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PROMPT Technique for Children’s Speech Therapy

Recently, two more of our pediatric speech language pathologists completed a course to be trained in the PROMPT Technique.

At MOSAIC, we have speech-language pathologists who are PROMPT trained and certified and able to treat a variety of speech difficulties that are also frequently present with different disorders, including cerebral palsy, Down syndrome, cleft lip and palate, autism, and many more. PROMPT is a therapy technique that utilizes tactile-kinesthetic cues to provide information to the child about how speech sounds are produced. For more information about PROMPT and whether it may be appropriate for your child’s speech difficulties, please contact MOSAIC to set up an evaluation with a therapist. More information about the research and theory behind the technique, please visit the PROMPT Institute website:

Sensory Integration Therapy


Sensory Integration Therapy

Sensory Integration Therapy is a treatment approach in a sensory-rich environment which provides just the right challenge to foster active, meaningful and functional activities in a dynamic and family centered environment. MOSAIC therapists engage both parents and their child in sessions to learn, adapt, grow, and achieve success in therapy that can be translated into the home and community setting.

Our occupational therapists utilize many Tools for Self Regulation. In this photo, we show a body working through a bottom up approach to bring this little girl’s body and mind into an alert and focused zone.

All day, every day our bodies fluctuate between low energy, just right energy, and high energy.  The optimal state of performance typically occurs in the just right state.  A bottom up approach is anytime we use our bodies to regulate our mind, as opposed to thinking of a solution on how to calm down or wake up.

The Lycra swing provides increased tactile feedback into the body’s joints and skin as the child moves around. The body also receives feedback from the stretchy fabric engulfing it. Feedback into the joints is sometimes a reason why adults will go to the gym to “blow off steam,” it helps regulate them to a just right state and is a bottom up approach.

The large therapy ball is an added feedback for timing, rhythm, and more input into the body. Most kids love having their bodies bounce into the ball to come flying back out, without knowing that their neurological system is processing so much: anticipation of hitting the ball, feeling a time frame of when to expect the hit, and deep input into joints that provide an awareness of body in space.

All this input, depending on how long you do it, how fast the swing swings, and how hard the kids bounce off the ball, can bring a child to their just right zone where they will be ready to sit and complete work or know where their arms are in relation to their body in order to get dressed.

-Tania Gorsky, MS, OTR/L

MOSAIC Children’s Therapy Clinic, Bellevue, WA


Winter Themed Snow Room Therapy

Pediatric therapists are always looking for ways to engage children in the therapy sessions and the best way is to make it FUN!

This year our team of physical, occupational, and speech therapists have created a variety of hands on, completely engaging activities to utilize with the children.

Kids can create snowmen/snowladies and decorate snowflakes, while working on their fine motor skills.

Then, dress up to take a ride on our “sleigh”, while on our “horse” improving balance, and tolerance of movement all while having fun driving the sleigh.


strap on ice skates to skate around,


experience snow as a sensory experience of touch,

or for those wishing to eat our pretend edible snow, we have mashed potatoes,


make lots of paper snowballs to build a snowman/lady,

Or, for the most fun of all……………………..have a snowball fight with your physical therapist 🙂




Board Games Recommended by MOSAIC’s Speech Therapists

Game Recommendations for Speech Therapy:

*trade secret, speech therapists NEVER follow the rules in board games.  You can modify almost any game to include a speech or language target, or teach to a variety of language levels.


At a basic level, Hedbanz provides a wide variety of vocabulary cards.  You can increase vocabulary by working on labeling or sort cards in to different categories such as foods or animals.  Children can place the card on their head and work on guessing when given a description OR can give a description of the card on their opponents head.  As language levels increase, you may choose to play the game as the rules describe by working on deductive reasoning.  The child has to ask questions to determine what picture is on their head.

I Can Do That!

I Can Do That is a great game for preschoolers.  It targets motor skills and receptive language skills.  You can work on a variety of spatial concepts using the “trick-a-ma-stick” including over, under, around etc. You can modify the cards and work on 1, 2 or 3 step directions. To increase the challenge, you can also use items around your house.  Instead of crawling under the trick-a-ma-stick have your child crawl under the table.

Guess Where?


This game is intended for use with children ages 6 and up. Similar to Guess Who and Hedbanz, it helps children develop deductive reasoning. However, this game can be modified to accommodate children younger than 6. A modification I frequently employ is instruct children to simply ask “Where is the dog?” or “where is the cat?” I have found this can help reinforce the idea that “where” questions ask about places. I have also found that this game can also help encourage the development of theory of mind. For instance, if my grandmother piece is in the kitchen, yours might not be. If I can’t see your house, I can’t know where you put your family members. I use vocabulary such as “I am thinking…” or “I am wondering….” to help encourage the development of theory of mind.

Written by the Speech Therapy Team at MOSAIC Children’s Therapy Clinic-Seattle.

How Does Jumping Help a Child?

Jumping is naturally something that most kids will do on their own, however, when development is delayed or if a child has a need for physical therapy to help them meet the developmental milestones, there are many ways to incorporate jumping into therapy and at home. Strength, coordination, and balance are some of the benefits of jumping.



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.