Frequently Asked Questions About
Building Blocks Therapy

Q: Does Building Blocks Therapy accept any insurance payments?

A: We do not have the internal billing and collections system necessary to conduct business with major insurance companies. We will assist you in any way to submit your own claims or to provide copies, reports, or consultation with your insurance company. Once you start therapy, you will receive a bill at the end of each month. This invoice will have the treatment codes, diagnosis codes, and all the necessary information for your insurance company. Prior to starting therapy we highly recommend you call your insurance company and verify your benefits. You may also need to get a referral from your pediatrician.

Q: What age groups are served at Building Blocks Therapy?

A: We are strictly a pediatric practice. The majority of our clients are under 10 years of age. A large number of infants and toddlers are also seen at Building Blocks. We do serve a few children over 10 years of age. Teenagers may not do well at our office due to the small size of furniture and the level of games and activities that we use.

Q: What qualifications does the staff at Building Blocks Therapy have?

A: Our staff consists of all licensed speech-language pathologists. The therapists hold a license in either Virginia or Maryland (DC does not have a licensing board) or in both. To become a speech pathologist you must complete a Master’s Level education at an institution accredited by our national board, The American Speech and Hearing Association (ASHA), and pass both college and national boards. In addition, speech pathologists have additional certification called the Certificate of Clinical Competence (CCC) that is given after completing a minimum of 9 months working under the supervision of another certified SLP. The therapists at Building Blocks hold both licenses and their certificate. In addition, they adhere to the guidelines set forth for continuing education. We are proud to have a talented staff that has gone even further in their training for advanced coursework and practicum in the following specialty areas (to name a few):

• Oral-motor and feeding
• Down Syndrome
• Sensory Integration Dysfunction
• Autism and the Floor-time approach
  (Advanced coursework under Stanley Greenspan and Serena Wieder on the Developmental Interdisciplinary Relationship-Based approach.)
• The PROMPT method for speech therapy
• Debra Beckman ’s Oral Motor Assessment and Treatment
• Phonographics and Visualize and Verbalize approach to reading and comprehension (by Pat Lindamood and Nanci Bell)

Q: How do I know if my child needs therapy?

A: Every child is different and develops at a different rate. There are norms that we use to determine if a child is within normal age level expectations.  If you are concerned about your child’s speech, language, or feeding development it is best to bring your concerns up with your pediatrician. Keep in mind that your instincts are often your keenest guide. If your child is showing signs of difficulty or delay, don’t wait!!! The earlier we can work with a child, the better the prognosis. Please find below some “red flags” that indicate a need for a closer look:

Infants:

• difficulty sucking, eating, gaining weight
• difficulty transitioning from bottle to jar foods to solids
• moderate to severe reflux causing irritability and regulating difficulties
• non-responsiveness to voices, sounds, faces, music, or toys

Toddlers:

• no babbling noticed by 9 months of age
• no imitation or gestures, sounds, or words by 12-15 months
• lack of interaction, eye contact, or play
• repetitive play and behaviors
• avoidance or difficulty with textures, noise, movement, or food

• lack of oral exploration and mouthing of toys

• excessive drooling (independent of getting new teeth)

• inability to follow simple, novel, commands such as “Where’s the ball?”

• not able to understand words they say even to get basic wants and needs met

School Aged Children:

• difficulties with following the school routine, attending
• incorrect grammar, syntax, articulation

• lack of conversational speech and “rich” language

• difficulties re-telling a story or telling about an event

• challenges with pre-reading, phonemic awareness, phonics, or reading

Q: What are the most frequent diagnoses of children seen at Building Blocks Therapy and where can I get more information about them?

A: We see children with a wide variety of problems and many that have no specific diagnoses. Below is a list of some of the more common diagnoses that we treat:

• Autism, Pervasive Developmental Disorders (PDD), Aspergers
• Down Syndrome
• Developmental Verbal Dyspraxia (Apraxia)
• Prematurity
• Auditory Processing Disorder
• Phonological Processing Disorder
• Dysphagia, Disorders of feeding and swallowing
• Dysarthria
• Disorders of articulation, syntax, and grammar
• Sensory Integration Dysfunction

Q: What are some recommended resources for parents who are looking for more information?

A: About...

Sensory Integration:
The Out of Sync Child and The Out of Sync Child Has Fun by Carol Stock Kranowitz

Autism Spectrum Disorders:
The Child with Special Needs: Encouraging Intellectual and Emotional Growth by Stanley Greenspan and Serena Wieder (Also many other resources available at www.ICDL.com)

Down Syndrome:
The National Down Syndrome Association www.ndss.org

Feeding Disorders, Dysphagia, Oral-Motor, and Feeding therapy:

Lip Prints by Joanne Hanson, www.proedinc.com

Out of the Mouth of Babes by Sheila Frick and Patricia Oetter

Feeding and Nutrition for the Child with Special Needs by Klein and Delaney

The Mealtime Participation Guide by Marsha Dunn Klein and Suzanne Evans-Morris.

What's New!

Fall Group Registration for
2 - 3 1/2 Year Olds
Fall Group Registration for
4 -5 Year Olds

Our Staff

Photos from Summer Camp 2008

Tools for Parents
Speech & Language Milestones by AgeWeekly Group ReviewsTuesday