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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

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


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

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

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.