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Pediatric Therapy and Walking Backwards


Candyland Game for Pediatric Physical Therapy


Candyland Gross Motor Game

In celebration of Physical Therapy month, the MOSAIC physical therapy team developed their own Gross Motor Candyland Game. Our game is an introduction to our “MOSAIC Kids Master” series.

Pediatric physical therapists assess the development of gross motor skills using standardized testing to establish a baseline for each child’s developmental level. The ability to master a skill and progress from rolling, to sitting, to walking and jumping provides therapists insight to the  child’s strength, muscles tone, range of motion, balance and equilibrium responses.  If a child is not progressing with their gross motor skills, the physical therapist will use clinical reasoning, special tests, and other evaluation activities to determine the greatest areas of need for each child.  These underlying issues will be addressed using a variety of therapeutic techniques that are age and interest appropriate to meet each child’s individualized goals in an engaging, enjoyable setting.

Our “MOSAIC Kids Master” series will help families address the gross motor skills from our Candyland game and master each skill using fun, adaptable activities. Keep posted for our “MOSAIC Kids Master” activities throughout the month.

If you have concerns regarding your child’s development, you should consult with your pediatrician and a pediatric physical therapist.


October is National Physical Therapy Month-How are Pediatric PT’s Different?


Physical Therapy Month and Pediatric Physical Therapy

MOSAIC Children’s Therapy Clinics Owner – Wins Prestigious Local Nellie Award


WBO Names Andrea Duffield of MOSAIC Rehabilitation, Inc. as Winner of the 2016 Nellie Cashman Woman Business Owner of the Year Award

SEATTLE – Women Business Owners (WBO), one of Puget Sound’s leading organizations for women entrepreneurs, has named Andrea Duffield as the 35th winner of its annual Nellie Cashman Woman Business Owner of the Year Award (‘The Nellie’). Duffield was honored at the October 6 Nellie Awards Gala held at the Four Seasons Hotel, Seattle. The event also featured Emcee Connie Thompson of KOMO 4 News.

Duffield is the President and CEO of MOSAIC Rehabilitation, Inc., which operates four clinics in the greater Puget Sound area providing pediatric physical, occupational and speech therapy, as well as behavioral and psychological services to children, adolescents and young adults. In 2015, Duffield expanded the scope and type of services that MOSAIC provides to include home and community-based intervention services.

Duffield is a licensed Speech and Language Pathologist who received a master’s degree in this specialty from Western Washington University and a master’s degree in business administration from the University of Phoenix. She is a member of the American Speech and Hearing Association, the Seattle Children‘s Hospital Autism Guild, and serves on the Board of Directors for Manos Unidas, a non-profit school for special needs children in Cusco, Peru.

Prior to serving on Manos Unidas’ board, she actively volunteered for multiple other local charities. She has received numerous awards and recognitions, including the Puget Sound Business Journal’s Top 50 Women Owned Businesses in 2014 and 2015.

Since 1982, The Nellie Award has recognized and honored Washington women business owners who have demonstrated vision, perseverance, and fearless leadership in business and the community. To qualify, a nominee must own at least 51% of her business, have owned it for five years or more and have three or more employees. Candidates are judged on their entrepreneurial spirit, ethics and community commitment, financial and management skills, and the difficulty endured and risk undertaken to achieve their success.

Ellen (Nellie) Cashman (ca. 1850 – 1925) was an Irish immigrant, entrepreneur, gold miner, and community organizer with a string of businesses from British Columbia to Arizona that made her financially independent and universally admired. Thirty-five years ago, the Nellie Award was established to honor the legacy of this Seattle pioneer and recognize the continuing achievement and contributions of female entrepreneurs in our region.

In addition to Andrea Duffield, the 2016 Nellie Award finalists included some of the region’s top female entrepreneurs, each of whom share Nellie’s spirit, drive, and individuality. They all exhibit a remarkable track record of business success and community contribution. They are:

Sari Davidson, BooginHead
Terry L. Jacobson, MD, RPh, FACP, Terry L. Jacobson MD PLLC
Alissa Leinonen, Gourmondo Co.
Nancy Lee Smith, Washington Liftruck

Gala was held at:
Location : Four Seasons Hotel Seattle
Address : 99 Union Street, Seattle
Date – 10/06/2016
6:00 pm – 9:30 pmVIP Reception: 5:15 pm

General Reception (no-host bar): 6 pm

Dinner & Awards Gala: 7 pm

Emcee: Connie Thompson, News Anchor / Reporter, KOMO News 4

Since 1982, the Nellie Cashman Woman Business Owner of the Year Award has recognized and honored Puget Sound area women entrepreneurs who have made outstanding contributions to the status of women business owners through their leadership in business and the community. The award, also known as the Nellie, is the most prestigious and longest running honor of its kind in the region. Presentation of the award brings together more than 300 prominent local business and community leaders in a professionally organized and hosted awards dinner banquet to share the inspiration of our most prominent women entrepreneurs and business owners.

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