Speech and Language therapy

Speech and Language therapy

Miami Speech Institutes objective is to work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults. Our clinic offers comprehensive speech evaluations, speech therapy for the following areas of communication:

  • Articulation / Phonology
  • Language
  • Auditory Language Processing
  • Oral Motor Function
  • Pragmatic (Social) Language
  • Dysphagia
  • Aphasia
  • Fluency
  • Voice
  • Dysarthria
  • Developmental Delays

Other speech services offered include parent groups and screenings.

Parent Groups

We are pleased to offer a parent group periodically throughout the year. Information regarding these meetings will be posted on our blog.

Screenings

Apart from our office, we are able to provide screening services at private schools, daycare centers, and pediatric offices. Hearing screenings are available upon request for children ages 3 and up.

A screening is an abbreviated evaluation that determines whether or not a child is performing at an age-appropriate level. Screenings assesses the following areas:

  • Expressive Language
  • Receptive Language
  • Articulation
  • Voice
  • Fluency

If there is an area of concern, a comprehensive speech-language evaluation will be recommended. However, there’s no obligation to proceed with the therapist recommended services.

What is a Speech and Language Pathologist?

Speech-language pathologists (SLPs) work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults.

  • Social communication disorders occur when a person has trouble with the social use of verbal and nonverbal communication. These disorders may include problems
    (a) communicating for social purposes (e.g., greeting, commenting, asking questions),
    (b) talking in different ways to suit the listener and setting, and
    (c) following rules for conversation and story-telling.
    All individuals with autism spectrum disorder have social communication problems. Social communication disorders are also found individuals with other conditions, such as traumatic brain injury.
  • Cognitive-communication disorders include problems organizing thoughts, paying attention, remembering, planning, and/or problem-solving. These disorders usually happen as a result of a stroke, traumatic brain injury, or dementia, although they can be congenital.
  • Swallowing disorders (dysphagia) are feeding and swallowing difficulties, which may follow an illness, surgery, stroke, or injury.

What are speech disorders?

Speech disorders occur when a person has difficulty producing speech sounds correctly or fluently (e.g., stuttering is a form of disfluency) or has problems with his or her voice or resonance. Some disorders include Fluency, Articulation and Voice.

Fluency disorder – is characterized by an interruption in the flow or rhythm of speech characterized by hesitations, repetitions, or prolongations of sounds, syllables, words, or phrases.

Articulation disorder – is characterized by difficulties with the way sounds are formed and strung together, usually characterized by substituting one sound for another (wabbit for rabbit), omitting a sound (han for hand), and distorting a sound (ship for sip).

Voice disorder – is characterized by inappropriate pitch (too high, too low, never changing, or interrupted by breaks); quality (harsh, hoarse, breathy, or nasal); loudness, resonance, and duration.

What are language disorders?

Language disorders occur when a person has trouble understanding others (receptive language), or sharing thoughts, ideas, and feelings (expressive language). Language disorders may be spoken or written and may involve the form (phonology, morphology, syntax), content (semantics), and/or use (pragmatics) of language in functional and socially appropriate ways.

Form of Language-     Phonology is the sound system of a language and the rules about how sounds are combined.

Morphology- is the structure of words and how word forms are constructed.

Syntax- is the order and combination of words to form sentences.

Content of Language- Semantics is related to the meanings of words and sentences.

Use of Language- Pragmatics is the combination of language components (phonology, morphology, syntax, and semantics) in functional and socially appropriate ways.

Language disorders may include:

  • Impaired language development – characterized by a marked slowness or gaps in the development of language skills.
  • Aphasia – the loss of acquired language abilities, generally resulting from stroke or brain injury.

How many persons have speech and language disorders?

The prevalence of speech sound disorders in young children is 8-9%. By the first grade, roughly 5% of children have noticeable speech disorders; the majority of these speech disorders have no known cause.

Between 6 and 8 million people in the United States have some form of language impairment. About one million persons in the United States have aphasia (partial or complete impairment of language comprehension and expression caused by brain damage, most often from stroke). It is estimated that more than 3 million Americans stutter.

Approximately 7.5 million people in the United States have a voice disorder.

National Institute on Deafness and Other Communication Disorders (NIDCD)

How can a speech-language pathologist help individuals with speech and language disorders?

Treatment will vary depending on the nature and severity of the problem, the age of the individual, and the individual’s awareness of the problem. Speech-language pathologists select intervention approaches based on the highest quality of scientific evidence available in order to:

  • Assist individuals with articulation disorders to learn how to say speech sounds correctly.
  • Assist individuals with voice disorders to develop proper control of the vocal and respiratory systems for correct voice production.
  • Assist individuals who stutter to increase their fluency.
  • Assist children with language disorders to improve language comprehension and production (e.g., grammar, vocabulary, and conversation, and story-telling skills).
  • Assist individuals with aphasia to improve comprehension of speech and reading and production of spoken and written language.
  • Assist individuals with severe communication disorders with the use of augmentative and alternative communication (AAC) systems, including speech-generating devices (SGDs).
  • Assist individuals with speech and language disorders and their communication partners understand the disorders to achieve more effective communication in educational, social, and vocational settings.
  • Advise individuals and the community on how to prevent speech and language disorders.