range from 20-35 hours a week of 1:1 therapy.

Based on behavior principals, skills are taught which are needed to be successful in a lesser restrictive environment and promote independence.

Goals are individualized and derived from curriculums such as VBMAPP, ABLLS-R, PEAK, ESDM, AFLS and many more.

A systematic method of breaking complex skills into smaller subsets and teaching through repetition, prompting, reinforcement, maintenance and generalization criterias.

DTT trials are done in a structured format and skills such as pre-requisite classroom goals, attending, joint attention, appropriate sitting and use of token boards can also be targeted.

A focus on functional language is taught by teaching appropriate ways to request, express needs and socially interact with others.

Language is taught in an all-inclusive manner with focus also given on teaching labels, receptive skills and intraverbal language.

Modalities of communication include verbal vocal, use of picture communication systems, sign language or AAC modes.

This style of teaching is done in the environment to help with generalization of learned skills or to mimic real life situations which the child may encounter. Due to the environment varying at times, incidental teaching or “spontaneous teaching” is commonly used to capitalize on teaching moments or the child’s interest.

Examples of NET teaching can include skills such as learning to wash hands, responding to greetings, engage in play activities, being able to wait for an activity or transition when routine has been changed.

At Itsy Bitsy Therapy we incorporate an assent based compassionate care model to help reduce challenging behaviors such as self-injurious behaviors, elopement or property destruction. Replacement behaviors such as communication skills, being able to accept denials, waiting or being able to transition from preferred to non-preferred activities are also worked on and generalized through caregiver training.

Our clinicians work with caregivers to create a behavior intervention plan to bring change to behaviors which cause meaningful impact in the child and family’s life.