Early intervention at home
Home is the programme. A clinic hour cannot outrun breakfast, bath and the floor. We pick one routine and two skills, then coach you live if you want.
Written by the Inclusive Developmental and Therapy Center therapy team — our Speech & Language Therapist, psychology and ABA staff. This page is awaiting its clinical review.
What to try this week
Name + wait. A pause so they can request. A no they can recover from. Parent coaching. Talking: home talking program.
When home is not enough
Lost skills, no response to name after a hearing check, or a worry that will not sit. Book the assessment.
Breakfast is enough
Name, wait, request, recover from a no. That is a session if you do it on purpose. Coaching can watch: coaching for late talkers.
Screens
A phone in a face is not joint attention. If YouTube is the only thing that works, we still start with a pause and a stop — see music at home for that honesty.
Breakfast is the session
Hold the cup two extra seconds. Wait. Honour the look. Then give it. That is requesting in a Multan kitchen. Coaching can watch: parent coaching.
The idea behind the work (in the books)
Home is where the repetitions live. The useful idea is a pause, not a toy catalogue.
Hanen — Observe, Wait, Listen
Watch what they are already doing. Wait. Listen for the look or the sound. Then answer it. We are not a certified Hanen centre.
Mundy — joint attention
A shared look is the floor under first words. Copy their play, then wait for the glance back, before you name anything.
What the research tells us
This isn’t just our opinion — it’s grounded in published research. Here are a few findings from trusted, independent sources:
A Cochrane review of parent-mediated early intervention (17 trials, 919 children) found strong evidence that parent–child interaction changes — more shared attention, more parent synchrony. Evidence that the child’s own language and adaptive skills change was smaller and less certain.
— Cochrane Database of Systematic Reviews — Oono, Honey and McConachie (2013), CD009774. View sourceNICE CG170 recommends a play-based social-communication intervention with parents, carers and teachers to increase joint attention, engagement and reciprocal communication, adjusted to the child’s developmental level. For pre-school children it recommends parent mediation.
— NICE Clinical Guideline CG170 — Autism spectrum disorder in under 19s: support and management. View source
Take a worksheet home
Print one sheet. Fill it in this week. Bring it to the consultation — a consultation is Rs 1,500 and lasts up to 50 minutes.
First-words picture cards
Cut-out cards for late talkers. Name, wait, celebrate any try.
Requesting cards
Help, more, finished, stop, my turn, can I play — a faster ask than screaming.
Home practice log
One skill, a few minutes, one line of what happened. Bring it next time.
Book a consultation
Contact owner Muhammad Salman Afzal first. No referral needed. A consultation is Rs 1,500 and lasts up to 50 minutes.
At home — questions parents ask
How many minutes a day?
Short bursts inside a routine you already have. Not an extra hour of “therapy homework”.
Grandparents can join?
Yes. The person who has the afternoon should hear the same two prompts.
They will not look at me.
Hearing first. Then we practise looking as a skill, not as a test of love.
Do I need special toys?
No. The cup, the shoe, the bath. If it needs a shop trip it will not survive Tuesday.
Ask about at home
A short, friendly conversation is the best first step. Call, text or WhatsApp us — we’ll listen and guide you, with no pressure.
MPS Road, Block A Model Town, Multan (near Bloomfield Hall School, Street No. 2) · Mon–Fri, 2 PM – 6 PM