What is Pediatric Occupational Therapy?

Pediatric Occupational Therapists work with children to support their independence in activities of daily living. For kids, that can be anything from social skills and play, eating dinner at the table with family, sitting at their desk in school, or even just learning to be safe in the community. OTs support kids with their gross motor skills, fine motor skills, visual processing, balance, coordination, self-regulation and much more. We work on many activities from helping kids get dressed on their own and brushing their teeth to organizational skills and time management.

What is Sensory Processing?

Sensory processing is the ability to take in sensory information from the environment, organize it effectively, and respond appropriately; it refers to the way a child perceives and registers sensory information through a variety of sensory channels. Organization of a variety of sensations is needed to adequately adapt to environmental demands. Children with sensory processing differences may be over or under responsive to sensory stimuli, which can lead to seeking or avoiding certain types of input and impact their ability to self-regulate in their environment. (For example, some children have a hard time with loud noises and can have a meltdown if they hear a toilet flush.) Sensory processing differences can manifest through a variety of experiences such as clumsiness, tantrums, decreased participation, fine and gross motor skills, motor planning, difficulty with attention, or behavioral challenges.

What is DIR/Floortime?

DIR stands for "Developmental, Individual Differences, Relationship-based" - and the DIR Model is a framework to help understand each child and meet them at their needs and level. The Floortime approach is a child-focused intervention where the parent/therapist/adult follows the child's lead in play and through their interests to work towards goals and advance in developmental milestones. You can read more about this Model/Approach here: https://www.icdl.com/floortime

What does an evaluation with Rachel look like?

When you schedule an evaluation with RHR Therapies, I will first come to your home for a 1-1.5 hour evaluation session with you and your kiddo. Following that session we will decide if a second session is needed, or we will set up a parent meeting to review clinical observations, assessment results, and talk further about your child's strengths, your concerns, and set goals/make a plan together.

During the evaluation I start with some free play/child led activities where I can learn more about your child's interests and build rapport. During this time I also learn a lot about their skills and development! Following some free play, I also try to do some standardized or structured assessments. Depending on your child, their needs, and their abilities - sometimes we can complete these, sometimes we can't - but either way we are still able to learn from the attempt, even if we don't have a score.

If you have any questions about the evaluation process, just reach out! I'm happy to talk through any questions you may have.

How does billing work?

RHR Therapies is in network with BlueCross BlueShield. In-network sessions will be billed to BCBS first. If there are any co-payments or coinsurance due, or if your deductible has not yet been met, you will be sent a bill at the end of the month.

We also work with any out-of-network insurance companies. We use a billing system and can submit to your out of network insurance on your behalf. At the end of the month you will be sent an invoice, and your insurance company will reimburse you directly for the amount determined by your plan.

Cancellation/No-Show Policy: Please cancel your appointment with 24 hours notice. Any cancellations with less than 24 hours notice, or any "no shows," may be subject to a $50 no-show/cancellation fee.