Frequently Asked Questions (FAQs)

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• Child Rehabilitation Centre (CRC) is a multidisciplinary team of professionals who work on children’s developmental, behavioural and learning issues by various scientific approaches. 
• CRC assists children with Academic Backwardness having issues with Attention, hyperactivity, academic skill such as Writing dysfunction, reading dysfunction, Comprehension issues, Behaviour, communication and overall physical development focusing particularly upon sensory integration, NDT, Brain Gym approaches responsible for appropriate neuronal development. Our Goal is every child should function with His / Her maximum derived Ability responsible for Social Adaptive Behaviour and receive formal education and should be independent in future. ​

Dr.Sumit Shinde established CRC in 2009 with the vision of creating the best organisation model in India for the children with developmental disabilities. 

CRC was established in the year 2009. 

• Nerul-9221533716
• Kharghar-9136656253
• Ulwe- 9136533717   
• Vashi-9221533718
• Chembur-9221533713
• Sion-9136656251
• Nagpur-9221533714
• Nashik- 9730533717 
• Thane-9136656252
•  Online OT (Virtual Branch) for overseas clients-9221533719. 

• CLC Is a specialised sister branch of CRC to work on specifically behaviours, learning and academic issues of children attending regular school (primary level and above level).
• CLC mainly focuses upon developing higher function and academic skills which the children aren’t empowered with due to various reasons.
• CLC also focuses on children suffering from various learning disabilities.
• CLC also focuses upon daily challenges like bed wetting, lack of attention and concentration, child not listening to parents, stubborn behaviours.
• CLC also focuses upon child and parental counselling.

CLC is located at Nerul, Chembur, Sion. 

CRC and CLC are sister branches where CRC focuses upon mainly developmental disability and CLC focuses upon learning and academic dysfunction. 

Processes of CLC are same as CRC. 

• Every branch of CRC and CLC is centralized where the same therapy protocol will be followed.
• During the transfer all the details of the child will be shared to the transferred branch with no change; only a prior meeting is done with the manager as a orientation process and discuss about the schedule.

Therapists can be changed by giving valid reasons for their demands. 

No, CRC is a private organisation. 

CRC is an OPD based setup where children are treated on appointment basis. 

• CRC has a school site and home site assessment process to understand and ensure regularity of development process.
• Post-pandemic, the home site assessment and parenting protocol is converted into online sessions.

• In school site assessment, therapist visits the child’s school and understands the child’s behaviour and learning issues attending the class room. Therapist makes the teacher aware of the challenges faced in school by highlighting the strengths. During the discussion it is ensured that the dignity of the child is kept intact.
• School site assessment is conducted based on the consent provided by the school and parents mutually.

• Group Therapy is a treatment modality to work on children’s social interaction, social adaptability and social play behaviour issues.
• It is taken indoor / outdoor based on child’s requirements.
• During the group Therapy, the same ability children are merged together.
• A team of Therapists lead the session using various therapeutic approaches keeping play as a medium.

• Yes, CRC considers every child should get proper guidance and management from the experts and no child should be left behind to face life-long disability due to financial constraints of parents.
• In this scenario, case studies of under privileged children are available at reception desk where the donor can choose whom to help.

•  When a child is diagnosed with a particular disorder like Autism, ASD, ADHD, the child is suffering from a developmental issue; in which the child shows dysfunctions and delayed development. When the therapist starts treating the child, it is not about treating the disorder but the therapist’s aim is to manage and understand the dysfunction.
• Every dysfunction has different domains of delayed development. Sometimes they can be sensory, neurological, physical motor, cognitive, social, communication, environmental and parenting. Child Rehabilitation Centre (CRC), the consultants’ aim is to understand the root cause behind these dysfunctions and delayed development by assessing whether the child is operating from his / her own chronological age or not.
• Hence, consultation is an important process that is done to get the in-depth knowledge about the disorder-based dysfunction which only the diagnosis cannot provide / cater.
• At CRC, our aim is to not only to treat the disorder but also work upon the overall development of the child to make him / her functionally independent.
• Consultation helps to set the priority of the issues sequentially for the purpose of treatment.

•  CRC consultants are experienced professionals who have seen more than 500 kids.
• Consultation is prolonged process in which the Consultant tries to understand in depth about the child’s dysfunction and delayed development which is helpful to prioritise the treatment aspect. 
• At CRC, Consultant makes the parent understand the child’s strengths and weakness and helps to understand how to enhance their strengths.
• All the queries to the questions will be catered based on the consultant’s experience.
• It also reveals the parental expectations which is very mandatory to define the treatment protocol.

• At CRC, the therapist does not work on dysfunction but focuses on the Child's abilities.
• During the consultation, consultant does an in-depth analysis of the root cause of the child’s dysfunction which helps in giving directions to the clinicians and creates a path to work on child development.
• At CRC it is unethical to start a therapy without a consultation.
• Sometimes when the consultant is not available for this process, the therapist or the clinicians begin with observation sessions and as per the consultant’s availability the consultation must happen so that the understanding about the Child is discussed and conveyed to the parent in detail.

After more than 15 years of experience in the field of Paediatric Rehabilitation, Dr. Sumit Shinde, a renowned occupational therapist has started sharing his wisdom with the parents with regards to Child Development. He exclaims that parent is the best therapist hence has the belief of empowering all the parents with the required expertise. He is a well-known educator and trainer amongst the rehab professionals as well. He has a team of 40 + doctors accompanying him in his noble vision. Enthusiastic is the word you can use when a person completes more than 90,000 individual sessions, 5000 + consultations, 12000+ reviews and has transformed a herd of egg lets to become chics. Also, with the new online module taking the centre stage post pandemic era, Dr. Sumit has been able to reach Global with respect to his expertise. He has taken more than 1500 online consultations and is constantly guiding the parents with his team of doctors. He runs his beliefs in two different centres – Child Rehabilitation Centre (dealing with developmental disabilities) & Child Learning Centre (dealing with Learning disabilities and Academic skill development) with branches spread across Navi Mumbai, Mumbai and Nagpur. A person who gives justice to his field of practice by actually applying the meaning of his profession & transforming it into his vision of “Seeing every Child Independent in the future”. He is the one who leads life with the vision of enhancing the Rehabilitation model in the country.

Dr. Sumit Shinde

B.O.Th. (Mum) C.C.E. (USA)

Occupational Therapist and Rehabilitation Consultant

Managing Director – Child Rehabilitation Centre & Child Learning Centre

Since both the parents are rationally seeing the child, parents may have different perceptions / opinions about the child. They can be critical, they can be nurturing and sometimes judgmental. But by taking opinion from both the parents the consultant is able to understand the parenting and the parental transactions which are happening with the child which lead the consultant to create a protocol considering the environmental aspects of child development. 

• It is quite possible that both parents can’t make it for the consultation due to timings not matching with the consultant or due to some urgent reason. In such cases, the parent can share their own queries and challenges in a written format and share it either in prior or during the consultation.
• Parent can also be connected for the consultation through a voice / video call and later on meet in person with the consultant if they require more better clarity about their child’s developmental process as per the availability.
• Parents can also decide to take an online consultation where both parents can attend the consultation together.

• Consultation is a process where there is a detailed discussion about the chief complaints of the child, parental expectations and different aspects of the development of the child which shows how the child reacts to the environment, child's strengths & weakness and also the parental expectations as to where they want to see the child or major challenges in terms of child development.
• During the consultation, the consultant makes sure to make the parents understand about the In-depth analysis about the Child’s dysfunction and the treatment protocol. Also, a lot of clarity is brought with respect to the parental understanding about their child’s issues.

• Online consultation is a very smooth and efficient medium with an opportunity for the clients who are staying abroad / rural based settings/ distant from the therapy centre / somehow unable to make it for a physical appointment.
• At CRC, during the consultation, the therapist does not judge the child by seeing him once/ therapist does not want to diagnose the child since this will be varying with respect to different moods or he may not have enough adaptability initially.
• At CRC, the consultant wants to understand the parent’s observations with respect to their child’s current challenges and queries.
• Before  the online  consultation, the parents are mandatorily asked to send videos to understand the child and his needs in areas of their behaviours, physical motor, cognitive , emotional, social and communication aspects of development .These video make it more clear for the consultant to  understand the strengths, weakness at the their natural environment, inturn facilitating an appropriate treatment plan.

• Most likely No. If the consultant receives the videos as expected and discussed then there are no chances of missing.
• Taking appropriate Parental consent, the entire consultation is recorded for the documentation purpose which can be referred later on. 
• Online consultations are more preferred than offline.

• In cases, when the child is showing any violent or negative behaviour, when the child is going to understand that he is going to be analysed, the parents should not bring the child. The parent should meet the consultant with the videos which can then be used to prepare a plan without letting the child know. The therapist can prepare a plan either by empowering the parents or by systematic way of rapport building with the child and ensure the Child's involvement in positive way.
• Mostly it may happen that in adult developmental disability cases, the individual does not want to get presented to any kind of analysis / evaluation. In this case, the parents do their video documentation and present them to the therapist, based on which therapies can be started with the necessities and possibility of ensuring a better prognosis. 

Both parents/ caretaker / guardian who is spending more time with a child should be involved for the consultation process to give clear and in-depth feedback about the challenges, concerns and queries pertaining to the child. 

Consultation is the primary most process at CRC where the consultant will assess and observe the child, take down the parent’s challenges and queries with respect to child’s development, Behaviour, learning and academics, in which parents are made to understand the most probable reasons behind those issues the child displays. 

• The problems without known reasons are the biggest fears and problems with known reasons take us to the Appropriate solutions. 
• Identification of the problem is the first step of child development.
• Those parents whose children are facing issues, may obviously feel anxious and nervous about the Child's condition. But consultation is the first step of solving the already existing problems. 
• The consultant doesn't want to add the concerns but wants to understand the challenges with respect to development, behaviour, learning and academics.
• The consultant makes the parents understand about the root cause of those concerns by making them understand the probable and efficient way of handling those concerns.
• This helps to develop goals and a plan of treatment to achieve the development.
• In fact, the consultation process is more relieving to the parent and it provides guidelines to the parents about their child’s concerns.

In today’s world, technology is the most important thing which improvises our day-to-day functions. If the parent doesn't know about the technology, we have a system at CRC, where our operational manager will call you and they will help you to set the technology so that it will be easier for you to communicate with the consultant efficiently. 

• In such a situation, an online consultation can be done. Parents will receive a call from the clinical coordinator, where the coordinator will understand the brief challenges that the parents are facing and will guide the parents to send some videos which the consultant can assess and analyse.
• Many children have lost their important time for the early phase of their development. At CRC, our aim is to conserve the important time of child development.
• Earlier the diagnosis, better the prognosis with respect to behaviour, learning and development.

All CRC centres are child and play friendly where the child is allowed to roam around with his inner drive which is the best phase where the clinical coordinator can understand and observe the child in his learning behaviour and developmental aspects.

• Carry all the previous medical file and reports done for the child.
• Do not overfeed the child before coming for the consultation.
• Carry extra pair of clothes for the child, diaper, which can help the parents if required
• Carry a very happy mind when you are coming for the consultation, since it is not a concerning session rather it is a relieving session for your concerns.

Appointment can be booked at respective branches

• Nerul-9221533716
• Kharghar-9136656253
• Ulwe- 9136533717   
• Vashi-9221533718
• Chembur-9221533713
• Sion-9136656251
• Nagpur-9221533714
• Nashik- 9730533717 
• Thane-9136656252
• Online OT (Virtual Branch) for overseas clients-9221533719

• These are objective tests which are done to understand the qualitative and quantitative analysis of the child’s dysfunction on paper.
• Sometimes it is observed that the parents are overrating or judgmental about the child’s issues or their challenges.
• Also, it may so happen that during the subjective analysis, the child may not behave as per his regular attitude. In the psychological assessments which are done objectively, a better idea about the child’s overall average behaviour is noted and then they are quantified which gives us more better understanding on paper about the child’s dysfunction and delayed development.
• These tests set the parameter from where we have to start and can be reassessed after a certain time which can help understand the child development that happened due to the therapy process.
• The test helps to understand and prioritise the dysfunction which needs to be catered first.
• Tests help to save the time taken to create goal-oriented protocol.

Testing are done by experienced professionals (team of psychologist, special educators, OTs and PT) 

• These tests are done by experienced professionals.
• It is a time-consuming process which requires a proper documentation and efforts.
• These tests are standardised, which is very important and mandatory in order to direct the therapy process appropriately 
• These tests very expensive for the professional who are conducting the tests.

• Reports at CRC are made in such a way that they are helpful in taking the appropriate decision making for the therapy process.
• Mostly outside reports are made for a diagnostic purpose and are not very much helpful in in developing a protocol.
• Reports at CRC give a comprehensive understanding and an in-depth analysis which is elaborated and may not be the same when it is done from outside.
• This test is done on parents and associated professionals simultaneously not only to understand the child but also to understand the parenting criteria.
• With outside professionals it is not possible to create such a synergy.
• These tests should be reassessed after six months by the same professionals who are working on the child there by creating an unbiased analysis.
• Our in-house professionals are always available to discuss and clarify their opinion about the child.
• At CRC, it is developmental approach rather than a dysfunctional approach and Child development is teamwork where intra disciplinary approach helps rather than an interdisciplinary approach since both the professionals have the same goals and objectives for the child.

• Testing are of two types namely objective and subjective.
• For subjective test, the professionals will analyze the Child's behaviour, and will rate and quantify as per their own observations. 
• Objective test is a pre-formulated questionnaire, where parents/ caretakers are asked series of questions related to their observations about the child which are then quantified.
• Both the tests are necessary and are correlated to understand and match the expectations and perceptions of parents and therapists as per the requirement for the treatment protocol.
• All these reports are then presented during the review to the consultant which will help to prioritise and create goals for the treatment protocol.

Duration varies from 20-40 minutes per test. 

Tests should be done after every 2-3 reviews (6 months) whichever is earliest. 

• Psychological tests reduce the incidences of human errors, judgements which are mostly based on varied observations and temperaments.
• Tests are less time and effort consuming process and gives a better conclusion with respect to decision making of the protocol.
• Sometimes observations which may need approximately 10 to 15 sessions can be analysed within one session/ Interaction with help to work on the goals and the therapy process faster and efficiently.

• For objective tests the child is not required.
• The child is required only for subjective tests based on the need and requirement of the therapist.
• Parents must talk to the clinical coordinator regarding this.

• Earlier tests should be presented to the therapist. If the subjective observations are matching with the test results then a new test may not be required.
• Child development is a continuous transition from one stage to other stage. 
• At CRC, tests done 2 months prior are not considered efficient to decide the protocol.

No, these are majorly the observations of a child's behaviour, Development over a period of time and learning-patterns in different environments 

• Re-testing are required to understand the rate of change of development and Improvement during the given period of therapy sessions.
• They also help to Understand the functionality of the protocol and where the child stands on the developmental continuum.
• It helps to take the right decisions regarding priority of the expectations vs child’s current developmental status. 

Tests results are an important part to create functional goal, parenting, prioritise the dysfunction and expectation matching with child available strengths and development.  

It is a quality check process to understand whether the clinical protocol and parenting protocol is followed properly or not to achieve the goals on time. 

• Mid review increases the quality of goal outcome and its generalization in day to day functions considering the overall development.
• It is a regular checkpoint for therapist and parents to check their attention and alignment with goals.

Another senior therapist, branch manager or regional manager may conduct the mid review. 

Mid reviewer ensures whether the clinical process is happening properly or not. They are experienced therapist who also helps the parent to solve their queries which are aligned with the goals. 

• Frequency of the sessions are designed by the consultant after analyzing the child’s age, diagnosis, child’s cognitive functions, early intervention program, child’s ability of learning, developmental lag, the amount of regression which are all important to create early release from the concern.
• Therapist decides the broader plan of child development (3-6 months) to get an improved version of child.
• Based on all these factors, therapist sets a treatment protocol to work on dysfunction to ensure that the goals that are derived are ensured within a given time frame.

• Consultant’s job is to create a clear and broader picture of child’s future development. For which their major aspect is to create a protocol which can be made into chunks by Clinical therapist to ensure a micro-management which will lead to the development as decided by the consultant.

Eg – in making a building, engineer makes a broader plan which is implemented by the hierarchies by dividing the plan into small chunks. 

Therapy sessions are taken by certified clinical therapist who have got enough experiences to handle your child’s behaviours and work on the goals as given by the time frame decided by the consultants 

We are associated with many Speech therapists who work in synergy with our treatment plan and goals as decided by therapists and consultants to be worked upon. 

• Regular time frame is 45 minutes.
• 40 minutes is the therapist interaction with child and 5 minutes are dedicated for documentation and interaction with parents and caretaker in which the therapist’s ensure to delegate the home programme which is dependent upon what has been worked upon in session. 

• 40 mins is scientifically designed time frame in which the therapist works on development, behaviour and learning aspects.
• This is designed as per child’s learning abilities, optimum interactive process between the child and the therapist, Cognitive ability that can take up maximum challenges, positive experiences made during the therapies which will help to maximise the efficacy of treatment.
• Sometimes these sessions should be stopped when the child is doing the best / can be extended if the therapist wants to observe more. It depends upon the clinical therapist to alter the therapy timings.
• Sometimes therapy session can be stopped abruptly by therapist feels that the child is non-compliant.
• Sometimes therapy session / discussion with the parents can be increased rather than interaction with child  depending  on what we want to achieve.
• Difference between therapy sessions vs observation session.
• Therapist’s mind is mostly involved in 80% observation, 20% implementation of strategies

 When parents are allowed during the therapy?

• When therapists want to see parent-child interaction 
• When therapist wants to explain the parent about the technical aspects 
• When parent’s involvement is necessary to encourage play and communication
• During NDT sessions to cater the physical motor disabilities
• When therapists want parents help as an assistant during therapy session

Why parents are not allowed in the therapy session?

• Child is getting distracted by the parents
• Child is more influenced by the parents
• Parents are interfering in the therapy session 
• Parents presence makes the therapy room crowded
• Child gets confused between the parent and therapist
• If therapist feeling uncomfortable in front of the parent and unable to present self naturally towards the child.

 Need for offline sessions

• When technical & hands on therapies are mandatory by the experts
• Subjective observation of therapeutic input and child’s response in relation
• To understand the feedback and feedforward of stimulation
• When the child is not compliant at home
• To work on dysfunctions as a priority
• When technical environment is mandatory to ensure stimulation efficiently
• Physical motor disabilities 

Need for online sessions

• To ensure parent child bonding 
• To empower parent to operate as per child’s level of understanding
• To help parent operate from child’s strength
• To ensure play and communication process between parent and child in child’s own environment
• To observe the child in his own environment
• Working on behaviours at home itself when the child is doing relatively better during offline sessions
• Development of higher functions at home
• When child is not at all compliant for offline sessions
• To help parent understand home program better 
• When child is unable to be brought for offline sessions
• To work on cold parenting

• Therapy process is developing the child by using technical knowledge and skills, therapists ensure maximum development with natural interaction
• Child development is a process where multiple people transfer their abilities to the child in daily interactions 
• Children with special needs have a tendency to get conditioned with one person and be compliant and get into comfort zone. At CRC, our major aim is to help the child be adaptive and interacting in different elements of society. They may come across nurturing, assertive, ignorant, intolerant, rational attitudes of people. Ethical Therapists will not want the child to go in comfort zone and be non-compliant with others, so at CRC we timely change the therapist so that child will meet and adapt various attitudes by keeping the same goals and treatment objectives in mind. 
• At CRC, we don’t want the child to be dependent on people rather we want them to be independent and efficient part of the society, hence the child is merged with different children and authorities in the early process of development.

• Duration of the therapy generally dependent upon the severity of the child, rate of change of development the child shows, parent’s empowerment, where parent is able to make decisions w.r.t. child’s development, behavior and learning  
• Refer to the below webinars for better understanding:

              https://youtu.be/FARLoSKcm4Y

              https://youtu.be/Gsg1_bD8P3Q  

• In developmental disabilities mainly the child’s learning abilities are hampered.
• Child learns based on his own experiences.
• Whatever skills the child acquires during the day of therapy, may be de-learned if the stimulus is not given at regular intervals. This will increase the de -learning ratio in the child. 
• So, the best interval is ensured to overcome the de-learning ratio making short term intervals more beneficial than long term intervals.
• The frequency set by the professional is to ensure the maximum enhancement of the learning ratio.
• So, the therapy results are not dependent upon the number of sessions but they are dependent on the frequency of interactions to ensure the maximum learning and development.

Child suffering with some developmental disability is a biggest concern and centre of stress for both parents and the integrated families. Working on these issues by experienced multi-disciplinary team with a goal-oriented approach always brings best results in short time period. By doing this, CRC always wants to save child’s early development period and eliminate the future hazards caused by developmental disability. By ensuring development at the earliest CRC always wants to conserve parent’s time, effort and money. For this we always expect parent to follow recommended protocol and treatment-based goals discussed time to time. 

• When the parents follow the regimen and home program as recommended by consultants and senior therapists, when they operate self from compassion and team up with the therapist then the child starts showing observable changes in 15-20 Sessions when therapy protocol is followed consistently.
• The best results are always seen when the child shows best bonding with the parents. Therapist’s primary aim is to achieve it within 2-4 weeks after starting of therapy.
• At CRC post consultation, within 1month child starts showing remarkable changes based on which the first review is set to keep further goal oriented protocol.

• Every therapy session is a series of observations and interactions where the therapist’s try to understand the child’s need and probable reasons behind the behavior and learning issues.
• Play being the primary occupation of the child, therapist team up with the child and allows the child to explore the environment, situation which the child can understand the best, therapist becomes the facilitator for the strengths of the child and boosts the confidence and inner drive of the child for the best involvement .Once the child shows better involvement, then by providing necessary and possible challenges, therapist put the child into effort zone.  Therapist’s give acknowledgement to the small achievements to make the child understand his inner abilities and motivates him to do further better. 
• With all the above, therapist’s use specific approaches like sensory integration therapy, behavioral therapy, neurodevelopment techniques, biomechanical approach and many more to work on dysfunctions which work as an obstacle in child’s overall developmental process. 

Once the parent’s concerns are resolved, senior therapists and consultants help the parent to understand how the future development and management should be followed by keeping long term (approx. 6 months) goals that will help the child to sustain on progressive developmental continuum. It is always recommended to do developmental assessment 6 months after discharge followed by on yearly basis. 

1. For 0-3 months gap, the child has to undergo observation sessions by clinical therapist followed by review by senior therapist. The decision of further management will be taken by understanding current developmental, behavioral and learning challenges.
2. For 3-6 months of gap, the child has to undergo observation sessions by clinical therapist and psychological tests followed by review by senior therapist. The decision of further management will be taken by understanding current developmental, behavioral and learning challenges.
3. For more than 6 months, child has to undergo a fresh assessment and consultation process.

• Every child has to undergo through a proper consultation process where the consultant understands difficulties and challenges with respect to children’s development, behaviour and learning concerns.
• Consultant assesses the child subjectively and makes the parents understand the reasons behind their challenges.
• Consultant makes a development plan and parents are explained about the necessary plan of action considering the subjective and objective assessments.

• Every session is documented at CRC and parents are given that documentation of the session.
• Through regular reviews, mid reviews and reassessment quantitative and qualitative development is measured and made understood to all the parents.

• Advance fees structure helps us to create proper schedule and therapists are made available accordingly.
• In advance fees structure, paid parents are given the priority as per the available slots.
• In advance paid structure, consistency of therapy sessions is ensured.

• Review is a timely parent’s query solving and goal setting session. 1st Review is kept after understanding strengths and weaknesses of the child’s development, behavior, learning issues, parenting and psychological assessments. Once the rapport building between therapist, child and parent is done, the review is scheduled after 12-16 consistent sessions (approx. 3-4 weeks post consultation) which is a right time to discuss further management once the child settles during therapy session.
• Follow up review schedule after 6 weeks – 8 weeks time gap.
• During review along with goals, senior professionals specifically discuss role of parenting and clinical protocol to demarcate role of therapists and parents.
• It typically takes around 45 minutes to complete a Review.

Will you travel by a bus with all the amenities but no destination and time?

• Every effort needs to be qualified and quantified by set strategies and time bound outcomes. At CRC, by understanding strengths, weaknesses, subjective and objective observations, the consultant and senior therapist sit with parent and discuss the positive outcomes to be reached in the given time (6 weeks-12 weeks). This acts as a milestone for therapists and parent to achieve goals in given time.
• Timely reviews done with punctuality and regularity reduce the time, effort and money for the overall treatment process.
• CRC is successful in keeping its high standard and could successfully treat many kids with severe disability and integrate them into the society because of its review system. 

• Review is done with the therapist and parent together to make them understand about their roles and responsibilities to achieve the goals. Parents need to understand how and why their role is different and unique apart from therapist.
• Parenting role timely changes as per the goals and the way the child progresses in the development which they need to understand during review.

Every professional has a right to charge fees for their professional efforts. Review is multi-step and time-consuming process where the senior professional discusses therapist’s observations, child’s objective and subjective analysis and design the goal-based child development plan for which they are responsible for the result so they must take professional fees of the same. 

Mostly yes. The child is required except if the child is older and need not be present while discussion of parenting plan which can be confidential. It is always better to ask the therapist before the review. 

At CRC, the consultant is always in communication with all the therapists for every child on timely basis. The documentation Process at CRC is made in such a way for the consultant to gaze child’s development process regularly.  

Generally reviews are scheduled after 6- 10 weeks based on the goals and the child’s condition and his requirements.