How do I know if my child needs speech therapy? Your child may benefit from speech/language therapy if he/she has not met the milestones below by the expected age or if you notice that your child is frustrated by difficulty with communication.

0-6 months:

  • Uses a different cry to express different needs
  • Localizes sounds by turning head
  • Uses sounds or gestures to indicate wants
  • Frequently coos, gurgles and makes pleasure sounds
  • Imitates tongue movements and smiles at familiar faces
  • Looks and smiles at people when talked to

7-12 months:

  • Listens to and imitates some adult speech sounds/intonation patterns
  • Babbles using long and short groups of sounds
  • Understands phrases like “no-no,” “all gone,” and “bye-bye”
  • Makes some appropriate use of gestural language (shake head for “no”)
  • Begins to change babbling to jargon
  • Uses speech intentionally for the first time
  • Says “mama” or “dada” for parents

13-18 months:

  • Looks for hidden objects
  • Points or gestures to communicate or identify needs
  • Talks in single words, often omits some initial consonants and almost all final
  • consonants
  • Uses echolalia and jargon
  • Has 3-20 words (mostly nouns) in expressive vocabulary
  • Receptively identify 1-3 body parts
  • Follows simple directions

19-24 months:

  • Uses words more frequently than jargon
  • Has an expressive vocabulary of 50 to 100 words
  • Has a receptive vocabulary or 300 or more words
  • Starts to combine nouns and verbs
  • Begins to use pronouns
  • Is approximately 25-50% intelligible to strangers
  • Names a few familiar objects
  • Identifies 5-6 body parts on a doll
  • Begins to understand adjectives in phrases

2-3 years:

  • Speech is 50-75% intelligible
  • Consistently uses initial consonants
  • Frequently uses medial consonants
  • Frequently omits or substitutes final consonants
  • Begins to demonstrate turn-taking and sharing behaviors
  • Follows simple commands and answers simple questions
  • Uses 3-4 word phrases
  • Has a receptive vocabulary of 500-900 words
  • Has an expressive vocabulary of 50-250 or more words

3-4 years:

  • Spontaneous sentences approximately 4-5 words long
  • Is at least 80% intelligible to familiar listener
  • Use of irregular plurals, future tense verbs, conjunctions, and contractions
  • emerge
  • Understands object functions
  • Has a 1,000-2,000 or more word receptive vocabulary
  • Has a 800-1,500 or more word expressive vocabulary
  • Appropriately uses is, are, and am in sentences
  • Tells 2 events in chronological order

4-5 years:

  • Consistently uses verbally and grammatically correct sentences
  • Completes analogies
  • Identifies at least 6 capital letters
  • Recognizes absurdities in pictures
  • Identifies all basic colors
  • Understands passive voice statements
  • Likes to pretend and act out stories
  • Understands and answers complex 2-part questions
  • Significantly reduces number of persistent sound omissions and substitutions
  • Uses grammatically correct sentences of 4-8 words

5-6 years:

  • Follows 3 step directions
  • Asks “how” questions
  • Uses past and future tenses appropriately
  • Uses conjunctions
  • Names opposites
  • Reduces sentence length to 4-6 words
  • Accurately relays a story
  • Exchanges information and asks questions

What does a Speech-Language Pathologist do?

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

How do I pay for speech therapy?

Premier Speech accepts cash, check and credit cards. We are in network with Anthem, Aetna, Medicaid, Medical Mutual of Ohio, and United Healthcare. We are happy to provide the documentation needed to submit to your insurance company for reimbursement if we are not in network with your insurance company. In most cases, you may also use your Heath Savings Account or Flexible Spending Account to cover the cost of therapy. Payment is required at the time of service.

What are the rates for Speech Therapy?

Rates are competitive for a 30-minute session. Communication screenings are available free of charge to help you determine whether your child needs a comprehensive evaluation. Please contact us for our rates and availability.

What should I expect during a speech-language evaluation?

Expect the SLP to spend a few minutes getting to know you and your child and verifying that the appropriate intake paperwork has been completed. The SLP will use a combination of standardized measures, caregiver interview, and observation of the child’s communication in the home environment to determine the whether the child qualifies for private therapy services. If the assessment reveals a need for therapy, the SLP will develop an individualized treatment plan centered around the goals of the parent(s)/caregivers for their child. Evaluations typically last 60-90 minutes. Within one week of the evaluation, you will receive a written report detailing the assessment findings and treatment plan. Typically, treatment can begin within 1 week from the date of the evaluation.