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Help Me Grow






What is Help Me Grow?
Help Me Grow is a state-wide program for expectant parents, newborns, infants, and toddlers that provides health and developmental services so that children start school healthy and ready to learn. Services are designed with the family’s concerns and goals in mind. Help Me Grow is offered on a voluntary basis to families prenatal to when their child turns three. Help Me Grow supports families with newborns, infants, and


toddlers by giving health information, positive parenting education, and connecting families to community resources. 

Why work with a child who is so young?
80% of the brain is wired for learning by age three. The earlier you help a child, the easier and more important your efforts are. Did you know that the early experiences your baby or toddler has are shaping the way her/his brain will learn and react to life?  Early experiences last a lifetime! Investing in early childhood is one of the few investments that has been found to consistently provide a large positive return on investment. 


What is home visiting?
Home visiting programs have a long tradition of working with families in their homes. Home visits are available to families in Help Me Grow to offer support, education, and community referrals. Home visits vary according to the family’s needs and utilizes an evidenced-based curriculum.

Prenatal home visits include helping the family establish a medical home and providing prenatal health information.  After the child is born, home visits help family provide a nurturing early environment for their child. Visits help families support their child’s health and development and provides parenting education. 


What if a parent is worried that their infant or toddler is behind in their growth and development?
Every child grows differently. But for all children, certain steps must be taken to reach the next stage of growth. If a child is missing one of these steps or milestones, they may have a delay in one area of development, such as language, thinking, physical, or emotional skills. By helping a child early, the child can be more ready for school. 



Where do families go with their questions about their child’s development?
Families often talk with their doctor about concerns. The doctor can make a referral to Help Me Grow. Or, the family can call Help Me Grow directly at 740) 439-1858 Ext 0 to talk with someone about how their child is doing. Help Me Grow will help the family find the services that best meet the needs of the family. 

Children are ready and eager to learn!
Our future is our children and Help Me Grow is here to help young children grow, learn, and develop to their fullest potential!  Just click on one of the tabs above to learn more about our program and to sign up for services.



Early Intervention






If your child is not meeting their milestones, Early Intervention could be the key to getting them back on track!


The Early Intervention program is a free service designed to meet the needs of eligible infants and toddlers birth through age two that are delayed in meeting milestones, have a developmental disability, or are at risk of having a developmental disability. Needs are met through individually designed plans, therapy services and by providing information and opportunities to enhance the child's development.


Early Intervention is a collection of family centered services designed to help families learn about their child's development and provide assistance to children who are showing signs of, or are at risk for, developmental delay. Early Intervention during the first few years of a child's life can make a difference. It can identify and work with problems and potential problems a child may have. Early Intervention can:

  • Improve developmental and educational growth for children and their families,
  • Help children with delays become more independent and functional,
  • Reduce the need for later special services for children and their families,
  • Help develop a system of support for the children and their families and answer families' questions about child development.

Services are flexible, build upon family strengths and are responsive to family choice.

For more information, contact the Help Me Grow program at: 1-855-439-1464.



Population served: eligible children ages birth to 3 years

Hours of services: 8am to 4pm, or otherwise determined by team and family
Early Intervention services occur when it is convenient for the family.

Days of services: services are available based on board approved program calendar

Frequency of services: based on child's needs and plan

Fees: none

Referral source: Help Me Grow

Support Settings: Supports take place in the home or the child’s typical daily environment. The staff strive to use the resources in the child’s natural environment to support the caregiver is continuing to work with the child when the staff is not with them. The administrative offices are located at:

Hopewell School
23720 Airport Rd
Coshocton, OH 43812
P: 740-622-2032

MIECHV Home Visiting Program






The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, is a form of home visiting that provides families that are considered "at risk" and that are pregnant, have infants or toddlers additional support to improve health and development outcomes. This program was established in Coshocton County through a grant devolped through a partnership between two agencies within the U.S. Department of Health and Human Services (HHS). The desired outcomes for this peogram are:

  • Improved maternal and newborn health;
  • Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits;
  • Improvement in school readiness and achievement;
  • Reduction in crime or domestic violence;
  • Improvements in family economic self-sufficiency; and
  • Improvements in the coordination and referrals for other community resources and supports.










Coshocton DD offers access to several therapy services to address identified needs:


Physical Therapy

Physical therapy is a hands-on approach to improve or restore physical function. People of all ages receive physical therapy service. A physical therapist will evaluate a patient and develop a treatment plan. Once a treatment plan is develop, a physical therapist or a physical therapy assistant will follow the recommended interventions.




Conditions for physical therapy service may include the following:

  • Strength and endurance training
  • Gross motor skills development
  • Cerebral Palsy
  • Spina Bifida
  • Torticollis
  • Developmental Delay
  • Amputations
  • Tendon /Ligament Injuries
  • Balance and Coordination
  • Back and neck injuries

Please refer to www.apta.org for more information on physical therapy.


Pediatric Physical Therapy is a specialty area in which children from 0-18 years of age receive physical therapy services to assist them in gaining independence with their motor skills, such as walking, crawling, jumping, etc. In Early Intervention, the physical therapy staff works with the younger children and their parents (newborn babies and children up to age 3). The

physical therapist and physical therapist assistant work together to help children achieve age appropriate developmental milestones such as rolling, crawling, and walking. The therapists work to improve the flexibility and/or strength of their muscles which leads to improved ability to move, better posture, and overall better balance. The Physical Therapist will evaluate the child to determine strengths and areas of weakness that he/she may have. The Physical Therapist, Physical Therapist Assistant, and the family work as a team to improve areas of delay through exercises, stretching, and home programs. A variety of equipment is used when treating the children and can include therapy balls, benches, cube chairs, and bolsters. Therapy is play based and at times the children may not even know they are working at all. The family is the most important part of the team since they know their children the best. Therefore, the goal of the physical therapy staff is for the parent/caregiver to be an active part of the treatment process and for them to feel as comfortable as possible with carrying through with suggested home activities.

Gross Motor Milestones

The typical age range to achieve general milestones such as rolling, sitting, creeping, and walking are as follows:

  • Rolling 4-6 months
  • Sitting 6-8 months
  • Crawling 8-10 months
  • Walking 12-15 months


Occupational Therapy

Occupational Therapy is concerned with a child’s ability to participate in daily life activities or “occupations” as stated from the American Occupational Therapy Association Fact Sheet. From birth to the age of three, which are the ages that the Coshocton DD Early Intervention serves, children engage in play and self-care. Both play and self-care (self-feeding) typically involve the use of hands and during this learning process attention is required. Fine motor focuses on the fine, or small and precise use of hands/muscles as compared to “gross” motor, which encompasses large muscles; thus, the difference between occupational and physical therapy.


Developmental Progression

Babies first start by staring at their hands and soon start using them by placing their hands in their mouths. Later on, babies can use their hands to help feed themselves, grab their pacifier and shake a rattle. As a child continues to grow, so does the quality of a child’s grasp. Initially babies will use their whole hand to pick up a small piece of food, later the child will use the first three fingers, and then refine it even more to use just the pad of the thumb and index finger. Eye hand coordination is important as a child after much repetition will twist and turn a puzzle piece multiple times before getting it into the correct slot. Entering into toddlerhood, a child progresses and begins to stack multiple blocks, imitate up and down lines, imitate circular scribbles, feed themselves independently with a spoon, and drink from an open cup.


Occupational therapy practitioners at the Coshocton DD Hopewell School collaborate with the educational team to identify and meet the unique needs of children who are experiencing delays or challenges in development. They combine their skills with the educators to address emergent literacy, sensory motor development, play skills, the development of safe feeding skills along with adaptive self-care skills. They offer support to teachers as well as the parents for safe and efficient care giver routines and information of available assistive equipment.

Speech Therapy

A speech-language pathologist can serve children or adults in the areas of communication and swallowing.  Speech therapy services include diagnosis, assessment, planning and treatment. 

Focus of treatment may include the following:

  • speech sound production
  • voice disorders
  • fluency (stuttering)
  • language (comprehension and expression)
  • cognition (attention, problem solving, memory)
  • feeding and swallowing – aversions, muscle weakness, coordination

Communication and swallowing disorders may be a result of:

  • neonatal problems (prematurity, low birth weight, substance exposure)
  • developmental disabilities (autism spectrum disorder, learning disabilities, specific language impairment)
  • auditory problems (hearing loss, deafness)
  • oral anomalies (cleft lip/palate, macroglossia)
  • genetic disorders (Down syndrome, fragile x syndrome, Rett syndrome)
  • neurological disease/dysfunction (traumatic brain injury, cerebral palsy)

Please refer to www.asha.org for more information on speech-language therapy information. 


EI Speech Therapy

Speech therapy in Early Intervention is designed to help your child be an effective communicator with the world. This involves much more than teaching him or her to say words. It is easy to understand that a child must crawl and stand before they walk, but the pre-speech skills are not as obvious. Before sounds and words can become communication, a child needs to do the following:

  • Play with people
  • Imitate actions
  • Imitate sounds
  • Take turns with others
  • Stay in turn taking interactions with others for several turns
  • Communicate with sound and movements (reaching, pointing, waving)
  • Prefer being with people rather than alone

The focus of speech therapy will be on modeling interaction skills, encouraging communication and answering (or researching the answer to) any questions that you have about communication. The impact that you have on your child’s communication development is very important!




School Age Services






The Coshocton County Board of DD provides comprehensive services for children from preschool to graduation. Some classes are both typical and students with disabilities. To learn more about these services see the Hopewell School page HERE.




Service & Support Administration






Each person served by the Coshocton County Board has a Service and Support Administrator (SSA), who is responsible for helping them find and reach their fullest potential. SSA's do this by learning what each person needs and wants and then acting as a link to the supports and services that will help them lead a fulfilling life. This can include a job in the community or workshop setting, locating adult literacy classes or finding opportunities to enjoy leisure activities like bowling, going to the movies or shopping. A 24-hour crisis emergency system is also provided by the team of professionals that make up SSA.


In all these areas and more, SSAs are leaders in fulfilling the County Board's mission of ensuring that opportunities and supports that promote choices and participation in the community are available for eligible individuals and their families. Some of these areas include but not limited to:

  • Identify issues and concerns of the individual
  • Identify desired outcomes that are important to the individual
  • Identify resources, which an individual may need, in a simple and timely fashion
  • Identify individual and family supports and strengths
  • Provide information & referral
  • Assist the individual and family in determining and directing the supports and dollars needed to reach their specific outcomes
  • Assist the community in learning more about the unique capabilities of individuals with DD
  • Assist communities to develop the capacity to support people with DD


Population served: Eligible individuals ages 3 and above

Hours of services: 8am to 4pm, or otherwise determined by team and individual or family.
Services occur when it is convenient for the individual and family.

Days of services: services are available based on board approved program calendar

Frequency of services: based on individual's needs and plan

Fees: none

Referral source: Service & Support Administration

Support Settings: Supports take place in the community in the home, work enviornments or the individuals typical daily environment. The administrative offices are located at:

Service & Support/ Community Employment

646 Chestnut Street

Coshocton, Ohio

P: 740-622-2674




Behavior Support






Behavior Support Services develops behavior programming that is consistent with the Ohio Department of DD Behavior Support Rule. The Coshocton County Board of DD's primary goal is to meet the health and safety needs of individuals we serve across all DD programs (childhood through adulthood), using positive behavior supports. The Behavior Support Specialist uses a variety of assessment tools in an attempt to determine the motivation behind the undesired behavior, and to track trends and patterns. 


Behavior Support Services believes in working with a Team of people to help support individuals. We rely on the knowledge and expertise of others to assist us in developing positive programming to teach people more appropriate ways of communicating their wants and needs. We also support the families and staff working with the individuals to learn better ways of interacting. We can also provide training to other agencies.








Recreation and leisure activities are a critical dimension of the quality of life for all people, including those with developmental disabilities. Recreational and leisure are a vehicle through which people have fun, meet new friends, and develop skills and competencies. These activities provide opportunities to learn and help develop or maintain the social connections that enrich our lives and provide us natural support systems as our lives change.
There are several ways that individuals can access recreational opportunities offered by the Coshocton County Board of DD or community partners. Depending on what makes sense for you and the resources available these activities might include participating in Special Olympics or other a clubs, support in accessing the community, an adult day service program with recreational activities, or special trips or recreational activities developed by the Cosh DD Recreational Department. The best way to determine what recreational resources make sense for you is to work with your Service and Support Administrator (SSA) to identify what resources and activities best match your wants and needs. To learn about recreational activities offered by the Recreational Department of Coshocton DD, contact Toby Collins at 740-622-2674



Transition Supports




  Individuals go through several transitions in their life. For individuals with disabilities and their families these transitions can be especially stressful as concerns about continuing needed levels of supports add to the concerns about adjusting. Major transitions that are common could include transitioning from Early Intervention services to Service & Support Administration, transitioning into school and from grade to grade, and transitioning into adulthood, employment, secondary education, or adult day services and/or a new living situation. Coshocton County Board of DD staff help you plan for future transitions and they work cooperatively to help facilitate a transition that is as smooth as possible for the individual being supported. If you are concerned about an upcoming transition in your life or in the life of a family member Coshocton DD supports, please discuss your concerns with Coshocton DD staff and we will work with you to obtain resources and coordinate supports.



Family Resources






Family Resources (FR), formerly known as Family Support Services or FSS, aids families in meeting the unique needs of an individual with a disability in the home. Families are reimbursed for certain approved expenses necessary to take care of the family member in their home. FR reimburses the costs of temporary care (respite), home modifications, special equipment, special diet, and training or counseling for families. FR is flexible to support families in meeting their unique needs. The amount of the expense that is reimbursed is based on the availability of funds. Families must enroll yearly. An individual does not need to be enrolled with the County Board of Developmental Disabilities to receive FR but they do need to be eligible for services by meeting all eligibility requirements.



Respite literally means a period of rest or relief. Respite care provides a family temporary relief from the responsibilities of caring for their family member with developmental disabilities. Length of respite care can be anywhere from a few hours to several days. Services may be used frequently or infrequently, such as for appointments, emergencies, vacations, one day per week or month, or weekends. Respite services consist of a provider who comes to the family home while the caregiver is away or takes the individual away from the home. Respite care is not additional care in the home when the family is present.
Families may project the number of respite hours and/or days needed for a 30 to 90-day-period. Call, write or email to request a payment voucher for the hours/days. Vouchers are void 90 days after their issue date. Please be aware of the void date printed on each voucher. Completed Request for Reimbursement forms are to be submitted within 30 days of the date of service or purchase to the Family Resources (FR) office for reimbursement.


If you have a family emergency requiring respite services, contact the FR office as soon as possible to request payment vouchers.


Respite providers must be listed on the “Family-Selected Provider Roster”. You may add providers throughout the year by completing additional Provider Rosters.



Counseling, supervision, training and education of the individual, the individual’s caregivers, and members of the individual’s family that aid the family in providing proper care for the individual, provide for the special needs of the family, and assist in all aspects of the individual’s daily living. 



Special diets mean diet or special food items that are prescribed for an individual by a licensed physician or qualified dietician (a person who has successfully completed the requirements for a Bachelor's degree majoring in nutrition or dietetics and has had at least one (1) year of experience as a dietitian).  It may also include specialized supplies and equipment needed to prepare and serve the special diet (i.e. blender). Original itemized receipts or invoices are needed for reimbursement.



Adaptive or special equipment are those items necessary to improve or facilitate the care and living environment of the individual.  Special equipment also includes equipment or adaptive modification to special equipment that is prescribed by a licensed/qualified professional and assists the family in maintaining the person at home. Equipment that benefits the entire family, not with a main focus on the individual is prohibited.

Request for adaptive equipment requires other available funding be exhausted (e.g. insurance, Medicaid, Medicare, Easter Seal Society, Lions Club, Coshocton County Memorial Hospital, and Coshocton County Health Department, Interchurch, Salvation Army, etc.) before seeking FR funding.  Family Resource requires two (2) written estimates be submitted (whenever possible) along with letters of requests/rejections to be submitted at time of request.  A prescription and/or a letter of recommendation from a licensed (or certified) professional must accompany all adaptive equipment requests. Original itemized receipts or invoices are needed for reimbursement.

All Paperwork Must Be Submitted Before Any Purchase.



A modification to the home means any permanent or temporary adaptation to the residence of the individual that assists the family in maintaining the person at home.  The need for such modifications must be assessed by the county board in cooperation with professionals who are familiar with the family and their needs.  This includes changes needed in the home or on the family property to make it accessible to the individual receiving services.

Requests for home modifications require other available funding be exhausted (e.g. insurance, Medicaid, Medicare, Easter Seal Society, Lions Club, Coshocton County Memorial Hospital, and Coshocton County Health Department, Interchurch, Salvation Army, etc.) before seeking Family Support Services funding. Family Support requires two (2) written estimates be submitted along with letters of requests/rejections to be submitted at time of request.


All Paperwork Must Be Submitted Before Any Modifications. Original itemized receipts or invoices are needed for reimbursement.



A letter from a licensed or qualified professional may be required stating how the individual may benefit and that the service is appropriate. Enrollment in special summer programs, appropriate leisure activities and other social skills development activities can be a part of these supports. Also included are services to aid in the development of interventions to cope with unique problems that may occur within the complexity of a family. This service must be specified in the individual’s service plan.



Other services that may assist families to meet the special needs of the individual and to assist them to live as much like other families as possible. This service must be specified in the individual’s service plan.




Community Employment




Coshocton County Board of DD's Community Employment Team will help connect you to resources and supports to help you get, learn and keep a job in the community of your choosing. Supports may include assessment of abilities and interests, job shadowing supports, help writing and submiting your resume, etc.








Population served: Eligible adults ages 16 and above

Hours of services: 8am to 4pm, or otherwise determined by team and individual.
Services occur when it is convenient for the individual and family.

Days of services: services are available based on board approved program calendar

Frequency of services: based on individual's needs and plan

Fees: none

Referral source: Service & Support Administration

Support Settings: Supports take place in the home or the individuals typical daily environment. The administrative offices are located at:

Service & Support/ Community Employment

646 Chestnut Street

Coshocton, Ohio

P: 740-622-2674



Enclave Employment






When an individual chooses to work within an enviornment exclusive to individuals with disabilties, this is called 'enclave employment' or what is also commonly called a shelter workshop.


Enclave emloyment offers individuals the opportunity to gain skills while earning money in an enviorment of maximum support. For more information about local providers of enclave employment, please contact your SSA.




Adult Day Programs






Adult Day Service programs are one way that educational opportunities and skill developments can continue into adulthood. By definition Adult Day Services do the following:

  • Assessment - may be formal or informal, for the purpose of developing an Individual Service Plan or ISP
  • Personal care - includes personal hygiene, eating, communication, mobility, toileting, and dressing
  • Skill reinforcement - includes implementing behavioral intervention plans, and help with the use of communication and mobility devices
  • Training in self-determination - includes developing self-advocacy skills and acquiring skills that enable an individual to become more independent
  • Recreation and leisure - includes supports identified in the ISP that are therapeutic, and help to develop and maintain social relationships and family contacts

Some Day Services also provide Vocational Habilitation services designed to teach and reinforce concepts related to work such as:
> Responsibility
> Attendance
> Task completion
> Problem solving
> Social interaction
> Motor skill development
> Safety


To learn about your ADS options, please contact your SSA.

Home Supports






Coshocton DD provides a variety of options to meet the different needs of individuals with disabilities in living in a home of their choosing. Coshocton DD helps individuals to be successful in the residential setting that best suits them. No matter if an individual wishes to live in a home, an apartment, alone, with family or sharing expenses with roommates, Coshocton DD works with each individual and family to arrange services and supports that will help the individual be successful. Coshocton DD has a network of individual and agency residential providers that help individuals live successfully in the community. Services may include hiring a provider who can help them gain living skills, transportation assistance, or purchasing adaptive equipment for the home.


There are a variety of funds available to help an individual access residential service, or to plan a budget for the things they need. Through Coshocton DD services, individuals have increased independence, integration into the community and safety in their own home.


As the County Board examines existing residential options, particular attention and planning is being paid to the concerns of parents of children and adults who want to know where their child will live after they are gone.




People with developmental disabilities are all too often isolated from their communities in congregate-care facilities. Coshocton Community Housing provides more traditional housing for these individuals in neighborhoods that are closer to their families, their jobs and their churches. Above all, our houses are a place they can call home.


Coshocton Community Housing rental properties are designed to meet the needs of individuals with disabilities who choose to live with one or two other individuals and share the costs of the home and support services.


Living assistance is arranged by the Service and Support Department of the Coshocton County Board of Developmental Disabilities. These services can vary from full time, round-the-clock personal assistance, to temporary, once-a-week grocery shopping.


To be eligible to lease a Coshocton Community Housing home, an individual must qualify for services from the Coshocton County Board of Developmental Disabilities (CCBDD). If you have a question about our housing corporation, contact Steve Champagne- CEO of Coshocton Community Housing Inc. at 740-622-3563 or e-mail at schampagne@roadrunner.com .





Specialized Funding






Coshocton County Board of DD is a gateway to specialized funding supports for qualified individuals with disabilities. One form of specialized funding is a waiver. Waivers allow individuals to live in community settings of their choice with supports, rather than in an Intermediate Care Facility (ICF) or other institution.


Currently, the Ohio Department of Developmental Disabilities administers four waivers: the Individual Options (IO) waiver; the Level One waiver (Level I); The Self Empowered Life Funding (SELF Waiver); and, the Transition Waive (TDD). 


Individual Option Waiver Services:

  • Homemaker/Personal Care
  • Home Modifications and Adaptations
  • Transportation
  • Respite Care
  • Social Work
  • Home-delivered meals
  • Nutrition
  • Interpreter Services
  • Specialized Adaptive or Assistive Medical Equipment and   Supplies
  • Adult Day Services
  • Supported Employment

Level I Services:

  • Homemaker/Personal Care
  •  Institutional Respite
  • Informal Respite
  • Transportation
  • Personal Emergency Response Systems
  • Specialized Medical Equipment and Supplies
  • Environmental Accessibility Adaptations
  • Emergency Assistance
  • Supported Employment
  • Day Habilitation

Self Waiver:

Enrollment for DODD’s new SELF Waiver began July 1, 2012. The SELF Waiver is a much-awaited waiver offering services that allow individuals with developmental disabilities who receive support on the waiver to direct where and how they receive those services -- for individuals this is known as ‘self-direction.’


DODD estimates up to 2000 individuals will be enrolled on the waiver by the third year it is in effect. The SELF Waiver has an overall annual cost cap of  up to $25,000 for children and up to $40,000 for adults.


There is currently a waiting list for waiver services. If you feel you could benefit from the support of waiver funding, please contact your SSA.


Adaptive Equipment






Students with a suspected or identified need:

Adaptive equipment are devices that are used to assist with completing activities of daily living. Bathing, dressing, grooming, toileting, and feeding are self-care activities that are including in the spectrum of activities of daily living. If Adaptive Equipment is needed for daily living there are several options in securing the equipment. Needs and options should be discussed with support staff.



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