Therapies

Occupational therapy

Occupational therapy in my practice focuses on a Sensory Integrative Approach that is DIR Floortime informed. Parental involvement in therapy sessions is encouraged where appropriate to facilitate carry over between therapy and home environments. School visits and meetings are carried out when necessary however frequent contact with teachers is maintained.

Occupational therapy is recommended if your child has been diagnosed with:

  • Learning Difficulties
  • Attention Deficit (Hyperactivity) Disorder
  • Cerebral Palsy
  • Prematurity of Birth
  • Autistic Spectrum Disorder

In addition occupational therapy is recommended if your child has difficulties in any of the following areas:

  • Delayed motor milestones and/or poor motor skills such as jumping, hopping and skipping
  • Has poor body awareness and is clumsy resulting in clumsiness, frequent tripping or bumping into objects
  • Poor fine motor skills – poor pencil grip, immature drawing or colouring skills, difficulty with handwriting and letter formation, poor cutting as well as difficulty completing fine motor play tasks such as peg boards or lego
  • Difficulty with visual perceptual skills – a child who struggles to copy from the board; battles to recognise letters, numbers or shapes; difficulty with reading and spelling as well as letter and number reversals
  • Difficulty with personal organisation or emotional regulation
  • Struggles with various sensory input and is over or under responsive to sensory input leading to fussy eating, picky about clothes or routines etc. For more information on sensory modulation. Read more here

Therapy Process

Therapy starts with a comprehensive assessment of your child’s abilities to ascertain his/her areas of strength and weakness. This will allow for us to plan therapy accordingly. The assessment will look at your child’s abilities according to his/her age expectations in the following areas:

  • Sensory modulation
  • Emotional Regulation and Attention
  • Postural Control and Gross Motor Skills
  • Fine Motor Skills
  • Visual Perceptual Skills

Therapy can take place in individual or group sessions according to your child’s needs and your affordability.

Individual therapy

  • Hour or half hour sessions with individual attention depending on the child’s age and abilities
  • Parents are welcome to be involved in the sessions and is often encouraged
  • Goals and activities are specific to your child’s individual differences and therapy needs

Group Therapy

  • Hour sessions with 4-6 children per session for children in grade 1 and above
  • Run on a Friday afternoon
  • 2 options
    Handwriting – focus on hand function, prewriting skills, pencil grip and letter formation
    Predischarge – for children who are coping well in individual sessions but continue to have difficulty in group or classroom situation

Occupational therapy rates

Assessment

Infant and toddler – Children aged birth to 36 months

  • This assessment is approximately an hour to 90 minutes and includes a written report and verbal feedback
  • R2300

Full assessment – Children older the 3 years

  • This assessment is approximately 2 hours and includes a written report and verbal feedback
  • R3000

Individual therapy

30 Minutes (25 minutes contact time and 5 minutes feedback to caregiver)

  • R340 per session

60 minutes (50 minutes contact time and 10 minutes feedback to caregiver)

  • R560 per session

Rates for therapy at the Key School are available on request

Group therapy

60 minute group session for a 12 week therapy programme

  • R250 per session per child

Meetings

Meetings or consultations with parents, teachers or doctors etc

  • R280 for first half hour
  • R140 per subsequent 15 minute periods

Progress Reports

Available on request or with annual reassessment

  • R600

Home and School Programmes

Home or school programmes to help carry over into other environments including sensory diets

  • Please ask for a quote

 

Speech Therapy

Speech and language are tools that humans use to communicate or share thoughts, ideas, and emotions. Speech and language therapy aims to achieve optimal communication skills in a child. This refers to nonverbal, spoken, pre-literacy and written language skills, which can influence not only communication but also academic achievement, social adjustment and overall development. The therapist aims to empower the child to communicate effectively and to their optimal ability, using different approaches depending on the presenting difficulty.

This practice:

  • values child praise and confidence building
  • works with children to age 10 years
  • is a cash-practice. Payment will be made directly to the practice. The responsible party may then claim back from their medical aid
  • favours collaborative relationships within the multidisciplinary medical and educational team, including the child’s family

Areas of service

  • Early intervention
  • Speech development delays/disorders (e.g. Articulation/pronunciation, Dyspraxia/oral-motor planning, Dysarthria/muscle weakness)
  • Language delays/disorders (receptive and expressive)
  • Second language English speakers
  • Auditory processing disorders
  • Phonological awareness (e.g. pre-literacy, rhyming, identifying sounds in words, sounding out words and blending sounds together)
  • Pragmatics (social communication)
  • Communication difficulties associated with syndromes and/or special barriers to learning (e.g. Autism)
  • Language and pre-literacy difficulties associated with ADHD
  • Communication rehabilitation for neurological impairments (e.g. stroke / traumatic brain injury)
  • Oral motor strength, function, planning and sensory mechanism.
  • Feeding difficulties

Assessment

In the initial consultation, the child needs to be assessed in order to ascertain his/her areas of difficulty and in order to plan a therapy programme. The initial assessment, consisting of informal and standardized assessment analysis, usually takes approximately two hours depending on the child, and may need to be carried over a few sessions. It may include a pre-meeting to obtain the case history information and a post-meeting for parent consultation/feedback. The findings will be compiled into a report, which is over and above the assessment fee.

Therapy

Therapy sessions (number per week and duration) will then be set up according to the needs of the child. Each child has their own tailor-made intervention plan as no two children are the same. The main focus of my work is to help youngsters develop the best possible communication (verbal and/or non-verbal) and language skills they can in light of their difficulties.

Speech Therapy Rates

Assessment

  • Full comprehensive assessment: R2300
  • Assessment Report: R400

Individual Therapy

  • 30 minutes (usually twice weekly): R285
  • 45 minutes (usually once weekly): R430

 

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