The ESMT program is comprised of 10 stages of motor development, each encompassing 20 motor skills. When a child begins the program, they are assessed on their current motor function and placed on a corresponding stage. As their motor skills develop, they are introduced to more complex skills and make their way into the higher stages. Assessments are completed semi-annually and used in a prescriptive manner to ensure that each child is still adequately challenged and working within their zone of proximal development. Although several children may be working on the same ESMT stage of motor development, the program is adapted to each child’s individual needs. The therapists acknowledge each child’s unique learning styles, weaknesses and strengths to maximize their potential for success. The ideal goal of the scale is to achieve a level of motor development as close as possible to their peers, so that they feel more confident and experience inclusivity in a greater variety of settings.