Galliant’s Service Delivery Model

While current research does not provide adequate information in comparing long term effects of home and center/clinic based care, it has been found that an in home component to services in addition to a clinic based model results in greater persistent gains (Rickards et al., 2009).  In combining the literature with our never ending focus of each individual family, Galliant provides services in a variety of ways including in clinic, in home, and in group format. 

Where and how services are conducted are determined on a case by case basis in order to ensure the highest quality of services based on each individual’s needs and each family’s situation. There are many scenarios where finding a balance between in clinic and in home services is the key to growth and generalization for a client.  With this in mind, we do not make families choose one or the other, but provide the option for services to be received across both environments. 

Regardless of the model used, we love parent and caretaker involvement.  Parents and caretakers are always able to sit in on sessions and observe or join in.  We want to be partners on this journey with families and try to work hand in hand as much as possible.

In-Home

The in home model allows for natural generalization of skills to the home environment as well as opportunities for increased family involvement during sessions.  When working in home we are also able to use the child’s own environment and materials to conduct therapy in a way that is integrative with their everyday life.  With this, in home sessions can focus strongly on the skills most needed for everyday use and success.  

What an in home session looks like will vary for each client.  This is not just because of individualized programming, but because we value and respect each family’s comfort level with in home services.  Whether this means we hold therapy in a specific room or section of the house or that we are up and down stairs and in and out of rooms completely depends on each family.  We ideally want to make therapy at home as inclusive of each child’s natural environment as possible.  This means, based on a family’s comfort level, we want to work on skills and programs where a child would be most likely to use them (e.g., requesting food in the kitchen and toys near the toy bin).  That being said however, we also ensure we respect boundaries and always remember that we are guests in a home.

In-Clinic

The in clinic model allows for families to fit services for their child into their already busy lives.  It provides the opportunity to drop their child off at the clinic and pick them up towards the end of the session.  While we always allow parents to stay through the sessions and encourage their participation, we understand this is not always possible and want to provide services in the way that works best for each family.  Additionally, the in clinic model allows for multiple opportunities to work on social skills with the other clients and clinicians on site.  It also provides the opportunity for staff to have more control over the environment when working on skills such as decreasing challenging behaviors, focusing and attending, and setting up antecedent based interventions.  Another benefit of the in clinic model is that it allows for increased opportunities for Galliant team members to communicate and collaborate regarding services in order to consistently provide the highest support for each child from all members of the team.