Speech Therapy is a type of therapy that helps children that have any type of difficulty with communication. So, that could include making their needs and wants known and difficulty producing speech sounds so that others could understand them. It could also include their ability to understand what they hear like following directions, answering questions, putting sentences together appropriately, using grammar correctly, and having conversations with their peers.
If a parent has any concern that their child might be delayed in speech & language skills (like not using any words at 18 months or not putting any words together when they’re 2 ½ years old like their peers are doing) it could be a great time to request a referral for speech therapy. We also work a lot with children that are on the Autism Spectrum, children with Down syndrome, and other disabilities.
When the child comes for their initial appointment, that is going to be an evaluation and typically those appointments last between 90 minutes – 2 hours, depending on the child. A therapist will bring the family back, administer a clinical interview (asking the parents’ concerns, relevant medical history, how long the issues have been going on, etc.) then the therapists will do some clinical observation of the child by seeing how they are communicating, how they’re interacting and playing, etc. Then we will administer some form of a standardized evaluation of the child, so we can compare their communications skills to other children their age. This will vary depending on the child, so it could be a play-based assessment where the child is interacting with toys or it may be a more structured assessment where we’re having them look at pictures, answer questions, or follow directions.
One of the huge benefits that we have here at Siskin Children’s Institute is that we have so many disciplines under one roof. So, the therapists, teachers, and doctors are able to collaborate and work closely with one another. Many times, we are able to co-treat, with occupational or speech therapy, so both therapists are able to see what each other are both working on with the child and help incorporate those goals together. Another benefit that makes the Speech Therapy Program specifically different at Siskin Children’s Institute is that we have therapists here that are very well versed in augmentative and alternative communication. This is very helpful for children who have limited verbal speech or have difficulty with verbal speech and are using some augmentative ways to communicate like a high-tech device (speech tablet) or a lower-tech system like pictures. We have a lot of experience with those practices which is less commonly seen throughout the industry.
Our therapists like most of our sessions to be child-centered and play-based meaning that we use play and the child’s interest to work on their speech & language goals. This session might look like pushing a child on a swing, then stopping the swing, so that allows them the opportunity to say “GO!” or “MORE!” or “SWING!. This could also include having a child practice their speech sounds then taking a turn to play one of their favorite games. It really just depends on what the individual goals of the child are. We also like to keep the parents involved in the sessions as much as possible either by physically joining in the session or in the observation rooms. Our therapists always talk with the families after the session about what they worked on and what strategies were successful to help their child be a better communicator.
Any strategies that were used in the session, we make sure the parents are aware of how they can implement them at home. If it is appropriate, we give homework for the families to work on a specific task like grammatical structure or on speech sounds. Our therapists might also give them a physical paper for them to take home or show them how to use their child’s favorite activity to imbed their speech goals into that activity to help engage them and keep them moving forward.
If a parent has concerns about their child’s speech & language skills, then they can request a referral from their pediatrician or primary care provider and that will be the first step in getting an evaluation scheduled at Siskin Children’s Institute.
American Speech-Language-Hearing Association