Our Services

Developmental Therapy

At Tiny Transitions, we believe every child deserves the opportunity to thrive. Our developmental therapy services are designed to nurture growth across all areas of development, including motor skills, play, communication, social-emotional development, and daily routines. Through individualized, play-based interventions and caregiver coaching, we help children build confidence, independence, and the skills needed for success in everyday life.

Because children learn best in familiar environments, we bring therapy directly to your home and community settings. This allows us to create meaningful, practical strategies that fit naturally into your family's routines, empowering both children and caregivers every step of the way.

A woman and a young girl wearing a birthday hat sitting at a table with a birthday cake in front of them, during a celebration. A baby in the background is standing behind them.

Caregiver Coaching for NICU Graduates & High-Risk Infants

Bringing home a premature, medically fragile, or high-risk infant can be both joyful and overwhelming. At Tiny Transitions, we provide personalized caregiver coaching to help families feel confident, supported, and empowered throughout their child's developmental journey.

With specialized expertise in NICU follow-up, infant development, feeding, sensory regulation, and early childhood development, we partner with caregivers to address the real-life challenges that arise at home. Whether you have questions about feeding, sleep, developmental milestones, play, positioning, sensory needs, or daily routines, we offer practical, evidence-based guidance tailored to your family's unique circumstances.

Our coaching sessions combine education, hands-on strategies, and compassionate support to help you better understand your child's needs and promote healthy development within everyday routines. Services are provided in your home, allowing us to create meaningful solutions that fit naturally into your family's life.

Caregiver Coaching Can Help With:

  • Premature infants and NICU graduates

  • Developmental milestone monitoring

  • Feeding and oral motor challenges

  • Sensory regulation and soothing strategies

  • Play and developmental activities

  • Sleep and daily routines

  • Positioning and handling techniques

  • Building caregiver confidence

  • Navigating the transition from hospital to home

You don't have to navigate this journey alone. We're here to provide the expert support, guidance, and encouragement you need to help your child thrive and your family feel confident every step of the way.

Helping Children Build Positive, Safe, and Successful Feeding Experiences

Feeding Therapy

Feeding challenges can impact a child's nutrition, growth, development, and family routines. At Tiny Transitions, we provide individualized feeding therapy to help infants and young children develop the skills and confidence needed for successful eating.

We support children experiencing difficulties with bottle feeding, breastfeeding, transitioning to solids, picky eating, oral motor challenges, sensory sensitivities, food aversions, and mealtime stress. Our approach focuses on understanding the whole child and addressing the underlying factors that may be affecting feeding success.

Through play-based interventions, evidence-based strategies, and caregiver coaching, we help make mealtimes more enjoyable and less stressful for the entire family. Services are provided in the home, allowing us to work within your child's natural feeding environment and create practical solutions that fit your family's daily routines.

Common Feeding Concerns We Address:

  • Premature infants and NICU graduates

  • Breastfeeding and bottle-feeding challenges

  • Difficulty transitioning to solids

  • Oral motor delays

  • Food aversions and selective eating

  • Sensory-based feeding difficulties

  • Mealtime behaviors and family stress

  • Limited food variety

  • Delayed self-feeding skills

Together, we'll create a positive path toward more confident feeding and mealtime success.

Supporting the Next Generation of Neonatal and Pediatric Clinicians

In addition to program development and staff education, Tiny Transitions is committed to advancing the neonatal and pediatric therapy workforce through mentorship, continuing education, student engagement, and leadership development. We work with organizations to build sustainable clinical programs that support both patient outcomes and professional growth.

Whether you are developing a new NICU developmental care program, enhancing neonatal feeding practices, strengthening staff competencies, or creating a high-risk infant follow-up service, Tiny Transitions provides practical, evidence-based solutions grounded in decades of clinical experience.

Specialties include NICU developmental care, neonatal Occupational Therapy, high-risk infant follow-up, infant feeding, sensory development, caregiver education, neurodevelopmental outcomes, and the transition from NICU to home.

Advancing Excellence in NICU Care, Developmental Therapy, and High-Risk Infant Outcomes

Tiny Transitions Therapy Consulting provides specialized consulting services for hospitals, NICUs, healthcare organizations, universities, therapy practices, and early intervention programs seeking to enhance neonatal and pediatric care.

Led by a Board-Certified Pediatric Occupational Therapist and Certified Neonatal Therapist with more than 25 years of experience, our consulting services focus on NICU developmental care, neonatal therapy, high-risk infant follow-up, infant feeding, family-centered care, and workforce development.

We partner with organizations to develop evidence-based programs, strengthen staff competencies, improve developmental outcomes, and support best practices for premature infants, medically complex newborns, and their families.

Areas of Expertise

  • NICU program development and implementation

  • Developmental care in the NICU

  • Neuroprotective care practices

  • High-risk infant follow-up programs

  • NICU-to-home transition programs

  • Neonatal therapy program design

  • Infant feeding and oral motor program development

  • Family-centered and trauma-informed care

  • Pediatric and neonatal staff education

  • Competency assessment and clinical skill development

  • Mentorship for neonatal and pediatric therapists

  • Early intervention and developmental care consulting

  • Quality improvement initiatives

  • University guest lectures and professional education

  • Conference presentations and keynote speaking engagements

Neonatal and Pediatric Clinical Development Consulting