Services under the umbrella of a Developmental, Individual differences, Relationship-based (DIR®) model
Under the Developmental, Individual differences, Relationship-based (DIR®) model a child receives not only Floortime, but also sensory integration occupational therapy, speech and language therapy, and other services such as physiotherapy, music therapy, swimming, gymnastics or other movement/co-ordination exercise activity, etc. according to their individual profiles. Ideally these services would all be monitored by a DIR® team who is in contact on a regular basis in the child’s best interest rather than be islands of isolated services.
* Please note that links may not be up-to-date are only suggestions where you can start, not endorsements. Please conduct your own due diligence when looking for services.
Greater Toronto Area
1to1 Therapy Services offers a variety of services including Speech Therapy and DIR/Floortime® in Markham, North York, Scarborough, and Vaughan.
Autism Consulting and Treatment Services Inc. (ACTS) provides evidence, play- based treatment programs to support children with Autism and their families and is located in Richmond Hill. It is based on The P.L.A.Y. Project which is derived from DIR/Floortime®.
The BODiWORKS Institute in Mississauga provides activity groups for children with Autism Spectrum Disorder, the Adapted Gym Program (AGP), occupational therapy assessments and treatment, combination therapies and functional exercise for Cerebral Palsy and neuromotor disorders, and the Kids Health Initiative (KHI) exercise program among other health-related services.
The Canadian Self-Reg Clinic, Inc. provides the Developmental, Individual differences, Relationship (DIR) model within an OT approach, grounded in Self-Regulation theory using the Shanker Method, Sensorimotor Psychotherapy, and Sensory Processing, seeing parents, youth and adults separately using this combined toolbox, in addition to some families who are looking specifically for a DIR lens in downtown Toronto, in the Hamilton area, and online.
Clinical Communication Consultants (CCC) in Thornhill provide children with communication disorders and their families the best suited and individualized comprehensive intervention program based on developmental diagnostic measures and list DIR/Floortime® as one of their certifications/methodologies.
Connect With Kids offers private social work support of children with special needs and their families using the DIR® model and DIR/Floortime® in Toronto.
Ellen Yack & Associates Sensory Integration Occupational Therapy Services is a Toronto private practice that primarily provides occupational therapy (OT) assessment, treatment and consultation services to children and adolescents with a range of challenges and has associates who have specific expertise in the areas of sensory processing and autism spectrum disorders as well as having DIR/Floortime® training.
Excel Strategic Learning Center, new to Halton Hills, Ontario uses the principles of neuroplasticity to provide rapid, lasting results offering Tomatis®, Cellfield, and Interactive Metronome (IM) all under a DIR/Floortime® philosophy with Occupational Therapy consultations available.
Healing Sounds Music Therapy provides a fun and non-threatening way for Accredited Music Therapists to help individuals work on a wide variety of goals including self-expression, communication, socialization, motor skills, attention span, and relaxation. A variety of instruments and goal-directed interventions will be provided by the music therapist, encouraging the client to feel empowered and take the lead.
KidsCan Centre, a registered charity, provides after school social skills groups, 1:1 tutoring, sports programs and art programs for children ages 2 1/2 to 14 years old using the DIR® Model and offers March Break and Summer Camp in Mississauga.
The MEHRIT Centre was where the ground-breaking DIR/Floortime® brain research was conducted. The focus is now on the first of the six key functional emotional developmental capacities, self-regulation. They are offering many exciting services at their site and are based in both Toronto and Gores Landing, Ontario.
Peek-a-boost play is a platform designed by two DIR/Floortime® Expert Provider & Trainers for caregivers and professionals to come together, share experiences, and nurture learning environments to BOOST child development through PLAY. They share weekly posts about adult-child PLAY interactions, suggest helpful resources, talk about child development research and engage in discussions.
Playstrong Kids offers children’s programs in Oakville and was created by a a DIR/Floortime®-friendly Occupational Therapist with extensive training in using a sensory integration frame of reference. The philosophy of the program is that anti-gravity play produces the foundation skills needed for learning. Kids participate in integrated activities for whole body and brain learning. Most importantly, they enjoy this special time engaging with you!
Playstrong Kids Swings: The sensory integration occupational therapist from Playstrong Kids sells swings for home use! We have one and our son loves it! You will need a handyman to install the eyescrews into a joist or door frame and then you simply attach the swing and enjoy! Very reasonably priced.
Spark Therapy in Thornhill provides therapy services in schools, day programs, and group homes throughout the Greater Toronto Area and York Region, including DIR/Floortime®. The Thornhill facility includes therapy rooms and a sensory gym. The multi-disciplinary team coordinates the client’s therapy services to ensure that all areas of need are assessed and treated.
Speech & Language Matters in Toronto provides DIR/Floortime® speech and language services. The clinical practice includes working with children and families using a combination of trans-disciplinary parent coaching, reflective parent meetings, and direct therapy. They also provide ongoing professional support to teachers, designing classroom curriculum and individualizing programs for students.
The Speech Associates in the GTA, Mississauga, Hamilton and Ottawa use an interdisciplinary approach to health care that encompasses the expertise and support from a broad range of perspectives including Speech-Language Pathology, Clinical Psychology, Occupational Therapy and Behavioural Therapy but do claim to offer DIR/Floortime® services as well.
Spiral Movement Center offers Movement!®, a holistic gross motor program that has helped hundreds of children across a wide range of challenges including autism, ADHD, hyperactivity and developmental delays revisit the fundamentals of moving, socially interacting, and being creative. The Toronto center also offers high-quality, individualized somatic motor-re-education and adapted yoga programs for children with disabilities and special needs.
International Clinics Offering DIR/Floortime® Services
Autism Seen Developmentally in England offers holistic, family-centred autism therapy, courses and workshops for parents and professionals using a DIR® framework.
Connecting Through Play in Scotland is run by an ICDL Training Leader and Expert DIR/Floortime® Provider offering services for children and adults on the autism spectrum using DIR/Floortime®.
Kiddie Club in Geneva, Switzerland offers DIR/Floortime® therapeutic interventions for children with developmental delays.
Let’s Play Developmental Therapy in Brisbane, Australia provides Occupational Therapy services to children who have difficulty relating, communicating and functioning within the demands of daily life using the DIR® framework. The primary focus is working with children between the ages of 0 to 12, with special emphasis on children in their early years (0-6 years).
Sunshine Stimulation Centre in Barbados provides services for children with developmental disabilities using DIR/Floortime®.
Other Developmental Approach Online Services and Training
The Son-Rise Program “is an alternative autism treatment based upon the idea that the children show us the way in, and then we show them the way out. This means that, rather than trying for force our children to conform to a world that they don’t yet understand, we join them in their world first.”
Tali Berman Developmental Play Expert offers private consulting, webinars and online resources for parents of children on the autism spectrum using a developmental approach derived from her training in the Son-Rise program. Her strategies are compatible with the early functional emotional developmental capacities in the DIR/Floortime® model.
Other Relevant Links
SPD Foundation (Sensory Processing Disorders)
* Please contact us if you have a clinic not listed here
The Interdisciplinary Council on Development and Learning (ICDL) is the primary resource for information about DIR/Floortime® for parents and professionals and certification training in DIR/Floortime® and the one Affect Autism endorses.
The Canadian Self-Reg Clinic, Inc. provides the Developmental, Individual differences, Relationship (DIR) model within an OT approach, grounded in Self-Regulation theory using the Shanker Method, Sensorimotor Psychotherapy, and Sensory Processing, seeing parents, youth and adults separately using this combined toolbox, in addition to some families who are looking specifically for a DIR lens.
The Greenspan Floortime Approach is Dr. Greenspan’s family’s online training site for parents and professionals.
The P.L.A.Y. Project incorporates the DIR® theoretical framework in an evidence-based intervention for children with autism. They offer services, resources and training.
Profectum uses their derived Foundational Capacities for Development (FCD™) model based on the DIR® model to provide an integrative framework to help parents and practitioners, and offers training and certifications.
Clinics Offering DIR/Floortime® in North America*
A Total Approach in Glen Mills, Pennsylvania created by Occupational Therapist and DIR/Floortime® Expert Provider and Trainer, Maude LeRoux is exclusively based on the DIR® Model offering DIR/Floortime®, occupational therapy with a focus on sensory integration, speech therapy, physical therapy, Tomatis® Sound Therapy, Interactive Metronome®, and more.
All the Difference Pediatric Services for Developmental Difference in Wilmington, Delaware founded by Kristina Laakko Stroh who holds a mastery certificate in DIR® Theory, trained by Dr. Stanley Greenspan and Jake Greenspan, provides numerous services including Sensory Integration, DIR/Floortime®, and occupational and play therapy, as well as other auditory processing services and parent support and training.
Alphabet Soup Speech Consultants in New York and New Jersey provides developmentally-based speech and language services as well as parent coaching within the DIR/Floortime® approach.
Autism Education and Development Solutions in Fort Lauderdale, Florida founded by Dr. Jennifer Kirkland is a DIR® clinic providing a wide variety of services for children, families, educators, and organizations.
Beth Osten & Associates Pediatric Therapy Services in Skokie, Illinois is a team of experienced pediatric therapists providing occupational therapy, speech and language therapy, physical therapy, educational services, and parent and child mental health services using the DIR® Model.
Chicago Play Pro in Evanston, Illinois takes a developmental approach in their play therapy using DIR/Floortime®.
Children’s Relationship Center in Miramar, Florida provides neuro-developmental therapeutic services in English and Spanish for children with regulation and communication disorders using DIR/Floortime® and the DIR® approach.
Child Therapy Chicago in Chicago, Illinois is primarily a psychotherapy clinic but does provide DIR/Floortime® services.
Communicare Therapy Developmental Disorders Clinic in Ottawa, Ontario offers DIR/Floortime® services.
Creative Health Solutions in Fairfax, Virginia holistically treats pediatric special needs with integrated services using a DIR/Floortime® framework, helping children and their parents achieve better interactions with others, self regulate, and effectively navigate the world through a variety of services.
Floortime Atlanta comprises seven experienced Expert Training Leaders DIR clinicians practicing in the Atlanta, Georgia area. Floortime Atlanta serves children with social, emotional, communicative, developmental and learning challenges, including autistic spectrum disorders such as Autism and Asperger’s Disorder and their entire families.
The Floortime Center in Bethesda, Maryland and in Alexandria, Virginia are run by Dr. Greenspan’s proteges, son Jake Greenspan and Tim Bleecker offering the Greenspan Floortime Approach and a full umbrella of services one would see in a comprehensive DIR® Model including occupational therapy, speech therapy, vision therapy, FOODTIME™, and more…
Glovinsky Center for the Child and Family in West Bloomfield, Michigan was created by Psychologist and DIR/Floortime® Expert Provider Dr. Glovinsky. It is a multi-disciplinary center for children and families specializing in developmental challenges and more using the DIR® approach.
Greenhouse Therapy Center in Pasadena, California helps children and adults to become more self-aware, regulated, capable of sustaining relationships, creative, spontaneous, joyful, and emotionally intelligent using the DIR® approach.
Holding Hands Pediatric Therapy & Diagnostics in Los Angeles, California offers a range of varying services including DIR/Floortime® services.
Integrated Therapy Solutions in Los Angeles, California offers a range of varying services including DIR/Floortime® services.
Individual and Team Therapy Services for Children (ITTS) in Atlanta, Georgia offers occupational therapy, speech and language therapy, DIR/Floortime, Tomatis listening therapy and more with services delivered by DIR/Floortime trained professionals.
Joleen Fernald Pediatric Therapy Services in Trinity, Florida offers DIR/Floortime® services by Joleen Fernald, a speech and language pathologist who is a DIRFloortime® Training Leader and Expert Provider, with a focus on Selective Mutism.
Kaleidoscope Interactive Developmental Services in Minneapolis, Minnesota offers a range of varying developmental services based on the DIR® model including offering the Functional Emotional Assessment Scale (FEAS) evaluations.
L Michael Fields, MS, LPC in Atlanta, Georgia is a counselor private practice who specializes in helping those who have challenges with relationships and/or communication: primarily autism, anxiety, impulsivity, and behavior issues using DIR/Floortime® as a framework for understanding development and how to best support an individual (and their family) to help them reach their potential.
Leaps & Bounds Family Services, Inc. in Lombard, Illinois provides early intervention services to help children develop, grow and learn during the early years of life. Early intervention programs including DIR/Floortime are designed for families of infants, toddlers and young children with or at risk for developmental delays or disabilities.
Learning Without Borders in Saline, Michigan provides personalized learning, educational therapy, parent education and coaching, transition planning and DIR/Floortime services from a certified PLAY project consultant and DIR/Floortime trained professional.
L.E.E.P. Forward in Chicago, Illinois uses the DIR/Floortime® approach in their range of therapeutic services and preschool.
Little Buddies Pediatric Therapy in Burnaby, British Columbia and the Greater Vancouver area uses the DIR/Floortime® approach offering assessments, occupational therapy, school and daycare visits, and groups and camps.
Maui Center for Child Development in Maui, Hawaii created by Occupational Therapist and DIR/Floortime® Expert Provider and Trainer Kiegan Blake provides highly specialized and comprehensive assessment and treatment of children in Hawaii using state of the art equipment and interventions under the DIR® model.
Pediatric Physical & Occupational Therapy Services in Seattle, Washington and Pacific Northwest Pediatric Therapy in Portland, Oregon are private practices owned and directed by Rosemary White, OTR/L specializing in using the DIR/Floortime® Model with emphasis on understanding the impact of the child’s sensory processing and postural control on their capacity to relate, communicate and learn.
Play Connect Learn uses the DIR/Floortime® approach with families as well as schools and programs in San Francisco, California to provide direct intervention, caregiver coaching and support, educational support and more.
Play Partners Maine uses the DIR/Floortime® approach with families as well as schools, programs and agencies in Maine and New Hampshire and has a very informative website and blog.
Playful Connections Therapy Center in Cornelius, North Carolina offers psychological and DIR/Floortime® services for children with Autism, ADHD, learning challenges, developmental disorders, behavioral issues, depression, anxiety, fears, and more and also offers parent training and coaching.
Professional Child Development Associates in Pasadena, California utilizes a DIR/Floortime® relationship-based approach with multidisciplinary team services and training that recognize the importance of supporting the ‘whole child’ and special relationships with parents, siblings, other caregivers, and friends.
Dr. Lauren Tobing-Puente, Licensed Psychologist in Manhattan & Queens, NY provides services to toddlers through young adulthood with neurodevelopmental disorders of communicating and relating, including autism spectrum disorders, and their families using the DIR/Floortime® philosophy and related Floortime strategies in her work.
* Please contact us if you have a clinic not listed here