{"id":8943,"date":"2014-10-29T16:12:34","date_gmt":"2014-10-29T23:12:34","guid":{"rendered":"http:\/\/www.speechbuddy.com\/blog\/?p=8943"},"modified":"2014-10-29T18:00:54","modified_gmt":"2014-10-30T01:00:54","slug":"helping-my-child-with-speech-therapy","status":"publish","type":"post","link":"https:\/\/www.speechbuddy.com\/blog\/parents-corner\/helping-my-child-with-speech-therapy\/","title":{"rendered":"Helping my Child with Speech Therapy: Private or School-Based"},"content":{"rendered":"<p>In a recent blog post, \u201c<a href=\"http:\/\/www.speechbuddy.com\/blog\/financial-resources\/i-think-my-child-needs-speech-therapy\/\">I Think my Child Needs Speech Therapy \u2013 Now What?<\/a>\u201d, I outlined the process of securing speech and language therapy services for your child. But let\u2019s say your child has just begun or has been in therapy for some time? What then? Do you find yourself wondering, &#8220;how should I be helping my child with speech therapy?&#8221; This post is dedicated to providing tips for parents on how to maximize the services they are already receiving. Whether your child is receiving school-based or private therapy, there are many things a parent can do to empower themselves and ultimately, to make therapy more efficient.<\/p>\n<p><span style=\"color: #808080;\">[Photo: <a href=\"https:\/\/flic.kr\/p\/33Ssa6\">skyseeker<\/a>, CC]<\/span><\/p>\n<p><!--more--><\/p>\n<h2>Helping my Child with Speech Therapy<\/h2>\n<p><a href=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table.png\"><img decoding=\"async\" class=\"alignright size-medium wp-image-8953 lazyload\" data-src=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table-300x221.png\" alt=\"Helping my child with Speech Therapy\" width=\"300\" height=\"221\" data-srcset=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table-300x221.png 300w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table-470x346.png 470w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table-350x258.png 350w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/Girls-at-table.png 713w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/221;\" \/><\/a>Over the last year in my practice, several parents have asked,<\/p>\n<blockquote><p>Will\u00a0I make my child\u2019s speech or language challenge worse by helping?<\/p><\/blockquote>\n<p>By asking this question, these parents are showing that they want to help, but are not properly empowered partners in the therapy process &#8230; yet. First I tell them that there is very little they can do to make their child\u2019s speech challenge worse. In fact, almost everything they do, given even minimal guidance from a speech-language pathologist (SLP) can be enormously helpful to their child. In addition, I would tell parents to be wary of any SLP that would suggest that they not get immediately involved in their child\u2019s therapy because \u201cthey might do it wrong.\u201d<\/p>\n<p>Should parents get involved? I always advocate retaining the services of a licensed SLP but sometimes it can take time to find the right professional, especially with school-based therapy. It all comes down really to a cost-benefit analysis. What are the benefits or parent involvement? And, do the possible benefits outweigh the possible costs of parent involvement? To illustrate why I believe it is such a \u201cno brainer\u201d to encourage parent involvement at every step of the process, let\u2019s have a quick look at a decision-matrix focused on this exact question.<\/p>\n<ul>\n<li>What is the <strong>cost of a parent acting incorrectly<\/strong> (i.e. not as an SLP would) in this scenario? The child loses time in a properly devised therapy program. This, of course, can be very precious time so I wouldn\u2019t discount this possibility and its effects. But speech and language therapy is not neurosurgery, and there are no health risks associated with an empowered (if misinformed) parent. I would also argue that any academic or social-emotional costs could be quickly reversed in a well-conceived therapy program undertaken by a good SLP.<\/li>\n<li>What is the <strong>benefit of a parent acting correctly<\/strong> to support his or her child? Often, profound changes to the child\u2019s academic and social development.<\/li>\n<li>What is the <strong>cost of a parent not acting<\/strong> to support his\/her child? The child could be delayed in getting the help he would need and could spend a significant amount of extra time in therapy and would not enjoy the benefit of parental support.<\/li>\n<li>What is the <strong>benefit of a parent not acting<\/strong> to support his\/her child? There is no benefit here.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy.jpg\"><img decoding=\"async\" class=\"aligncenter size-large wp-image-8959 lazyload\" data-src=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-1024x382.jpg\" alt=\"Should I be helping my child with Speech Therapy\" width=\"640\" height=\"238\" data-srcset=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-1024x382.jpg 1024w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-300x112.jpg 300w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-784x292.jpg 784w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-470x175.jpg 470w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy-350x130.jpg 350w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/should-parents-help-in-therapy.jpg 1580w\" data-sizes=\"(max-width: 640px) 100vw, 640px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 640px; --smush-placeholder-aspect-ratio: 640\/238;\" \/><\/a><\/p>\n<p>So, in only one of these four scenarios is there a possible risk of setting a child back in his therapy by involving parents without proper SLP guidance. As I said above, I view the risks here as minimal. Based on this decision matrix, and without knowing anything specifics about a particular child, parent or SLP,<\/p>\n<blockquote><p>parent involvement is heavily tilted toward benefiting the child and, in my opinion, should be actively encouraged by SLPs, classroom teachers and anyone with a stake in helping children overcome speech and language challenges.<\/p><\/blockquote>\n<h2>Making the Most of\u00a0School-Based Therapy<\/h2>\n<div id=\"attachment_8954\" style=\"width: 310px\" class=\"wp-caption alignright\"><a href=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o.jpg\"><img decoding=\"async\" aria-describedby=\"caption-attachment-8954\" class=\"wp-image-8954 size-medium lazyload\" data-src=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o-300x225.jpg\" alt=\"Making the Most of School Speech Therapy\" width=\"300\" height=\"225\" data-srcset=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o-300x225.jpg 300w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o-784x588.jpg 784w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o-470x352.jpg 470w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o-350x262.jpg 350w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/6660118393_d95eefb90d_o.jpg 1024w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/225;\" \/><\/a><p id=\"caption-attachment-8954\" class=\"wp-caption-text\">Photo by <a href=\"https:\/\/flic.kr\/p\/b9wRat\">Brad Flickinger<\/a>, CC<\/p><\/div>\n<p>How can\u00a0parents maximize the effectiveness and value of\u00a0their child\u2019s school-based therapy? As you might guess, I would aggressively advocate for more and consistent parent involvement and for parents to not be shy in contacting their school SLPs. This contact would focus mainly around prioritizing goals and in asking for guidance on how they (the parents) can be constantly involved. However, it is important for parents of children in school-based therapy to appreciate certain constraints to school-based therapy to also make the relationship between family and SLP as productive and enriching as possible, for everyone involved.<\/p>\n<p>School-based SLPs tend to have large caseloads and very full schedules. In addition, they also tend to treat in groups of 3 children. According the American Speech-Language-Hearing Association\u2019s 2012 Schools Survey, the average number of students on a school-based SLP\u2019s caseload is 47. So it would be unreasonable to expect an SLP with so many sessions per week to make meaningful contact with even half of the parents of these 47 children every week, on top of paperwork and other miscellaneous duties they are responsible for. Therefore, I think a good goal \u2013 one that balances the need to maintain contact while respecting the SLP\u2019s workload \u2013 is to communicate monthly. This also tends to match, at least in my experience, when an SLP might be pivoting in terms of goals. After all, no matter how high priority a goal might be, the same thing over and over can get stale for both student and therapist. <strong>One meaningful communication per month<\/strong> is enough to make a big difference in a child\u2019s therapy program and although it may present additional short-term work for the therapist, in the long run, that SLP will save time and reduce her caseload because of this consistent contact with parents.<\/p>\n<p>It is crucial for the instructions for home-based follow up in therapy be as specific and concise as possible. Parents are busy too (often an understatement!) and cannot be expected to work for an hour per day or to try to figure out what to do based on cryptic instructions. Ask\u00a0your school-based SLP to outline the\u00a0highest-priority goal that can be meaningfully followed up on in three-to-five ten-minute \u201chomework\u201d sessions per week. For example, if your child is working on improving his R sound, and has just begun to make a learning breakthrough, your SLP would probably assign you a list of 20 works to practice three to five times per week. Then, as your child improves his R sound over the course of month, your school SLP might assign games. These games might\u00a0be played three times per week to\u00a0elicit conversation so your child could practice R in conversation, the final step before a sound is traditionally considered <em>mastered<\/em>.<\/p>\n<p>I would recommend reaching out at a regular time each month, such as the first week of each month to remind yourself and your SLP that you\u2019d like to receive an updated set of assignments. I would recommend keeping your contact short and sweet \u2013 your SLP is deeply committed to your child but has a lot on her plate! If you have a parent-teacher conference coming up, invite the SLP and <a href=\"http:\/\/www.speechbuddy.com\/blog\/school\/parent-teacher-conference-questions-for-school-speech-therapy\/\">prepare these 7 key questions in advance<\/a>.<\/p>\n<h2>Making\u00a0Private\u00a0Speech Therapy Work for you<\/h2>\n<p>The unfortunate reality in schools these days is that budgetary pressures sometimes\u00a0drives school districts to either increase therapy group sizes and\/or reduce the speech and language deficit areas they cover. This is especially true of speech sound disorders; the educational model of intervention suggests that if a child\u2019s speech challenge is not directly impacting his or her academic development, then it is not necessarily the school\u2019s responsibility to treat that challenge. This leads many families to paying \u201cout of pocket\u201d for services with a private practitioner. Health insurance coverage for these challenges is often limited as well, though some health insurance has out-of-network benefits for speech services. Check with your plan and ask that your private SLP\u2019s invoices include their:<\/p>\n<ul>\n<li>NPI number (they\u2019ll know what this is),<\/li>\n<li>tax ID number,<\/li>\n<li>diagnosis (ICD-9) codes and<\/li>\n<li>CPT codes (again they\u2019ll know what this is).<\/li>\n<\/ul>\n<p>However, even if health insurance doesn\u2019t cover any of the cost of therapy, armed with knowledge and a willingness to collaborate directly with your private SLP, these services don&#8217;t need to break the bank. If you\u2019re a parent in search of a therapist, <a href=\"https:\/\/www.speechbuddy.com\/speech-therapy\">Speech Buddies Connect<\/a> is the perfect resource for you. It is a network of thousands of private SLPs around the country, ready to serve your needs. Simply input your zip code and the age of your child, you&#8217;ll\u00a0find great matches!<\/p>\n<p>While many private practitioners are indeed very busy, <strong>most see their students in groups of just one<\/strong>. This means that not only does your child get more individual attention during sessions, but your SLP\u2019s caseload is a lot smaller; your SLP simply has more time to spend supporting your work outside of sessions. Because of this\u00a0&#8212;\u00a0and heck, you\u2019re paying for it!\u00a0&#8212;\u00a0do\u00a0not be shy about contacting your SLP.<\/p>\n<p><a href=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking.jpg\"><img decoding=\"async\" class=\"aligncenter size-large wp-image-8957 lazyload\" data-src=\"http:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-1024x574.jpg\" alt=\"helping my child with speech therapy\" width=\"640\" height=\"358\" data-srcset=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-1024x574.jpg 1024w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-300x168.jpg 300w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-784x439.jpg 784w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-470x263.jpg 470w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking-350x196.jpg 350w, https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/hand-talking.jpg 1600w\" data-sizes=\"(max-width: 640px) 100vw, 640px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 640px; --smush-placeholder-aspect-ratio: 640\/358;\" \/><\/a><\/p>\n<h2>Communication &amp; Coordination is Always Important<\/h2>\n<p>It is perfectly reasonable for you to expect periodic communication with your child\u2019s homeroom teachers, school-based SLPs, as well as private SLPs. I recommend notifying\u00a0classroom teachers once the child has begun to master a given skill and is in the process of habituating it into everyday life. Parents should be involved in \u201chomework\u201d as soon as the child is <em>stimulable<\/em> for a given skill (i.e. can accomplish the new task at all and with a lot of cuing) and classroom teachers once the child is more proficient. Since I believe parents to be the primary stakeholders in reinforcing speech work outside of sessions, there is a danger of \u201ctoo many cooks in the kitchen\u201d and many kids may feel embarrassed by too much attention from a homeroom teacher. However, consider that\u00a0it may be appropriate to get some teachers involved sooner or in some rare cases, not at all. It\u2019s important to keep open lines of communication and for you, the parent, to act as coordinator of these dedicated professionals as much as possible.<\/p>\n<p>Your SLP is an incredibly dedicated, well-trained professional who knows what to do to improve your child\u2019s speech. Take full advantage of this great resource by leveraging yourself as part of the whole solution \u2013 your SLP will thank you for it.<\/p>\n    <span class=\"hs-cta-wrapper\" id=\"\">\n    <span class=\"hs-cta-node \" id=\"\">\n        <!--[if lte IE 8]><div id=\"hs-cta-ie-element\"><\/div><![endif]-->\n        <a href=\"http:\/\/speechbuddy.com\/guides\/home-reinforcement\"  target=\"_blank\" ><img decoding=\"async\" class=\"hs-cta-img lazyload\" id=\"\" style=\"--smush-placeholder-width: 655px; --smush-placeholder-aspect-ratio: 655\/211;border-width:0px;\" data-src=\"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2017\/03\/c78fe25c-44cd-4524-b653-8dbaf50c20f2.png\"  alt=\"Parents' Guide to Reinforcing Speech Therapy at Home\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/a>\n    <\/span>\n    <\/span>\n    \n","protected":false},"excerpt":{"rendered":"<p>In a recent blog post, \u201cI Think my Child Needs Speech Therapy \u2013 Now What?\u201d, I outlined the process of securing speech and language therapy services for your child. But let\u2019s say your child has just begun or has been in therapy for some time? What then? Do you find yourself wondering, &#8220;how should I [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":8956,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1323],"tags":[276,148,1600,792,24,776,1409],"class_list":["post-8943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-parents-corner","tag-delivering-speech-therapy-services","tag-home-based-speech-therapy","tag-parents-corner-3","tag-private-speech-therapy","tag-speech-therapy-at-home","tag-speech-therapy-in-school","tag-speech-therapy-reinforcement"],"jetpack_featured_media_url":"https:\/\/www.speechbuddy.com\/blog\/wp-content\/uploads\/2014\/10\/parent-child-rooftop1.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/8943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/comments?post=8943"}],"version-history":[{"count":8,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/8943\/revisions"}],"predecessor-version":[{"id":8960,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/posts\/8943\/revisions\/8960"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/media\/8956"}],"wp:attachment":[{"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/media?parent=8943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/categories?post=8943"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.speechbuddy.com\/blog\/wp-json\/wp\/v2\/tags?post=8943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}