Helping You and Your Family Live Your Most Valued Life
Young child and parent therapy
Dr. Leslie Blevins, Psychologist and BCBA-D
Schedule your child’s comprehensive psychoeducational assessment today by calling 509-844-0002!
Psychoeducational Assessment is offered to children 2 years old through college-age adults. Adult assessment for autism and learning disabilities is also offered at any age.
Dr. Blevins is trained as a school psychologist at the doctoral level, which means that she has intensive training with diagnosing a range of mental health, neuropsychological, learning disabilities, autism spectrum disorder, neurodevelopmental, and other childhood disorders. Results from psychoeducational evaluations include recommendations for helping your child across home, school, social, and family contexts. A psychoeducational evaluation goes beyond psychological or neuropsychological evaluation by collecting interviews with teachers and pediatricians, as needed, gathering observations or data from the classroom, and providing recommendations that align with IDEA, the law that schools use to determine which services a child gets. It brings together the medical and educational worlds to best help your child.
Dr. Blevins uses the ADOS-II along with other measures to ensure a high quality autism evaluation. She is a Washington Center of Excellence for autism diagnosis. She also completes trauma evaluations with young children, using child-friendly approaches to determine the presence of PTSD, Reactive Attachment Disorder, etc.
The assessment process is a collaborative process between the patient, their caregiver or significant others, and Dr. Blevins. Additionally information is collected from other medical providers, teachers, assessment data, and record reviews. This assessment approach allows for patterns in a person’s strengths and weaknesses to be seen. Dr. Blevins’ goal is to identify strengths and weaknesses across the different contexts in which a person lives. For example, a child who goes to preschool, home, and play dates with friends likely exhibits some similar and some different behaviors in each of those environments. It’s important to understand how his strengths and weaknesses change in each of those contexts. This contextual information will inform the evidence-based recommendations given.
After completing the intake interview with you and your child, and reviewing collateral information from records or interviews with important others, assessment data is collected through in-person testing. This data allows Dr. Blevins to compare your child’s performance in a variety of areas to other children of the same age. This gives an estimation of how well your child might be doing and also how impairing a particular behavior or symptom might be for your child.
Assessment sessions are typically between one and four hours in duration depending on the age of the child. Assessment can last up to six hours for an evaluation. Many times Dr. Blevins will break down assessment sessions across multiple sessions in order to get the best performance of the person. It’s important for the person being assessed to come in well rested, well fed, and feeling their best. When a person, especially a child, comes in for testing not feeling their best, the testing result may reflect this tiredness or irritability rather than the construct we are attempting to measure. Assessment results are utilized to render diagnoses, which can be long-standing across a person’s life. Additionally the diagnoses rendered can lead to interventions that are given to the child for the next several months or even years. Many children are placed in special services for the duration of their childhood based off the testing results of these assessments. It is important that the assessment process be given utmost care so that validity of the testing is maintained.
After all data is collected, Dr. Blevins analyzes the data to find patterns of impairment. She uses the DSM-5, the standard diagnostic manual in the United States, to determine if a person meets criteria for a diagnosis. Her recommendations are based off of research for any diagnoses given, suggested categories of disability to be considered by IEP teams (per IDEIA), and the contextual strengths and limitations of the person being assessed. For instance, if your family lives in a rural setting, giving recommendations for a specialist who is unavailable to you may not be helpful. Dr. Blevins might instead recommend that the parent and school consider training in a program with good evidence for improving the problem area of the child.
A feedback session is given to the parent and to the child if they are developmentally mature enough to benefit from it. The testing results and recommendations are discussed at that time. This is another point of collaboration in the assessment process. Dr. Blevins will ask for the family’s opinion about how they see the diagnosis and recommendations fitting into their life and needs they might immediately predict having. These are then addressed in the feedback and in the final report.
A final report of the assessment, diagnoses, and recommendations is provided to the patient or designated caregiver within a month of the feedback.
Sometimes, families find that the diagnosis identified for their family member is life altering. The recommendations may take time to fully integrate into your daily life. A second follow up appointment about eight weeks later is offered if requested. This is a good chance to go over the questions the family has generated, get clarification on data and what a diagnosis means, and request guidance or updated recommendations that were unanticipated but needed to help the patient have his or her needs met.
Young Child Therapy
Schedule an appointment now with Dr. Blevins by calling 509-844-0002!
You want your little one to grow up with lots of positive feelings and opportunities… amazement, friendship, hard work, curiosity, challenge…. you’re in a powerful role to shape their experiences and mold their character. It’s hard, tiring work. Congratulations on being intentional. Congratulations on seeking support so this journey will be a bit smoother.
Whether you’re looking to gain skills in interacting, managing, and leading your young child before little bumps arrive, or because a bump has come along, this therapy style is for you. Dr. Blevins uses several strong therapy orientations together to give a tailored approach to each family and child. She starts with skills building from Parent-Child Interaction Therapy, adds in specific interventions from Applied Behavior Analysis, and addresses parent stress and cohesiveness with Acceptance and Commitment Therapy.
Many times this may be the first time your child is seen by a young child behavior specialist. During the intake for all young children, a comprehensive review of development, medical history, education, behavioral and emotional symptoms, trauma history, and living situation occurs. This allows Dr. Blevins to give you recommendations for appropriate services outside of just behavior therapy.
You and Dr. Blevins will discuss a treatment plan that may include further evaluation, targeted treatment, or collaborating with other specialists. Our goal at Enilda Clinic is to give your family the right support to help your child, yourself, and your other family members move in the direction you value.
All parents are active participants in all young child therapy sessions. Dr. Blevins uses insight-driven homework and conversations that reinforce commitment to parent-child behavior changes. Quite a lot is required of parents during therapy, both emotionally and energy-wise. With time and progress, many parents find that they experience a greater sense of calmness and relaxation with their children, as well as an ease with child compliance, compared to before therapy.
Psychological services at Enilda Clinic are personal, tailored, and evidenced-based. Dr. Blevins’ primary value for Enilda Clinic is providing the highest competency behavioral healthcare for young children and their families in this region. In order to do so she ongoingly evaluates how to best increase access to care while giving each patient the full time and attention essential to helping them progress efficiently and maximally. Think comprehensive, not cookie-cutter.
A variety of services are offered to meet different needs across families. Effective therapy requires an investment of your time, energy, and focus. The real change happens between sessions when you and your child practice skills and experience new ways of living. Before considering if you’re a financial match with Dr. Blevins’ therapy and assessment services, please first consider if you have the time to commit to practicing new skills daily. Also consider if you, as the parent, feel resilient enough to lead your young child through this change. A joy for Dr. Blevins is helping parents to “prime” their child for change by getting themselves ready. We call this parent leadership. It’s all about feeling your best, modeling self-care to your child, and getting a few kinks worked out so your child can feel better too.
Most of all, it’s important to recognize that therapy is a commitment to yourself and your child. You’re dedicating time and resources that could go elsewhere in the effort to have a healthier and happier future. Dr. Blevins honors your commitment by giving you dedicated time, tailored treatment, and continuous support.
Psychoeducational assessment, parent leadership groups, and fathers leadership lunches are self pay only.
All major credit cards are accepted, as well as cash and check. Flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA) are also accepted.
Billing documentation is provided to patients seen on a self pay basis, so that they may submit it to their insurance for potential reimbursement. Dr. Blevins is registered with Reimbursify, an app that can be used to simplify submitting your out of network claims to your insurance. It can be downloaded at: https://reimbursify.com/. We recommend calling the number on your insurance card to see what your out of network outpatient mental health benefits are. Keep in mind that you can use your flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA) for therapy that is out of network.
Current plans with whom I am in-network include Providence, Premera, Lifewise, Regence, Labor and Industries, and First Choice. Dr. Blevins is not a Medicaid provider and cannot provide self pay services to people with Medicaid coverage at this time.
Self Pay: You may choose to have any service through self pay. The benefits of self pay are:
1) keeping your or your child’s mental health history confidential from health insurances. Health insurance plans may take ownership of your records at any time, including therapy notes, and share them with other providers on your plan or to determine your access to continued sessions.
2) receiving treatment without getting a diagnosis. This may be important to you because some employers are allowed to consider past psychiatric history, such as the military, law enforcement, pilots, political office, etc. Life insurances and disability insurances also consider past psychiatric history.
3) greater flexibility and more supportive treatment. Sometimes interventions may be best guided by Dr. Blevins giving a home visit, school observation, or a community session. Additionally, phone sessions can be used to check in between sessions. These types of services are not covered by insurances.
4. finding a good fit. The number one predictor of good outcomes in therapy is the good working relationship between the patient and the therapist. Sometimes that means finding a specialist, like Dr. Blevins, to help you meet your specific goals. Many times specialists are on fewer or even no insurances.
Intake evaluations are provided at a rate of $250. Individual therapy sessions are $220 per hour and $175 per half-hour. Family therapy sessions are provided at a rate of $250 per 75-minute session. Group therapy sessions are priced based on the service. See the Parent Leadership Therapy page for more details. The fee for a comprehensive psychoeducational evaluation is $3000, or $250 per hour.
Sliding-Scale Placement: One sliding scale placement for testing is offered occasionally. The sliding scale fee is $1500, and a person may qualify for the sliding scale placement by being at twice the poverty rate or below (per family size) and providing documentation of meeting this requirement.
Deposits: All self pay testing appointments require a $1000 deposit to schedule. It is transferred to your self pay rates to meet the cost of the evaluation.
Reserve your appointment: To reserve your intake appointment, you must complete the intake packet (sent to you via a patient portal link by email) 48 hours prior to the appointment time. This includes uploading a valid credit card and your insurance information (if needed). You will receive your unique, HIPAA compliant patient portal access link after scheduling by phone.
Enilda Clinic is at McCauley Hall in the Marycliff Center
Enilda Clinic is set on the beautiful grounds of the breathtaking Marycliff Center.
Adult Therapy Room
The adult therapy room is is setup with relaxing furniture and decor. A loveseat and extra seating are available to facilitate individual, family, and couple’s sessions.
Child Therapy Room
The offices at Enilda Clinic are set up to prioritize safety, comfort, and enhancing the therapeutic experience.
Child Therapy Room
The child therapy room includes locks on cabinets and drawers to help manage materials and safety during sessions. An observation room is linked to the child therapy room with a one-way mirror to enhance the effectiveness of parent training and data collection activities. A time-out room, that meets the Parent-Child Interaction Therapy standards, is available in a separate area when helping families learn how to safely implement time-out procedures. The room is designed to be flexible to the needs of the child by allowing for easy removal and adjustment of furniture and items.