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What is Push-in vs Pull-out Therapy?

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Summary

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Collaboration among teachers, helpers, and parents determines the most suitable approach for each child.

Frequently Asked Question

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How do you determine which service delivery model to use?

The choice of service delivery model depends on the individual needs of the person receiving services, and may be determined through assessments, consultations with parents and teachers, and consideration of factors such as learning style and attention span.

What are the advantages of push-in therapy?

Push-in therapy can help integrate into the classroom and generalize skills into real-life situations while allowing for social interaction with peers.

What are the advantages of pull-out therapy?

Pull-out therapy can provide a more structured and distraction-free environment to work on specific skills while allowing for individualized attention and focus.

Are there situations where a combination of both push-in and pull-out therapy is used?

Yes, in some cases, a hybrid approach combining elements of both push-in and pull-out therapy may be employed to provide a balanced and tailored support system for the student’s needs.

Scientific Definition

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Service delivery models, like push-in and pull-out therapy, offer different approaches for therapists and special educators to assist individuals with special needs. Push-in therapy occurs in the individual’s regular classroom or natural environment, promoting real-life skill application, while pull-out therapy takes place in a separate location, ideal for those requiring a structured environment or focused skill development. The choice depends on the individual’s needs, and collaboration among teachers, therapists, and parents guides the decision-making process.

Video Explanation

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Real World Example of Service Delivery Models

Meet Charlie, a curious and energetic young boy who’s always eager to learn and explore the world around him. Charlie has autism, which means he sometimes needs extra support to thrive in his school environment. Let’s follow Charlie’s journey and see how service delivery models come into play in his life:

Step Description
Initial Assessment Charlie’s parents, teachers, and therapists work together to assess his needs and learning style. They discover that Charlie benefits from a combination of individualized attention and peer interaction.
Choosing the Right Model After careful consideration, they decide to implement a combination of push-in and pull-out therapy for Charlie. This means his therapist, Ms. Johnson, sometimes joins his regular classroom activities (push-in) and at other times, they work together in a separate room (pull-out).
Push-In Therapy One day, Charlie is learning about colors with his classmates. Ms. Johnson joins the lesson to provide extra support. Charlie loves this as he can interact with his friends and practice his new skills in a familiar environment.
Pull-Out Therapy On another day, when Charlie is working on his speech development, Ms. Johnson takes him to a quiet room for pull-out therapy. Here, they can focus on specific speech exercises without distractions.
Progress Over time, Charlie’s progress is evident. His speech improves, he becomes more engaged in classroom activities, and his social skills flourish.
Collaboration Charlie’s parents, teachers, and Ms. Johnson regularly communicate and adjust the service delivery model to suit Charlie’s evolving needs.

This example shows how service delivery models can be customized for each child’s unique requirements. Charlie’s journey is a testament to the power of collaboration and tailored support in helping children like him thrive in school.

How Do Service Delivery Models Work?

Service delivery models, such as push-in and pull-out therapy, are implemented to provide support and interventions for children with special needs. Let’s explore how these models work:

  • Push-in therapy:
    • Therapists or educators join the child’s regular classroom.
    • They collaborate with the teacher to provide support and interventions.
    • Assistance is given within the context of ongoing classroom activities.
    • Examples: A speech therapist helping a child with communication skills during a language arts lesson. A special education teacher supporting a student with learning disabilities in math class.
  • Pull-out therapy:
    • The child temporarily leaves the regular classroom for specialized sessions.
    • Therapy or interventions are provided in a separate space.
    • Sessions may be one-on-one or in small groups.
    • Examples: A child receiving occupational therapy in a sensory integration room. A student with attention deficit hyperactivity disorder (ADHD) participating in social skills group sessions.

The choice of model depends on the individual needs and goals of the child, ensuring a personalized and effective approach to their development and well-being.

 

This post was originally published on April 2, 2023. It was updated on Jan. 3, 2024.