No - we come to you! The benefits of seeing children in their everyday environment (e.g., school, daycare, or home) is that we work where they are most comfortable which allows for better carryover of skills in the child's daily life, and all members of the child’s circle-of-care have the opportunity to be involved. This allows us to think outside the box for treatment sessions, such as working on speech sounds at the park, or using an AAC device to order ice cream in the summer!
What can i expect during sessions?
We arrive with all the materials we need for the session, however are happy to incorporate other toys or activities that you have at home or school into the session. Since treatment sessions are primarily play-based, we will often work on the floor or at a table - however the child works best. And you can expect some silliness too - since children learn best through play! We will leave you with some ideas to continue working towards goals in between sessions.
How frequently do sessions take place?
We can decide on a treatment frequency that works best for you! For clients receiving active treatment, we typically recommend biweekly sessions as it allows for time to try strategies between sessions. However, this will be discussed on an individual basis, and may vary depending on caseload demands. Treatment can be paused or discontinued at any time.
What is the referral process?
Families can self-refer, with no physician referral necessary. Please reach out via the contact page or via phone or email, and we will get you started with the referral process.
What is your schedule ?
Each of our providers has their own availability. Currently, Halle is seeing clients through HAEPI SLP THERAPY SERVICES on Fridays & Sundays, as well as some weekday evenings. Reach out to get started!
What methods of payment do you accept?
We ask that a credit card be placed on file during booking for contactless payment, however we will also accept e-transfer if needed. Upon receipt of payment, a receipt will be provided to you that you may submit for reimbursement through extended healthcare benefits or Ontario Autism Program (OAP) funding. Please refer to our Fees and Funding page for more information.
FAQs about AAC
Does AAC contribute to speech/language delay?
Not only does AAC *not* pose a barrier to language development in any way, there's actually evidence that AAC can *help* speech to develop! First, providing a way for kids to communicate without as much frustration will show them that they have the potential to be successful communicators, which makes them more likely to keep trying to use language. This means that AAC can actually empower children to continue learning—NOT prevent it from happening. Also, speech-generating devices can provide useful audio output for children to copy, which can directly help a child’s speech skills develop.
Shouldn't I just focus on requesting? Why does my child need aac?
‘Requesting’ is a very common strategy and goal used in speech therapy, but there’s a lot more to language than just that! We believe that kids of all abilities should be exposed to and taught how to use all sorts of different functions of communication, from telling stories and answering questions to saying no and arguing! This of course includes AAC users.
Do i need to work on my child's understanding prior to introducing aac?
Remember that AAC stands for Alternative & Augmentative Communication — it *is* communication in its own right. A child who uses speech would struggle to understand language if speech was not modelled for them, so of course the same would be true for a child that learns using AAC. In other words, it is the use of (and observing the use of) AAC that will facilitate and contribute to the AAC user’s understanding of language.
How will i know if/when my child is ready for aac?
Actually, there’s no such thing as not being ready to use AAC. Just like how babies don’t need to qualify as ready before learning how to speak verbally, there is no right or wrong time to introduce children to the methods of communication that will allow them to learn. They're ready!
FAQs about Gestalt Language Processing
What is a gestalt?
Gestalts (or "scripts") are the repetition of words or phrases heard that are used verbatim after some time has passed. A gestalt may be used after the child has heard it from its original source hours, days, weeks, or even years later. It is a "chunk" of language stored in a child's memory for later use. It is often tied to an emotional experience for the child, and each gestalt carries a unique meaning to the child.
HOW DOES MY CHILD MOVE FROM GESTALTS TO SELF-GENERATED LANGUAGE?
GLPs follow the stages of Natural Language Acquisition (NLA) to move from echolalia to self-generated (unique and flexible) language. Some GLPs will move through the stages completely independently, but some Autistic GLPs may need extra support moving through the stages. See below for a very brief overview of NLA Stages 1-4:
Stage 1 - ECHOLALIA: Scripting gestalts or intonation patterns exactly as they were once heard (delayed echolalia)
Stage 2 - MITIGATION: Mix-and-matching parts of gestalts
Stage 3 - SINGLE WORD & 2-WORD COMBINATIONS: Isolating single words and beginning to combine referentially with other single words
Stage 4 - ORIGINAL PHRASES & BEGINNING GRAMMAR: Combining single words to make new, self-generated sentences that use both nouns and verbs (beginning grammar)
What if my child's gestalts are unintelligible?
Because gestalt language processors (GLP) are "intonation babies," they often hear a stream of sound and listen for the breaks in our utterances, songs, and lines from movies. Remember, gestalts are one whole unit for a GLP. A gestalt is not made up of individual words for them, but rather it is one "chunk." The intonational pattern of the gestalt is often what matters most to the GLP, and may sound like gibberish to the untrained ear. We often have to do some "detective work" to figure out where a gestalt originates from and what it means to the child!
How should I speak to my GLP?
Just speak naturally! Understand that echolalia is meaningful, and a GLP is communicating with it. GLPs in the early stages of acquiring language will benefit more from the use of 'declarative language' rather than responding to questions. Comment on the world around you without setting expectations for a certain answer. GLPs progress in a different way and pace than ALPs, so understand that their path to flexible, self-generated language is not wrong - it's just different!
Will my child always be a GLP?
Yes! A child who is a GLP will always be a GLP - but as they move through the stages, their language will remain flexible. Just because someone is a GLP does not mean they will always use echolalia. We also know from Autistic adults that in moments when there are more sensory or emotional demands, GLPs may prefer to use gestalts to communicate.
FAQs about Music-Directed Speech Therapy
Does my child need to have musical ability to benefit from Music-Directed Speech Therapy?
Not at all! This treatment modality is NOT about music instruction, but about utilizing principles from music therapy to enhance speech therapy outcomes. It is not necessary for your child to be musically gifted in any way!
What would a music-directed speech therapy session look like?
Since music therapy concepts can benefit a wide variety of individuals with many different types of needs, there is no one-size-fits-all session. Each child's needs, interests, and environments will be taken into consideration when developing a customized music-directed speech therapy treatment plan.
Would these sessions still be covered by OAP or Insurance?
Yes. Music-directed speech therapy services are still offered as speech therapy services! Kaelyn is a registered music therapist, but she provides services through HAEPI SLP Therapy Services as a Speech Language Assistant.