A Private Speech and Swallowing Therapy Practice in Bellaire, Texas

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1.  A case history interview with the adult client or the parent/caregiver of the child

2.  Observation of:

     oral status and posture

  • at rest
  • during spontaneous, imitated, and evoked

                         -speech and non-speech movements

  • during spontaneous and evoked 

                         -swallowing of secretions 

                         -swallowing of at least water, if the client is able to do this

  • posture (while in motion, standing, and while seated)

3.  Assessment of: 

  • orofacial and oropharyngeal musculature, 
  • oral-motor and speech skills,
  • simple swallowing function (observed peripherally)

4.  Assessment (informal and, if appropriate, formal ) of: 

  • Articulation (speech sound production) during spontaneous, imitated and evoked speech productions
  • Receptive (understanding of) language and expressive (oral use of) language
  • Voice production, and identification of current limitations and strengths in all aspects of laryngeal and resonant (nasal) production for normal situations, or challenging circumstances which the individual may face

5.  Brief trial therapy, targeting the discovered deficits, to ascertain the individual’s expected response to 

     direct stimulation

6.  Presentation of the recommendations, including: 

  • overall findings of the evaluation,
  • a general plan of care, with the notification that, as therapy begins and continues, additional and/or different factors may be discovered, which, over time, may provide us with more specific and additional goals
  • an explanation of family and/or caregiver involvement in therapy sessions and at home 

                         -Families and patients are encouraged report any changes or challenges that may affect 

                          therapy