Tracking Rehabilitative Advancement through Accountable Care (TRAAC)

Duration, Type and Frequency of Treatment

Our therapists use a service delivery model known as TRAAC (Tracking Rehabilitative Advancement through Accountable Care), to create an individual plan of care that meets your child’s unique needs. At different times during the child’s treatment period, the TRAAC model may change. All members of the team (child’s parents, caregivers, teachers, and therapists) work together to identify the therapy goals, focus of treatment, and the best TRAAC for each child.

TRAAC 1: Intensive (3 or more weekly sessions)

For children who:
  • had surgery recently or have complex medical needs.
  • make fast progress towards short and long term functional goals.
  • may lose functional skills due to present medical condition.
  • need frequent changes to their plan of care.
  • need an intensive family education/training program.
  • with their parents’ help, follow the given home program.

TRAAC 2: Weekly (1 or 2 weekly sessions)

For children who:
  • were recently diagnosed with a condition or disorder.
  • are making steady progress towards short- and long-term functional goals.
  • need occasional changes to their plan of care.
  • need education/training and whose families follow the given home program.

TRAAC 3: Periodic (1 or 2 monthly sessions)

For children who:
  • are making slow or limited progress towards goals.
  • are achieving functional goals.
  • need education/training with frequent updates, and whose families follow the given home program.

TRAAC 4: Consultative

Frequency scheduled as needed (1 session every 2-6 months) with re-evaluations as recommended. For children who:
  • are slowly gaining functional skills.
  • require family education/training with infrequent updates, and family follows the given home program.
  • are receiving community services and require occasional consultation with a therapist to ensure continued progress in the therapy goals or to address concerns.
  • have specific new challenges identified by the child or family.
  • have a new need for or will require updating of specific adaptive equipment (e.g., wheelchairs, standers, gait trainers).


  • Completed every 6 months.
  • Information gathered during evaluation/re-evaluation is used to create a plan of care according to the TRAAC model, and to make treatment decisions, recommendations, and plans for discharge.

Skilled Therapy on Hold Criteria:

Treatment may be placed on hold due to:
  • medical reasons.
  • family choosing to stop receiving therapy due to inability to pay for services, after being offered available hospital financial assistance programs and after being referred to community resources.
  • after referral to another discipline, before starting or continuing skilled OT/PT/SLP/ABA.

Discharge Criteria:

Therapy services will end when:
  • the therapy needs and goals of the child have been met.
  • the condition, injury or disorder is resolved.
  • the child can use compensatory strategies by himself.
  • Evidence-Based Practices no longer result in measurable progress.
  • child’s functional skills are decreasing and cannot be improved by skilled therapy.
  • parents do not participate in therapy.
  • parents are unable to follow the Attendance Contract.
  • family chooses to stop therapy or moves away.
  • child is referred to another provider or community resource.
  • family chooses to stop therapy due to inability to pay for services.

Trial Therapy

Therapy may be given on a trial basis for a short period of time when:
  • a new program/treatment approach is started (e.g., Augmentative and Alternative Communication (AAC), Feeding and Swallowing Therapy).
  • child is not meeting measurable goals or improving test results in a period of 12 weeks.
  • child has a long history of therapy services as reported by parent or medical records.
  • prognosis or rehabilitation potential is fair or guarded.
  • child is preparing to transition to therapy services in academic or natural environment, and/or alternative therapies.
  • child is preparing to transition to community based or extracurricular activities.
  • a home program is being used to maintain general skills within natural environment.
Contact Rehabilitation Services

girl with CP using a walker

Service Locations

Nicklaus Children's Dan Marino Outpatient Center
2900 S. Commerce Parkway
Weston, FL 33331

Nicklaus Children's Doral Outpatient Center
3601 NW 107th Avenue
Doral, FL 33178

Nicklaus Children's Hospital Main Campus
3100 SW 62nd Avenue
Miami, FL 33155

Nicklaus Children's Miami Lakes Outpatient Center
15025 NW 77 Avenue
Miami Lakes, FL 33014

Nicklaus Children's Miramar Outpatient Center
12246 Miramar Parkway
Miramar Square
Miramar, FL 33025

Nicklaus Children's Nirvair Chowdhury Midtown Center
3915 Biscayne Boulevard
Miami, FL 33137

Nicklaus Children's Palm Beach Gardens Outpatient Center
11310 Legacy Avenue
Legacy Place
Palm Beach Gardens, FL 33410

Nicklaus Children's Palmetto Bay Outpatient Center
17615 SW 97 Avenue
(Franjo Road)
Palmetto Bay, FL 33157

Nicklaus Children's Sports Health Center
11521 South Dixie Highway
2nd Floor
Pinecrest, FL 33156

Nicklaus Children's West Kendall Outpatient Center
13400 SW 120th Street
Suite 100
Miami, FL 33186