Milestones, part of the Department of Physical Medicine and Rehabilitation, is the U-M Health System’s home for pediatric outpatient rehabilitation therapies. At Milestones, you will find programs dedicated to promoting your child’s development, boosting his or her independence, and assisting you in learning to incorporate activities and exercises at home to help your child achieve rehabilitation goals. Whether your child or teen is enrolled in a comprehensive interdisciplinary program or requires one therapy to maximize his or her potential, the clinical staff at Milestones will work with you to meet your child’s needs.

– All patients admitted for Physical Medicine & Rehabilitation services are followed by Rehabilitation Psychology and Neuropsychology staff. The staff’s goal is to assist patients and families in adjusting to medical problems and hospitalization. The types of concerns addressed by these team members include changes in how people feel about their bodies or themselves, how they relate to others, and maintaining health behaviors. Patients and families are also taught about resources or services in their community that may be helpful. Services include:

  • Individual and group counseling
  • Psychological and neuropsychological testing and evaluations
  • Family education

The team member participates in treatment planning–including post-hospital plans–and may develop appropriate behavior modifications.

Speech-Language Pathologists evaluate and treat children who demonstrate delayed or impaired speech-language and communication skills, as well as children with feeding/swallowing impairment.  The Speech-Language Pathologists at Milestones work in 2 treatment teams:

  • Outpatient evaluation and treatment, focusing on children with delayed or impaired speech-language development, feeding/swallowing difficulty or fluency (stuttering). Typical speech-language diagnoses include delayed speech-language development, apraxia of speech and dysarthria. Some of the medical conditions associated with speech-language delay or impairment may include autism, cerebral palsy, Down Syndrome, or other genetic syndromes. There may also be no medical reason for a speech-language delay.
  • Participation in the Pediatric NeuroRehabilitation Program at Milestones: The Pediatric NeuroRehabilitation Program is an interdisciplinary program designed to assess and treat children who have experienced an acquired injury or illness that affects the central nervous system. The SLP will partner with a child’s family and the treatment team (which may include Physical and Occupational Therapy, Case Management, School, Therapeutic Recreation and the child’s physician) to design and implement and an effective treatment plan, including family education and development of home program activities.
  • The Speech-Language Pathologists at Milestones also provide augmentative/alternative communication assessment and treatment, with device recommendation. They will collaborate with your child’s therapists at Milestones, home or school to ensure the best program for advancing your child’s skills.

The Physical and Occupational Therapists at MedRehab Milestones are specially trained to care for a wide variety of pediatric medical conditions. We evaluate and treats infants, children and young adults who have acute medical problems, rehabilitation needs, and congenital and acquired conditions. We provide treatment through a continuum of care based on the patient’s level of function. The therapists work with the entire health care team – including family members – to provide the best care possible. Each patient receives a thorough evaluation and a therapy program designed to achieve the patient’s/family’s goals. We encourage families and caregivers to be involved in therapy sessions and post-therapy follow-up. We utilize a multidisciplinary approach and work closely with Speech Therapy and Therapeutic Recreation.