In a recent airing of Live in the D, sponsored by MetroEHS Pediatric Therapy, the spotlight was on Autism Awareness Month, shedding light on how children on the autism spectrum can benefit from life-changing therapy. MetroEHS, a pediatric neighborhood therapy company with multiple locations across Metro Detroit, including expanding services, is dedicated to enhancing the quality of life for children with various therapy needs, including autism.

Deanna Coker, a board-certified behavioral analyst, and Kris Krajewski, a speech therapist with MetroEHS, joined the show to discuss how therapy can significantly impact children’s communication skills.

Understanding Communication Challenges in Autism

Deanna explained that autism, as a developmental disability, often presents challenges in social interaction and communication. Unlike typically developing children who learn language by observing and imitating, children with autism struggle to find meaningful ways to communicate, despite their desire to do so.

The Role of Speech Therapy

Kris emphasized that speech therapy is essential for children with autism, given that communication difficulties are a hallmark characteristic of the condition. Speech therapists, like those at MetroEHS, work to identify barriers to communication and introduce alternative methods for expressing thoughts and needs.

Speech Therapy Interventions

Kris introduced an innovative tool called the AAC device (Alternative and Augmentative Communication), essentially an iPad loaded with specialized software designed exclusively for communication purposes. This device enables children to select words and icons to express themselves, giving them a voice and autonomy in their interactions.

Empowering Communication Through Tools

Deanna highlighted another communication aid, the PECS book (Picture Exchange Communication System), a low-tech solution that uses pictures to help children convey wants, needs, and preferences. By selecting and exchanging pictures, children can effectively communicate with caregivers, enhancing their independence and self-expression.

The conversation between Deanna, Kris, and the show’s host highlighted the importance of therapy in empowering children with autism to communicate effectively. Through innovative interventions and specialized tools, such as AAC devices and PECS books, children can overcome communication barriers and actively engage with the world around them.

For families seeking therapy services for their children, MetroEHS offers comprehensive support, including ABA, speech, occupational, feeding, and physical therapies. With multiple locations across Metro Detroit and additional centers on the way, MetroEHS aims to make therapy accessible and impactful for families in need.

Parents often ask one important question before preschool or kindergarten begins:

"Is my child ready?"

Many people think school readiness simply means knowing letters, numbers, or colors. While those skills are certainly helpful, they are only one small piece of the puzzle.

The truth is that successful classroom participation depends on many developmental skills working together.

Can your child:

✔ Follow simple directions?

✔ Transition between activities?

✔ Sit with a group?

✔ Ask for help?

✔ Play alongside peers?

✔ Manage big emotions?

✔ Hold crayons and scissors?

✔ Listen during story time?

✔ Walk safely in a classroom?

These everyday abilities often have a much bigger impact on classroom success than academic knowledge alone.

Why School Readiness Matters

The first few years of school help shape confidence, friendships, communication, and lifelong learning habits.

When children enter school with strong foundational skills, they're often able to:

• Participate confidently
• Build friendships
• Follow classroom routines
• Learn alongside peers
• Become more independent

For children with autism, these foundational skills often benefit from early, coordinated support.

Introducing Superhero Academy

MetroEHS created Superhero Academy to help children ages 2-6 develop the skills needed for preschool and kindergarten through integrated therapy.

Unlike traditional therapy where each discipline works independently, Superhero Academy combines:

ABA Therapy

Occupational Therapy

Physical Therapy

Speech Therapy

Our therapists collaborate to help children practice the same skills across every therapy session.

Instead of isolated goals, children experience one coordinated learning environment.

Learning Through Play

Every month introduces a new superhero mission.

Children learn through:

• Structured play
• Sensory activities
• Group learning
• Social interaction
• Movement games
• Classroom routines
• Communication opportunities

The result is therapy that feels fun while building real-world school skills.

The Four Hero Disciplines

Sensory Squad (Occupational Therapy)

Helping children develop:

• Fine Motor Skills
• Self-regulation
• Sensory processing
• Independence

Mighty Mover (Physical Therapy)

Helping children improve:

• Balance
• Coordination
• Strength
• Motor planning
• Confidence

Communication Champion (Speech Therapy)

Helping children build:

• Expressive language
• Listening skills
• Social communication
• Early literacy

Learning Legend (ABA)

Helping children develop:

• Classroom behaviors
• Emotional regulation
• Functional communication
• Cooperation
• Peer interactions
• Independence

Building Real School Skills

Throughout the year, children practice:

• Following routines
• Listening to teachers
• Sharing
• Taking turns
• Transitioning between activities
• Solving problems
• Managing emotions
• Communicating wants and needs
• Participating in groups
• Becoming independent learners

Every milestone helps prepare them for the classroom.

Celebrating Every Hero

Children earn Hero Badges as they master new skills throughout the year.

At graduation, every child receives a Superhero Cape or Hero Champion Medal and a diploma celebrating everything they've accomplished.

Because every child deserves to feel like a superhero.

Ready to Begin?

If your child is between the ages of 2 and 6 and has been diagnosed with autism and you’ve been interested in an ABA program, Superhero Academy may be the perfect next step.

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If you've searched online for information about Applied Behavior Analysis (ABA), you've probably seen conflicting opinions.

Some families describe ABA as life-changing. Others have questions after reading recent news stories or social media discussions about the field.

At MetroEHS, we believe parents deserve clear, honest information.

What Is ABA Therapy?

Applied Behavior Analysis (ABA) is an evidence-based therapy that helps children develop skills that improve their daily lives.

Depending on a child's needs, ABA may focus on:

• Communication
• Social interaction
• Play skills
• Safety awareness
• Emotional regulation
• Independence
• Daily living skills

The goal of ABA is not to change who a child is.

The goal is to help children gain skills that allow them to communicate, participate in their communities, and live as independently as possible.

Why Has ABA Received Negative Press?

Recent media coverage has raised concerns about billing practices and quality issues within parts of the industry.

Like any healthcare field, there have been instances where providers failed to meet professional standards.

However, these stories often fail to distinguish between unethical providers and the thousands of clinicians who deliver ethical, evidence-based care every day.

Families should know that poor practice is not the same thing as ABA itself.

What Does High-Quality ABA Look Like?

High-quality ABA is:

💥 Individualized

Every child receives goals based on their unique strengths, needs, interests, and family priorities.

💥 Data-Driven

Clinicians continuously measure progress and adjust treatment plans based on results.

💥 Family-Centered

Parents are active members of the treatment team.

💥 Play-Based

Modern ABA often incorporates games, preferred activities, peer interactions, and natural learning opportunities.

💥 Focused on Meaningful Outcomes and Success!

Success isn't measured by how many hours a child receives.

Success is measured by improvements in communication, safety, independence, social participation, and quality of life.

A discharge plan should always be discussed in any therapeutic service. ABA shouldn’t be a life-sentence for anyone. Make sure that you have a discharge plan in place from the moment you begin therapy.

Is ABA Regulated?

Yes.

ABA is one of the most highly regulated autism services available. Treatment plans require clinical oversight, supervision by Board Certified Behavior Analysts (BCBAs), ongoing documentation, ethical standards, and regular review processes.

Quality providers continuously evaluate progress and reduce or discontinue services when goals have been achieved.

What Should Parents Look For?

When evaluating an ABA provider, ask:

• How are goals selected?
• How is progress measured?
• How often does the BCBA supervise treatment?
• How are parents involved?
• How does the provider collaborate with other therapists?

The best providers welcome these conversations.

Why MetroEHS Believes in Integrated Care

💥 Children do not develop skills in isolation.

💥 Communication affects behavior.

💥 Sensory processing affects communication.

💥 Motor skills affect participation.

That is why MetroEHS brings together ABA, Speech Therapy, Occupational Therapy, and Physical Therapy under one collaborative, clinically integrated, model.

When therapists utilize clinical integration, children benefit from coordinated goals, shared expertise, and a more complete understanding of their needs.

The Bottom Line

Parents should absolutely ask questions about ABA.

They should expect ethical care, measurable outcomes, and meaningful progress.

But families should also know that ABA remains one of the most extensively researched and evidence-based interventions available for many children with autism when delivered appropriately.

The conversation should not be whether ABA is good or bad.

The conversation should be: What does high-quality ABA look like, and how do we ensure every family has access to it?

At MetroEHS, we believe children deserve individualized, compassionate, evidence-based care that celebrates who they are while helping them build the skills they need to thrive.

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