About Small Hands, Big Hearts Pediatric Therapy Management, LLC
DALLAS/FT. WORTH & SAN ANTONIO PEDIATRIC THERAPY
Welcome! Small Hands Big Hearts is dedicated to the work of healing through our commitment to empowering children and their families. SHBH is made up of a diverse group of trained professionals in the areas of Physical Therapy, Occupational Therapy, and Speech Pathology proudly serving both the Dallas/Fort Worth "Metroplex" and the San Antonio areas.
Please note that without member information we cannot guarantee that
your specific plan covers these services. We recommend asking the care
provider before beginning services.
Aetna
Ambetter
AmeriGroup
Coventry Health Care
Medi-Cal
+ See More
4775 N Freeway,TX,76106
Get in Contact
(210) 305-4144
administrator@shbhtherapy.com
Reviews
Beaming’s Promise to Families
Your trust is our top concern, so providers can't pay to alter or remove
reviews.
Learn more
Poor communication from therapistMartina Duncan always over 20mins late to the session with no call or text after this no call no show was the last straw smh ill be looking for another OT therapist
myeisha richardson
28 August 2023
google review
Thanks to sydney and her supervisior .They did wondeful job for my son Sanish. Sydney is the best teacher for my son. I wish she could continue in person more. Thank you Sydney
nisha mahat
28 April 2022
google review
I worked here for a year as a PTA. Although my therapist resume is a bit thin I had plenty of jobs in my life so I can say without a doubt this was a great company to work for.I was shocked and impressed to the detail of job training it had for such a small company. Every situation I might face had a solution written out for me look up to. I didnt need to ask any questions bc all the scenarioI would have faced were already written out in the manual.I never had to learn-it-on-the-job. ask-me-if-you-have-any-question let -me-know-if-problem-comes-up issue. And KANTIME program they use is the most beautiful note taking ever. PUnfortunately the pandemic made it hard to build up client and I had to resign. But I had nothing but praise for this company. All the best to sandra and her team.kenni
Kenni Lee
28 April 2021
google review
One of the best pediatric agencies that services speech occupational and physical therapy throughout DFW and San Antonio area. Therapists are kind and understanding of the patients needs and the office staff are friendly and amazing.
Alisa Kaziuchits
28 April 2019
google review
Great
Mr. & Mrs. Rickey Allen Sneed Sr.
28 April 2019
Frequently Asked Questions
Speech therapy is almost always recommended for autistic children since many people with autism have difficulty with social communication. Even if a child is very verbal and says a lot of words, they might need to work on communication skills like:
responding to questions
starting or ending conversation
changing conversation topics
using gestures like pointing
understanding other people's body language
Speech therapy is a big focus in early intervention for autistic children and is usually the starting place for recently diagnosed kids. There is a critical period in the brain for language development and so, it's really important to teach language and communication skills as early as possible, especially if there are any delays in that area. Your child will learn effective ways to communicate which will help them grow into more independent and confident individuals.
It might be obvious when a child struggles with speaking —they are very quiet, say only a few words, or don't speak at all.
Spot speech and language delays like a doctor here.
The goal of speech therapy is to help your child communicate effectively with other people across all environments. This may take the form of using gestures, simple signs, verbal speech, and Augmentative and Alternative Communication (AAC).
Some other common things speech therapists can help with:
Nonverbal skills, such as signs or gestures
Forming speech in a clearer way
Communicating thoughts and feelings clearly
Understanding and responding to questions
Discerning facial expressions and their corresponding emotions
Noticing and understanding body language
Feeding and swallowing
Stuttering
The occupational therapy process includes an OT evaluation before care starts. Here are the four steps your family can expect when starting occupational therapy:
Complete OT evaluation. An occupational therapist first identifies your child’s strengths and needs through a thorough OT evaluation, also known as an OT assessment or screening. You’ll answer questions about your child’s skills, and your child will most likely demonstrate their skills via hands-on activities with the therapist. Evaluations can last 30 minutes to a few hours.
Approve OT plan. The therapist develops a care plan with individualized goals and customized interventions based on your child’s needs. You can also share any specific goals or concerns before approving the OT plan.
Start therapy sessions. The therapist works directly with your child and your family, using various strategies and exercises to systematically improve areas of limitations and to build upon a child’s strengths. Some exercises your child might participate in are animal walks, obstacle courses, and therapy swing activities. Your family may learn strategies for supporting your child’s individualized needs at home, such as ways of supporting emotional regulation and sensory processing. The therapist may also recommend tools and techniques to use at home, in the community, or in the classroom to help your child succeed.
Monitor your child’s progress. Parents and caregivers can expect ongoing progress monitoring and communication to ensure the child is achieving their short and long-term goals.
Occupational therapy can also be provided virtually via telemedicine. Virtual therapy is a great option for families in rural areas who may not have access to in-person services, or for families who prefer to have therapy in their child’s home.
Virtual OT allows the opportunity for increased caregiver participation and understanding of a child’s strengths, areas of improvement, and generalization of skills in the child’s home environment. Virtual therapy also provides increased opportunities for caregiver and family education to support the child and the family based on each family’s needs.
Once you find a quality physical therapist you want to work with, here are a few things you need to know:
There will be an evaluation. First, you can expect an assessment to identify your child’s areas of strength and needs. A physical therapy evaluation usually lasts 30 minutes.
You’ll review and approve the care plan. The physical therapist will create a care plan, also known as a plan of care (POC), outlining the goals and strategies. They will review this with you and your care team before moving forward with therapy sessions.
Physical therapy sessions will be fun. PT with children is designed to be enjoyable. The therapist will use strategies and exercises based on your child’s needs. Exercises might involve playing on large stability balls, obstacle courses, movement equipment, stretches, and other hands-on activities.
Expect home exercises. Physical therapists commonly assign exercises to work on at home. Doing these exercises with your child outside therapy sessions can improve your child’s overall progress.
Yes! Most providers offer physical therapy in their offices or a clinical setting, but many are offering at-home options. Virtual options have become more popular in recent years. You might facilitate care with the guidance of the physical therapist.
Pediatric physical therapy is considered safe and should not hurt. Autistic children spend their time in PT moving and exploring their environment. If you are concerned about your child experiencing pain during certain exercises, especially if they may struggle to communicate and advocate for modifications, speak with their physical therapist about your concerns.
Get in touch with Small Hands, Big Hearts Pediatric Therapy Management, LLC