Occupational Therapy Services
Evaluations
Parent Consultations
Direct Intervention
Evaluations are completed in the natural environment. We use a wholistic and family-centered approach to develop a comprehensive view of the child and their support systems all while digging deep to identify underlying causes of day-to-day concerns. Standardized assessments, parent interviews, and clinical observations will be used to begin to put the pieces of the puzzle together and develop a prescriptive plan of care.
Direct Intervention
Parent Consultations
Direct Intervention
All services are provided in the natural environment. This may be in your home, backyard, neighborhood park, or even helping your child transition into daycare or shop at the grocery store! Providing services in the home and community creates a space to address concerns and growth in real-time and empowers parents and caregivers to be active participants in their child's progress. In our experience, incorporating therapeutic intervention into the child's daily routines in their own space, accelerates treatment profoundly.
Parent Consultations
Parent Consultations
Parent Consultations
If you are not ready to commit to OT or are not yet interested in a formal evaluation, we offer in-person and virtual parent consultations. These will include an in-depth interview as well as an informal written proposed treatment plan and recommendations.
Additionally, follow-up consultative services may be provided if you think you may just need a few tools to add to your parenting toolbox, here and there!
Telehealth
School Screenings & Observations
Parent Consultations
Depending on your insurance coverage, telehealth may be covered for parent education, home programming, sensory diet development and implementation, parent-teacher conferences, paraprofessional collaboration, or even for parent coaching as needed.
Parent Coaching
School Screenings & Observations
School Screenings & Observations
We provide education and facilitate parent and caregiver collaboration to involve parents and caregivers in the therapeutic process. Active participation in treatment allows parents and caregivers a change to practice strategies during treatment sessions and thus, feel more confident practicing strategies on their own!
School Screenings & Observations
School Screenings & Observations
School Screenings & Observations
If your child is struggling within the school or daycare environment, and their teachers or caregivers are seeking support to help with transitions, behaviors, emotional regulation, etc., we offer natural environment observations and screenings to identify functional limitations and develop recommendations and supports that may benefit the child and their classroom environment.
Hippotherapy
Hippotherapy
Hippotherapy
Hippotherapy is the use of a horse’s movement as part of an occupational therapy session. The natural, rhythmic motion of horseback riding provides powerful input to support balance, core strength, sensory integration, motor planning, coordination, and emotional regulation. Sessions are led by Nicole Kemerling MS, OTR/L and tailored to each child’s individual goals.
Hippotherapy can be especially helpful for children who:
- Have challenges with balance, coordination, or core strength
- Demonstrate difficulties with sensory processing or regulation
- Need support with motor planning or body awareness
- Benefit from unique, motivating environments to build skills
Hippotherapy
Hippotherapy
Contraindications may include the following. These will be assessed in more detail upon intake interview:
- Unstable spine, joints, or recent fracture
- Atlantoaxial instability
- Uncontrolled seizures
- Severe heart or lung conditions
- Chiari II malformation or tethered cord with symptoms
- Severe spasticity or progressive neurologic disease
- Open wounds, infections, or unhealed fractures
- Indwelling catheters
- Severe behavioral challenges (unsafe/aggressive)
- Severe animal allergies
- Medications causing heavy sedation, bleeding risk, or poor coordination
Hippotherapy
My child already receives OT with Play with Me OT, how can my child also receive hippotherapy?
- Every Other Week Sessions: Pair traditional OT sessions with hippotherapy every other week for balanced progress.
- Seasonal Intensives: Schedule blocks of sessions during the summer or school holidays for an immersive therapy boost.
- On-Site Pairing at the Farm: Receive your child’s regular OT session at Dynamic Strides Farm, followed immediately by 30 minutes of hippotherapy for a powerful back-to-back experience.
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