METROstaffing In Detroit

Brittany: Hello! My name is Brittany, I am the bilingual Speech Pathologist at Metro EHS in Sterling Heights and Detroit.

Mallory: Hi! My name is Mallory, and I work in the Human Resources Department at the administrative office in Plymouth.

B: And we are so excited to announce that MetroEHS now offers speech therapy in Spanish and English!

M: That’s great! We can service Metro Detroit kids in their native language! But Brittany, can you tell me how to know if my child needs speech therapy?

B: Sure! If you have concerns about the language or articulation development of your child, it is possible that he/she might benefit from speech therapy. For example, if your child cannot pronounce certain sounds, does not say a lot of words or combine words to form sentences, or if you cannot understand him/her, we can do an evaluation to see if he/she qualifies for speech therapy.

M: That sounds great! What happens next?

B: After the evaluation, if therapy is necessary, we are able to initiate therapy in English, Spanish, or both languages to help your child communicate with family, friends and all of the people in the child’s life using their preferred language.

M: So cool! Are any other therapies offered?

B: Of course! We also offer therapy for feeding difficulties, stuttering, problems with social language secondary to autism, and the use of augmentative and alternative communication for children who are not able to talk using verbalizations. Here at MetroEHS we also offer occupational and behavior therapy at all of our centers. We have a phenomenal team of therapists that provide individualized services for your child. And Mallory, you can assist Spanish-speaking families get started, right?

M: Of course! We accept most insurances. I would be happy to answer any questions that families might have. Call our office to see if your child might benefit from speech therapy or other therapies in Spanish, English, or both languages. Our telephone number is 313-278-4601. We would love to talk to you!

Brittany: Hola! Me llamo Brittany y soy la terapeuta bilingue de habla en MetroEHS en Sterling Heights y Detroit.

Mallory: Hola! Me llamo Mallory y trabajo en el departamentro de recursos humanos en la oficina administrativa en Plymouth.

Brittany: Estamos emocionados de anunciar que MetroEHS ofrece la terapia de habla en ingles y espanol.

Mallory: Que excelente! Podemos proporcionar la terapia de habla a ninos en MetroDetroit en su idioma nativo. Brittany, me puedes explicar como saber si mi hijo necesita la terapia de habla.

Brittany: Por supuesto! Si tiene preocupaciones del desarrollo del lenguaje o de la articulacion de su hijo es posible que se beneficie de la terapia de habla. Por ejemplo,  si su hijo no puede pronunciar ciertos sonidos, no dice muchas palabras ni combina palabras para hacer oraciones, o si no le puede entender a su hijo, podemos hacer una evaluacion para ver si califica para la terapia de habla.

Mallory: Suena muy bien! Que pasara despues?

Brittany: Despues de la evaluacion, si las terapias son necesarias, podemos iniciar las terapias en ingles, espanol o ambos idimos para ayudar a hijo a comunicarse con la familia, los amigos y todas las personas en su vida usando su idioma preferido.

Mallory: Guau(wow)! Ofrecen otras terapias?

Brittany: Tambien ofrecemos terapias para dificultades con la alimentacion, el tartamudeo, problemas con el lenguje social secundario al autismo, y el uso de comunicacion aumentativa y alternativa para ninos que no puede hablar con verbalizaciones. En MetroEHS, ofrecemos la terapia ocupacional y la terapia de comportamiento (ABA). Tenemos un equipo fenomenal de terapeutas que proporcionan servicios individualizados para su hijo. Mallory, tu puedes ayudar a las familiar que hablar espanol en la oficina, verdad?

Mallory: Por supuesto! Aceptamos muchos seguros medicos. Yo estaria encantada de responder a cualquier pregunta que tenga. Llame nuesta oficina para ver si su hijo se podria beneficiar de la terapia de habla en espanol, ingles, o ambos idiomas. El numero de telefono de la oficina es 313-278-4601. Nos encantaria hablar con usted.

A Comprehensive Guide for Parents on the Individualized Education Program

Navigating the world of special education can be overwhelming for parents, especially when faced with terms and processes that are unfamiliar but crucial for their child's education. One of the most crucial tools in supporting children with developmental needs is the Individualized Education Plan (IEP). But what exactly is an IEP, and how can it benefit your child? In this post, we’ll break down the IEP process into four essential points to help you understand how it works and how it can support your child’s educational journey. Plus, we’ll highlight how MetroEHS Pediatric Therapy leverages IEPs to providecomprehensive care for families.

1. Understanding the Basics: What Is an IEP?

An IEP, or Individualized Education Program, is a legally binding document developed for children who qualify for special education services in public schools. The child's IEP outlines specific educational goals, the services the child will receive, and the setting in which those services will be delivered. The IEP is designed to meet the unique needs of each student and is developed by a team that includes parents, teachers, school administrators, and specialists. The IEP is mandated by federal law to ensure that children with disabilities receive a free appropriate public education tailored to their unique needs.

An IEP is provided for students who are aged 3-26 in the state of Michigan. This is Part B of IDEA which is the Individuals with Disabilities Education Act, a federal law that provides free public education and special services to children with disabilities. IDEA entitles children to special education services if their disability significantly impacts their ability to access education, and if a specially designed program is needed. Part C of IDEA includes a special education law that governs special education programs and services for children who are birth to 3 years old. Special needs children in this age grouping and their families receive an Individualized Family Service Plan, and parents/caregivers are integral to the assessment and intervention process. This program is often called “Early On”.

At MetroEHS Pediatric Therapy, our specialists understand the critical role an IEP plays in a child’s education. We work closely with families and school districts to ensure that the IEP aligns with the child’s developmental goals, ensuring a smooth transition between therapy and the classroom environment.

2. The Evaluation Process: How Does It Start?

The IEP process begins with an initial evaluation with a MET (Multidisciplinary Evaluation Team). The MET only includes the required personnel for areas being assessed, which always includes a district representative, and a general education teacher in addition to other special education staff (special education teacher, speech and language pathologist, occupational therapist, and teacher consultants). This initial evaluation is a crucial step in the special education process to assess whether a child qualifies for special education services. In order to be eligible for special education programs and services, the child must have needs that pose an adverse academic impact.  If your child has been diagnosed with a developmental disorder, such as autism, you should contact your local school district to request a special education evaluation. If parents disagree with the school's evaluation, they have the right to request an Independent Educational Evaluation (IEE) at the school district's expense. This request must be made in writing, as it ensures a documented trail of your efforts to seek assistance.

Once the request is made, the school district has 30 school days to complete the initial evaluation. MetroEHS is proud to assist families during this process, offering insights and support to ensure that every evaluation considers the child’s full range of needs.

3. Developing the IEP: Collaborating for Special Education Services Success

Once the evaluation is complete and eligibility is confirmed, the IEP team—including parents, teachers, and specialists—convenes for an IEP meeting to develop the IEP. During the IEP meeting, various school personnel, including teachers and administrators, collaborate to create a plan that addresses the child's unique needs. The plan outlines specific goals for the school year, the type of classroom environment the child will be placed in, and any additional services they will receive to support the child's educational development. An IEP meeting should be held at least once per year and can occur more often at the discretion of any IEP team member.  

At MetroEHS, we emphasize the importance of parental involvement in this process. Parents are the experts on their child’s needs, and their input is crucial in creating an effective IEP. We work with families to ensure their voices are heard, advocating for the services and accommodations that will best support their child’s growth and learning.

4. Ongoing Monitoring and Adjustments: Keeping the IEP Relevant under the Disabilities Education Act

An IEP is not a static document; it is reviewed annually and adjusted as needed to reflect the child's educational progress and any changes in their needs. Every three years, a full reevaluation is conducted to reassess the child’s eligibility and to update the IEP accordingly. However, parents can request an IEP review at any time if they feel the current plan isn’t meeting their child’s needs. The 3 year Reevaluation may be waived,  and the child’s eligibility at that time may be continued. This occurs if there is not a concern about the child’s eligibility, (e.g., the child’s condition is chronic).

MetroEHS is dedicated to ongoing collaboration with schools and families. We monitor the effectiveness of the IEP and make recommendations for adjustments when necessary. This commitment ensures that the child receives the most appropriate education and therapeutic services at every stage of their development.

MetroEHS: Your Partner in the IEP Process with a Special Education Teacher

At MetroEHS Pediatric Therapy, we are committed to helping children with developmental needs reach their full potential. We understand that the IEP is a vital tool in achieving this goal, and we work tirelessly to support families through every step of the process. From initial evaluations to IEP development and ongoing adjustments, our team is here to provide the expertise and advocacy needed to ensure your child’s success in school and beyond.

The best start for your child is for a family member or caregiver to contact their local school district to get the IEP ball rolling. They can call their district’s special education department and seek an evaluation/support as needed.  

The Procedural Safeguards is a document given to parents/caregivers at every special education meeting. This includes specific guidance for special education for children in Michigan. You can access this information here: State of Michigan's Website

If you’re seeking more information about the IEP process or need support navigating special education services, contact MetroEHS today. Our experienced professionals are ready to assist you in unlocking the full potential of your child’s educational journey.

History of TheraSuit

Richard and Izabela Koscielny are physical therapists, who have a daughter diagnosed with cerebral palsy and tried out suit therapy with her. After significant improvements with the suit, they modified and created their own suit specialized for therapeutic benefits, called TheraSuit™.

How Does TheraSuit Work?

• TheraSuit worn over a prolonged time will correct proprioception and accelerate progress with functional strengthening
• Skills practiced become more fluent when TheraSuit is worn
• TheraSuit facilitates the development of new gross and fine motor skills faster than typical therapy approaches

Benefits Seen with TheraSuit

• Retraining the central nervous system
• Restores ontogenetic development
• Provides external stabilization
• Normalizes muscle tone
• Aligns the body to as close to “normal” as possible
• Provides dynamic correction
• Normalizes gait patterns
• Provides tactile stimulation
• Influences the vestibular system
• Improves balance
• Improves coordination
• Supports weak muscles
• Decreases uncontrolled movements in ataxia and athetosis
• Improves body and spatial awareness
• Provides resistance to muscles to further enhance strengthening
• Improves speech production and fluency through head control and trunk support
• Promotes gross and fine motor development
• Helps decrease contractures
• Helps improve hip alignment through vertical loading

Patient Populations

• Most major neurological diseases/diagnoses:
  
  • Autism
  • Down Syndrome
  • Cerebral Palsy
  • Cerebral Vascular Acciden
  • Traumatic Brain Injury
  • Spinal Cord Injury

• Posture/alignment asymmetries

Intensive Physical Therapy Schedule

• Intensive physical therapy is meant to be done 3 hours/day, for 5 days/week for 3-5 weeks
• Recommended to complete 3-4 intensive bouts of therapy throughout the year
• Breaks between the bouts have been shown to be more beneficial for the patient vs continuously pushing for months on end
• Recommended to complete HEP 1-hour/day to compliment exercises done in intensive, allowing the patient to not only maintain, but improve their functional abilities
• The schedule of 4  weeks was created specifically in order to change the neuro-pathways, and allow for increased improvements

In General

• Week 1 works on correct muscle activation and beginning to complete basic concentric exercises
• Week 2 works on solidifying concentric movements and working into eccentric movements
• Week 3 solidifies the eccentric movements and introduces isometric holds
• Week 4 focuses all on isometric holds, working into more complex exercises, as well as creating POC and HEP for time off between bouts of intensive

Work to decrease primitive reflexes and general movements that are present → goal-directed movements → selective effective strategies → refining skills → maintaining through practice