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Family in the Park

Occupational Therapy Consulting

Thoughtfully Designed Support Beyond the Session

Bridging Therapy and Everyday Life

​​​​​Filling the gaps between therapy sessions with practical, doable strategies that fit naturally into your everyday routines.​

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Feel confident supporting your child’s development at home, even when services are limited, changing, or are just beginning.

Specialized virtual support

Designed for real life

And the moments that therapy doesn’t fully reach

Access expert, therapy-informed guidance from your own space.


Nurture by Design helps fill the gaps between services by equipping caregivers with practical, thoughtfully designed strategies that support your child across home, school, and everyday life - with the people they already trust.

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Support that fits your real life,

especially during gaps such as:

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  • Waiting for services to begin

  • Not enough therapy hours

  • Changes in providers or funding

  • Strategies at home aren’t working

  • You want to add specialized support to your child’s team

Explore the Nurture by Design approach & meet

Akemi McNeil, MA, OTR/L

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Build a Custom Plan

Find the level of support that fits your family,

whether you’re just getting started or filling a gap between services.

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Quick, practical tools you can use right away, at home or in your community. See our Blog and Resource list for more.

Start here.

Studying Online

Learn how to support development through everyday routines and purposeful play.

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Personalized guidance to understand your child's needs and support to develop a plan that works in real life.   

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A clear, supportive path forward

The Nurture By Design Process
Thoughtfully designed. Relationship-centered. Grounded in play.

Your Concern

 

 

We begin by listening.

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We learn about your child’s strengths, challenges, and your family’s priorities. Your goals guide our direction. We'll start working on what you need help with right now. 

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Evaluation &

Plan Design

 

Insightful assessment. Intentional planning.

 

Through careful observation and developmental analysis, we design a personalized, play-based, sensory-informed plan woven into everyday life.

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Therapy Approach​​

 

​Connection first. Growth follows.
 

Using relationship-centered, play-based strategies, we provide strategies to nurture regulation, engagement, communication, motor coordination, and growing independence.

Parent Partnership

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Confidence in everyday moments.
 

Gain meaningful tools to support dressing, mealtimes, play, and transitions, transforming daily routines into purposeful developmental opportunities. Focus on your family's goals.

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Ongoing Family Support

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We grow with you.

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As your child develops, we thoughtfully refine goals and strategies, offering steady guidance and collaborative support along the way.

Support
for the areas that matter most

Focused on real-life skills, connection, and daily routines.

See how we can design a plan for these areas of need and more!

Foundational Skills

Sensory Processing

Self-Regulation

Transitions & Safety

Gross & Fine Motor Skills

​Self Care

Dressing

Feeding & Eating

Bathing

Toileting

Cleanning up

​Social Interactions

Following Directions

Engagement with Family

Peer interaction

Play Skills

Snuggly Siblings

“Children develop through relationships; co-regulation and play are essential for building the foundation of engagement, interaction, and thinking.” - Rosemary White

4 ways to get support

Flexible support designed to meet your family where you are — whether you’re getting started, navigating gaps in services, or looking for practical tools you can use right away.

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Comprehensive Virtual Consultation (Ages 0-18)

Personalized support designed for real life


A 90-minute session to understand your child’s strengths, needs, and daily routines. Together, we create a practical, play-based plan you can begin using right away.​

Early Development Screening (Ages 0–3)

A supportive starting point for early concerns


A virtual screening focused on developmental milestones, sensory processing, and early interaction skills — with a written summary you can share with your pediatrician or care team.

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3

Sensory Processing
Screenings (All ages)

Discover individual differences 
 

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A virtual screening focused on an individual's sensory processing differences. Book a session to learn about your child's or your own sensory processing. Session includes a written summary.

Resources & Guides

Practical tools you can use right away

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Access thoughtfully designed, OT-informed resources that help you support your child through everyday routines, play, and real-life moments.

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Session packages are available for families who would like ongoing support.

Book Now

Start with a conversation

Stay Connected

Join for Updates & Access to Free Resources

Get practical, therapist-designed strategies delivered to your inbox, including helpful updates, resources, and support to help you confidently navigate your child’s development at home.

Get the Nurture by Design™ Starter Kit​

An introduction to a therapist-created approach for supporting your child through everyday life.

This thoughtfully designed guide includes practical strategies to help you get started. 

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