What we offer

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Services Provided

Occupational therapy helps your child have an independent, productive, and satisfying life. All SHBH Occupational Therapists (OTs) are licensed and certified professionals who help children reach their full potential at home, school, play, and in the community. OT works on helping your child with skills and tasks needed for daily living.

We collaborate with you as a parent, as well as with your child’s caregivers, teachers and physicians to develop a holistic, individualized H.E.A.R.T.S Plan for your child.

Occupational therapy involves fun exercises and play activities, including assistance with:

  • Fine motor skills such as buttoning a shirt or tying a shoe.
  • Sensory integration
  • Ability to process various sensory stimuli in order to learn
  • Eye-hand coordination
  • Ability to coordinate hand movements with what they are seeing
  • Visual perceptual skills such as following a teacher
  • Ability to follow notes as the teacher reads them
  • Visual motor integration
  • Ability to imitate shapes and letters
  • Motor planning
  • Ability to learn new motor sequences for brushing hair, teeth or other activities of daily living

Physical therapy focuses on identifying and maximizing your child’s quality of life through developing their large motor skill coordination and increasing their range of motion. With physical therapy from SHBH, children build strength and improve motor function, balance and coordination in fun, creative ways. In fact, most of the work we do is based in play, an activity we consider to be the most positive way to get children motivated and involved! Using toys and games as a part of therapy are important for your child’s therapy and allow us to create environments that will help your child thrive.

Your child will work with an experienced and licensed SHBH Physical Therapist on fun exercises and activities in order to:

  • Gain more freedom of movement
  • Learn skills to aid walking and gait
  • Improve muscular strength and coordination
  • Increase flexibility, agility and balance
  • Incorporate assistive devices (walker, crutches, wheel chairs)
  • Manage pain
  • Reduce stiffness

  • Additional services include:
  • Weight Management programs
  • Therapy for diagnosis such as: torticollis, toe-walking, gross motor delay and hypotonia.
  • Orthopedic program

It is important for your child to be able express his or her needs and wants. A child’s social engagement depends largely on the ability to communicate his or her thoughts and emotions.

Small Hands Big Hearts’ speech therapy seeks to improve your child’s ability to communicate by improving fluency and articulation, including work on:

  • Correcting mispronounced speech sounds
  • Overcoming pitch and loudness disorders of the voice
  • Smoothing the rate of speech to lessen hesitations and stuttering
  • Increasing vocabulary
  • Improving listening skills and following multi-step directions
  • Assisting non-verbal children’s communication with a communication device or PECS (Picture Exchange System).

  • Speech therapy may also help your child with:
  • Swallowing difficulties
  • Feeding challenges (from tactile defensiveness, etc.)

Our SHBH speech therapists are experienced and fully accredited — not to mention FUN – helping your child to communicate as clearly as possible. We strive to see each child improve their freedom of expression.

Therapy is available for both English and Spanish-speaking clients.

What is teletherapy?
Teletherapy is providing therapy through a live video connection, over the internet. Therapists provide the same treatment as they would in person; it’s just done through a computer! If you’ve ever used Skype on your computer or FaceTime on your iPhone, you’ve used the same type of technology teletherapy uses. If you have not, our therapist will walk you through it.

What types of therapy can be provided using teletherapy?
Currently we are offering teletherapy for all our disciplines: Occupational, Physical, and Speech Therapies.

What is required for teletherapy?
There are some important requirements that are needed for teletherapy:

  • Parental/Caretaker interaction during teletherapy
    While normal in-person therapy sessions typically do not require direct parental involvement, teletherapy often requires a caretaker to be involved to act as the therapist’s hands. This can be a rewarding experience for the parent and the child as it helps enable parents to learn therapy techniques that might help accelerate their child’s goal progression.
  • Internet capable device with a camera for video conferencing
    Therapy time is precious to your child and a reliable internet connection/device is needed.
  • Software installation
    The software can be recommended by your therapist. This will not have a cost associated with it since, during this pandemic, freeware is being allowed to be utilized for teletherapy.
  • A dedicated space
    Take some time and think about the logistics of what will be needed. Your camera device will be able to stand up (hands free) so that your child is in full frame for the therapist. Also, you might pick a room that does not have some of your child’s favorite distractions like a TV.

Do I qualify for teletherapy?
If you qualify for regular in-person therapy, you should automatically qualify for teletherapy. This is dependent on your specific insurance authorizing teletherapy; however, when the national emergency was declared in March, most insurance companies enabled authorizations for telehealth automatically. This might change once the national emergency is declared over, but for now, as long as you qualified for normal in-person therapy, you qualify for teletherapy.

What to Expect

Navigating the Process

Entering the world of therapy with your child might feel like a new and daunting endeavor. SHBH is here to partner with you, helping you navigate the process. There is security in knowing that your child is receiving benefits from an encouraging screened and accredited therapist.

  • Evaluation & Therapy Plan

    After receiving a referral from your physician, one of our friendly staff members will contact you to schedule an initial in-home evaluation with your child. Your child’s personalized H.E.A.R.T.S. Plan (reflecting out motto of “Helping Every Angel Reach Therapeutic Success”) will be developed based upon your physician’s recommendations, the therapist’s observations, and most importantly, by speaking with you.

  • Scheduling Therapy

    We gain approval of your child’s H.E.A.R.T.S. Plan from your physician and insurance company, typically in less than a week.  Your child’s therapist and your family will then create a schedule to ensure consistent visits. We will also partner with you to establish the best therapeutic environment to help your child meet or exceed his or her goals. Each month, a customized schedule will be created for your child. We highly value your input and will endeavor to create a schedule that works well for your family.

  • Therapy

    Your child will begin receiving in-home Physical Therapy, Occupational Therapy and/or Speech Therapy. At each visit, a licensed, certified SHBH therapist will work with your child on the different skills in their H.E.A.R.T.S. Plan. Our therapists provide exceptional care, ensuring that your child is safe and comfortable while being challenged to develop. Your therapist will consistently note your child’s progress and challenges in order to modify his or her personalized H.E.A.R.T.S. Plan. A formal review and revision of the plan is performed every six months.

  • How You Help

    We encourage your full participation in helping your child reach his or her potential. We will provide your family with education to help your child to continue to reach developmental milestones and as much independence as possible. Your SHBH therapists will work with you and share ideas of how you can best help your child between visits.

Feel free to communicate with the therapists
and take an active role in your child’s treatment and well-being.

Insurance Information | Medicaid | CHIP

With our broad acceptance of most major insurance plans and our experience in communicating with both physicians and insurance providers, we handle the red tape allowing your child to receive approval QUICKLY for his or her therapy.

  • Traditional Medicaid and CHIP
  • Aetna (STAR, STAR Kids, CHIP)
  • Ambetter (Commercial)
  • Amerigroup (STAR, STAR Kids)
  • Children’s Medical Center (STAR Kids)
  • Cook Childrens (STAR, STAR Kids, CHIP)
  • Community First Healthplan (STAR Kids)
  • Driscoll (STAR, STAR Kids, CHIP)
  • Molina (STAR, CHIP)
  • Pacificare (Commercial)
  • Parkland (STAR, CHIP)
  • Private Pay
  • Scott & White (STAR, Commercial)
  • Superior (STAR, STAR Kids, CHIP)
  • Texas Blue Bonnet Healthplan (Commercial)
  • United Healthcare (STAR, STAR Kids, CHIP, Commercial)

We are constantly in the process of adding insurance carriers. We also try and receive authorization for providing services when we consider an out-of-network provider for your child. Our staff will follow up and work with the insurance company to seek to secure approval.

If you would like to know if we accept or if we would add your insurer, please email us your insurance company’s name and your contact at One of our friendly team members will contact you shortly.