Early Intervention in DC?

Anonymous
I think things have changed a bit since my almost 6 y.o. was in DCEIP, but here's what I learned at the time:

*DC uses contractors (pvt. companies) as providers, unlike in Mont. Co. where the individual therapists work for the county
*Yes, services are free in MC, but the amount of services you get will be more limited, so often people end up supplementing with private services anyway. For us, having more people available to come to our home more often was better for us -- esp. when he was very young -- b/c our son somehow had a gift for falling asleep just before it was time to leave for any therapy or doctor appointment. He would end up being groggy for half of any session outside the house. Keeping him home gave us more flexibility, esp b/c he had one or two therapies every day. Since your daughter is older, maybe going outside the house would be more beneficial.
*DC providers will submit to your insurance first. After that, you pay the remainder according to an income-based sliding scale. At first we were deemed 100% pay according to income, but when I detailed in a letter our son's medical expenses, DC reduced the percentage that we owed.
*If you don't like one of your therapists, push for another one.
*For most of my son's time in EI, we lucked out with the OT and PT we had through a company called Out Came the Sun. Both were moonlighting from their day jobs at Children's Hospital. When our OT left, we did notice the difference in the quality of the next person we got, but it was only for a few months before he turned 3. Speech therapy was another story. We had one that was OK but quit her job and then 2 completely unacceptable therapists. We ended up going to a phenomenal private therapist, and then managed to persuade DCEIP to pay a portion of the cost because it wasn't our fault that they were unable to find an acceptable therapist.

Great therapists:
OT:
Leaps & Bounds in Tenleytown area of DC, as mentioned above. Allison Mistrett is the owner/director and my son's therapist. I also love Shiraz (blanking on last name right now). I also love that I live close enough to walk there.

ITS (Integrated Therapy Services), as also mentioned above. Very big on sensory stuff and the Astronaut Program.

Lynne Israel & Associates in Friendship Heights area of DC. Also big on sensory stuff. My son isn't an SID kid but is at their fabulous camp this summer. They will provide his OT and PT next year at his new school.

Lynn Balzer Martin, the OT in The Out of Sync Child, is available for evals, but I don't know if she treats.

PT:
There are two therapy practices in Rockville. Early Intervention Associates and Next Step Pediatrics. We've been at both and see pros and cons of both. We currently see Zahava Alon, the owner of Next Step. We used to see Becky Leonard, the owner of EIA. VERY different techniques, personalities. I'd be happy to tell you more on the phone. Marsha Rosenberg at EIA is great, too.

Lynne Israel has one PT, and I hear she's good, but I think her whole day is spent at the school. I don't think she treats in the office, but I'm not sure.

Speech:
We LOVE two therapists:
Chris Huang at Communication Enrichment Services in Bethesda (widely known Diane Lewis is the owner)

Laura Glaser (and her colleague Alicia Goldstein) at Kids Communication Center. (They share space with Leaps & Bounds). The great thing about them is that if your child is at one of a couple of preschools in DC, they will see your child at school.)

There are good therapists at ITS, too, but I don't have personal experience with them.

If you want to pick my brain more, e-mail me at dccoach (at) gmail.com and we'll chat offline.

Good luck!
Michelle









Anonymous
Michelle again ...

oops, I meant Alicia WEINstein at The Kids' Communication Center.

Anonymous
Does anyone know of a good PT that will come to your home in DC?
Anonymous
Another vote for MC services. We used their infants and toddlers program until age 3 at no cost. A special educator came weekly to our home for about a year, then we transitioned to a speech therapist weekly, and this was on top of an OT coming twice a month to daycare and once a month to our home.

Once we "graduated" used OTs at both ITS and Leaps and Bounds listed above. Would recommend both.

Anonymous
I ended up getting pretty good service from DC Infants and Toddlers, especially if I built into my day trying to get a hold of our then coordinator. We now have Marie Celeste, who specializes in visual impairment and she has been terrific. OT was Linda Cross at DOTTS for Children, Lynda Cross, her phone is 202-726-DOTT, she may be merging into another practice for a while but she has been a miracle maker with my son Jackson. The visits are $80 each, but at least with her we have gotten full reimbursement from Carefirst, I think its the codes. I have had less success in getting adequate reimbursement for PT, and speech, DC assigned me to Educational Based Services, no problem with the therapist, Alisa Crews, but they couldn't figure out how to give me a bill in the right format to get it covered by insurance, am still waiting. And DCPS actually has come through for me, creating a visiually impaired preschool program at a place called Mazique Child Care Center. You can get good care, you just need to link into the right people in the system who are themselves frustrated. Ginny Johnson's arrival as Special Needs coordinator seems to have made a difference.
Anonymous
Also consider the wonderful therapists at Georgetown Hospital, which takes all insurances. And Little Feet & Hands is amazing if you can persuade them to take you (they provide IN HOME SERVICES!! Unheard of in DC!). Otherwise, I agree with the posters who have encouraged you to seriously consider moving to Montgomery County rather than DC. I can't imagine a squeaker wheel than me and I got close to nowhere with DC EI.
Anonymous
If OP is still following thread, many D.C. families travel to private therapists here in Mont. Co. If you post again, I could share some names. If you haven't moved to the area yet, could you share which neighborhood you will be living?
Anonymous
Anonymous wrote:If OP is still following thread, many D.C. families travel to private therapists here in Mont. Co. If you post again, I could share some names. If you haven't moved to the area yet, could you share which neighborhood you will be living?


Hi, OP here. I'm still following the thread, although with the move approaching, I've only been checking every so often. We're moving to the Mass. Ave. Heights area of DC. Any advice you have would be much appreciated.
Anonymous
An earlier post mentioned the Language Experience. Can you share your thoughts on the quality of service there and whether there are particular therapists you'd recommend for a child with sensory processing issues and expressive langauge delay? Thanks
Anonymous
OP, is it too late for you to consider Montgomery County, Maryland? Parts of Bethesda run along Mass. Ave. right across D.C. line. Much better services (including public education) in Mont. Co.
Anonymous
Anonymous wrote:OP, is it too late for you to consider Montgomery County, Maryland? Parts of Bethesda run along Mass. Ave. right across D.C. line. Much better services (including public education) in Mont. Co.


It is too late. DC services are that bad? How about private services?
Anonymous
If you have the $$ you can get the services. I am not sure what the value there is from going through DC Early Intervention.

We do all private services. The person from DC Early Intervention who wrote our IEP cut and paste the content for gross motor skills from the evaluation our private physical therapist did.
Anonymous
Sheila Skinner at Georgetown Hospital is a goddess. She's the consummate knowledgeable professional and both our Pediatric Neurologist and regular Ped spoke very highly of her. My child absolutely ADORES her and Sheila has made so much progress with my child so quickly. I can't recommend her highly enough. If I had unlimited funds I would shower her with gifts out of gratitude. Our household funds are limited however, so it's a good thing that G'town accept most insurance plans.
Anonymous
How old is your child? In addition to your private services, you should call Bridges PCS and get a tour. In addition to specializing in early education for children with special needs, they also contract out for high-quality providers who will provide OT/PT/ST and counseling services for your child in the school. Service providers love working for DC charter schools (such as Bridges) because unlike regular public schools they actually get paid.

http://www.bridgespcs.org/
Anonymous
Anonymous wrote:Sheila Skinner at Georgetown Hospital is a goddess. She's the consummate knowledgeable professional and both our Pediatric Neurologist and regular Ped spoke very highly of her. My child absolutely ADORES her and Sheila has made so much progress with my child so quickly. I can't recommend her highly enough. If I had unlimited funds I would shower her with gifts out of gratitude. Our household funds are limited however, so it's a good thing that G'town accept most insurance plans.


What does Sheila Skinner do? Is she a therapist?
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