Screenings
$35
We offer brief screenings to identify potential deficits in speech. After the screening is completed, the Speech Language Pathologist will review the results with you and provide recommendations. If the screening indicates that further assessment is needed, the cost of the screening will be applied toward the cost of the evaluation. In some cases a FREE literacy screening will be completed to make sure your child's pre-literacy skills are age-appropriate.
We offer brief screenings to identify potential deficits in speech. After the screening is completed, the Speech Language Pathologist will review the results with you and provide recommendations. If the screening indicates that further assessment is needed, the cost of the screening will be applied toward the cost of the evaluation. In some cases a FREE literacy screening will be completed to make sure your child's pre-literacy skills are age-appropriate.
Assessments
$125
An evaluation is performed by a certified Speech Language Pathologist to determine current strengths and weaknesses. You will receive a complete written evaluation report, complete with formal assessment results, informal observations, background information, and recommendations.
If you have a recent outpatient or school-based evaluation in the last two years, that can be used in lieu of SmallTalk conducting formal assessment. Please note that based on the evaluation, a screening may still need to be completed to obtain more information regarding a child's speech skills.
An evaluation is performed by a certified Speech Language Pathologist to determine current strengths and weaknesses. You will receive a complete written evaluation report, complete with formal assessment results, informal observations, background information, and recommendations.
If you have a recent outpatient or school-based evaluation in the last two years, that can be used in lieu of SmallTalk conducting formal assessment. Please note that based on the evaluation, a screening may still need to be completed to obtain more information regarding a child's speech skills.
Therapy Sessions
$40 for 20 min session
$55 for 30 min session
Based on the results of the evaluation, the Speech Language Pathologist will work with you to develop a customized therapy program to address areas of concern. Therapy is always based on current research and driven by the needs and interests of our patients. Rate and duration of recommended therapy time may vary depending on your child's specific needs.
$55 for 30 min session
Based on the results of the evaluation, the Speech Language Pathologist will work with you to develop a customized therapy program to address areas of concern. Therapy is always based on current research and driven by the needs and interests of our patients. Rate and duration of recommended therapy time may vary depending on your child's specific needs.
What we treat...
Speech Sound Disorders
A speech sound disorder is a communication disorder in which children have persistent difficulty saying words or sounds correctly. Most children make some mistakes as they learn to say new words, but a child who does not say sounds by their expected ages may have a speech sound disorder. Only a certified speech language pathologist is qualified to provide a differential diagnose of speech sound disorders. Speech sound disorders include problems with articulation(sound production), phonology (sound patterns), Childhood Apraxia of Speech (deficits of motor planning) and/or may be caused by structural differences (cleft lip/palate) or physiological deficits (tongue thrust, dysarthria).
- Articulation refers to how we produce specific sounds with our mouths. Articulation disorders often involve substitutions of one sound for another (/w/ for /r/ as in "wabbit" for "rabbit") or sound distortions, such a frontal or lateral lisp. Most children can say almost all sounds correctly by the age of 5.
- Phonology refers to how we use individual sounds in the context of language. Children with phonological delays/disorders frequently exhibit consistent patterns of sound substitutions or omissions. For example, children with the phonological pattern of "fronting" consistently produce sounds made with the back of the tongue (like /k/ and /g/) with the front of the tongue; so, /k/ becomes /t/ ("key" sounds like "tea") and /g/ becomes /d/ ("go" sounds like "doe"). The more phonological patterns a child exhibits the more difficult they are to understand. If a 3-year-old isn't able to be understood by strangers about 75% of the time (90-100% for 4-year-olds) then a speech assessment should be recommended.
- Childhood Apraxia of Speech (CAS) is a rare motor speech disorder. Children with CAS have problems saying sounds, syllables, and words not because of muscle weakness or paralysis, but because the brain has problems planning movements of speech. The child knows what he or she wants to say, but his/her brain has difficulty coordinating and planning the muscle movements necessary to say those words. Children with CAS are often extremely difficult to understand. CAS is often confused with other speech sound disorders and should only be diagnosed by a speech language pathologist.
Fluency Disorders/Stuttering
- Stuttering refers to the disruption of the flow of speech. We teach strategies and techniques to target fluent speech to persons who stutter. We also work on positive feelings and attitudes toward stuttering as stuttering can hinder a person's social and self-confidence. Families will be provided with helpful tips on how to speak to children who stutter in the home and how to limit urgency when speaking.