Turnstone’s pediatric therapy services include physical, occupational, speech, and aquatic therapy. Therapy is provided onsite, by appointment.
Turnstone’s therapists specialize in working with children with disabilities, including but not limited to spina bifida, cerebral palsy, muscular dystrophy, spinal cord injury, traumatic brain injury, stroke, Down syndrome, autism, and other neurological and orthopedic diagnoses. Please click here for program eligibility criteria.
Therapy services may be billed to private insurance, Medicaid, or CSHCS. A sliding-fee scale is available for those who qualify based on income.
Your first step is to schedule an intake appointment with one of Turnstone's social workers so we may better understand your child's needs. The social worker may recommend an assessment with our therapists.
Contact us at (260) 483-2100 to schedule your intake appointment or complete the online contact form.
The Madge Rothschild Pediatric Therapy Wing offers state-of-the-art equipment and services:
- Turnstone’s therapists utilize the TEAM approach to treatment to provide occupational, speech, and physical therapies
- The client and the family/caregivers are key members of our TEAM. Our therapists instruct the family/caregiver in activities to be “practiced” in the home to increase progress toward skills and goals. We work with other caregivers and professionals for carryover into daily life settings, such as school
- The region’s only comprehensive augmentative and alternative communication evaluation program and lab
- A Snoezelen® multi-sensory room for sensory exploration and integration
- Large gross motor gym with vestibular swings, mats, treadmills, and child-size fitness and balance equipment, plus space to walk, run, and ride bikes
- Tree house with stairs, monkey bars, slide, and a rock wall for children, with regular and adaptive hand and foot holds
- Specially-designed outdoor play area for children of all abilities
- Warm water pool equipped with a chair lift, handrails, and an underwater bench with whirlpool jet
- Evaluation and assessment for individualized wheelchairs, seating systems, mobility equipment, and adaptive aids for daily living and communication.
- Collaboration with orthotic and prosthetic professionals
- The area’s only board certified pediatric clinical specialist in physical therapy
Turnstone’s physical therapists focus on assisting clients to achieve their greatest level of functional independence using a child-driven, evidence-based approach. Specific goals are designed to help each child achieve his or her maximum potential at home and in the community. Physical therapy at Turnstone includes traditional treatment methods as well as connecting with community resources such as orthotic, wheelchair, and other durable medical equipment evaluations. Following physical therapy, clients may transition into independent fitness and/or sports and recreation programs.
Aquatic Therapy – The warm water pool at Turnstone is utilized by our therapists to provide aquatic assessment and treatment of our pediatric clients. A variety of equipment is available to aid our therapists during their treatment sessions. Parents are encouraged to be in the pool during treatment sessions to facilitate carryover of program goals following therapy. Physical therapists can evaluate and determine aquatic therapy eligibility.
Bike evaluations – Our physical therapists can complete bike evaluations, make recommendations, and assist families who wish to order bicycles. Because Turnstone is an AmTryke Evaluation Site, clients choosing AmTryke equipment may be placed on a wish list to receive the bike through AMBUCS, a charitable organization.
Swim Lap Club – A specialized swim program, Lap Club is designed for children with disabilities age 4 to 12. Participants are divided into teams based on their skill level. For information on the current session, please contact Kristin at (260) 483-2100.
Occupational therapy refers to therapy that aids in developing or regaining skills needed for the job of living referred to as “daily living skills." A pediatric occupational therapist uses purposeful activities and play to maximize the independence of children. Children who are diagnosed with a physical disability or developmental disorder, neurological or cognitive impairment, or sensory integration dysfunction are often limited in their ability to participate in activities that other children appear to enjoy. Occupational therapists identify a child’s strengths and build on these to develop fine motor skills, increase independence in self-care skills, as well as improve sensory integration and perceptual motor skills. Turnstone’s occupational therapists develop personalized care plans to help each child reach his or her potential. We work closely with families to address their needs and rely on caregivers to implement strategies, exercises, and adaptations at home.
SOS – Occupational Therapists at Turnstone are especially trained to work with children that are "picky eaters" or "problem feeders" using SOS (Sequential Oral Sensory Approach). The therapist will evaluate a child's specific needs and work with families to develop a plan that facilitates improved eating and self-feeding. The SOS approach focuses on increasing a child’s comfort level with foods by exploring and learning about different properties including texture, smell, taste, and consistency in a non-invasive way through play.
Occupational therapists at Turnstone offer assessment and treatment services for a wide range of conditions and diagnoses, including:
- Sensory processing disorder/sensory integration
- Autistic spectrum disorder
- Limited fine motor skills (dexterity, manipulation, cutting, playing with toys)
- Motor-planning & coordination issues
- Handwriting difficulties
- Self-regulation issues
- Feeding concerns/feeding disorders
- Upper extremity dysfunction including strength and range of motion
- Deficits in self-care skills such as feeding, dressing, and grooming
- Cerebral palsy
- Chromosomal anomalies
- Coordination difficulties
- Developmental delay
- Down syndrome
- Congenital, developmental, or neurological disorders
- Visual perceptual disabilities
Treatment methods & protocols include:
- Play-based Sensory Integration Therapy
- Kawar Vestibular-Ocular Protocol (Astronaut Training)
- Therapressure Protocol (Wilbarger Brushing Protocol)
- Handwriting Without Tears
- SOS (Sequential Oral Sensory) for feeding dysfunction
A Snoezelen room is a blend of sights, sounds, textures, and motion that provide opportunities for clients to exercise choice though action. This multi-sensory environment provides sensory equipment and materials that help clients adapt their responses to sensory stimulation and to advance education and therapy goals.
At Turnstone's state-of-the-art Snoezelen Room, specially-trained speech, occupational, or physical therapists facilitate client learning in an interactive environment.
Turnstone’s Snoezelen Room is for children ages 3 to 12 with moderate to severe disabilities. Diagnoses could include but are not limited to physical disabilities, Down syndrome, autism, cognitive impairment, and sensory impairment.
Sensory equipment in the Turnstone Snoezelen Room includes:
- Interactive bubble tube
- Voice- and/or touch-controlled colorful interactive wall panels
- Vibrating chair
- Soft padding on floor and walls
- Special lighting
- Video projector that creates vivid images and scenes
Turnstone’s speech language pathologists (SLPs) focus on expressive and receptive communication, cognition, memory, and judgment issues, as well as articulation, fluency, voice disorders, oral motor strength, and swallowing. Through evidenced-based practice, each SLP has been trained to utilize a variety of evaluation and treatment methods to help each child achieve his or her maximum communication potential. A fully-equipped Augmentative Alternative Communication (AAC) Lab allows for evaluation and treatment using various adaptive communication devices.
Speech Camp is a program that extends speech therapy over the summer in a six-week-long fun camp atmosphere. For more information, contact Chanda Lichtsinn at (260) 483-2100 or firstname.lastname@example.org.
- Speech Camp is for children ages 3-8 with speech and/or language impairments
- Groups meet two days per week from 9:00-11:00 am or 1:00-3:00 pm
- All groups are led by certified speech language pathologists and supported by undergraduate speech clinicians from area universities
- Six weeks of theme-based camp includes group speech therapy, one-on-one interaction to address specific speech therapy goals, peer play, circle time, craft and snack time, with all activities focused on speech and language
Augmentative Alternative Communication (AAC)
AAC refers to the use of symbols, aids, devices, or techniques by individuals with severe speech and/or language disabilities to enhance or better their ability to communicate. AAC provides the individual with the system to augment or enhance their skills through gesture, verbal, or written communication.
AAC can range from a picture representing a want or need to a complex voice output system giving the individual the ability to have a spontaneous and novel conversation.
Children and adults with communication impairments secondary to cerebral palsy, traumatic brain injury, stroke, or autism can benefit from AAC.
Turnstone’s speech language pathologists can use the AAC to perform assessments and treat children and adults with disabilities in a setting that accommodates their skills, abilities, and unique needs. Turnstone’s AAC Lab offers an accessible environment necessary to determine the positioning, lighting, and access methods of the AAC device.
Turnstone’s AAC Lab is unique to northeast Indiana in offering this customized service. Our AAC Lab provides children and adults with disabilities access to the resources and technology necessary to create a positive impact while also meeting the current needs of our community.