SERVICES

THE IN S.T.E.P.P.S. MODEL

At IN S.T.E.P.P.S. we walk with you every step of the way on the journey to reach your child’s potential. We offer a variety of services to meet your family’s needs:

BABY STEPPS

is an innovative program designed for families with a very young child with developmental delay or identified as at-risk for developmental delay. BABY STEPPS teaches ways to enhance caregiver-child interaction, and to increase opportunities for joint action routines and skill development through the use of PRT® and other naturalistic techniques.

FIRST STEPPS

This program for children under age three includes 1:1 behavior therapy, parent consultation, and supervision. All developmental areas are targeted in the natural environment during play and daily routines. Caregivers are supported and empowered to play an active role in their child’s program. Collaboration with other service providers (e.g. speech therapists, occupational therapists, etc.) is included to maximize consistency across settings.

BEHAVIOR SERVICES

This highly individualized program is for families with school-aged children and includes 1:1 behavior therapy, parent consultation, and supervision. A strong focus in this program is placed on increasing social skills and communicative competence as well as teaching replacement skills for challenging behaviors.

PARENT CONSULTATION

This service model is available for all ages. During consultation parents are shown effective strategies and techniques using role-play and modeling. Parents are involved in program development and learn when and how to use a variety of Applied Behavior Analysis strategies tailored to their child’s needs.

SCHOOL SUPPORT

If your child needs support in preschool, classroom, or other academic settings, IN S.T.E.P.P.S. offers three support level options. These options can be tailored to your budget and your child’s needs as follows:

WORKSHOP MODEL
Families hire their own staff and IN S.T.E.P.P.S. provides training and ongoing supervision and program development.

CONSULTATION MODEL
Available for families who desire ongoing on-site feedback and suggestions to support their child in a specific environment.This model is often used for quick, on-the-spot problem solving and an objective analysis of the current challenges.

COMPREHENSIVE
SUPPORT MODEL

A full service program that provides shadow aides or inclusion faciliator, supervision, and consultation. In this model you can be sure your child is receiving the highest quality support while you need not worry about interviewing, hiring, and employment laws.

SOCIAL SKILLS

Difficulty with social situations and problems making friends are not uncommon among children, and are a hallmark of a child with an autism spectrum disorder. In order to meet your family and child’s needs in all situations, IN S.T.E.P.P.S. offers a naturalistic and fun approach to teach social skills embedded in children’s games and activities. Our social skills programs use ABA and PRT strategies, and incorporate data collection toward individualized, measurable goals to facilitate your child’s social success.

SOCIAL SKILL GROUPS
We offer clinic-based weekly groups at our office after school and on weekends. Our Groups are small to allow for intensive learning. Participants have individualized goals targeted through fun activities centered around a weekly theme. Please contact us for information.

PLAY FACILITATION
IN S.T.E.P.P.S. offers support during your play dates with a friend or small group of friends. Focus is placed on fluent use of skills and problem solving skills such as negotiating and compromising. Collaboration and social interaction are promoted through the use of cooperative arrangements and ABA strategies.

Social skills for teens: PEERS® program
The Peers ® program is a manualized, social skills training intervention for adolescents and young adults. It has a strong evidence base for use with teens and young adults with autism spectrum disorders, ADHD, anxiety, depression, and other socioemotional problems.

Parents Night Out

Once per month IN STEPPS offers a night of fun for all kids at our IN STEPPS office.

Each month has a different theme and fun activities include arts and crafts, X box with Kinect dancing, a G-rated movie and fun games. Snacks and drinks are served.

Take advantage of this opportunity to enjoy a date with a significant other or an evening out with a friend, and let our experienced and highly qualified staff take care of your kids! Siblings welcome! Check our calendar for the latest information.

To give parents flexibility we offer two options:

Option 1: 6:30 PM-9:30 PM
Cost: $30 Additional children from the same family: $15

Option 2: 6:30 PM-10:30 PM
Cost: $35 Additional children from the same family: $20

Check our Facebook and Blog for upoming dates!

PEERS ®

Program for the Education and Enrichment of Relational Skills (PEERS ®) is a 14-week evidence- based social skills intervention for motivated teens in middle school or high school who are interested in learning ways to help them make and keep friends. During each 90 minute session teens are taught important social skills and are given the opportunity to practice these skills in session during real play activities (e.g. playing sports, board games, etc.). While the teens are meeting, parents meet in a separate room, and are taught how to assist their teens in making and keeping friends by providing feedback through coaching during weekly socialization homework assignments.

Enrollment is limited. Classes are on Wednesday evenings at the Instepps office. Regular attendance is imperative. Parent participation is required.

Topics of Instruction:

  • How to use appropriate conversational skills
  • How to find common interests by trading information
  • How to appropriately use humor
  • How to enter and exit conversations between peers
  • How to handle rejection, teasing, and bullying
  • How to handle rumors and gossip
  • How to make phone calls to friends
  • How to choose appropriate friends
  • How to be a good sport
  • How to handle arguments and disagreements
  • How to change a bad reputation

Application Process:

  1. Call our office at (949)474-1493 to complete a 15-minute phone screening with a member of our staff, and subsequently receive an enrollment packet in the mail.
  2. Complete and return your enrollment packet.
  3. Come in (parent and child) for a 1 hour intake appointment with one of your clinicians to determine if our program is appropriate for you and your child.

Fees:

Please call our office for information about our current fees. Self-pay fees are $100 per week plus a one- time intake fee. Many insurance companies may cover part of the cost of the program. Please contact us for further questions.

*The next round of PEERS for Teens begins Wednesday, September 18th and enrollment has begun – please contact us at (949)474-1493, or email Elise at Elisel@instepps.com to begin the enrollment process! We are also taking ongoing applicants for future groups.

Links:

Peers® UCLA. Clinic: http://www.semel.ucla.edu/peers

Peers® In the news: http://www.youtube.com/watch?v=jbT_ODodzBM

Assessment

IN S.T.E.P.P.S. is now offering comprehensive and in depth assessment services for families seeking an in depth evaluation of their child. Most of our clients seek our assessment services due to their child’s developmental delay and parents’ and/or other professionals’ (e.g., pediatrician, teacher) concerns regarding a possible autism spectrum disorder.

The evaluation occurs during one full-day visit that consists of multiple activities. Initially, the child’s parents are interviewed to obtain relevant developmental, medical, and family history. We ask parents to also bring in any reports from previous evaluations so that we may review them. Then, the child will be formally assessed to obtain an estimate of his current level of intellectual functioning. Following this, two of our clinicians will observe the child during a structured play interview (Autism Diagnostic Observation Schedule). The clinic visit will conclude with an extensive parent conference during which results of psychological testing, diagnostic impressions, and numerous recommendations will be discussed.

Anxiety And ADHD

 

Understanding and Dealing with Anxiety

All children and teens experience fears and worries at various stages of their lives. However, anxiety can reach a point where it is excessive and interferes in children’s lives by lowering their school performance, interfering with their ability to make and maintain friendships, and by negatively impacting family relationships.

In order to diagnose a child or teen with ADHD, Dr. Sivan Kochinski conducts a thorough evaluation in which the child or teen and his or her parents are interviewed, and appropriate assessments or questionnaires are administered. Dr. Kochinski is well versed in cognitive behavioral methods for teaching coping and reasoning skills to help kids and teens understand and confront their worries. In addition to working directly with children, Dr. Kochinski also teaches parents how to use and prompt strategies at home as ongoing work outside of the therapy session is imperative to treatment success. Individual techniques as well as the level of parental involvement will vary by the patient’s developmental level and individual diagnosis and needs.

Understanding and Dealing with ADHD/ADD

Attention deficit hyperactivity disorder (ADHD) is a common childhood disorders and can continue through adolescence and adulthood. Symptoms include inattention and difficulty staying focused, impulsivity or acting without thinking, difficulty following through, and hyperactivity. In order to diagnose a child or teen with ADHD, Dr. Sivan Kochinski completes a full evaluation that includes gathering information from multiple sources using interviews and various assessment measures to gain a better sense of the youth’s behavior in multiple environments (e.g., home, school, work).

If a diagnosis of ADHD is reached, Dr. Kochinski works with the child and his or her parents to manage the behavioral symptoms by developing an individualized, long-term plan. The goal is to help the child, with the support of his family, learn to control his or her own behavior. Families are taught behavioral management techniques that utilize positive and negative reinforcement to encourage appropriate behaviors and discourage inappropriate ones. Furthermore, in light of current research on the treatment of ADHD, which has found that in most cases ADHD is best treated with a combination of medication and behavior therapy, a referral to a psychiatrist for medication management may be necessary.