The One-Stop-Shop for All Things Pediatric Therapy! – WDIV Segment #3

Metro EHS staff members sitting around a table together smiling and talking

A Collaborative, Child-Centered Approach

At MetroEHS, therapists from various disciplines—speech-language pathology, occupational therapy, physical therapy, and applied behavior analysis (ABA)—collaborate to address the diverse needs of each child. This team-based approach ensures that therapy is cohesive and comprehensive, promoting optimal outcomes.

Dr. Vira Francis, a speech-language pathologist at the West Bloomfield location, emphasizes the importance of this collaboration:

“When we’re using a collaborative and holistic approach with children, it’s like each team member is a puzzle piece. We really make that impact when we all come together to make the big picture, and it really helps to prioritize the child’s needs.”

Services Offered

MetroEHS provides a wide array of pediatric therapy services, including:

  • Speech Therapy: Addressing communication challenges, articulation, language development, and literacy skills.
  • Occupational Therapy: Focusing on daily living skills such as bathing, dressing, grooming, toileting, feeding, play, social participation, and school readiness.
  • Physical Therapy: Enhancing gross motor skills, balance, coordination, and strength to support functional movement and participation in activities.
  • ABA Therapy: Utilizing evidence-based strategies to improve socially significant behaviors in children with autism and other developmental disorders.

Each therapy session is designed to be engaging and child-led, incorporating play-based methods to make therapy enjoyable and effective.

Creating a Stimulating Environment

The West Bloomfield center is intentionally designed to be colorful and kid-friendly, providing a stimulating environment that encourages active participation. Therapists tailor activities to each child’s interests and sensory needs, ensuring that therapy sessions are both fun and beneficial.

Empowering Families

MetroEHS is committed to not only supporting children but also empowering parents and caregivers. By providing education and resources, they enable families to reinforce therapy goals at home and advocate effectively for their children’s needs.

Continue Reading

June 23, 2023

Registered Behavior Technician FAQs

Q: What is the RBT certification?

A: RBT certification is a paraprofessional certificate that is in the behavioral analyst field, and you work under the BCBA or BCABA treating and providing services to our kids.

Q: What are the requirements?

A: What it takes to become an RBT here at MetroEHS is you must be 18 years old, a high school diploma, you need the 40 hours of training, and then take a competency test with the supervisor, and then you apply at the BACB website, and take a test, and become an RBT.

Q: What does the training consist of?

A: The RBT training consists of like an interactive and comprehensive 40-hour training that you work in a small group or one on one with other technicians or your BCBA. You’re out in the clinic, hanging out with the kids, learning and watching how they run programs. That could be at the table time or out in natural environment and once you understand the new words in the ABA field, you take your competency test and take the test at the website.

Q: What is the competency test?

A: The competency test is when the supervisor comes out the clinic with you and they watch how you run programs, they interview you, ask questions about the terminology and it’s pretty much just one on one time or you and the supervisor and your client to make sure you understand the terminology and what you’re actually doing and it’s highly encouraged to actually take your RBT test within 90 days of your 40 hour training. It is free of charge. You take the test at the BACB website.

Apply now!

Q: How do I maintain my credentials?

A: To maintain my credentials as an RBT here at MetroEHS, I track all my supervision hours, and I retake my competency test at the year mark or year anniversary of my RBT testing date.

Q: What are the benefits if earning an RBT certification?

A: MetroEHS offers two benefits for becoming an RBT. One is a raise and two, once you become an RBT, you have more opportunities to move up the ladder and become admin or fun stuff.

April 5, 2023

MetroEHS Joins WDIV for Autism Awareness Month

We are proud to sponsor Live in the D, and excited to have joined them this month to bring Autism Awareness.

Tati Amare:
As we watch children grow, we see them develop in many different ways, from infant to toddler to child. As they grow, we celebrate milestones like first steps or first words, but what if the child in your life hasn’t reached a milestone by a certain age or at all? That’s where our sponsor, MetroEHS can help families and children thrive when developmental challenges present themselves. Joining us now here from MetroEHS is our sponsor for Autism Awareness Month is Dawn Sterling, a board certified behavioral analyst with MetroEHS Pediatric Therapy. Good morning and thank you for being with us.

Dawn Sterling:
Good morning. Thank you for having me.

Tati Amare:
This is a lot to think about, but MetroEHS prides itself as a neighborhood therapy company that is accessible to everyone because you have 14 locations and 3 more on the way. Explain the work that you do with families and what makes MetroEHS unique.

Dawn Sterling:
Yes, so we are a pediatric therapy service provider and what really makes us unique is the different variety of services that we offer all in one location. So each neighborhood therapy center has a speech and language pathologist, occupational therapy, physical therapy, applied behavior analysis. We also have dieticians and mental health professionals working with us, and what really sets us apart is our feeding therapy program. So what we do, and its uniqueness, is this wrap around the whole child. So we focus on the whole child developmentally. So whatever a family may be concerned with or struggling with, we’ve got services and support for those families.

Tati Amare:
For every need. I like that. Now if I’m a parent at home and for family members of children, what are some signs that we should look for that may indicate that there may be developmental concerns with our children?

Dawn Sterling:
That’s a great question. So we look for what is called developmental milestones. So your pediatrician is a great person to get that resource from. So if you are at all concerned about your child meeting milestones, maybe they’re not meeting them in the timeframe that you expected, or maybe they had some of these milestones and they’re dropping off, you’re going to start with your pediatrician. They may recommend evaluations. Always pursue those. It’s better to rule out any concerns than to perhaps miss it.
Sometimes what’s recommended is behavior therapy. Applied behavior analysis is one type of therapy that can really help with children with developmental disabilities, and not just autism. These therapies, speech therapy, feeding therapy, occupational therapy, they are for a variety of diagnoses, global childhood developmental delay, any sort of developmental delay that your evaluators may see, there is a related service that can support these families.

Tati Amare:
All right. Now you’ve brought in some example of the items that you use to work with children. So walk us through these tools. I’m going to hold these up.

Dawn Sterling:
Thank you, Tati.

Tati Amare:
Of course.

Dawn Sterling:
MetroEHS is a collaborative pediatric center, so we collaborate with all of our service providers such as SLPs, or Speech Language Pathologists, that may help us design core boards for learners that are not communicating fully with their words yet. We also will collaborate with our occupational therapists on staff for things that may meet a young child’s sensory needs. We are movers and shakers, so sometimes we need to have things that we can play with in our hands, it might be scented to wake up some of those senses. We also have sensory oral chews. We work with a lot of very young kids and we know developmentally young children like to mouth on things.

Tati Amare:
Yeah, this is perfect.

Dawn Sterling:
So this is food grade silicone, it’s safe, it’s safer than the wooden puzzle piece that your toddler might be putting in their mouth. And then we do work on daily living skills, and this is from our OT department, as well. When children are learning to utilize a straw, this cup can be very helpful because we can squeeze it to give them a little bit of that liquid and really show them this is something you might want as we build up their ability to have independence with eating, drinking.

Tati Amare:
And all of that stuff.

Dawn Sterling:
Again, the whole child.

Tati Amare:
Yeah, definitely. Definitely. Okay, so I have to ask you before, because we’re just about running out of time, how rewarding is it for you to be in this position and have the impact with these kids?

Dawn Sterling:
It is the most incredible experience. We get to partner with families. The parents are a viable and valuable member of our treatment team, so we get to work with them and really see what their children and their families are achieving as a result of our therapies. So that is the biggest impact, is seeing progress with our kids.

Tati Amare:
That’s awesome. Dawn, thank you so much for being with us.

Dawn Sterling:
Thank you. Thank you for having me.

Tati Amare:
This is going to be helpful for a lot of families out there. Remember, MetroEHS has 14 locations and 3 more on the way across Metro Detroit. To find a location near you and to see how they can help your family, go to metroehs.com.

May 18, 2026

Questions to Ask Before My Clinical Fellowship Year

Starting your Clinical Fellowship year is exciting—but it can also feel overwhelming. Before you jump in, take a little time to reflect. Asking yourself the right questions now can help you find the best fit and start your career with confidence.

1. Who will my clients be?

Do you see yourself in pediatrics (schools, outpatient, hospital?) or working with adult patients (in the hospital, SNF, outpatient, or specializing?),? What areas draw you in? Articulation, AAC, literacy, language, or feeding? You don’t have to have it all figured out—but having a general direction helps.

2. What work environment fits me best?

Think about where you thrive! Do you prefer a fast-paced clinic , scheduling yourself in a school environment, or in home with your patients? Do you want to work closely with other professionals everyday or have more independence?

3. What kind of support do I need?

Your CF supervisor plays a huge role in your experience. Ask yourself: Do I want hands-on guidance? Frequent feedback? A team I can easily turn to with questions? An experienced mentor?

4. What do I want to learn this year?

Your CF isn’t just about completing hours—it’s about growing your skills. What do you want to feel confident in by the end of the year?

5. What are my non-negotiables?

Consider what matters most to you. Ask about caseload size (both appointments and number of patients/students whose cases you must manage), work-life balance, mentorship, or pay structure (W2 vs 1099). Knowing your priorities will help you make the right decision.

You can also ask about benefits! Some benefits make a big difference today like PTO, paid holidays (are they taken out of your PTO?), medical coverage, and more. Other will shape your future in a big way, like the retirement plan options.

6. How will I take care of myself?

This year can be demanding. Think about how you’ll manage stress, stay organized, and maintain balance so you can show up as your best self.

Your CF year is just the beginning. Taking time to reflect now can set you up for a more meaningful, supported, and successful start in the field. And if you can, find a mentor who will guide you through these sometimes-challenging questions.

‍