Speech-Language Pathology
Treatments and Services

Programs and Services

Speech-language pathology services at Cincinnati Children’s Hospital Medical Center include comprehensive diagnostic evaluations, consultations, parent counseling, and treatment for children with communication or feeding / swallowing disorders.

Because each child’s needs are unique, our staff consists of specialists in all areas of the field. Therefore, each child is evaluated and treated by a specialist in his or her specific disorder.

Following an evaluation and determination of the problem, our speech-language pathologists develop an individualized plan of care. This may include a recommendation for individual therapy or group therapy. Those children who do not have the physical prerequisites for speech may be trained to use an alternative/augmentative communication device.

We consider family members to be an integral member of the treatment team and to learn how to practice skills with their child at home. Therefore, family members are encouraged to either participate in the session or observe the session in our observation viewing area. Additional instructions for practice between sessions are given after each therapy visit.

The scope of practice for speech-language pathologists includes communication sciences and disorders and upper aerodigestive disorders. The following are general categories of the common disorders we treat:

  • Language disorder − Characterized by difficulty understanding language or following directions, or the inability to choose appropriate words and combine them correctly for sentences.
  • Articulation disorder (speech) Characterized by the inability to produce individual speech sounds, or difficulty combining sounds correctly for words that are clear. Speech sounds may be incorrectly substituted (“tun” for sun), omitted (“ool” for school) or distorted (“shlun” for sun).
  • Fluency disorder (stuttering) Characterized by an abnormal amount of involuntary repetitions, hesitations, prolongation, blocks or disruptions in the natural flow or rhythm of speech. This is often accompanied by secondary characteristics (tics and other movements).
  • Voice disorder Characterized by abnormal pitch, loudness, quality or resonance.
  • Feeding or swallowing disorder (dysphagia) Characterized by difficulty with normal feeding or swallowing.

See Scope of Practice of the American Speech-Language-Hearing Association (ASHA).

Before the evaluation, we gather information regarding the child’s medical and developmental history and review the concerns of the physician.

During the evaluation, the speech-language pathologist gathers additional information from family members, observes the child’s communication interactions, and administers standardized formal tests.

The speech-language pathologist thoroughly explains to the family members and makes specific recommendations for treatment, if needed. Occasionally, the child will be referred to other specialists for assessment or treatment. Finally, information is given to to the family about how to work with the child at home.

Based on the evaluation results, the treating speech-language pathologist develops an individualized treatment plan to target the specific difficulties that the child is experiencing. Therapy is usually provided individually. In some cases, however, group therapy is most beneficial for the child. The model of therapy (individual or group) and the frequency of therapy are always determined by considering the specific needs of the child and the family.

The more the child practices between sessions, the faster progress will be with therapy. Regular therapy attendance is also important so that there is no disruption in the progress.

The length of therapy and ultimate success depends partly on the cause and severity of the problem. However, the most important predictor of success with therapy is the frequency in which prescribed activities are practiced at home.

Because children with chronic or complex conditions have multiple medical needs, we take an interdisciplinary approach to care. Our speech-language pathologists work closely with the child’s physicians and other healthcare providers. We often provide co-treatment sessions for the child with other disciplines. Children who are seen by many specialists may be followed by one of our interdisciplinary teams, clinics or programs, which include the following:

Our clinical specialists hold additional competencies in specific areas and participate on specialty teams to continue to maintain their expertise. Our specialty teams review the literature and the latest techniques and often contribute to the education of others. Our specialty teams include:

  • Augmentative and Alternative Communication
  • Autism
  • Birth to Three
  • Brain Injury
  • Cultural and Linguistic Diversity
  • Dysphagia
  • Fluency
  • Hearing Loss and Deafness
  • Language
  • Oral Motor Dysfunction
  • Psychology
  • Resonance
  • Speech Sound Disorders
  • Voice

Learn more about our specialty teams or for other speech-related conditions, visit our Health Topics.