Programs and Services
Our treatment is TEAM oriented and we know that person centered care includes developing and building a solid support system. This stems from our core belief that to achieve successful treatment outcomes, a person must be able to thrive in many aspects of life, not just within our clinic walls. This requires a whole team of people important to a person’s life to be involved. At Bloom we are able to provide two levels of treatment:
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Focused ABA treatment which is intervention for a limited number of behavioral targets (e.g. language development only or social interaction skills/social anxiety only) with intensity levels in the range of 15-25 hours per week.
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Comprehensive ABA Treatment which is intervention across a wide range of developmental domains such as cognitive, communicative, social, emotional and adaptive, sometimes combined with challenging behavior, with intensity levels in the range of 30-40 hours per week.
Within our levels of service, each client’s needs are assessed for appropriate fit within these models of treatment. Clients will begin with foundational skills and will have data driven goals that will be measured frequently and updated as they are mastered to move within our services covering growth expansion, advancing independence, and self-supporting skills. Client programming is individualized and created specifically to meet direct needs and provide a full experience for every person we have the privilege of working with.
Programs
FOUNDATIONAL SKILLS
Social: Looking when their name is called, allowing others to play with toys, giving a high-five, responding to a greeting.
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Communication/Language: Pointing or gesturing to preferred items, one-word requests using spoken language, PECS, sign language, or an electronic device, naming and recognizing items, completing simple directions.
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Adaptive Skills: Toileting, washing hands, feeding.
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Motor Skills: Pointing with index finger, imitation of basic actions.
GROWTH EXPANSION
Social: Taking turns in a simple board game, smiling when their picture is taken, answering questions about preferences or personal information. Participating in a group setting.
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Communication/Language: Requesting wants and needs with short phrases and sentences, naming and recognizing items outside of their immediate environment, completing multi-step directions.
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Adaptive Skills: Dressing, brushing teeth, tying shoes.
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Motor Skills: Tracing and writing, opening and closing containers, tossing and catching a ball.
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ADVANCING INDEPENDENCE
Social: Staying on topic during conversation, interactions with others in public settings, appropriate and safe interactions on social media, attending to an instructor in a small or large group.
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Communication/Language: Asking questions to get more information, requesting or responding in multiple sentences, communicating with detail and description, communicating feelings and emotions.
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Adaptive Skills: Laundry, preparing food, transitioning through puberty.
Motor Skills: Typing for communication, zipping and buttoning clothing, fastening seatbelts.
SELF-SUPPORTING SKILLS
Social: Appropriate conversations and interactions in the workplace, personal space to others in the community, developing and maintaining relationships.
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Communication/Language: Planning future events, self-advocacy, reporting harmful or dangerous experiences, inquiring and communicating about personal health.
Adaptive Skills: Managing money, shopping for clothing and groceries, caring for living spaces, time management.
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Motor Skills: Locking a door with a key, participating in exercise for health and wellness, carrying items such as a purse or grocery sack.
In addition to progressing through these program areas, we continuously monitor and intervene for individual challenging behaviors and deficits. Some examples of this are:
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Types of challenging behaviors.
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Restrictive and repetitive behaviors (Rigidity).
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Desensitization (improving tolerance to aversive situations such as haircuts or doctor appointments).
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Safety in community environments.
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Client autonomy is extremely important to us and is a big piece of our mission statement. While we work with our clients to break through difficult barriers and live as independently as possible, we do not believe this means that our clients must fit in a particular box to achieve that. For example, stimming and scripting can be very useful tools for individuals on the spectrum and while we work with clients to attend to tasks, we certainly encourage and celebrate healthy self soothing and allow time for breaks to make sure our clients feel safe and supported at all times!
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PARENT TRAINING
At Bloom, we prioritize working not only with clients but the whole family. We have the pleasure of working one on one with our clients for a limited amount of time each week and know that success comes when parents and caregivers receive training they can incorporate into daily living. We work to reinforce the skills acquired with our staff and the progress made in clinic to translate to success at home. Parent and family caregiver training is involved in every type and level of service.
Services
Early Intensive Behavioral Intervention (EIBI) for children with ASD aged 2-5
To achieve the best outcomes of therapy, this model involves comprehensive ABA treatment in terms of its intensity. This part of our program targets all developmental milestones and prevention of maladaptive patterns of behavior in very young learners.
Clinic and Home based 1:1 ABA Therapy
This model can involve either focused or comprehensive treatment depending on the needs of the person. Session activities and frequency/duration are also structured and built around a person’s strengths and challenges. This model of treatment is appropriate for ALL learners aged 5 or older as long as delays or challenges exist. This style of therapy is on an as needed basis
Parent and Caregiver Training and Consultation
While parent and caregiver training and consultation is incorporated into each model and intensity of services, at times a person is only in need of or able to access this service. Within this model, behavior analysts teach parents and other caregivers how to address developmental delays and challenging behaviors in settings outside of our clinic.
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Direct training by the behavior analyst helps caregivers implement interventions and instruction in the client’s day-to-day life and report back on a regular schedule. Treatment goals are typically focused on a specific skill area, such as ordering independently at a restaurant, scheduling and attending social events with peers, or communicating complex emotions to caregivers.
Functional Behavior Assessment (FBA) and Behavior Plan Development
​When warranted, the behavior analyst may serve in the role of consultant to only conduct an FBA and develop a treatment plan for others to implement. When this is the case, coaching and training on the plan is available.
School Consultation
Bloom offers behavioral intervention services in schools. This can involve direct implementation of therapy during school hours by a clinical ABA team or training and consultation from a certified, licensed behavior analyst for teachers and other school professionals.