THE LADDER APPROACH is an innovative and structured way to deliver therapy services of any type (OT, PT, or ST) in the Neonatal Intensive Care Unit. Whether you are a well-known member of your NICU team or just starting to develop a program, the ladder approach will help you gain reasoning and purpose behind your work. At the same time it will give other NICU team members and families an easier way to understand the valuable work you do in the NICU. It is easy to use and to understand. This approach will serve as a guide for NICU therapists based on theory and proven practice. I promise you it will change the way you deliver care and give you great confidence and purpose in your work! THE LADDER APPROACH WAS REVISED IN 2017 to include the new advancements in neonatal care by therapists!!