We provide services for a wide range of speech, language,
feeding and behavior needs.
- Apraxia- PROMPT
- Feeding Disorders
- Language Delays
- Augmentative Communication
- Hearing Impairment
- Social Skills-
- Speech/Language Evaluations - Educationally based recommendations
and/or insurance based recommendations
What is Apraxia?
A child with apraxia of speech (also referred to as dyspraxia or developmental apraxia of speech) has trouble correctly producing and sequencing speech sounds, syllables, and words. Typically, there is no damage or weakness in the oral musculature. The problem is in the ability to plan oral movement for speech sound production. For example, a child with apraxia may be able to make the /b/ sound, but unable to put the /b/ sound together with the /a/ sound to say /ba/. The child may reverse the sounds and say /ab/. He may be able to say /tay/ and he may be able to say /bu/, but would not be able to put the sounds together to say /tabu/ (table).
The treatment programs for apraxia of speech typically consist of a series of multiple trials using a variety of treatment approaches. Treatment may begin by targeting simple sound combinations and advance to more complex sound combinations. The SLP will use lots of visual cueing (hand gestures for various sounds), and attempt to have your child improve productions through lots of practice. The SLP will also use tactile cues (PROMPT) and oral motor techniques.
What types of services do you provide for children with Autism?
Children with Autism have a variety of needs that range from communication to feeding. We start with the child's strengths and work from there. We target goals which will make the children more successful. We see children who are initially non-verbal to children who need assistance with social skills and abstract language.
What type of assistance do you provide for feeding disorders?
We assist children to eat a wider variety of foods. We focus on the child's behavior, oral motor skills and sensory needs. By focusing on these areas children are able to make the most progress.
We carefully evaluate a child's skills to insure that the child has the ability to eat a variety of food. We evaluate chewing, swallowing and tonuge movements. In many cases, a child can appear to be chewing, when if fact the child is mashing the food with his/her tongue. Some children have been noted to swallow food whole. When this happens the children tend to limit the foods they will eat.
What types of goals would you target for language disorders?
We help children learn how to communicate. This may be through pictures, communication devices or words. We target receptive (understanding language), expressive (express yourself, tell stories, make requests) and social pragmatic language (social skills). Some children are able to easy answer factual questions, request objects and follow directions but they are not able to engage in conversations (social pragmatic language) or understand abstract language (problem solving, inferencing, predicting). Children who have a hard time with abstract language often have a difficult time with academic tasks such as reading comprehension and creative writing.
How could you help my child with an Augmentative Communication device?
We help families and children learn to program the devices as well as use them effectively. We will teach the child to navigate through different pages on his/her device. We also teach cause and effect, use eye gaze boards and computers to assist children.