Texas Children's Hospital
 
   


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      Occupational and Physical Therapy
 
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Program Description

Overview
All aspects of evaluation and intervention at Bridges are guided by the principles of the DIR/Floortime model developed by Drs. Stanley Greenspan and Serena Wieder. Bridges uses a comprehensive, relationship-based approach for assessment and intervention. Initial and ongoing assessments are used to create a child’s developmental profile. Each child’s developmental profile describes in detail a child’s relative strengths and weaknesses.

  • Individual differences
    • Sensory processing and motor planning profile
    • Auditory processing and language skills
    • Visual-spatial processing capacities
  • Functional developmental capacities
    • Shared attention
    • Mutual engagement
    • Two-way gestural communication
    • Shared social problem solving
    • Creative use of ideas
    • Symbolic play and logical thinking
  • Child-caregiver interactions
    • Current patterns of relating
    • Optimal patterns tailored to the child’s developmental profile

A child’s developmental profile is used to develop an individualized program for each family that attends Bridges. Because each child is unique in terms of individual differences and developmental capacities and family patterns, Bridges believes that intervention programs should be developed around a child, rather than fitting a child into an existing program. While each child’s program is individualized and unique to that child and family, core components to the comprehensive program are incorporated into the programs at Bridges such as: