Speech Therapy Works

What we offer

We believe in providing comprehensive speech therapy at our clients’ convenience. A client’s home provides a more conducive environment for learning of new skills and/or generalization of new skills learnt into real life situations. Not forgetting, the home provides the most naturalistic environment to observe interaction between the client and their caregivers. We understand the needs and challenges of being a caregiver. Most caregivers are working thus sending your love one to the clinic for an appointment often result in taking leave or time off from work. This adds unnecessary stress to caregivers as not all employers will be as understanding towards the needs of being a caregiver. Some clients require intensive therapy sessions to optimize treatment results. However, frequent travelling to the clinic can be tiring for both the client and their caregiver(s). With the advancement of technology, we can instantly turn every home into a computerized speech and swallowing gym to carry out intensive speech and/or swallowing therapy. As such, we can bring the clinic to the clients' home!

***Swallowing*** Assessment Our assessments aim to identify the causes of the swallowing problem. Only when the causes are identified can accurate diagnosis be made which will then lead to better treatment outcome. Assessments will include one or more of the following:- Clinical Bedside Evaluation Videofluoroscopy (X-ray of Swallowing) Fiberoptic Endoscopic Evaluation of Swallowing (FEES) Treatment Treatment will be specific in targeting the underlying cause/s of the swallowing problem. There is no one ultimate treatment or solution in treating swallowing difficulties. Our treatment may include a combination of the following approaches:- Computerized swallowing therapy (sEMG Biofeedback Assisted Therapy) VitalStim Therapy Specific swallowing exercises targeting specific swallowing problems Prosthetic management

***Language Disorder*** Assessment We will conduct thorough assessments on all the language components (which include comprehension, expression (speech), reading and writing) and identify levels of breakdown in the language system. Treatment We will target treatment on the identified impaired language components and the levels of breakdown. Compensatory strategies will be taught to the client/caregivers to ensure some form of communication is maintained and encouraged. As our treatment is home based, it makes it easier to facilitate and understand the communication needs of our clients and their caregivers.

***Speech Difficulties*** Assessment There are many types of dysarthria which often time may be misperceived as apraxia of speech. A thorough assessment is needed to accurately diagnose the problem. Our assessment will take into account the underlying medical diagnosis and thorough evaluation of the 5 main components of speech production which include breathing, voicing, articulation, nasality and speech quality. Treatment We treat motor speech disorders according to the types that it is presented as this will ensure better treatment outcome bearing in mind that there are specific exercises for each type of the motor speech disorders. Treatment may include one or a combination of the following approaches: PROMPT for dyspraxia Lee Silverman Voice Therapy Specific therapy exercises for specific types of motor speech disorders Compensatory strategies to improve on speech productions (This is often time useful especially when muscles are still weak and still undergoing therapy) Prosthetic management Augmentative and Alternative Communication

***Stuttering*** Assessment We will conduct thorough assessments on speech production across different situations taking note of the percentage and type of stutters produced as well as how stuttering is affecting and impacting on day-to-day life. <h1>Treatment</h1> Treatment will focus on how to control stuttering which may include changing the way speech is produced but keeping it as natural sounding as possible across different speaking situations. We believe ultimately that the main therapy aim is working towards more effective communication thus lessening the impact of stuttering when it occurs during interaction with others on a day-to-day basis. As our therapy is not clinic based, we are able to carry over and generalize techniques learnt into real life scenarios and situations “right there and then”.

***Voice Disorders*** Assessment We will conduct thorough assessments on voice production components to rule out the cause of the voice problems. A referral to the ENT doctor will be made if necessary. Treatmentvoice_teacher Treatment will be specific to our assessment findings and input from the ENT doctor, if any. Types of treatment may include the following: Lee Silverman Voice Therapy (LSVT) Specific therapy exercises targeting specific voice productions components

***Locum Services*** Speech Therapists often work as part of a team, which may include doctors, psychologists, dieticians, physiotherapists, occupational therapists, social workers, teachers and many others. As such we can provide speech, language and swallowing services in various settings as below, either on ad hoc or contract basis depending on the needs of the organization:- Acute hospitals Community hospitals Day rehabilitation centres Nursing homes Centres for persons with developmental disabilities Private practice clinics or centres Public and private schools

Children Speech Therapy Services

We offer assessment and therapy services for children who present with speech, language and/or communication difficulties that may be due to the following causes:- Attention Deficit / Hyperactivity Disorder Articulation and Phonological Disorders Auditory Processing Disorders Autism Spectrum Disorder (ASD) / Pervasive Developmental Disorders (PDD) Childhood Stuttering Developmental Apraxia of Speech Global Developmental Delay Hearing Loss Language Delay (“Late bloomers”) Specific Language Impairment Assessment A typical assessment session generally takes about an hour to complete and may include the administration of a standardized test, clinical observation during free/structured play, and interview or questionnaire with the parent or caregiver. The 3 main areas to be assessed will include speech, language (comprehension and expression), and communication. Assessment findings will help us to identify the problem, if one is present, and determine the child’s current developmental age of function as well as the severity and nature of the deficit. Appropriate recommendations can then be made with regard to suitability of therapy, type of therapy approaches, specific therapy goals as well as frequency and length of treatment. Therapy Therapy sessions generally last for 45 minutes to 1 hour in length, depending on the age of the child and nature of the speech and/or language difficulties. And because we are providing therapy in an environment familiar to the child, new skills taught can be put to real life practice almost immediately by enacting daily routines or play with toys and games that is of interest to the child. We are able to provide the following specialized treatment approaches:- Picture Exchange Communication System (PECS) Hanen Programme – It Takes Two to Talk & More Than Words PROMPT Technique (Introductory Level) Developmental, Individual Difference, Relationship-based (DIR®/Floortime™) Social Thinking Lidcombe Programme

Children at play
Girl whispering into ear