since 2003

General Therapeutic Services Information

We offer a wide range of therapeutic services to equip families with the resources children need for success in all areas of life. After an initial meeting with your family, our highly skilled therapists will determine and recommend an evaluation plan. Families can expect a conference following completion of evaluation services to review the therapist’s recommendations for your child’s plan of care prior to enrollment in our therapeutic program services. Our therapists are happy to come alongside and consult with any outside providers that are rendering services to your child.

Evaluation Services

The developmental assessment evaluation seeks to gain a clear picture of your child’s overall functioning. Designed for children ages two to five years old, this evaluation will be conducted by a member of BBA’s neuropsychological team and assesses the following domains: pre-academic readiness, intellectual functioning, attention, learning, and language processing. Following the evaluation process, parents will participate in a feedback meeting where they will receive a comprehensive written report detailing diagnostic impressions and treatment recommendations. Following completion of the evaluation, our team is also available to attend school meetings or consult with your child’s educators in order to present the findings and recommendations. We will continue to follow your child’s progress over time and maintain an active role on all of their treatment teams.

The academic assessment evaluation is available for all children between the ages of two to 18. Conducted by a member of BBA’s neuropsychological team, this evaluation seeks to obtain a clear picture of your child’s current academic functioning. The evaluation process will assess the following domains: reading, written expression, and mathematics.

The diagnostic autism evaluation is a comprehensive multidisciplinary evaluation for families who suspect their child may have an autism spectrum disorder. This evaluation is for children starting at 12 months of age and includes a one-hour multidisciplinary screening appointment with you and your child. In this screening appointment, the Speech and Language Pathologist (SLP) and Occupational Therapist (OT) will conduct an observational play session with your child while the psychologist conducts an intake with parents to gather important information about your child’s functioning. Following the screening appointment, members from BBA’s team will conduct a psychological assessment, an occupational therapy assessment, and a speech and language assessment. Part of this evaluation will include administration of the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) by one of our psychologists specially trained in this measure. Your child’s diagnostic team will then meet to discuss the results of the evaluations and create a comprehensive document for your family which will include diagnostic impressions and specific treatment recommendations. Upon completion of the evaluation, we are also available to attend school meetings or consult with your child’s educational team in order to present the findings and recommendations. We will continue to follow your child’s progress over time and maintain an active role on all of their treatment teams.

The neuropsychological evaluation is our most comprehensive evaluation for children and adolescents of any age. During the evaluation process, we assess all areas of functioning in order to gain a broad understanding of your child’s strengths and weaknesses. We seek to identify the symptoms and behaviors of problems including ADHD, learning disabilities, developmental delays, and emotional, behavioral, and/or social problems. These evaluations will help us create a plan for treatment and offer a baseline to measure growth and progress over time. Evaluations also include a thorough review of medical and school records, school observation, consultation with other involved professionals, and interviews with parents. Following the evaluation, families will participate in a feedback meeting where they will receive a comprehensive written report detailing diagnostic impressions and treatment recommendations. Upon completion of the evaluation, our team is also available to attend school meetings or consult with your child’s educational team in order to present the findings and recommendations. We will continue to follow your child’s progress over time and maintain an active role on all of their treatment teams.

An occupational therapy evaluation is conducted by a member of BBA’s occupational therapy team. During the evaluation process, we assess fine and gross motor development, sensory processing skills, emotional regulation, self-care skills, and handwriting when developmentally appropriate. This evaluation will inform the therapist’s recommendation for the frequency of occupational therapy sessions and the areas of concern therapy will address. Results will be shared with families during a conference.

A speech and language therapy evaluation will be conducted by a member of BBA’s speech and language pathology team. During the evaluation process, we assess receptive and expressive language, articulation, fluency, social pragmatics, and play skills. This evaluation will inform the therapist’s recommendation for the frequency of speech and language therapy sessions  and the areas of concern therapy will address. Results will be shared with families during a conference.

A feeding therapy evaluation will be conducted by a member of either BBA’s speech and language pathology or occupational therapy teams. During the evaluation process, we will assess your child’s food repertoire, behaviors during feeding, seating during feeding, and any food aversions. This evaluation will inform the therapist’s recommendation for the frequency of feeding therapy sessions and the areas of concern therapy will address. Results will be shared with families during a conference.

These screenings are designed for children of any age and are recommended if a learning disorder is suspected. Your child’s specialized screening will be conducted by a member of the neuropsychological team.

  • Dyslexia Screening: Dyslexia is a learning disorder that involves difficulty reading due to problems identifying speech sounds and learning how they relate to letters and words (decoding). Also called reading disability, dyslexia affects areas of the brain that process language. A member of BBA’s neuropsychological team will perform a detailed screening to assess for signs of dyslexia.
  • Dysgraphia Screening: Dysgraphia is a learning disorder that affects writing abilities. It can manifest as difficulties with spelling, poor handwriting, and trouble putting thoughts on paper. A member of BBA’s neuropsychological team will perform a detailed screening to assess for signs of dysgraphia.
  • Dyscalculia Screening: Dyscalculia is a learning disability in mathematics. Individuals with dyscalculia have trouble with math at many levels, from completing basic math problems to applying more abstract math concepts. They often struggle with key ideas such as bigger versus smaller. A member of BBA’s neuropsychological team will perform a detailed screening to assess for signs of dyscalculia.

Occupational and Speech-Language Services

Our occupational therapy sessions focus on helping children gain independence with motor skills, sensory and emotional regulation, self-care skills, and executive functioning skills. Sessions can be conducted one-on-one, in groups, or as push-in or pull-out services throughout your child’s school day. We can accommodate sessions on-site at BBA, in your home, or via telehealth. Progress will be monitored and shared with parents through goal updates and reevaluations.

Our speech and language therapy sessions focus on helping children increase their receptive and expressive language skills, social pragmatic skills, articulation skills, and play skills. Sessions can be conducted one-on-one, in groups, or as push-in or pull-out services throughout a child’s school day. We can accommodate sessions on-site at BBA, in your home, or via telehealth. Progress will be monitored and shared with parents through goal updates and reevaluations.

Our feeding therapy sessions focus on increasing children’s tolerance of non-preferred food, decreasing unwanted behaviors during feedings, and introducing a variety of foods into children’s food repertoire. Sessions can be conducted one-on-one, in groups, or as push-in or pull-out services throughout a child’s school day. We can accommodate sessions on-site at BBA or in your home. Progress will be monitored and shared with parents through goal updates and reevaluations.

Behavioral Health Services

We offer individual and group therapy for children from early childhood through adolescence. Our work is carefully conceptualized to address specific needs by setting thoughtful, realistic goals that are appropriate for your child’s age and developmental level. We have a number of psychologists on staff with different areas of expertise who will work with you and your family on a variety of behavioral health issues including (but not limited to) anxiety, depression, ADHD, school refusal, disruptive or externalizing behaviors, executive functioning, and behavioral skills training.

We offer services for children and adolescents with special needs who struggle with behavior problems. Children who might benefit from this service may exhibit some of the following symptoms: frequent temper tantrums, aggressive behavior, sleeping and eating problems, repetitive behaviors, or non-compliance. Interventions focus on reducing undesirable behaviors by training your child’s whole system to use specialized behavior management techniques.

Sleep disturbances are common in children. As part of this consultation, Dr. Haley Sims will provide individualized plans for families struggling with pediatric sleep problems including interventions for a number of presenting sleep problems including: bedtime resistance, frequent night waking, infant and toddler sleep, and insomnia. Services include an initial intake in which Dr. Sims will facilitate a detailed sleep history and assessment. Following this appointment, each family will be provided with specific protocols and recommendations tailored to fit each family’s needs. While each case is different, families can expect to have anywhere from three to five appointments. Home visits may be necessary in some cases depending on the nature of the presenting concern.

Toilet training is a skill that all children must master but can be a cause of distress for parents. In order to alleviate parent stress, Dr. Haley Sims offers individualized toilet training consultation services to families. This intervention follows a consult-based model. Dr. Sims will consult with families in an initial appointment to gather information about your child’s unique profile and tailor a successful plan to be implemented at home. While each case is different, families can expect to have anywhere from three to five appointments. Families are encouraged to check in between appointments so that additional guidance can be provided if needed.

Haley Sims offers a unique, in-home intensive toilet training program for families. This service includes an initial consultation and assessment with families that will inform a personalized intervention plan. Dr. Sims will then schedule blocks of time to come to your home and work with you and your child “in real time.” This service includes about 10 hours of intervention, typically spread out over the course of a couple of weeks in the form of in-home work, between-appointment consultation, the creation of visual aids, and follow-up appointments. Dr. Sims works with each family on a case-by-case basis to determine if more intervention time might be needed.

Through our partnership with the Center for Comprehensive Neurobehavioral Care, we offer individual parent coaching utilizing Conscious Discipline®, a trauma-informed, evidence-based, and research-backed methodology. This approach focuses on empowering parents with skills that create a safe, connected, problem-solving environment in order to manage behavior and build a strong, nurturing parent-child relationship. We begin with observations at home and then transition to consultation with parents, teachers, and other service providers who work closely with the child. This collaboration allows for a more comprehensive understanding of your child’s functioning in various settings. From there, we work with families to set thoughtful, realistic goals that are appropriate given your child’s age and developmental level. Throughout the process, we work to promote shared language and approaches across settings by educating and training all adults in the child’s life (e.g., parents, teachers, outside service providers); this allows the child to experience consistency and better supports positive transformation. Most importantly, we want to empower parents and children with skills to help them manage their emotions and behavior in ways that promote positive relationships.

In our social skills group sessions, a psychologist and/or speech and language pathologist will guide children through age-appropriate stories, structured and creative activities, group interactions, and role play of various social situations. These sessions help students learn about thoughts, feelings, and reactions in order to better function in a group, understand their own and others’ behaviors, develop flexible thinking, and consider strategies for common social challenges. Depending on the group, a specialized curriculum will help students with social and communication difficulties become better able to use cognitive-behavioral strategies to further develop their own thinking and social behaviors as they also learn strategies for better self-regulation in various settings. We are pleased to offer the following Social Skills Groups:

  • Preschool Readiness
    • Designed for children ages three to five, this group will engage your child in various activity sessions including art, motor development, games, snack, and circle time. This group will practice skills required for success in a preschool environment, including self-regulation strategies, learning how to sit at a table, wait, take turns, appropriately interact with friends, request materials, and ask for help.
  • Executive Functioning
    • Designed for children in 3rd, 4th, or 5th grade, this group will utilize the principles of Organizational Skills Training, an evidence-based practice aimed at teaching children important executive functioning skills, including time management, organization of materials, and task planning and prioritization. This group will help build your child’s foundational executive functioning skills, which are necessary for success in higher education.
  • Teenage Girls
    • This group is designed for girls ages 11 to 15 years old who would benefit from building and practicing social skills. This group will specifically focus on the challenges of adolescence and puberty, including how to build and maintain friendships, how to resist negative social and peer pressure, how to appropriately utilize social media, and how to understand and manage puberty and romantic relationships. We will offer optional socials with the Teenage Boys Group throughout this group module.
  • Teenage Boys
    • This group is designed for boys ages 11 to 15 years old who would benefit from building and practicing social skills. This group will specifically focus on the challenges of adolescence and puberty, including how to build and maintain friendships, how to resist negative social and peer pressure, how to appropriately utilize social media, and how to understand and manage puberty and romantic relationships. We will offer optional socials with the Teenage Girls Group throughout this group module.

Additional Therapeutic Services

Black Bear Buddies pairs a child who needs assistance with social skills with a neurotypical peer. The focus of this program is to improve play and social-pragmatic language skills through peer modeling. The session is led by a therapist and can be 30 or 60 minutes.

Students who participate in this program will eat lunch with a therapeutic team member. They will work on focusing on increasing independence with mealtime routines and socializing. Once these skills have been developed, children will join the larger group for lunch, with support. A therapeutic team member will be present to help generalize independence and socialization to the larger group. Support will fade as children demonstrate readiness.

Students who participate in this program will receive one-on-one support from a therapeutic team member to safely and appropriately eat lunch and play in the gym with age-matched peers. Lunch and gym last 30 minutes each.

BBA is happy to offer a number of parent groups to support the families in our community. Please contact us for more information.