Helping children with developmental delays and their families for over 15 years!
By the time a child is 4, some of the most important learning that will ever happen has already taken place.
Is your child on track?
MKSA (a HASC subsidiary) provides a full range of early intervention evaluation, educational, therapeutic and support services for eligible children and their families throughout Long Island, Queens and Brooklyn. The staff and providers (formerly of Marion K. Salomon & Associates) have more than 17 years of experience working with children (with developmental delays) and their families. As one of the largest agencies in the area, MKSA provides a high level of quality services, using caring dedicated professionals.
We support each child’s developmental potential by providing individualized programs tailored to each child’s specific needs. Our goal is to provide prompt, accurate evaluations, effective treatment for developmental concerns, and support for the entire family.
Preschool services are available and are provided by HASC. For information, contact HASC at www.hasc.net.
School age services are also provided by MKSA.
MKSA’s mission is to maximize each child’s developmental potential by working in cooperation with families, schools and communities. We use a successful combination of therapeutic services and family involvement to address each child’s special needs and provide the support necessary to ensure individual success. Our goal is to provide prompt, accurate evaluations, effective treatment and support for families of children with developmental delays.
Why Choose MKSA
MKSA capitalizes on the combined experience of Marion K. Salomon & Associates and HASC. This represents over 65 years of experience, which translates into a large assortment of treatment professionals who can address a multitude of developmental situations.
At MKSA, we believe in putting the child and their family’s needs first. We understand the important role of families in the life of a child with special needs. While our teachers and therapists work with the child, family members are included in a child’s therapy, and every effort is made to accommodate each family’s busy schedule. We work tirelessly to enhance each child’s development and to respond quickly and sensitively to families’ concerns. Our agency’s special strength comes from our years of experience, our emphasis on advanced training, and our strong sense of personal involvement with each family.
MKSA’s professionals all have specialized training, extensive experience, and New York State licenses or certification. These professionals include:
-special education teachers
-board certified behavior analysts
Throughout the year, MKSA hosts many inservices, workshops and conferences on a wide variety of topics. We do this to make it easier for our providers to fulfill training requirements while keeping up to date on current topics. And by having our staff fully trained and up to date, we are better able to help you and your child.
When Does a Child Need Help?
During the early years, all children grow and develop at individual rates. However, if your child is not doing what other kids the same age are doing, if you child has a specific diagnosis, or if you simply believe something is not right, you should ask questions…and get answers. These questions can encompass milestones such as walking, talking, playing, eating, behaving and much more. For children that have a suspected developmental delay or a diagnosed condition, MKSA can help you make an informed decision about your child’s developmental needs. If necessary, we can assist you in the process of getting your child evaluated.
For older children, MKSA can offer help with situations such as:
-trouble making friends
-difficulties with behavior
-concerns about motor development
MKSA can answer any questions and guide you about your child’s development. Please be assured that all conversations are kept strictly confidential. And remember-no question is too small…or too big! For more information, call (516) 731-5588 or email us at firstname.lastname@example.org.
For a child with a suspected developmental delay, or a specific diagnosis, an accurate evaluation is the first step in determining what, if any services might be necessary, and what method of treatment would be most beneficial.
MKSA can evaluate a child in any of these areas:
Communication: using and understanding language
Gross and fine motor: physical skills, such as walking and handling objects
Cognitive: intellectual ability; problem-solving
Social and emotional: dealing with others; handling and expressing their own emotions
Adaptive: self-help skills such as feeding and dressing
Diagnostic: such as ASD, LD and ADHD
Comprehensive evaluations are offered in each of our programs:
An evaluation can determine if a child has a measurable delay in a developmental area. For a child with a specific diagnosis, an evaluation is also necessary to determine what services are needed. All children ages birth to 3 are entitled to a free evaluation under the New York State Early Intervention Program (EIP) to determine if they are eligible for services. If the delay is significant enough/meets eligibility criteria, services are available at no out-of-pocket cost to eligible children.
The EIP is for children less than three years of age, and is a public program funded by New York State and local counties. All children must be referred to the EIP. MKSA is an approved provider of EIP services and is under contract with Nassau County, Suffolk County, and the New York City Department of Mental Health. Parents may refer their child by calling their local EIP: NYC (311), Nassau (516-227-8661), Suffolk (631-853-3100), or MKSA can assist with the referral.
All services under the EIP are provided at no out-of-pocket cost to families, but health insurance may be accessed. Eligibility for the EIP can be determined only by State approved evaluators under contract with the County. If a child is found eligible for the EIP, all services are identified in collaboration with the family and must be authorized by the County, which will arrange for service providers to deliver services authorized by the municipality. For services provided in a community setting that require a fee, the parent is responsible for paying those fees.
For more information, call (516) 731-5588 or email us at email@example.com.
Preschool evaluations are conducted to determine whether or not a child (ages 3-5) has a disability and if a child is eligible for preschool special education and/or related therapeutic services. If a child is found eligible for preschool services, the family acts as a member of the school district’s Committee on Preschool Special Education (CPSE) to determine appropriate services. Your school district can help you arrange these services.
The NYS Education Department (NYSED), Office of Special Education oversees a statewide preschool special education program with schools districts, municipalities, approved providers and parents. Evaluations and specially planned individual or group instructional services or programs are provided to eligible children who have a disability that affects their learning. Funding for these special education programs and services is provided by municipalities and the State.
Our agency has some of the area’s most experienced and respected diagnosticians. Experts at diagnosing and ruling out Autism Spectrum Disorder (ASD), they use the most current testing procedures, informal observation, and clinical judgment, and take the time to make sure they have a complete picture of your child.
For more information, call (516) 731-5588 or email us at firstname.lastname@example.org.
School Age services are available through each school district’s Committee on Special Education. We can also provide services for school-age children at the district’s request. For more information, contact MKSA at 516-731-5588 or by email at email@example.com.
Services and Specialties
Our services include the following:
Speech and language therapy – The speech-language pathologist helps your child with receptive and expressive language abilities, and oral-motor/feeding skills. Development of oral-motor/feeding skills is necessary to promote active movements of the lips, tongue and jaw. Receptive language refers to the understanding of language, while expressive language refers to the use of speech or sign language.
Special education – Special education advances learning, play and social interaction skills. The teacher assesses your child’s functional abilities and learning style; individualized goals address both child and family needs. Behavioral intervention helps parents in managing challenging behavior.
Physical therapy – PT helps a child develop large muscle skills needed for crawling, walking and climbing. PT also prevents or lessens movement difficulties with the goal of building endurance to help normalize body tone and movement.
Occupational therapy – OT supports the development of fine motor skills, eye-hand coordination, sensory, motor and postural development, and self-feeding/dressing skills.
Psychological services – A psychologist helps parents to encourage age-appropriate and social appropriate behaviors, acts as a resource for team members, and evaluates the development strengths and needs of the child enrolled in the program.
Social work services – This provides information, emotional support and assistance for family members in accessing community resources. Sometimes, the social worker helps to coordinate communication between parents and staff. The social worker also provides family counseling as it relates to having a child with a developmental concern.
Our specialties include:
ABA (Applied Behavior Analysis) - This is a systematic behavioral approach in treating children, currently being used primarily with autistic children. ABA refers to a style of teaching that uses a series of trials to shape a desired behavior or response. Skills are broken down to their simplest components and then taught to the child through a system of reinforcement. Prompts are given as needed when a child is learning a skill or refuses to comply. As the child begins to master a skill, the prompts are gradually faded until the child can do the skill independently. Each trial functions like a building block, and together these building blocks provide the foundation for learning. The program is very positive and the child is set up for success by starting out with easier trials, reinforced, then moved on to more difficult tasks. The program essentially teaches children to “learn how to learn.”
PROMPT - PROMPT is an acronym for Prompts for Restructuring Oral Muscular Phonetic Targets. The technique is a tactile-kinesthetic approach that uses touch cues to a patient’s articulators (jaw, tongue, lips) to manually guide them through a targeted word, phrase or sentence. The technique develops motor control and the development of proper oral muscular movements, while eliminating unnecessary muscle movements, such as jaw sliding and inadequate lip rounding.
Audiology services - services which involve testing and evaluation of impaired hearing that cannot be improved by medication or surgical treatment; includes services related to hearing aid use and professional consultation.
Sensory integration training - a form of occupational therapy in which special exercises are used to strengthen the patient's sense of touch (tactile), sense of balance (vestibular), and sense of where the body and its parts are in space (proprioceptive). It appears to be effective for helping patients with movement disorders or severe under- or over-sensitivity to sensory input.
Feeding services – for children who have difficulty reaching developmental milestones for feeding, e.g., weaning from bottles, transitioning to table food and/or higher textures of solid foods.
Neuro-Developmental Treatment (NDT) - NDT) is a hands-on treatment approach used by physical therapists, occupational therapists, and speech-language pathologists. NDT was developed to enhance the function of adults and children who have difficulty controlling movement as a result of neurological challenges. This therapy uses guided or facilitated movements as a treatment strategy to ensure correlation of input from tactile, vestibular, and somatosensory receptors within the body.
Family training and counseling - Family training helps a family understand child development and the level of a child’s needs in order to identify and develop appropriate goals (i.e., behavior management strategies, sharing resources and literature).
Ongoing service coordination – An ongoing service coordinator secures and oversees a child’s services in EI, ensures they are being delivered as outlined in the IFSP, and conducts monthly contact with family to ensure services are going well.
Teaching the visually impaired and hearing impaired
Bilingual services are available in many languages.
Services are offered at home, in the community or in our Plainview clinic. Our providers strive to make a schedule that works for your family. For more information, call (516) 731-5588 or email us at firstname.lastname@example.org.
Early Intervention (Birth – 3)
MKSA provides a full range of evaluation, educational, therapeutic and support services under early intervention (EI). EI services are provided to children under 3 years old who have a diagnosed condition or a delay in a developmental area. A developmental delay means a child has not reached age-appropriate milestones in one or more developmental areas.
These basic areas include:
communication (understanding/using words)
cognitive (thinking, learning)
gross/fine motor (physical skills)
social (relating to others)
adaptive (self-help skills).
EI offers comprehensive evaluations in these five areas of development. In addition, MKSA uses standardized testing to rule out or diagnosis ASD. If a child is determined eligible, services may include: special instruction, ABA, speech/language therapy, physical therapy, occupational therapy, social work, psychological services, and family training. EI services are provided wherever your child is: your home, a day care center, or a preschool. We also offer services in our Plainview clinic. Services are provided throughout Long Island, Brooklyn and Queens. Our professionals make every effort to accommodate each family’s busy schedule. And...there is no out-or-pocket cost for EI services for eligible children and their families. To refer your child to the Early Intervention Program (EIP), parents may call their local EIP: NYC (311), Nassau (516-227-8661), Suffolk (631-853-3100), or MKSA can assist with the referral.
Preschool Services (3-5 years; center-based and home-based)
Preschool services are provided to children ages 3-5. If a child is found eligible for preschool services, the family acts as a member of the school district’s Committee on Preschool Special Education (CPSE) to determine appropriate services. Your school district can help you arrange these services. If your child received early intervention services up to age three, and may still need special services, MKSA can assist you with transition planning and make a referral to the Committee on Preschool Special Education (CPSE).
If your preschool child (age 3-5) did not receive early intervention services but has some developmental delays, MKSA can help you in completing the referral process.
Home-based preschool services can include: special instruction (SEIT), speech therapy, physical therapy, occupational therapy, social work services and behavior intervention services.
For information on home-based preschool services in Nassau County, contact MKSA at 516-731-5588 or by email email@example.com.
For information on HASC and center-based programs located in Nassau County and throughout the great NYC area, visit www.hasc.net, or call HASC at 718-686-5900.
School Age Services
MKSA has contracts with many Long Island school districts for school age children who qualify for services through the CSE (Committee on Special Education). For more information, contact MKSA at 516-731-5588 or by email at firstname.lastname@example.org.
Parents with concerns about their child’s school performance can obtain evaluations/services through our private pay program as well.
MKSA’s private therapeutic services are available when children are not eligible for EI services.
Or, for children age 3 and older, private therapeutic services are available in the following situations:
-Children not found eligible for one of our state-funded programs
-Children not enrolled in one of our state-funded programs
For more information on MKSA’s private pay services, call 516-731-5588 or email us at email@example.com.
Autism Spectrum Disorders
What is Autism Spectrum Disorders?
Autism and autism spectrum disorders (ASD) are terms for a group of complex neurological disorders. In 2013, all autism disorders were merged into one overall diagnosis of ASD. Autism spectrum disorders (ASD) are characterized by social interaction difficulties, communication challenges and a tendency to engage in repetitive behaviors. However, symptoms and their severity vary widely across these three core areas. They may result in relatively mild challenges for someone on the high functioning end of the autism spectrum. For others, symptoms may be more severe, when repetitive behaviors and lack of spoken language interfere with everyday life. The basic symptoms of autism are often accompanied other medical conditions and challenges, which can also vary widely in severity. Although it is best to begin intervention as soon as possible, the benefits of therapy can continue throughout life. Research shows the most effective treatment for children with ASD is ABA (Applied Behavior Analysis).
*Some information courtesy of autismspeaks.org
Indicators of ASD
ASDs are often diagnosed between the ages of 18 months and 3 years. Studies indicate that autism is four times more common in boys than girls, and there is a higher risk if a sibling is diagnosed with autism.
According to the National Institute of Mental Health, some indicators of ASD may include:
-doesn’t babble/point/make meaningful gestures by 1 year
-does not speak one word by 16 months
-does not combine two words by 2 years
-does not respond to name
-loses language or social skills
Other indicators include:
-doesn’t play with toys appropriately
-excessively lines up toys or objects
-no pointing or showing
-does not imitate
-lack of social-emotional reciprocity (i.e. limited or no back-and-forth conversation, reduced sharing of interests/emotions, failure to initiate and respond to social interactions)
-abnormal eye contact and body language; lack of understanding and use of gestures; lack of facial expressions and nonverbal communication
-difficulty in developing, maintaining and understanding relationships; absence of interest in peers
-repetitive motor movement, use of objects or speech (i.e. lining up toys, flipping objects, echolalia)
-insistence on sameness, inflexible adherence to routines (i.e. difficulties with transitions, need to take same route or eat same food every day)
Should your child be evaluated for an Autism Spectrum Disorder?
An evaluation should be considered if your child demonstrated some of all of the following “red flags”:
- rarely looks you in the eye for more than a second or two, or seems to be avoiding eye contact
- does not respond when you call his/her name
- does not point at something he wants or to show you an object of interest
- is not beginning to imitate what you do (clapping, “so big,” blowing kisses, etc.)
- demonstrates repetitive motor movements (rocking, hand flapping, jumping), repetitive actions with toys (spinning, throwing to floor repeatedly, lining up), or repetitive vocalizations
-repeatedly vocalizes parts of TV shows, books, or previously heard conversations, often days after he heard them
-has difficulty with changes in daily routines and get inordinately upset when routines may change
- show no interest in his peers and does not observe what other children are doing
As with any concerns, speak with your pediatrician first. MKSA is always available to answer questions and make appropriate referrals. For more information, call (516) 731-5588 or email us at firstname.lastname@example.org.
* Some information courtesy of autismcenter.org and DSM-5 checklist
Applied Behavior Analysis (ABA) is considered the treatment of choice for autism spectrum disorder (ASD). MKSA continues to be a leader in the area of bringing standardized testing and ABA services to early intervention. Our agency has some of the area’s most experienced and respected diagnosticians. Experts at ruling out ASD, they use the most current testing procedures, informal observation and clinical judgment, and take the time to make sure they have a complete picture of your child.
ABA refers to a style of teaching that uses a series of trials to shape a desired behavior or response. It uses a systematic behavioral approach in treating children with autism. Skills are broken down to their simplest components and then taught to the child through a system of reinforcement. Prompts are given as needed when a child is learning a skill or refusing to comply.
Children must also learn to generalize these new skills—to perform them not just for their ABA teachers, but for anyone in all appropriate situations. Each child’s program is designed to promote generalization by teaching skills in a range of settings and uses a team of teachers, along with the child’s parents.
As the child begins to master a skill, the prompts are gradually faded until the child can do the skill independently. Each trial functions like a building block, and together these building blocks provide the foundation for learning. The program is very positive and the child is set up for success by starting out with easier trials, reinforced, then moved on to more difficult tasks. The program essentially teaches children with autism to “learn how to learn.”
Our ABA Teachers are Special
Our Director of Behavioral Services and many of our ABA staff are Board Certified Behavior Analysts (BCBA) or Board Certified Associate Behavior Analysts (BCaBA). Our ABA team leaders are all experienced special education teachers with years of education, training, and practical experiences in developing programs and working with children and their families. Our ABA providers are all certified special education teachers who have fulfilled the necessary criteria for effective teaching on an ABA team. These requirements include coursework and supervised hands-on training in the field. This expertise is combined with a genuine concern for families and an understanding of the challenges they face and the benefits they can enjoy from these services. Our providers love their work, care about what they do and are dedicated in their efforts to work with every child as an individual.
Remember—if you have any questions about your child’s development, MKSA is here to provide answers. Our goal is to help you to help your child!