Enhancing Communication. Enriching Lives. 

Other Services - REMOVE

The Speech & Hearing Center’s Therapy Department offers a variety of services, including:

Pediatric Physical Therapy

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Pediatric Occupational Therapy

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Speech Language Pathology

  • Screenings for children 5 years and under (when screening is appropriate.
  • Comprehensive speech-language evaluations
  • Voice evaluations
  • Feeding evaluations
  • Standardized Developmental Profiles (DP-3)
  • Individual and group therapy for speech-language, fluency and feeding problems
  • Aural re/habilitation and Auditory Verbal Therapy (AVT)
  • Consultations
  • Fluency Assessments and SpeechEasy® fluency devise for those who stutter 
  • Home, nursing home, hospital, and school services*
  • Diagnostics and therapy treatment offered in Spanish - Contact Maribel Lagunas at mlagunas@speechhearing.com for more information

Auditory Verbal Therapy

The Speech & Hearing Center is fortunate to have the only therapist certified in Auditory Verbal Therapy (AVT) within a 110 mile radius. We also have a Deaf Educator who is working on her AVT certification. 

Why Choose Auditory Verbal Therapy (AVT)?

Per the American Speech-Language Hearing Association, Approximately 95% of parents of children with hearing loss are hearing themselves, and trends indicate that many parents are choosing spoken language as the primary mode of communication for their children with hearing loss. These parents are typically selecting therapy approaches that focus on the development of spoken language acquired exclusively through the use of aided residual hearing. This form of therapy is called Auditory Verbal Therapy (AVT) and the expected outcome of this form of therapy is that the patient will be completely integrated into the community of spoken language and be mainstreamed within both educational and vocational settings.

Who benefits from AVT?

Patients who are maximizing their hearing through amplification and who are devoted to using listening and spoken language as their means of communication. This form of therapy is specifically valuable for those with cochlear implants, but patients with hearing loss who utilize hearing aids are also good candidates for AVT.

How is AVT different from Speech Therapy?

  • AVT can begin as soon as a child has been diagnosed with a hearing loss (this includes infants). The earlier the therapy is initiated, the better the results.
  • Auditory verbal therapists have been highly trained to use specialized techniques in order to maximize hearing as the primary sense responsible to learning language.
  • Parent guidance, coaching, and demonstration is a primary pillar of this therapy so that parents ultimately become the primary facilitator of their child’s spoken language development.
  • Auditory skills are constantly monitored in order to provide the highest quality of hearing technology in collaboration with the patients’ audiologist.
  • Like speech therapy, AVT addresses speech and language as well as:
    • The hierarchy of auditory skills needed to comprehend speech and language
    • Social/pragmatic skills necessary to integrate into the “hearing world”
    • Cognitive skills needed to succeed in the mainstream classroom

Feeding Therapy

It is important that your child eat enough to grow and be healthy, and the difference between a fussy eater and a child with a feeding disorder is the impact the eating behavior has on the child’s physical and mental health. There are many possible reasons why your child may not eat. He may have stomach or breathing problems, or his muscles may be weak. He may be very sensitive to how foods feel in his mouth. However, there may be no clear reason why your child refuses to eat.

If your child has a feeding and swallowing problem, s/he may:

  • Not eat or drink
  • Eat only a few types of food
  • Cough, gag, and/or choke when eating
  • Get food in his lungs, called aspiration
  • Throw tantrums or cry at mealtimes
  • Have ongoing vomiting problems
  • Not eat in specific situations

Who is at high risk?

Feeding disorders are already complex, but when a child also has a developmental disability, it is even more critical to work with a professional that understands the unique needs of the child. High risk populations include children with:

  • Nervous system disorders
    • Cerebral Palsy
    • Meningitis
    • Encephalopathy
  • Autism Spectrum Disorder
  • Heart disease
  • Cleft lip or palate
  • Gastrointestinal motility disorders
  • Prematurity/low birth weight
  • Food allergies
  • Behavioral management issues
  • Reflux
  • G-tube (or NG tube)

Scheduling Services

If you feel that you or your child may have a feeding problem, please call 423.622.6900 to schedule an evaluation with a speech-language pathologist.

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