Many recall Amelia saying: “People always ask ‘how long will this take?’ I can do the work, or we can do it together. But if I do it on my own, it'll cost you a lot more money!"

The maintenance of a home practice increases the rate of physical change. Activation of the primary principles and theories develop the student’s cognitive and physical understanding of how change in the body occurs. Between sessions, there is a need to maintain the changes brought about by hands-on work.

Mitzvah Technique teachers have resolved their approach to this question at different times and in different ways.

Toshie Okabe: “I teach the basics, because that's what people need… it's about long-term change over time. Always coming back to the things I need to work on, instead of how something makes me feel."

Amelia led group classes but found that these limited her ability to convey information one-on-one, using touch and manual guidance to guide the body individually. Seeking results similar to those she’d experienced one-on-one using the Mitzvah principle under Nehemia’s direction, she built the Itcush Self-Maintenance Program.

Guided by the teacher, the student develops a menu for independent daily use. Done on the floor, in a chair and standing, they assist the body in clearing pressure and tension. Mobility, flexibility and strength gradually increase.