https://www.alwayshomebend.com/about daily 1.0 2025-10-15 https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1632260445360-924U6U6Y56NMPM9K32KH/unsplash-image-htEGTleSCZk.jpg About - Take the Next Step. Ready to take the next step in supporting your child’s development and therapeutic goals? Contact us today to schedule your free phone consultation. In an effort to make all therapy services accessible, Always Home Bend is also proud to announce that we are currently waitlist-free and in most cases can schedule your child for an evaluation within 1-2 weeks of the initial consultation. https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1632261197962-43RQ47AAUUCY2FKO6F8X/unsplash-image-lfEX-fEN3zY.jpg About - A Provider Like Family. Always Home Therapy was founded and is currently operated by one provider—Dr. Alyssa Gremban. This means you and your child will always receive one-on-one, individualized care directly from a provider who views you like family. Dr. Alyssa is committed to providing high-quality care that is convenient and accessible for all, without putting you or your child on a lengthy waitlist. To learn more about Dr. Alyssa, her approach to therapy, and her areas of expertise, please click the button below. https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1632260278935-MTAL407GI9TZ5IO56U5X/unsplash-image-iP0J_Vpl-Dc.jpg About - Inspiring Growth through Purposeful Play. As a neurodiversity-affirming therapy clinic, our therapy aims to inspire growth for the children and families we serve through the use of strength-based approaches and purposeful play techniques. We also believe that mutual relationships of trust and compassion are the foundation for effective therapeutic intervention and promote the achievement of developmental goals and milestones. These facilitative relationships, strengths-based approaches, and play-based techniques are not only fun for children, but they are also rooted in science and have been proven to nurture long-term and functional changes in the abilities of all children. https://www.alwayshomebend.com/contact daily 0.75 2025-05-30 https://www.alwayshomebend.com/team daily 0.75 2025-06-18 https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1633202861803-4LE3D7J7LY1D5JTJ4R8Z/Screen%2BShot%2B2020-01-14%2Bat%2B11.44.07%2BAM.jpg Team - Dr. Alyssa Gremban, OTD, OTR/L, CPST, RYT-500 Dr. Alyssa Gremban received her Clinical Doctorate in Occupational Therapy from Belmont University in Nashville, Tennessee where her doctoral research focused on early pediatric mobility and caregiver perception of disability. Dr. Alyssa also completed her Leadership Education and Specialty Certification in Neurodevelopmental Disabilities and Related Disabilities (LEND) from Vanderbilt University so she could better serve children with a range of neurodevelopmental diagnoses. Additionally, Dr. Alyssa has been trained in the Sensory-Oral-Sequential (SOS) Approach to Feeding to assess and address pediatric feeding delays and disorders effectively. Before becoming an occupational therapist, Dr. Alyssa was also an Applied Behavioral Analysis (ABA) provider and has extensive experience working with children with behavioral delays, sensory processing differences, and related difficulties. As a neurodiversity-affirming therapist, Dr. Alyssa takes pride in using children’s unique strengths to support their achievement towards developmental milestones. She has been further trained in the Developmental, Individual-Differences, and Relationship-Based (DIR) approach to therapy, which is a model that highlights the power of relationships and emotional connections to fuel development. Dr. Alyssa established her first private practice in Las Vegas, Nevada in 2019 and successfully provided services for children and their families throughout Southern Nevada. Since relocating to Oregon, Dr. Alyssa’s mission is to increase the ease and accessibility of vital therapy services for children and their families throughout Central Oregon. Dr. Alyssa understands how frustrating it can be to be put on a waitlist and strives to provide on-time services for all children and their families so they can live fuller and independent lives! When Dr. Alyssa is not providing therapy, you can find her practicing yoga, reading a good book with a cup of coffee, hiking, or spending time with her family. https://www.alwayshomebend.com/therapy daily 0.75 2025-05-30 https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1632938392923-MVAQ5Q414CDP5FT9S9A9/unsplash-image-nZhHajBMDu0.jpg Therapy - Occupational Therapy. Pediatric occupational therapists help all children—regardless of their injury, disability, or diagnosis—to do the things they want and need to do through the therapeutic use of daily activities (known as “occupations”). Play is the primary "job" or "occupation" of children throughout development. Play is how children learn and how they develop valuable life skills such as physical coordination, emotional maturity, social skills, and the self-confidence to try new experiences and explore new environments. Pediatric occupational therapists use play to help children participate fully in school, social situations, and family life so that they can live life more independently. Pediatric occupational therapists are unique in that they use a holistic perspective to focus not only on the individual child, but the aspects of the child’s environment that impact their performance and participation. Specialty areas include: Sensory processing skills • Behavioral regulation • Fine motor coordination • Handwriting skills • Gross motor coordination • Strength and balance • Social and cognitive skills • Daily living skills • Self-feeding skills • Assistive technology use • Orthoses management • Caregiver education and training • Patient advocacy. https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1633975618095-GRGPICWGZF3KXUR6VSGR/How+do+I+know+if+my+child+needs+occupational+therapy.png Therapy - When To Seek a Referral for Occupational Therapy. Download our helpful resource below to see some of the common reasons children are referred for an occupational therapy evaluation. Please note that while every child may struggle with one or more of these areas, an occupational therapy referral is warranted if these problem areas significantly impact a child’s independence in the home, school, community, or play. https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1633975799840-MP26A5RM4G1MTMJY1HZ7/unsplash-image-rPlYtGgoxho.jpg Therapy - Physical Therapy. Pediatric physical therapists, like occupational therapists, work with children and their families to assist each child in reaching their maximum potential to function independently and to promote active participation in the home, school, and community environments. Physical therapists are unique in that they have expertise in movement, motor development, and body function (e.g., strength and endurance). They apply clinical reasoning during examination, evaluation, diagnosis, and intervention for children, youth, and young adults. As primary health care providers, PTs also promote health and wellness as they implement a wide variety of supports in collaboration with families, communities, and other medical, educational, developmental, and rehabilitation specialists. Specialty areas: Developmental activities • Movement and mobility • Strengthening • Motor learning • Balance and coordination • Recreation, play, and leisure • Daily care activities and routines • Equipment design, fabrication, and fitting • Tone management • Assistive technology • Posture, positioning, and lifting • Orthotics and prosthetics • Burn and wound care • Cardiopulmonary endurance • Pain management. https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1633976833150-EUYXHOZDXXK1JYFBVN93/PT+Referral+Source.png Therapy - When To Seek a Referral for Physical Therapy. Download our helpful resource below to see some of the common reasons children are referred for a physical therapy evaluation. Please note that while every child may struggle with one or more of these areas, a physical therapy referral is warranted if these problem areas significantly impact a child’s independence in the home, school, community, or play. https://www.alwayshomebend.com/faqs daily 0.75 2025-05-30 https://www.alwayshomebend.com/reviews daily 0.75 2025-10-15 https://www.alwayshomebend.com/carseatsafety daily 0.75 2025-05-30 https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1741216387683-PQUISIEXXUVBH5HNFOZJ/unsplash-image-k03ih6IqkDY.jpg https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1741216561719-O559M2R4NINDE4IEKNTW/unsplash-image-fSY6aLEbtgw.jpg https://images.squarespace-cdn.com/content/v1/61476e997225635f6a0bae61/1741216454194-U1MKDQP1ZQ39UHMEN6SC/unsplash-image-xTedodxYTuQ.jpg