Children Evaluation and Rehabilitation Center

About CERC - Children Evaluation and Rehabilitation Center Services

FSHN opened the doors to its Children’s Evaluation and Rehabilitation Center (CERC) in 2013, to provide specialized treatment and care for children. Since then, our goal has always been to provide individualized assessments, treatments, and interventions for children, to enable them to live the most independent life possible regardless of their conditions.

Our team of pediatric specialists provides comprehensive therapy programs for babies, children and young adults across a number of areas. This includes physical therapy, speech pathology, counselling, behavior therapy and occupational therapy. Our treatment programs focus on setting specific and individualized goals to ensure that a child achieves their maximum level of function. We always strive to adhere to a “family-centric” approach, implementing the best treatment methods to ensure the child’s physical, emotional and mental health and wellness.

At CERC, we are fully aware that rehabilitative therapy can be overwhelming for a young child. Therefore, our specialists do their utmost to treat children with tender care and patience, working hard to make the therapy experience pleasant and fun for the child.

The Center offers one-to-one and group sessions, as well as complete assessments and treatments out of the center. We work with children, as well as their parents and caregivers, to evaluate and treat a broad range of complex needs and conditions.

Why to Choose CERC for your child care?

  • Multidisciplinary team in one place (SLP, OT, ABA, PSYCHOLOGIST...)
  • Same day bookings are available, and can be booked over the phone or online
  • Our therapists care about you and about your concerns

Our range of treatments covers, but is not limited to, the following:

  • Developmental delays, including delayed walking, crawling and delays in speech development
  • Abnormal skeletal development, including spinal or extremity involvement (such as clubfoot, torticollis and hip pathology)
  • Neuromuscular diseases, such as Duchenne muscular dystrophy, spinal muscular atrophy
  • Neurological conditions, including cerebral palsy, spinal cord injury, and traumatic brain injury
  • Orthopedic conditions, such as arthrogryposis, scoliosis, kyphosis,
  • Traumatic injuries, such as those resulting from motor vehicle accidents
  • Sports injuries, such as joint trauma, or muscle and ligament tears
  • Post-operative rehabilitation and burns
  • Balance and coordination problems
  • Cardiac and pulmonary rehabilitation
  • Psychological concerns, including academic problems, anxiety and low mood
  • Attentional deficits and behavioral issues
  • Sensory processing disorders
  • Speech difficulties, including articulation, phonation, fluency, resonance and voice
  • Language problems, including receptive and expressive language, phonology, morphology, syntax, semantics and pragmatics; language processing, pre-literacy and phonological awareness
  • Fluency disorders
  • Feeding and swallowing difficulties in infants and children
  • Preterm infant health
Services provided
Pediatric Physiotherapy

We work towards improving a child’s balance, coordination, strength, range of motion, posture and alignment; through strengthening exercises, developmental activities and a range of movement exercises for functional independence.

Pediatric Occupational Therapy

Working towards developing a child’s fine motor skills, coordination, sensory and perceptual motor processing, and cognitive functioning, as well as their everyday skills.

Pediatric Speech Therapy

Working towards developing a child’s overall communication skills, including the understanding and use of language, speech intelligibility (sound production, or articulation), fluency and speech patterns (phonation, resonance, pitch, intonation, voice); as well treating feeding and swallowing difficulties, and working to improve overall social communication skills.

Mental Health and Wellness

Mental health and wellness within CERC works towards developing children’s concentration skills, social skills and coping strategies through counselling and behavior modification. By offering counselling, supportive psychotherapy and play therapy children who are struggling to cope with difficult situations or experiences can feel supported in learning how to deal with their struggles in a healthy and functional way. Applied Behavioral Analysis (ABA) is also offered to all children to increase language and communication skills, reduce behavioral problems, and improve attention, memory and academics. Counseling and parent support is also offered for those who are experiencing difficulty in dealing with their children and are seeking for more effective ways to help their family.

In addition to counseling services, we also offer educational and diagnostic testing for schools. These include several screenings and assessments, such as: autism screening, functional emotional assessment (FEA), and other support testing (IQ, ADHD/ADD, and learning difficulties). Our team works towards integrating social, emotional and academic interventions in order to support the children’s needs and help them to achieve their highest potential.

ABA therapy

Working towards increasing behaviors that are helpful and decrease behaviors that are harmful or affect learning/ daily tasks through therapy based on the science of learning and behavior.

Sensory Integration

What is sensory integration?

Sensory integration is the process by which people register, modulate, and discriminate sensations received through the sensory systems to produce purposeful, adaptive behaviors in response to the environment (Ayres, 1976/2005). The sensory systems we depend on for input include vision, auditory, gustatory (taste), olfactory (smell), tactile (touch), proprioceptive (joint position sense), and vestibular (balance and movement). Effective integration of these sensations enables development of the skills needed to successfully participate in the variety of occupational roles we value, such as care of self and others, engagement with people and objects, and participation in social contexts.

How does sensory integration affect the child’s performance?

Problems effectively integrating sensation can limit a child’s ability to attend to tasks, perform coordinated motor actions, plan and sequence novel tasks, develop social relationships, manage classroom demands, perform self-care tasks, and participate in family activities. When problems in processing sensory information interfere with the child’s ability to perform or participate in age-appropriate activities of daily life or “occupations,” Ayres sensory integration ASI approach can help to address these concerns.

How many children have problems with sensory integration?

According to available research findings, it is estimated that 40%–80% of children (Baranek et al., 2002) and 3%–11% of adults (Baranek, Foster, & Berkson, 1997) with developmental disabilities also have significant sensory processing difficulties. In addition, sensory processing difficulties are estimated to occur in 10%–12% of individuals in the general population who have no identified diagnostic condition (McIntosh, Miller, Shyu, & Hagerman, 1999). Children who are most typically referred for intervention include children ages birth through adolescence who are struggling academically but who do not have a clear diagnosis, as well as those children with such specific diagnoses as autism spectrum disorder, learning disability, nonverbal learning disability, developmental delay, ADHD [attention deficit hyperactivity disorder], regulatory disorder, and developmental coordination disorder.

What does a sensory integration intervention session look like?

Licensed sensory integration therapist design an intervention plan aimed to enhance the child’s unique ability to utilize sensation. This often includes careful use of vestibular, proprioceptive, and tactile sensory input to help the child develop a foundation of ordered sensory processing on which functional skills can be built. Sensory integration intervention occurs within an environment that is rich in tactile, proprioceptive, and vestibular opportunities and that creates both physical and emotional safety for the child; adaptive responses by the child to the environmental context, activity challenge, and unique sensory experiences are evident; all therapeutic activities are child directed and therapist supported; many therapeutic activities will challenge the child to develop ideas about what to do, allow the child to plan out these ideas and then successfully carry out the plans; and many therapeutic activities will promote postural control and balance, which may include the use of specialized equipment such as suspended apparatus, scooters, and balls.

Programs

  • ABA
  • Educational Assessment

 

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