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Birth to 3 Years Old

4 to 6 Years Old

7 to 9 Years Old

Speech and Language Therapy

Our speech and language program features a unique therapeutic approach, using movement as the basis to foster speech and language development. Our speech language pathologists use the rich sensory and motor experiences to create abundant opportunities for facilitating communication.  Utilizing a variety of research-based approaches, our speech language pathologists design and implement treatment programs to meet the unique and individual needs of each child. Click here for more information on combining speech and language therapy within a sensory integration framework.

Speech and language development varies from one child to another; however there is a natural progression for mastery of skills. These developmental milestones serve as a guide to typical speech and language development.

The speech and language program at OTA treats a variety of  speech and language deficits including:

  • Auditory/Language Processing Disorders
  • Receptive and Expressive language deficits
  • Articulation and Phonological disorders
  • Motor planning speech deficits and Apraxia
  • Social-pragmatic deficits
  • Repaired cleft lip/palate
  • Learning Disabilities
  • Congenital and Chromosomal Anomalies
  • Hearing deficits
  • Head Injury
  • Oral Motor deficits
  • Executive Functioning
  • Feeding problems

In addition to being certified by the American Speech Language Hearing Association and Massachusetts state licensed, the speech language pathologists at OTA have advanced clinical training in:

  • Picture Exchange Communication System (PECS)
  • Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT)
  • Talk Tools
  • Sensory Motor Feeding Approaches
  • Michelle Garcia Winner’s “Social Thinking Curriculum”
  • Certification of Early Intervention Specialty (CEIS)
  • The Hanen Centre’s “It Takes Two to Talk”

Speech and Language Evalutions

Comprehensive Speech and Language Evaluation

Our comprehensive speech and language evaluation requires 8.5 hours of therapist time. This evaluation will give you a complete picture of you or your child’s speech and language needs, along with recommendations for services and accommodations. It includes one and a half to two hours of direct assessment across two testing sessions, a comprehensive detailed written report, and an evaluation feedback meeting.

Abridged HPHC or BC/BS Speech and Language Evaluation

Clients whose evaluation is covered by Harvard Community Health Care (HPHC) or Blue Cross Blue Shield (BCBS) insurance plans only are eligible for our abridged evaluation. This evaluation requires 45 minutes to one hour of assessment with parent feedback and includes a brief two-page written report. An evaluation feedback/goal-setting meeting is highly encouraged but not covered by this insurance plan and must be paid for out-of-pocket if desired. This evaluation is not comprehensive but is sufficient to determine eligibility for speech and language therapy services.

Speech and Language Screening

Speech and language screenings are available as appropriate. This screening is most often used when a child is receiving occupational therapy at OTA The Koomar Center and his or her therapist believes there may be possible speech and language issues.  Also, at times it is unclear from an initial intake if a child has speech and language issues and a screening may be recommended as a first step instead of a full evaluation. A full evaluation may be recommended if indicated by the screening. A screening consists of one hour of assessment and a feedback checklist is provided at the end of the screening.