Hello families, For many of you, it has been articulated that if your child did not have to walk through the building, you would feel safe with our clinic. To that end, we would be willing to have you drop off your child in the parking lot where the therapist would meet you and then bring them back down as well.
For other families, if your insurance would allow it, we would be willing to do Teletherapy. PT is not covered and not all services would be appropriate to perform via Teletherapy. The therapy would be scheduled as usual, the therapist would contact you using a HIPPA compliant program called ZOOM, and you and your child would be in your home. All Medicaid products have indicated coverage for Teletherapy. If you are interested, we can explore whether your insurance would cover this option.
In order to perform this therapy, you would need a web cam that is forward facing and a computer that can accommodate the program, and is large enough to project and receive demonstration.
We can begin both of these aspects of services by next week. I need you to respond to me, firstname.lastname@example.org or contact our clinic at 603-740-3534 as soon as you want to begin. Thank you so much and we will do what we can to continue to support your children.
Reach for the Top Therapy Services
61 Locust Street – Suite 331
Dover, NH 03820
To Our Valued Families and Colleagues:
I am sure that everyone has been watching the news to see the updated status of the COVID-19 virus. Currently with diagnosed numbers as low as they are, we have decided not to close. However, it is important that things may change quickly and we will make additional decisions at that time.
In this uncertain climate, Reach will do whatever it takes to remain viable in this uncertain climate. To that end, I want you to know the additional steps we have instituted effective Monday March 16th, 2020.
Many of these measures will be the responsibility of our staff. Many of these accommodations will impact on children and families as they come to the clinic. But the total number of changes are to offer children, families, staff and our clinic the most protection against this uncertain virus.
We had an emergency meeting of the management team today to put in place the steps we are taking due to the declaration of emergency both from the Federal Government and the State of NH. We have taken some actions that will be important for all to understand to maintain the viability of the clinic, staff safety, the safety of the children and families we serve.
Based on all the feedback from the CDC, we have taken enormous steps to maintain the most safe environment possible.
When you enter the clinic, it will look drastically different. We have removed all the balls from both ball pits. We have removed all cloth items and anything that cannot be sanitized. We have removed all cardboard items including the cardboard blocks, puzzles, coloring books, etc. since they are not able to be washed thoroughly. Every single item in the large sensory room, the quiet room, the baby room, the adolescent room and the middle room have been cleaned. All the markers, scissors, crayons, and glue sticks as well as any other washable items in the cabinets have been cleaned and sanitized. All the beans, rice and macaroni have been removed. The staff will be required to maintain this level of cleanliness throughout each day’s work with the children they serve.
From Thursday through Sunday, the staff and some board members have participated in these thorough cleaning and sanitizing efforts and removal of items that can’t be adequately cleaned.
Since social distancing is imperative, the waiting room will be closed to reduce the close proximity of people. All the waiting room chairs have been moved into the hallway and all the cloth chairs in the hallway have been removed. These chairs will be cleaned multiple times each day with Clorox wipes.
To make sure we can maintain this level of cleanliness, effective immediately, therapists are being asked to only do 45 minute sessions and the remainder of the time will be put toward cleaning all items used by the child who has been seen. Each staff will keep a bottle of hand sanitizer with them at all times so that it can be used immediately for sneezes, coughs, dirty hands or touching of faces.
We will maintain social distancing of all children. We have created 9 distinct locations where each child will be seen in only one of those locations. The only people in those locations will be the therapist(s), the child and the parent. They will start and end the session in the same location.
These locations will be as follows:
Oral motor and feeding room
Fine motor areas of middle room
Gross motor area of middle room
Back end of the SI room
Front end of the SI room
These are all distinct locations and the children will all be more than 6 feet away from any other child. We will limit the numbers of people transitioning between areas. If there is no other child in one of the double treatment rooms, a child may use the overlap treatment areas.
Staff will pay special attention to emptying waste baskets and make sure to wear gloves to do so. They will also wear gloves when cleaning the items used in each session.
UPON ENTERING AND EXITING EACH LOCATION, each child, parent and therapist will sanitize their hands. This will help to maintain the cleanliness and germ-free environment in the clinic.
CHANGE IN ATTENDENCE FOR SIBLINGS
Effective immediately any mobile siblings will not be able to attend the therapy sessions with the child receiving services. Families have the option to remain out of the treatment area with siblings or opt to have someone watch them in their homes. If families opt to remain outside the clinic, staff will deliver each child to their parents in the hallway at the end of each therapy session.
ENCOURAGEMENT OF PARENTS
One of the caveats that you as family members may want to consider is to bring your child into the clinic as so many children have a very difficult time without structured routine. Given the unexpected time off from school (and not all schools are closing), many children may need to be supported by therapy as traditionally vacations and holidays can be a nightmare for children out of routines.
As specified previously, any illness in your child or your family should indicate your canceling your child’s therapy services. This includes fever, respiratory issues, colds, flu, GI upset, rashes, green nose secretions, etc. We require each child be symptom free for 48 hours before returning to services. Please call as soon as you know your child is not feeling well.
And finally, our goal is to make sure in this challenging time of uncertainty, that the clinic remains viable. To that end, we fully understand and respect those who may need to keep their children at home. But in order for you to have a clinic to come back to, we need to be able to keep our doors open. We have close to 100 children on our waitlist. This has never been something that I ever entertained when I started the clinic nor find acceptable. I would like to believe that people recognize the value our staff provides to children and families. Having said that, if there are families who need to take a break from services until we have better understanding about all aspects of this COVID-19 virus, we respect and support you. But for each cancelled therapy session, we will be contacting those on the wait list to provide evaluations and treatment for those who are willing to come in. When your child is ready to return, we will make every effort for them to be able to see their same therapist, on their same day and during the same time. However, this cannot be guaranteed.
Please know that these decisions have not been made lightly. As the Executive Director and person responsible for over 20 staff and all the finances of the clinic, I must do what is necessary to ensure that our clinic will be there for you all in the future.
Warmest Regards and Thoughtful Appreciation for Your Trust in our Services,
Reach for the Top Therapy Services
61 Locust Street – Suite 331
Dover, NH 03820