1to1 therapists specialize in the treatment of children with Autism Spectrum Disorder (ASD). Our treatment philosophy is a collaborative approach with the inclusion of parents as partners within the assessment and treatment process.
Many families seek out a developmental assessment early in a child’s development. Concerns or red flags may be been communicated by parents, family members, doctor or pediatrician, daycare provider, teacher, early interventionist, speech therapist or other health professional.
Red flags may include lack of social communication, restricted or limited play skills, repetitive or restricted patterns of behaviour, strong sensory interests, poor eye contact and poor joint attention. Parents may also have concerns when their child is not meeting developmental milestones in social communication, play, motor or self-help skills. Regression or loss of previously learned skills can also be a red flag for parents warranting a developmental consultation with our team.
The First Step – Consultation:
The process begins with a no cost consultation with the Clinical Director and Speech-Language Pathologist with advanced training in neurodevelopmental disorders and Autism Spectrum Disorder, Alison Turner.
The consultation is designed to be a screening to determine individualized next steps for your child and family. The consultation will include an overview of communication, sensory, behaviour, fine motor, gross motor, personal independence, play and social skills. A recommendation will be made based on the needs of the child and family. The recommendation will include the type and intensity of service recommended. Each child’s intervention program will be individualized based on their needs.
If your child does not have a diagnosis but is demonstrating red flags for Autism Spectrum Disorder, a developmental assessment will be recommended with a Psychologist or Developmental Paediatrician.
905-787-1900 or 416-925-2135 ext. 557
The Second Step – Diagnostic Developmental Assessment:
1to1’s Psychologist collaborates with the interdisciplinary team (Speech-Language Pathologist, Occupational Therapist and Board Certified Behaviour Analyst) to provide a developmental assessment using the most up to date assessment tools and evidence based research in the area of Autism Spectrum Disorder. A semi-structured assessment of communication, social interaction and play is conducted using the “The Autism Diagnostic Observation Schedule Second Edition” (ADOS-2) and other measures.
Your child’s communication skills, problem-solving, play skills, social skills, motor skills, and daily living skills will be assessed to determine if your child meets the criteria for Autism Spectrum Disorder in the Diagnostic Statistical Manual of Mental Disorder – Fifth Edition (DSM-5). If your child has already received a diagnosis, a diagnostic assessment is not required.
You will receive information about your child’s strengths and weaknesses, sensory profile and individualized treatment recommendations. This information will aid in the development of a treatment plan to best meet the needs of your child. Each family will be assigned a care coordinator at no cost that will provide advice, support and aid in navigating public and private services for children with Autism. You will not be in this alone as 1to1 provides a network of therapists and connects families.
The Third Step – Assessment and Treatment for children with Autism Spectrum Disorder and Neurodevelopmental Disorders:
1to1’s interdisciplinary team is individualized to meet the needs of the child and family. Assessment and treatment plans are customized to the needs of the child using a developmental approach. Your child’s team is tailored to your child’s needs and may include a Psychologist, Supervising Therapist (Board Certified Behaviour Analyst), Instructor Therapist (Behaviour Technician), Speech-Language Pathologist, Occupational Therapist, Physiotherapist, Feeding Specialist or Registered Dietitian. A team approach is the best practice in assessment and treatment of Neurodevelopmental Disorders and Autism Spectrum Disorder (ASD).
1to1 provides evidence based treatment for children with Neurodevelopmental Disorders and Autism Spectrum Disorder. The approach that is best suited to your child’s developmental stage, needs and family will be recommended at the consultation. Available treatment approaches include:
1to1’s team of qualified therapists have specialized training and credentials for children with Neurodevelopmental Disorders and Autism Spectrum Disorder. Intervention techniques are determined by the team based on the needs of the child and family. Available interventions including:
- Augmentative Communication (Proloquo2Go, LAMP, PECS)
- Cuevas MEDEK Exercise Program
- Feeding consultation and therapy
- Handwriting Without Tears®
- More Than Words (Hanen Centre)
- Natural Environment Teaching (NET)
- Neuro-Developmental Treatment (NDT)
- Parent Training Courses
- PECS (Picture Exchange Communication System)
- PROMPT (PROMPTS for Restructuring Oral Muscular Phonetic Targets)
- Sensory-motor integration
- Sequential Oral Sensory (SOS) Approach to Feeding
- Social Skills Training including Social Thinking®
- The Zones of Regulation® for Self-Regulation
Intervention techniques are determined by the autism team based on the needs of the child and family.
The Interdisciplinary Autism Team
The Clinical Supervisor is both a registered Psychologist and a member of the College of Psychologists of Ontario; or, a registered regulated health professional in Ontario and a Board Certified Behaviour Analyst. The clinical supervisor provides clinical guidance and mentorship to the Supervising Therapists and oversees 1to1 Therapy’s clinical practice. For privately funded clients, a Psychologist or clinical supervisor is not required. However, a Psychologist is available to provide clinical oversight to your child’s intervention program at an additional fee. Client’s receiving Direct Funding from the Ontario Autism Program (OAP) require supervision from a Psychologist.
Supervising Therapists (ST) are Board Certified Behaviour Analysts (BCBA), Board Certified Assistant Behaviour Analysts (BCaBA) or a highly trained Behavioural Consultants under the supervision of a BCBA. Supervising Therapists are responsible for overseeing the child’s treatment program. Supervising Therapists provide parent training, monitor progress of the child, supervise and train the Instructor Therapists, and act as a clinical liaison, at the request of the parents, with community agencies/schools.
Instructor Therapists (IT) are skilled behaviour technicians with an Autism and Behavioural Sciences Diploma and/or a degree in a related discipline. Instructor Therapists are trained to become Registered Behaviour Technicians (RBTs) at 1to1 Therapy Services. Instructor Therapists are responsible for implementing programs, recording data and attending all clinical team meetings.
Speech-Language Pathologists (SLP) have a master’s degree in Speech-Language Pathology and are registered with the College of Audiologists and Speech Language Pathologists of Ontario (CASLPO). Speech-Language therapists collaborate with the ABA/ESDM team to provide assessment and intervention of communication, expressive language, receptive language, reading, writing, augmentative communication, social skills and speech. Some of our Speech-Language Pathologists certification and experience include specialized training in The Hanen – “More Than Words” program, PECS (Picture Exchange Communication System), PROMPT (PROMPTS for Restructuring Oral Muscular Phonetic Targets) and ESDM (Early Start Denver Model).
Occupational Therapists (OT) have a master’s degree or equivalent in Occupational Therapy and are registered with the College of Occupational Therapists of Ontario (COTO). Occupational Therapists collaborate with the ABA/ESDM team to provide assessment and intervention for fine motor skills, gross motor skills, visual motor integration, sensory processing, self-regulation, social skills and feeding. Some of our Occupational Therapists certification and experience include specialized training in Neuro-Developmental Treatment (NDT), The Zones of Regulation® for Self-Regulation, Handwriting Without Tears®, and Sequential Oral Sensory (SOS) Approach to Feeding.
Feeding Specialists have a master’s degree in Speech-Language Pathology or Occupational Therapy and specialized training in feeding and swallowing. Feeding specialists address concerns regarding picky eating, sensory sensitivity, chewing, oral motor skills and swallowing. Feeding Specialists have specialized training in the Sequential Oral Sensory (SOS) Approach to Feeding.
Physiotherapists (PT) have a master’s degree in Physiotherapy and are registered with the College of Physiotherapists of Ontario. Physiotherapists collaborate with the ABA/ESDM team to provide assessment and treatment of functional independence and gross motor development including crawling, walking, running and jumping. 1to1 Physiotherapists have specialized training in Neuro-Developmental Treatment (NDT) and the Cuevas MEDEK Exercise program.
Registered Dietitians (RD) are registered with the College of Dietitians of Ontario. Registered Dietitians provide assessments and treatment for nutritional concerns including healthy eating. They assist with meal management, weight loss, oral and enteral (tube) feeding. Optimal nutrition in the early years and throughout the developmental years is the foundation for achieving peak performance in all areas including physical strength and endurance, mental alertness and emotional regulation.