Occupational Therapy

OCCUPATIONAL THERAPY PROGRAM DESCRIPTIONS

Occupational therapy treatment plans are developed based upon each child’s individual strengths and needs.  Therefore, the intervention strategies recommended for your child and the number of sessions required to make adequate progress toward desired outcomes varies from one child to the next.  However, the following is general information about some of the research based interventions offered by the occupational therapy department at Navigating Autism Plus.   For questions regarding these occupational therapy programs and other OT services offered by Navigating Autism Plus, please contact Amy Watson-Grace, MOT, OTR/L at 614-954-2269 or amy.ot@navigatingautismplus.com.

Therapeutic Listening®                                                                                  

Therapeutic Listening® is an evidence-based auditory intervention developed by Sheila Frick.  The program is intended to support functional outcomes in individuals who experience challenges with sensory processing dysfunction, listening, attention, and communication.  The program is designed to be completely individualized so there is not one template or music progression that works for everyone.  Therapeutic Listening® is not intended to be a stand- alone intervention.  Rather, it is a technique that can be incorporated into your overall therapeutic intervention plan. 

How does Therapeutic Listening® work?  Simply put, the auditory system has connections in many areas of the brain and this makes sound a powerful way to access the nervous system and affect changes at all levels.  The music used in Therapeutic Listening® has been electronically modified and provides the listener with precisely controlled sensory information.  These modulated music selections highlight the parts of the sound spectrum that naturally trigger attention and activate body movement. In addition to the electronic modifications, Therapeutic Listening® capitalizes on the organized rhythmical sound patterns inherent in music to trigger the self-organizing capacities of the nervous system.

Therapeutic Listening® as a treatment strategy is NOT dependent upon a child’s diagnosis.  Rather, determining whether this is an appropriate intervention is based upon observed functional challenges in the child.  Therapeutic Listening® has been used to address:

  • Poor attention (e.g., limited attention span, distractibility, unable to selectively attend to salient information, etc.)
  • Difficulties interacting with peers (e.g., limited play skills, difficulty with social skills)
  • Challenges with transitions or changes in routine
  • Communication difficulties (both verbal and nonverbal)
  • Difficulty with regulation of body functions (irregular sleep patterns, difficulty with bowel and bladder control, feeding difficulties)
  • Difficulty following directions
  • Challenges with accurate perception of space
  • Challenges with navigating space/the environment
  • Poor timing and sequencing of motor skills
  • Difficulty with regulating energy level (i.e., low arousal level or hyperactive)
  • Difficulties with irritability or mood
  • Postural insecurity (e.g., fear of heights, avoids uneven surfaces or playground equipment, etc.)
  • Atypical responses to sensory stimuli (e.g., touch, taste, pain, temperature, movement, sounds, sights, textures, etc.)
  • Poor praxis, motor planning (i.e., difficulty coming up with an idea, planning, and/or completing the task)
  • Difficulty with sounds (e.g., unable to tune out background noise, history of hypersensitivity to sounds, unable to locate where sounds are coming from, unable to differentiate sounds, etc.)
  • Difficulty with receptive aspects of communication (e.g., trouble following directions, difficulty with focusing on/understanding what others are saying especially in the presence of background noise, etc.)
  • Executive functioning challenges

For more information regarding Therapeutic Listening® visit our Resources page

All Navigating Autism Plus Therapeutic Listening® program packages require home program participation in order to be successful.  Although music selections and duration of treatment vary from one individual to the next, there are some general program guidelines.  Parents will be required to complete a Functional Listening Questionnaire while the occupational therapist at Navigating Autism Plus will complete appropriate observations and functional assessments to obtain baseline data that will be used to measure progress toward agreed upon goals and objectives.  After initial parent meetings and/or therapeutic intake session(s) to obtain the aforementioned information are completed, a therapist certified in the Therapeutic Listening® program will determine music selections and other treatment activities based upon the needs of the child.  Typically, the therapist will introduce each music selection during a one on one treatment session.  Each music selection must be listened to using special headphones designed to pick up the broad frequency ranges of modulated music.  These headphones are provided by Navigating Autism Plus for clients who choose to participate in the Therapeutic Listening® program.  A modulated music chip player will also be provided.  Each music selection must be listened to for 30 minutes, 2 times per day, with at least 3 hours between each listening session.  Each music selection should be listened to 5 – 7 days per week for a period of 2 weeks.  Every 2 weeks, the music selection will be changed.  Music chips will be provided by Navigating Autism Plus for home program use.  While the headphones and music player are yours to keep, the music chips are borrowed and remain property of Navigating Autism Plus.  You will be required to sign an agreement and make a deposit while borrowing music chips.  Your deposit will be refunded to you upon completion of Therapeutic Listening® intervention if you have returned all borrowed music chips undamaged.  If a music chip is lost or damaged prior to the completion of the program, your deposit will be used to replace the chip in our Therapeutic Listening® library and you will be required to pay another deposit before borrowing additional chips.

TYPICAL THERAPEUTIC LISTENING® TREATMENT PROGRESSIONS AND FEE SCHEDULES

12 week program with bi-weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 6 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled every 2 weeks.  The fee for this program is $1475.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $115.00 per session.

12 week program with weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 12 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled weekly.  The fee for this program is $2050.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $115.00 per session.

18 week program with bi-weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 9 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled every 2 weeks.  The fee for this program is $1775.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $110.00 per session.

18 week program with weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 18 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled weekly.  The fee for this program is $2650.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $110.00 per session.

24 week program with bi-weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 12 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled every 2 weeks.  The fee for this program is $2025.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $100.00 per session.

24 week program with weekly direct occupational therapy treatment sessions.  This program includes initial intake session(s) to obtain baseline data and 24 direct occupational therapy treatment sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are scheduled weekly.  The fee for this program is $3200.00 plus a $70.00 deposit for music chips that will be refunded upon completion of the program if all music chips are returned undamaged.  Any additional direct treatment sessions will be billed at the discounted rate of $100.00 per session.

Custom Packages.  Customized Therapeutic Listening® program packages are also available.  Some examples of customized packages include:  discounts for the addition of Therapeutic Listening® as an intervention strategy for current occupational therapy clients of Navigating Autism Plus; intensive programs; initial intake, home program instruction, and bi-weekly monitoring for music selections without direct treatment; direct treatment sessions offered as home visits; etc.  Please contact Amy Watson-Grace, MOT, OTR/L at 614-954-2269 or amy.ot@navigatingautismplus.com with any questions.

NOTE:  With all Therapeutic Listening® program packages, you have the option of purchasing your own equipment from Vital Sounds (www.vitalsounds.com).  The Sennheiser HD500A headphones are recommended and the Sansa clip player is required if you will be using music chips borrowed from the Navigating Autism Plus library.  If you choose to purchase your own headphones and player, you can deduct $150.00 from the cost of your Therapeutic Listening® program package.  You also have the option of purchasing your own music from Vital Sounds, rather than borrowing from the Navigating Autism Plus library.  If you choose to purchase your own music, you will not be required to make the $70.00 deposit that is required when borrowing music.

NOTE:  Clients who have had an occupational therapy evaluation completed by Navigating Autism Plus within the 12 months preceding the initiation of a Therapeutic Listening® program can deduct $200.00 from the cost of any Therapeutic Listening® program package.

Navigating Self-Regulation (The Alert Program®)                                                     

How Does Your Engine Run?® The Alert Program® for Self-Regulation was developed by two Occupational Therapists, Mary Sue Williams and Sherry Shellenberger.  Although the program was initially intended for children ages 8 – 12 with learning and attention difficulties, it has been adapted for ages preschool through adult and for a variety of disabilities.  The program addresses self-regulation and arousal levels using the analogy of a car to introduce concepts (low engine speed, high engine speed, just right).  It teaches that all speeds are good, but sometimes our body engine needs to run at a particular speed to effectively participate in a desired or required activity and complete the task successfully.    The program is implemented in three stages:  identifying engine speeds, experimenting with methods to change engine speeds, and regulating engine speeds.  Visual aids and active participation in instruction are used to provide children with the language and concepts to start the process of self-regulation.  Some potential benefits of the Alert Program® include enhanced ability to engage in learning, improved quality of social interactions, increased self-esteem and confidence, and improved self-monitoring skills.

Who may benefit from participation in the Alert Program®?

  • Children who have difficulty with attention (e.g., limited attention span, distractibility, unable to selectively attend to salient information, etc.)
  • Children who are hyper-responsive to sensory input
  • Children who are hypo-responsive to sensory input
  • Children who fluctuate between being over-responsive and under-responsive to sensory input
  • Children who have difficulty with regulating their activity level to match the demands of the situation and environment
  • Children who have difficulty with transitions and/or changes in routine
  • Children who frequently appear hyperactive or lethargic

For more information regarding the Alert Program® please visit our Resources page

TYPICAL ALERT PROGRAM® TREATMENT PROGRESSIONS AND FEE SCHEDULES

At Navigating Autism Plus, the Alert Program® is offered as an individual treatment program and as a group program. Decisions regarding individual vs group treatment should be made based upon the strengths and needs of the child.

Individual Program.  This program includes an initial intake session to obtain baseline data and 10 direct occupational therapy sessions.  Direct sessions are 45 – 60 minutes in length including parent consultation and are typically scheduled weekly, although other scheduling options are available with the individual program option.  The fee for this program is $1650.00.  This fee includes materials that may be used during direct sessions, a report regarding your child’s sensory needs and preferences, and home/school program recommendations to address your child’s sensory differences.

Group Program.  This program includes an individual initial intake session to obtain baseline data and 10 direct occupational therapy sessions provided in a group setting.  Direct group sessions are 60 – 90 minutes in length including parent education and are typically scheduled weekly.  The fee for this program is $1200.00.  This fee includes materials that may be used during group sessions, a report regarding your child’s sensory needs and preferences, and home/school program recommendations to address your child’s sensory differences.

Custom Packages.  Customized Alert Program® packages are also available.  Some examples of customized packages include:  discounts for the addition of the Alert Program® as an intervention strategy for current occupational therapy clients of Navigating Autism Plus; intensive programs; direct treatment sessions offered as home visits; etc.  Please contact Amy Watson-Grace, MOT, OTR/L at 614-954-2269 or amy.ot@navigatingautismplus.com with any questions.

NOTE:  Clients who have had an occupational therapy evaluation completed by Navigating Autism Plus within the 12 months preceding the initiation of an Alert Program® package can deduct $200.00 from the cost of any Alert Program® package.

Navigating Written Communication                                                                                

The occupational therapy department at Navigating Autism Plus offers programs to assist your child with handwriting and keyboarding.  Please contact us directly to discuss how we can help your child.