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High Care

 

High care addresses the rehabilitation and support needs of children between the ages of 2yrs to 15yrs with severe physical and intellectual challenges.

The curriculum and activities are arranged and graded according to the child’s individual strengths and weaknesses in their own specific programme. The focus is on addressing all the underlying skills necessary for functionality and creating a solid foundation for continuous learning.


Our main focus in high care is:

 

Exams and assessments:

Children are formally assessed twice a year. The first assessment is in June and the second assessment is in November.
Besides the formal assessments children are continuously monitored throughout the year through tasks, milestone development and goals.

Reports: Reports are issued in July and December, however parents are welcome to make an appointment at any time during the year for feedback and progress.

Regardless of the child’s learning and physical challenges we focus and work on all learning areas, with the aid of specialized equipment, learning tools, rooms and programmes.

 

Neurodevelopmental processing

Comprises of Sensory Integration Therapy and techniques to lay the foundation for learning. Sensory integration develops a child’s:

  • Vestibular system
  • Visual and auditory processing abilities
  • Fine motor abilities
  • Gross motor abilities
  • Oral motor 
  • Tactile 
  • Proprioceptive system.
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(for more in-depth information on sensory integration please click on this link)

 

We use different rooms and areas to assist in this process:

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  • Soft play, movement, dance and music rooms.
  • Snoezelen room or controlled multisensory environment (MSE)
  • Messy play area
  • Art area
  • Outside play area

(To view these rooms and areas please click on this link)

Different techniques used:

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  • Sensory Integration
  • Occupational therapy techniques
  • Tomatis Method (Therapeutic listening)
  • Talk tools
  • Montessori method
  • Music and movement
  • Physical movement and development

 

Rehabilitation

Is individually based on each child’s needs and aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. hands-1947915_1920.jpg

Independence skills

Are individually based on each child’s developmental needs. Some of the skills we focus on are the following, but are not limited to these skills:

  • Eating (Chewing, swallowing, texture introduction and development),
  • Independent eating
  • Hygiene
  • Dressing
  • Lifting / person assistance (child assist parent and /or care worker through the process of being lifted, carried or dressed)
  • Bathroom skills.  
  • Dangers and safety (e.g. traffic, stove plates etc.)
  • Water awareness and safety
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The different techniques and methods we use to develop these skills are:

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  • Montessori method,
  • Floortime / Greenspan,
  • Applied Behavioral Analysis (ABA)
  • Occupational therapy techniques
  • Physiotherapy techniques
  • Learn to swim
  • Hydro therapy techniques

 

Our rooms and equipment are adapted in conjunction with the techniques and methods above:

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  • Soft play, movement, dance and music rooms.
  • Messy play area.
  • Imagination / Floortime room.
  • Heated pool

 

 

Speech and language

Is developed as a function of social development and the desire to communicate, belong and interact.

  • Oral motor
  • Vocabulary
  • Call and respond
  • Social interaction e.g. greeting
  • Need to communicate
  • Making eye contact
  • Interaction and engagement
  • Speech building and development
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We use different techniques and methods namely:

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  • Montessori method,
  • Floortime / Greenspan,
  • Sensory integration – oral motor development
  • Talk tools
  • Speech therapy techniques
  • Applied Behavioral Analysis (ABA)
  • Pivotal response therapy
  • Relationship development intervention
  • PECS: Picture exchange communication system
  • Makaton
  • Tiny hands sign language
  • Free play
  • Music and movement
  • Art
  • Outings and events

 

All spaces and opportunities are used for language development, but some areas are more adapted to facilitate language development.

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  • Soft play, movement, dance and music room
  • Imagination / Floortime room
  • Outside play area
  • Listening and reading corner
  • Academic skills development area

 

Social development

Social development focuses on a child's interaction with themselves and others.

  • Self-recognition
  • Self- acknowledgement
  • Self esteem
  • Personality awakening
  • Environmental Interaction, awareness, consciousness, engagement
  • Parents and other family members
  • Community members
  • Teachers and care givers
  • Peers
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The different techniques and methods we use to develop these skills are:

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  • Montessori method,
  • Floortime / Greenspan,
  • Applied Behavioral Analysis (ABA)
  • Relationship development intervention
  • Pivotal response therapy
  • Free play
  • Music and movement
  • Art and discovery
  • Outings and events
  • Soccer Starz

 

All spaces and opportunities are used for social development, but some areas are more adapted to create this learning environment:

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  • Soft play and motor function, dance and music room,
  • Messy play area
  • Art area
  • Imagination / Floortime room
  • Outside play area
  • Snoezelen room or controlled multisensory environment (MSE)
  • Sports field

 

 

Physical support and management

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Aims to maintain and support physical aptitudes throughout the child’s growth and development

  • Flexibility
  • Movement
  • Strength

 

Academic development

Is adapted to the child’s individual academic level, ability and learning style.

Academics focus on

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Numeracy

  • Size and dimensions
  • Shape
  • Weight
  • Problem solving
  • Data handling   
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Literacy

  • Comprehension
  • Vocabulary development
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Basic skills

  • Concept development
  • Visual perception and memory
  • Auditory perception and memory
  • Fine motor and  gross motor
  • Spatial perception
  • Muscle development and memory
  • Eye tracking
  • Core muscle development for concentration and correct muscle function
  • Lateral thinking, creative thinking
  • Memory
  • Problem solving
  • Midline crossing
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Physical education 

  • Ball skills
  • Hand eye coordination
  • Locomotion
  • Climbing
  • Balance
  • Midline crossing
  • Swimming
  • Core stability

 

We use different techniques and methods namely

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  • Montessori method,
  • Floortime / Greenspan,
  • Speech therapy techniques
  • Pivotal response therapy
  • Applied Behavioral Analysis (ABA)
  • Music and movement
  • Multisensory approach
  • Occupational therapy techniques
  • Swimming South Africa: Learn to swim
  • Soccer Starz

 

All spaces and opportunities are used for academic development, but some areas are more adapted to create this learning environment:

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  • Soft play, movement, dance and music room,
  • Imagination / Floortime room
  • Outside play area
  • Listening and reading corner
  • Academic skills development area
  • Messy play / art area

 

High care comprises of two phases. Regardless of the child’s learning challenges we focus and work on all learning areas, with the aid of specialized equipment, learning tools, and programmes.

Phase 1

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  • Routine and settling  
  • Nervous system: Integration, adaption and balancing
  • Rehabilitation  
  • Behavioral boundaries
  • Base line academics: focus and concentration, following instructions, fine and gross motor functions, basic numeracy and literacy skills
  • Social interaction and basic language development
  • Independence skills

 

Phase 2

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  • Nervous system; continuous development and balancing
  • Physical support and management
  • Primary academic skills: numeracy skills, literacy skills, life skills, fine and gross motor skills
  • Language, comprehension and speech development
  • Social development
  • Independence skills

 

Over and above our curriculum we add an enrichment curriculum to the children’s routine that includes

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  • Swimming
  • Music
  • Outings and events