R= Relationship and Affect. Affective interactions build social and emotional development, intelligence, and morality.

A.

B.
C.


D.

Affective interactions create intimacy, relationships, self-esteem, coping and self-reflection.
Affective interactions create symbolic capacities through symbolic (pretend) play and conversations.
Affective interactions create emotional range and capacities for feelings related to dependency, separation, bodily damage, fears, anger, jealousy, sibling rivalry, competition, aggression, power, friendship, loyalty, mortality, justice (right and wrong), and morality.
Affective interactions lead to the ability to discriminate, generalize, and build abstract, logical, and creative thought.


I = Individual Differences
. Biologically based differences in sensory processing, modulation, muscle tone, motor planning and sequencing, which includes:


A.
B.
C.
D.
E.

Auditory processing
Visual-spatial processing
Tactile processing
Motor planning and sequencing, muscle tone, and coordination
Sensory modulation including tactile, sound, vestibular, proprioceptive, olfactory, taste, pain, and sight.

A Comprehensive Intervention Program includes consideration of the following
:2

I.

Developmentally appropriate interactions and practices (floor-time program)
  A.
B.

C.
D.
Spontaneous, follow the child's lead.
Semi-structured problem solving - setting up challenges for the child to learn something new. Can occur in the course of daily routines or in school based activities.
Build basic processing activities and provide the support to help children become engaged, attentive, and regulated during interactions with others.
Peer Play
II.
III.
IV.
V.
Speech and Oral motor therapy.
Sensory integration based occupational therapy and/or physical therapy.
Educational program - appropriate for each developmental level.
Biomedical interventions/ nutrition

1 DIR Model adapted from Stanley I. Greenspan, M.D., The Growth of the Mind
2 Adapted from 1999 Infancy and Early Childhood Conference notes

Check out more information and useful links in our Resource Area.

Approach  DIR Model  Lionheart Programs
  Home  The School  Program  Admissions  Staff  News & Events  Contact  Support
The Lionheart School is a non-profit organization that does not discriminate
on the basis of race, color, national origin, ethnic origin, or religion.
© 2004 The Lionheart School Contact Us