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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.


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