Yesterday at speech therapy Boo was in a mood. Not a bad mood, but a mood. She didn't really want to participate in speech. She wanted to move around. Thankfully our speech therapist "C" is awesome and quickly tuned in the best way to make the 45 minutes productive.
They moved to the floor, where Boo could lay/flop/jump/sit on C's lap. Was Boo really focused on speech? Nope. But C was patient and demanded that Boo not only interact but follow thru in using her words to request.
Of course it got me thinking.
Her other therapists don't do that. We went from speech to occupational. Where the therapist worked wtih Boo but didnt' make her use her words. Then onto physical where again, the therapist worked with Boo but didn't make her use her skills from OT or SPT. And in reviewing the afternoon, "C" didn't make Boo use her OT skills (unless trying to eat the playdough counts as OT skill).
I'm not short-changing any of the therapists. I adore them all and am always so thankful for the love and attention they show Boo. But....
Wouldn't it be more effective if the insurance company would allow them to co-treat? Instead of spending 3 hours in therapy (after spending 8 hours in school) working on different skills, wouldn't it make more sense to have the therapist work together?
We did get authorization for one co-treat a couple of months ago. While it was for PT/SPT and OT was neglected, it was awesome because we got to see how many missed opportunities we had to encourage Boo's language development.
I think it would also help us at home. By the time we finish 3 hours of therapy, we forget to integrate everything in the home.
If only I ran the Insurance world!