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. Please contact us if you have a clinic you’d like listed here.
Virtual (Online) Training for Professionals and Services for Families
Clinics Offering DIR/Floortime in North America
International Clinics Offering DIR/Floortime® Services
Other related services
Virtual (Online) Training for Professionals and Services for Families
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 DIR® Institute offers the DIR® Home Program focused on guiding and educating parents about how to implement a DIR program and how to utilize Floortime to strategically promote your child’s development through joyful interactions and activities that help address the unique needs of your child(ren) through weekly live virtual Floortime coaching sessions with a Floortime expert. A DIR program is a comprehensive approach that is implemented by the caregivers and natural supports in the child’s life.
The Greenspan Floortime Approach is Dr. Greenspan’s family’s online training site for parents and professionals.
The International 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. Please find a DISCOUNT code for courses under the Shop-Products menu above.
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.
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®.
Disfrutar El Mar in Northern Spain offers surfing experiences for children with developmental differences and disabilities 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).
Simone Tiemann is an Occupational Therapist in Northern Spain who offers services with a DIR/Floortime lens.
Other related services
Cheryl Campbell in Toronto is an Accredited Music Therapist, holds a Master of Music Therapy (MMT), and is a Neurologic Music Therapist (NMT) and uses a general DIR approach.
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.
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.
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. They also offer online consultations and coaching.
ACT Learning Centre in Ottawa, Ontario, Canada “is an autism therapy centre founded to provide evidence-based, innovative and leading-edge assessment and intervention for children, youth, and adults with autism spectrum disorder, developmental delays or developmental disabilities. Therapies are offered by ACT’s highly trained staff both in our clinic or in your home” and includes DIR/Floortime and the P.L.A.Y. Project.
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.
Attuned Families in Toronto, Canada provides attachment-informed and relationship- and developmentally-based family therapy, child therapy, and parent coaching via social workers who are DIR/Floortime trained.
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.
Baby Steps Therapy LLC in Media, Pennsylvania (just W of Philadelphia) was founded by Physical Therapist and DIR Expert Trainer Mary Beth Crawford and brings a wide range of treatment techniques and a holistic perspective to pediatric physical therapy and occupational therapy with practitioners trained in a variety of sensory integrative and neuro-developmental techniques, which support a collaborative therapeutic approach, both with each other and with every child’s family.
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.
The Canadian Self-Reg Clinic, Inc. in Toronto and Hamilton, ON (and virtually) 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.
The Capable Parent in San Antonio, Texas (and virtually) provides communication coaching for parents and children using DIR/Floortime.
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.
Clinical Communication Consultants (CCC) in Thornhill, ON 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.
Communicare Therapy Developmental Disorders Clinic in Ottawa, Ontario offers DIR/Floortime® services.
Connect With Kids in Toronto, ON offers private social work support of children with special needs and their families using the DIR® model and DIR/Floortime.
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.
Developmental Music Health Services in North Baldwin, NY is your resource center for relationship-based developmental intervention and training services for families, professionals, schools, and agencies, founded by DIR Expert Trainer, Dr. John Carpente, serving the Long Island and metropolitan areas.
The DIR® Institute is a revolutionary institute focused on guiding and educating parents about how to implement a DIR program and how to utilize Floortime techniques. In addition to the DIR® Home Program (live virtual sessions), ICDL has an international center in Livingston, NJ that gives families from around the world the opportunity to come in-person to experience Floortime with top experts.
Dynamic Kids NY in Hartsdale, New York is a multi-disciplinary pediatric practice that provides Occupational, Physical, and Speech Therapy services to children from birth through teens and is very sensory-oriented and uses the DIR Model. They also provide enrichment groups such as music, art, yoga, self-regulation and handwriting.
Ellen Yack & Associates Sensory Integration Occupational Therapy Services in Toronto, ON is a 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.
Engage Relate Communicate in upstate New York/northern New Jersey is ICDL DIR expert training leader Colette Ryan’s Floortime education service providing direct services, consultations, and family advocacy for children and families with disabilities.
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…
Floortime Therapy at ICDL in Livingston, New Jersey is the International Council on Development and Learning center offering intensives, and in-person and online therapy and training offered by DIR experts with all services falling under the DIR umbrella.
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.
Individual and Team Therapy Services in Atlanta is the Occupational Therapy link of Floortime Atlanta. Dr. Milagros Cordero, OTR/L is an Expert Developmental, Individual differences, Relationship-based (DIR) Trainer who supports clients and families in achieving their goals “to construct healthy foundations for greater social, emotional and intellectual capacities rather than focusing on isolated skills and behaviors” along with her daughter, O.T. Joann Fleckenstein.
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.
Kansas City Developmental Therapies in Overland Park, KS offers a range of services based on the DIR® model including Occupational Therapy, Speech & Language therapy, Physical therapy, DIR/Floortime, parent coaching, feeding services and more.
KidsCan Centre in Mississauga, ON is 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.
Kids Always Kount in Daphne, Alabama offers a wide range of occupational, physical and speech therapy services with the co-owners both having DIR/Floortime training.
Kinder Growth DIRFloortime Therapy in Lakewood, NJ is a DIRFloortime therapy clinic whose services are covered by Medicaid.
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.
The MEHRIT Centre in Toronto and Gores Landing, ON 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.
Parent Support Online Drop-In Meetings Each week, the International Council on Development and Learning and Affect Autism hold a free online drop in for caregivers to guide and support each other through the ups and downs of parenting using the DIR/Floortime approach.
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.
Play Potential in Milwaukee, Wisconsin offers DIR/Floortime® services, developmental assessments, sensory play experiences, and curated play spaces to empower children’s development.
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.
The Rebecca Center for Music Therapy in Rockville Center, New York on the campus at Molloy College was founded by DIR Expert Trainer and music therapist Dr. John Carpente and uses interactive music therapy with children, adolescents, adults and the elderly to facilitate relatedness, communication, and thinking while removing physical and cognitive barriers that prevent people with developmental differences from engaging in essential social interactions and life processes.
Seaport Speech and Feeding in Manhattan, New York was founded by SLP and DIR Expert Trainer ToniAnn Loftus who has a special interest in feeding and hearing, providing speech and language therapy using DIR/Floortime as well as private consultations, play therapy, school training, and parent/caregiver coaching.
Smile Center in NY, NY provides pediatric occupational, physical and speech therapy services with a strong emphasis on sensory integration (SI), neuro-developmental treatment (NDT), and DIR/Floortime, treating the whole child by addressing the systemic sensory and postural needs, as well as supporting social-emotional, communicative and affective development.
Spark Therapy in Thornhill, ON 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.
The STAR Institute for Sensory Processing Disorders in Colorado provides support for sensory processing challenges offering therapies and training for professionals.
Speech & Language Matters in Toronto, ON 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.
Talk On Speech & Language Therapy in Kent, OH provides highly individualized, creative, engaging and evidence-based speech and language therapy using a DIR/Floortime approach.
TEAM Autism Memphis in Germantown, TN provides a variety of services to assist clients and families who are focused on furthering growth and development including DIR/Floortime.
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.
Unique Learning in Halifax, Nova Scotia, Canada is a clinic offering HANDLE, DIR/Floortime, The Listening Program, the Irlen method, as well as educational strategies and reflex integration. “These non-drug treatment modalities are developmental in nature and assist the brain in creating efficient pathways, leading to improved overall functioning.services.“