Skip to content

MOSAIC Children’s Therapy Clinic-Bellevue, WA, expands their Special Needs Preschool


Our Skill Builder Preschool program has grown from being a support to preschool, to being 4 half days, M-TH 9-noon.

Blueprints Division of MOSAIC runs our Skill Builders Preschool program providing individualized, data-driven instruction aimed at establishing early language, social, cognitive-emotive, and academic skills.

Class size is small and includes children with a variety of strengths, abilities, and needs. The Skill Builders Preschool program is open to all children 3-4 years old, but can particularly benefit children who require special assistance or may have difficulty learning in a larger preschool class. The program utilizes The High Scope® Early Childhood Curriculum, which serves as the foundation for teaching early language, literacy, math skills, as well as enhancing social and emotional development. Additionally, we provide individual behavior, speech and/or occupational therapy for those students who need extra support.

All children will participate in an initial assessment which identifies strengths and areas for growth. This assessment drives the goals identified for the child’s individual learning plan. Progress toward goals is monitored on an ongoing basis and adjustments to the child’s learning plan are made based on data. Caregivers are provided with regular reports on progress. Children are taught the skills that serve as a foundation for future learning and ultimately prepare them to enter kindergarten.

The Skill Builders Preschool program is led by a highly trained teacher with a background in behavior analysis (BCBA), and is supported by a speech therapist, occupational therapist, and behavior technicians. The class runs Monday through Thursday, 9AM-12PM at MOSAIC Children’s Therapy Clinic – Bellevue.
For some students, part of the cost of tuition may be covered by insurance benefits.

For more information, email

Juvenile Arthritis – How Physical Therapy Can Help

aquatic therapy

Therapeutic exercises form the basis of the treatment for children with Juvenile Rheumatoid Arthritis. This program should include all kinds of exercises: aquatic exercises, positioning, passive ROM exercises, and isometric exercises.

Aquatic exercises frequently decrease the pain and prevent muscle spasms. Therefore, swimming and Tai Chi are recommended rather than those sporting activities that include extensive use of the ankles such as basketball, football, and gymnastics. Exercises performed to improve aerobic capacity should be moderate in intensity and should not last more than 30 minutes per day.[6,8]

Bacon et al[20] demonstrated that in children who had exercised in water for 6 weeks, hip rotation angles were significantly improved and other ranges of motion were also enhanced. Klepper[12] studied the outcomes of intensive exercises and showed that an 8-week intensive aerobic exercise program practiced 2 days in the hospital and 1 day at home for 60 minutes per day improved the physical well-being without increasing the activity of disease.

This is another wonderful website for more info:

What is Juvenile Arthritis?

MOSAIC Children’s Therapy offers Aquatic and Land therapy to help children with arthritis.

Help for Children and Teens with Behavioral Challenges

Blueprints family intervention mom and teen son


At MOSAIC Children’s Therapy we offer a variety of behavioral consultation services through our Blueprints division. Our services are tailored to meet the needs of families raising children/teens with behavioral challenges. Our goal is to help children, teens and families solve problems, improve interactions, and enjoy time spent together by changing behavior patterns and establishing new skills & strategies. We work with individuals and families in their homes, at school, and in other natural environments to coach, model, and support positive behavior change. We also provide behavioral intervention, when appropriate, in our clinic.

Our Approach

We take a constructional approach: we help people utilize their strengths & environmental assets to move forward, and achieve their desired outcomes.

We employ a multidisciplinary approach: we provide services that integrate evidence-based procedures from an array of disciplines in order to address our clients’ individual needs.

We use science-based principles: we use strategies and tactics derived from basic and applied research to establish and improve social, language, communication, cognitive, fine/gross motor, adaptive skills.

We assess broadly: we derive our understanding of the variables affecting child and parent behavior from a variety of sources. We assess across four primary domains areas including medical & psychological, curricular, behavioral, & ecological, and use a variety of tools & strategies (e.g., child & family questionnaires, functional assessment interviews, standardized assessments, direct observation, etc.) to gather information in each domain area.

We take a systemic approach to improving lives: based on our assessment across all relevant settings, we develop a multifaceted plan that emphasizes prevention and the teaching of new skills.

We take an outcome-based approach: we help individuals & families select measureable goals that align with their desired outcomes (e.g., greater flexibility to participate in a wide range of community activities as a family, ability to develop and maintain friendships), and evaluate treatment efficacy based on the degree to which these outcomes are achieved.

Blueprints childrens teens family

Our Behavioral consultation Services Often INCLUDE:

Behavioral Skills Training / Early Intensive Behavioral Intervention (EIBI)1
Working one-on-one, we teach and practice the specific skills your child/teen has not yet mastered, while capitalizing on their areas of strength. Material is personalized and relevant. Once skills are established in this context, their impact in other contexts can be seen quickly. Once skills are learned, results can be seen quickly.

Sibling and Peer Coaching
Helping siblings and peers strengthen relationships strained by a history of challenging behavior.

Parent Leadership Training
Teaching the specialized skills needed to successfully parent a child with challenging behavior: cultivating appropriate behavior while minimizing challenging ones; managing a child who is out of control; modeling preferred responses to desired behavior.

Family Coaching
Teaching, modeling and practicing respectful interactions and effective problem-solving strategies within your family’s natural routines.

Behavioral Counseling
Addressing the thoughts, feelings and emotions that have resulted from the negative interactions, situations and consequences related to behavioral challenges.

School Consultation and Support
Partnering with your child/teen’s school and collaborating with special services directors, administrators, and classroom teachers to establish support systems that allow for academic success.

1For children under the age of 6

If you have any questions please contact us at MOSAIC Blueprints_logo_membertagline

MOSAIC has partnered with West Coast Behavioral-Blueprints

Announcement Blueprints merge with MOSAIC

MOSAIC is now partnered with Blueprints for all our behavioral, counseling and psychological services. Come check out our new website to read more about our expanded services and the Blueprints team.


Blueprints in-home behavioral services will improve your life. Children, teens, and families learn to manage behavior, communicate effectively, solve problems, and enjoy time spent together. Our approach is targeted, efficient, and results oriented. Our services focus on building adaptive, social, emotional, cognitive, and executive function skills of children, teens and young adults. Our teams of behavior analysts and technicians teach, coach, and model, not in isolation, but in the meaningful context of family life. Our work produces improved behavior, better social interactions and increased family happiness.

Mental Health

Blueprints mental health services focus on teaching clients the methods for analyzing and increasing control over their own behavior. Emphasis is also placed on improving quality of life and pursuing positive goals rather than presenting the client with predominantly symptom reduction techniques. Moreover, our services focus on environmental contingencies that can be made purposefully modified, providing the client a greater potential for change and the practitioner superior recourse for program development and evaluation. As a result of this approach, our clients experience greater retention of treatment results and maintenance of outcomes.

Blueprints provides the following services:

5 Easy Summer Speech and Language Activities

MOSAIC kiddo climbing

5 Easy Summer Speech and Language Activities

Summer is almost here and the school year is wrapping up.  I have had many parents come to me asking for ideas for recommendations for summer camps and activities.  There are tons of activities and games that you and your family can do at home!  In fact, you can incorporate speech and language targets into almost every activity.  Here are some examples to get you started:

Obstacle Course

Items needed: ANYTHING! Examples: Hula hoops, hopscotch, slide, monkey bars, tunnels, sprinklers, water balloons, balance beam, jump rope, bear walks, skipping, bikes and scooters.

Concepts/Vocabulary: Receptive language, sequencing, planning, and memory.  Vocabulary should include use of temporal concepts like first, next and last.  Obstacle courses can contain any number of items.  For early language developing kids you can start small with 2 items and focus on “first, then” directions and you can increase the number of steps as language understanding and use increases.

Directions:  Set up an obstacle course (2-5+ items) using materials you find at home.  Model the obstacle course with your child and walk through it, verbally describing all of your actions.  For example, “First, jump on the hopscotch, next crawl through the grass and last run through the sprinkler.”  Next, coach your child to go through the obstacle course independently.  Change the sequence of the obstacles to increase variety of language and keep your child entertained.

Variations: Use a stop watch and make it a race.  Some children enjoy the self-competition and strive to beat their best times. Another variation would be going to a park and making it an auditory memory task.  Give your child 3+ tasks verbally and see if they can remember and complete the tasks in order. For children that are more visual, take pictures with your cell phone and show them the stops.

Nature Walk:

Items needed: None!  Just go on a walk or a hike.  Optional items may include binoculars, a magnifying glass, camera (phone) and a fun adventure hat.

Concepts/Vocabulary: Multiple.  Expressively, you can work on vocabulary (nouns, verbs and adjectives) and describing.  Receptively you can play, “I spy” and describe things you see to your child and have them guess.  You can also make it “sound loaded.”  If your child is working on a particular sound, look for items that start with that sound and practice articulation.  For example, “sun, sand, starfish, sailboat, seaweed…”

Directions:  Go on a walk through the neighborhood, a park, beach or a trail.  Have your child describe what they see, hear, smell and feel.  You can make it a describing game or a guessing game.

Variations: Bring a magnifying glass and look at what you find close up!  Or, you could bring binoculars and see what you can find far away.  Make a collection, bring a container and collect objects or things in nature that you find.  If you don’t want to collect objects, have your child take pictures of objects he/she especially likes.  Keep the picture library for your child to describe and share with others.

Make a Snack:

Items needed: Ingredients and tools to make your favorite summer time snack.  Some ideas are homemade popsicles, sandwiches, cookies, ants on a log, or smoothies.

Concepts/Vocabulary: Planning and Organization, Sequencing, Math, Expressive and Receptive language.  Work on food vocabulary and early math skills with measuring.  Also, cooking together is a great activity to do with picky eaters.  It gives them more exposure to the ingredients and opportunities to explore new smells and textures. You can make it a task in following a recipe or you can make it a task in planning, where the child determines what they need and how they should make it.

Directions:  Have your child think of all of the necessary ingredients and utensils to make the snack.  Make a list of the ingredients and help the child gather them safely. Next, have the child describe in sequence how to make the snack.  You can also draw pictures or write the steps down to help the child make the snack when they are finished.  After you have the snack planned, follow the steps, make your snack and eat it!  Please make sure that the children are supervised while cooking to ensure safety. If a child can read, you can also make it an activity for following a recipe and reading comprehension.

Variations: If your child is not ready to plan how to make a snack, you can simplify the activity and just give the child step by step verbal directions.  If your child has significant sensory aversions, you can have the child be the boss and give you directions on what to do.  To work this activity in to your daily routine, your child can watch or help you make dinner and describe all of the steps.

Have a Picnic:

Items needed: Food (real or pretend), utensils, picnic basket, and some real or pretend buddies

Concepts/Vocabulary: Pragmatic language (social skills).  Practice offering foods, taking turns, having conversation and thinking about others.  Encourage your child to take the lead and make sure that everyone has their necessary utensils and have your child find out the picnic guests’ likes/dislikes. Make if a fun outdoor (or indoor) social dining experience.

Directions:  Pack a picnic basket with a variety of (real or pretend) snacks, and bring some (real or pretend) buddies and head out for a picnic.  You can do it outside or inside!  Encourage your child to take the lead and make sure that everyone has their necessary utensils. Have your child find out the picnic guests’ likes/dislikes. Make requests and practice simple conversation.  If you notice your child having difficulty asking questions, gently encourage them or make leading statements like, “I have a favorite food…” Make if a fun outdoor (or indoor) social dining experience.


Variations:  If it is a rainy day- do a picnic indoors.  If your child prefers, you could also make it a tea party.  If you are short for time, you can also practice social skills during a family meal time.  Model conversations and assist your child to participate and ask questions if they need help.

Face Painting:

Items needed: Face Paint (homemade or store bought)

Concepts/Vocabulary: Pretend play, expressive vocabulary

Directions:  Paint your child’s face, and if you are brave, allow them to paint yours J Have your child describe what colors they want on their face, or what animal or character they would like be.  After you are done painting, engage in pretend play!  Pretend to be animals in the jungle, or pretend to be superheroes.  You can pretend absolutely anything!  Pretend play is great for language and social development.  If it is difficult for your child at first, you can re-create scenes from their favorite shows or movies.  As the ability to pretend progresses, encourage novel scenarios, or expand on the familiar ones.

Variations:  You could add body paint; this is a great sensory activity for kids.  It’s also an opportunity to get messy, wait for a hot sunny day and have your hose ready.

I hope these ideas help get your creativity flowing!  Remember, you can make anything a speech and language activity.  While camps and extra activities are great, don’t forget that you are an awesome and valuable teacher for your child.  We would love to hear your ideas for speech and language activities, or help you think of some more.  You can share them on the MOSAIC Children’s Therapy Facebook page.  Have a wonderful and safe summer!

Nicole Case, MA, CCC-SLP is a pediatric speech therapist and the Executive Director of the MOSAIC Children’s Therapy Clinic in Seattle, WA.

Infant Reflux Wedge-Custom Made at MOSAIC Children’s Therapy

Baby in custom designed wedge

What is it?

The reflux wedge is a positioning device to help keep an infant with Gastroesophageal reflux (GERD) or Colic in a more upright position. Gastroesophageal reflux is the return of the stomach contents up to the esophagus.

Its purpose is to keep an infant with reflux in an upright position especially after feeding. Some babies who have difficulties sleeping due to reflux may also benefit from sleeping on a wedge. Babies can still be swaddled in the wedge. Babies are usually positioned in supine (on their back) position but some babies can be positioned on their side as well. Modifications to promote a more symmetrical head position can also be made.

The wedge is custom made out of medical grade open cell foam and is polyurethane-free. The reflux wedge has two lateral foam pieces to keep the baby from sliding down and has a small foam seat. There are also 2 Velfoam straps to keep a baby secure.



How does it help my baby?

  • Keeps them more upright, using gravity to help keep the stomach contents from coming up.
  • Keeps babies more comfortable during sleep while keeping the trunk from being bent.

wedge can be covered with a crib sheet

This service is available at our Bellevue and Issaquah, WA MOSAIC locations.

Go to for more information or to contact us.


Pediatric Physical Therapists Help Children from Birth to Young Adult


These are some of the children’s motor impairments that our team of Pediatric Physical Therapists work with:





  • Torticollis
  • Developmental Delay
  • Down Syndrome
  • Cerebral Palsy
  • Rett Syndrome
  • Genetic Disorders
  • Minimally involved postural and strength deficits
  • Autism Spectrum Disorders
  • Post-operative Treatment
  • Developmental Coordination Disorder
  • Brachial Plexus Injury
  • Orthopedic or Athletic Injuries
  • Orthopedic Pain or Misalignment
  • Toe Walking
  • “Pigeon-Toed” Walking
  • Spina Bifida
  • Stroke or Traumatic Brain Injury

PT group Bellevue/Seattle

Meet our team, (L to R) Kristin Easter, PT, C/NDT,   Lauren Beeker, PT, DPT,   Janelle Gordon, PT, DPT

With over 30 years combined experience, the MOSAIC clinics are an excellent place for children with physical therapy needs. Our team combines their love of children with their knowledge of the human body to help your children reach their maximum potential both now and in years to come. Treatment styles of our clinicians are generally play based, while subtly including evidence based techniques to promote independence. Parent and caregiver education is provided at each session to promote skill generalization and progression.

Some of the equipment we have available to us includes:

  • Aquatic Therapy Pool
  • Infant and Adult Treadmills
  • Playground Equipment
  • Balls and Bolsters
  • Free Weights
  • Swings of all types
  • Specialized Balance Equipment
  • Bikes and Scooters

Our Treatment strategies include many different techniques

  • Joint Mobilization
  • Myofascial Release
  • Taping Strategies
  • Neurodevelopmental Therapy (NDT)
  • Isolated strengthening activities
  • Muscle lengthening and stretching
  • Proprioceptive Neuromuscular Facilitation (PNF)
  • Gait and postural training
  • Core stability
  • Body Awareness training
  • Yoga and Dance techniques

We have direct contact with other professionals that help us to meet our clients’ unique needs including Occupational Therapists (OT), Speech and Language Pathologists (SLP), Applied Behavior Analysis (ABA) therapists, behavioral and educational consultants, and a licensed child psychologist all share our clinics. This provides seamless referrals between disciplines, and improves the continuity of a child’s care.

We frequently work with DME providers to obtain wheelchairs, standers, gait trainers, and other adaptive equipment our clients may need to improve their independence.

Referrals to Orthotists can help obtain compression orthoses and positioning orthoses such as AFOs, SMOs, and custom or prefabricated foot orthotics to improve orthopedic alignment.

Our pediatric physical therapists are here to help