The Developmental, Individual-Difference, Relationship-Based (DIR®) Model
- Functional developmental stages
- Individual differences in auditory processing and language, visual-spatial processing, motor planning, sensory modulation
- The affect diathesis hypothesis: The central role of emotion in the development of intelligence, language, motor, and sensory processing
- Relationships, dynamic learning interactions, and family patterns
Clinical Assessment Approaches
- Analysis of adaptive development, including motor, affective, sensory, language, cognitive, and sense of self
- Observing infants’ and children’s behavior, affects, and developmental patterns
- Comprehending infant and child/caregiver interactions and family patterns
- Discovering constitutional and maturational variations
- Taking the initial interview and eliciting the developmental history • Assessing clinical challenges, such as the differences between developmental variations and disorders
- Using the Functional Emotional Assessment Scale (FEAS) and the new Social-Emotional Growth Chart for clinical and administrative requirements
Diagnostic Processes
- Determining functional developmental levels (in comparison to age-expected levels)
- Discovering the range, flexibility, and stability of adaptive and coping strategies
- Assessing the contribution of environmental and family patterns, stresses, and conflicts, as well as constitutional and maturational patterns
- Evaluating emotional and developmental delays and disorders
- Constructing the diagnostic profile
Intervention Planning
- Using the diagnostic profile to plan appropriate intervention strategies for frequently presenting challenges, as well as rare or unusual patterns
- Video-taped illustrations throughout the presentations
Intervention: A Comprehensive Developmental Approach
In-depth presentation of a comprehensive developmental approach to intervention for infants and children with special needs and their families based on the child’s functional developmental level, individual differences and interactive relationships (DIR®/Floortime™ Model), including a home and family program of developmentally appropriate interactions, interventions and practices geared to each child’s developmental profile (Floortime™). A new educational model for use in classrooms, daycare, or group settings will be discussed as will DIR® guidelines for incorporating different therapies that work with the child’s individual processing differences.
Intervention strategies for each type of developmental deficit, such as:
- Problems with regulation and attention
- Engagement
- Purposeful communication
- Pre-verbal problem solving interactions
- Creating ideas and learning to think imaginatively and logically
- Challenges with sensory modulation, sensory processing, language, cognition, and motor planning and sequencing
Interventions for different subtypes of Autistic Spectrum, Pervasive Developmental, and Multi-System Developmental Disorders (i.e. neurodevelopmental disorders of relating and communicating)
Including discussions of a range of communication, motor, sensory, cognitive, and relationship patterns. The new diagnostic classification system (The ICDL Diagnostic Manual for Infancy and Early Childhood (ICDL-DMIC) as well as DC: 0-3), the new DIR® approach to classifying subtypes of autism and relationship and communication problems, and our study of 200 cases will be described and illustrated.
Interventions will be discussed for special challenges, including:
- Aggression
- Avoidant behavior
- Negativism, self-injurious behavior
- Echolalia
- Perseveration
- Compulsive rituals
- Inappropriate or embarrassing behavior
- Sleep problems
- Difficulties with toilet training
- Children with severe environmental or family challenges, including trauma,patterns of abuse and neglect, attachment disorders (including the special problems of children from orphanages), behavioral, mood and impulse control disorders; cultural patterns also will be discussed.
New findings and interventions for subtypes of Regulatory Disorders, including:
- Attention difficulties
- Motor, sensory, and behavior modulation problems
- Language difficulties
- Excessive fearfulness and/or avoidant behavior
- Defiant and/or rigid behavior
- Tendencies toward self-absorption
- Sensory craving, excessive activity and aggression
The DIR® Approach to Education, Including Creating Learning Communities Throughout the Lifespan
Integrating the Developmental, Individual Difference, Relationship-Based (DIR®) Approach with other interventions including other developmental and relationship-based approaches and intensive behavioral approaches (ABA, Discrete Trial), and a discussion of when to use each approach and how to integrate them around the needs of a particular child.
Promoting the qualities that make a child a great kid such as empathy, curiosity and logical thinking.
Based on the book: Great Kids. Helping Your Baby and Child Develop the 10 Essential Qualities for a Healthy, Happy Life. (2007) By Stanley I. Greenspan, M.D., Da Capo Press.Prevention, early identification and intervention Developmental insights on difficulties with attention, obsessive-compulsive behavior and anxiety in children with ASD Tailoring education to each child’s unique interests strengths and challenges; enabling all children to become active learners
