Assessment and Treatment
Assessment
Contact our receptionists on (03) 9499 8911 to book the initial consultation for your child, which takes approximately 1 hour. The initial consultation includes taking a detailed case-history of your child. Please bring along your Child Health Record book if your child has a complex birth or medical history.
Simple assessments will be completed in one session, but children with more complex needs can require 2 or 3 one hour sessions. We provide parents with detailed feedback regarding your child’s assessment results and an opportunity to discuss our recommendations for management.
To assess very young children (up to age 3 or 4 years) we use gentle play-based assessment, observations and samples of speech and language which may be collected in the clinic or at home.
For older children we may use a range of nationally standardised assessment procedures. A comprehensive assessment of a school-aged child can take up to 3 sessions, to include testing of receptive and expressive language, auditory memory, social & conversational skills, oral narrative and reading skills.
An assessment for Autism Spectrum Diagnosis may require 3 assessment sessions, including 2 in the clinic and one in the child's social setting (school, kinder or childcare). Please ask us for an estimate of the costs involved in the assessment and diagnostic report.
Treatment
Children are allocated a clinician who will best meet their particular needs, and work in a relaxed and child-centred environment at our clinic.
We aim to make speech and language therapy fun and motivating for kids; many parents are surprised and the kids are delighted at our fantastic range of educational toys, resources, computer programs and apps provided to enhance the therapy experience at Speech Results.
We encourage parents to take part in most therapy sessions. If possible, we encourage you to have your other children minded while you attend assessment and therapy sessions. If you are unable to have your other children minded, that is fine with us too.
Following the assessment, a program of ongoing treatment weekly or fortnightly may be recommended for your child based on his or her individual needs.
We will identify clear goals for your child, develop the most appropriate programs and strategies, and provide you with practical and fun ideas to engage your child in home practice activities.
Parent FAQs
Please phone Reception on (03) 9499 8911 if your question is not answered here.
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Stuttering is a common issue in young children. Many children experience a brief period of stuttering, which then resolves on its own. The onset of stuttering is usually between age 2 and 4 years. If your child has been stuttering for just a few weeks don’t worry. It is safe to wait for a few months to see if the stuttering resolves naturally.
You should make an appointment for a Speech Pathology assessment if:
‣ There is a family history of stuttering
‣ The stuttering seems to be severe
‣ The child is distressed by the stuttering, or avoiding speaking situations
‣ One or both parents feel concerned about the stuttering
‣ The child has been stuttering for six months or longer
‣ The child is stuttering and will soon be going to school
Young children (up to the age of 6 years) respond well to a stuttering treatment program known as the Lidcombe Program. The staff at Speech Results are highly experienced in the assessment and treatment of stuttering. First we assess the child by taking a detailed case history and taking a number of measurements of the child’s level of stuttering. The parents are also trained to measure the severity of stuttering. The first phase of the treatment program normally involves 3-4 months of weekly appointments in the clinic, with daily home practice provided by the parents. The second phase involves less frequent visits to the clinic to ensure that a high level of fluency is maintained.
If you have more questions about your child stuttering, please contact us. -
At Speech Results we frequently assess and provide advice for children who have problems articulating the consonant sounds /s/ and /z/. There are two common problems with /s/ sounds: Inter-dental /s/ and Lateral /s/.
Interdental /s/
Speech Pathologists refer to this pattern as inter-dental /s/ because it involves placement of the tongue between the teeth. The effect is a distorted sound which can be similar to the /th/ sound. The problem can be acoustic (inaccurate sound), cosmetic (the child’s tongue is very prominent during speech) or both. Usually only the /s/ and /z/ sounds are affected, but some children may also have inter-dental productions of the sounds /t, d, n, sh, ch, and j/.
This pattern is quite common in young children, and may resolve without therapy by about 5 years of age. Use of a dummy, or finger / thumb sucking tend to promote a forward tongue pattern, and we recommend that these issues are addressed as soon as possible. Any medical issues such as large tonsils or adenoids also need to be investigated, so that the child is able to breathe through the nose and keep the lips and jaw closed.
If the inter-dental /s/ does not resolve naturally, therapy will be required. Treatment is very effective in children aged 8 to 10 years, when at least the first 8 adult teeth have appeared. These children often have an associated problem, known as a tongue thrust swallow, or forward swallow which also needs to be treated.
Lateral /s/
The lateral /s/ has a different quality to the inter-dental /s/. It is a slushy and distorted sound which gives the child’s speech an unusual quality. The lateral /s/ is produced when the child directs air down the sides of the mouth instead of centrally along the tongue. Some children respond quickly and easily to treatment, while others may find it more difficult to change this pattern. -
How should my child be communicating at 12 months?
‣ 12 Month Milestones
How many gestures should my child be making at 16 months?
‣ 16 Gestures by 16 Months
My child is 18 months. What should I expect?
‣ 18 Month Milestones
How many words should my child have at 2 years?
‣ 2 Year Milestones
I'm not sure if I should be worried about my 3 year old or not.
‣ 3 Year Milestones
What should my 4 year old be able to say and understand?
‣ 4 Year Milestones
My child is 5 years old. Should I be worried about his/her speech?
‣ 5 Year Milestones -