Our 3 Step Approach Speech Therapy

All children are unique and require a well thought out, individualized speech therapy plan. When a family chooses Speech Pathology at Pediatric Plastic Surgery Institute, they will enter into a partnership with an experienced, well-trained speech language pathologist.


The first step in this approach includes formal and informal evaluation and parent interview. The speech pathologist will assess your child’s current abilities and challenges, using your child’s medical history and standardized testing. A speech and language evaluation will clearly identify areas of weakness and provide an assessment of your child’s skill level and age-based competency.

Your child may require specialized objective testing depending on their needs following their initial in office assessment. For feeding and swallowing needs, the child may require a modified barium swallow study to examine the anatomy and function of swallowing. For the craniofacial population, the child may require multiview videofluorography or nasopharyngoscopy to examine the anatomy and function of the palate.


Following the evaluation the speech pathologist will provide parents with the results and recommendations. This consultation can occur over the phone or in office to discuss the next step in our process. We provide a child centered approach to therapy with family as an integral part of the process. It is important for families to be included in establishing a plan of care that is able to meet the entire family’s needs. The therapist will develop an individualized plan of care to address the deficits that were identified during the evaluation, and a therapy schedule will be established based on the child’s specific needs. During this consultation a treatment plan including a home program plan will be decided on by the speech pathologist and the family.


The goal of therapy is to address any challenges or areas of weakness that were established during the evaluation with the goal of advancing your child’s to the age-appropriate range. In therapy we use evidence-based practices that are specific to each child’s needs. Each therapy session will be individualized and vary from session to session to keep the child engaged. Our speech pathologist will include things that the child is interested in (movies, games, television shows, cartoons, hobbies, etc) to keep them motivated and excited to come to therapy each day. Research shows that children make the most progress when the families are an integral part of the process. We include the family in the last 5 minutes of the therapy session. This time is used to demonstrate what the child is working on in therapy including specific techniques or strategies. The speech pathologist will provide a home program after each session with “homework” or activities to be addressed between sessions. This approach will help the child be successful in therapy and meet the goals that were set as well as help with carry-over outside of speech therapy. Treatment time will vary depending on the child’s tolerance of therapy but typically ranges from 30 minutes to 1 hour.

Evaluation and Treatment For:

  • Articulation / phonological delay (sound errors)
  • Auditory processing
  • Augmentative and alternative communication
  • Autism or related disorders
  • Cognitive deficits (attention, organization, time management, sequencing, and problem solving)
  • Language delay
  • Dysarthria/apraxia of speech (slurring or sound substitution)
  • Expressive and/or receptive language delays (using and/or understanding language)
  • Fluency/stuttering
  • Pragmatics/social skills
  • Literacy/reading and written language
  • Tongue thrust
  • Articulation errors secondary to velopharyngeal dysfunction that may cause a resonance disorder
  • Executive functioning
  • Phonemic awareness (Pre-reading skills)
  • Feeding/swallowing

Additional Services:

  • Parent and community educational seminars
  • Infant development class for Mommy and Me
  • VitalStim / Neuromuscular Electrical Stimulation
  • Nasopharyngoscopy
  • Multiview videofluorography
  • Modified barium swallow study