How much does it cost?
Moretalks current charges are $115.00 per hour (GST inclusive). We ask families to commit to at least 3 sessions, in order to ensure we can appropriately assess and give immediate advice / guidance and home programme ideas. The 1st session is for 1 hour and then subsequent sessions 45 minutes each.
How many sessions will we need?
This is a difficult question to answer until we have assessed and got to know your child. We recommended at least 3 SLT sessions immediately. By the second session the SLT will be able to give you feedback as to an appropriate intervention plan. This is as variable as the differences in children. But as an example, if it is a mild articulation difficulty then perhaps between 3 and 8 sessions in total. If it is a speech or language disorder, then intervention would occur longer term.
Can I get Speech Therapy somewhere else?
One of the 1st things that we remind parents is that they may be eligible for services from Child Health Centre (Children zero to three) or Ministry of Education – Learning Support (servicing children Northland wide, within eligibility criteria) . We recommend talking to the child’s ECE or class teacher about a referral process to these government funded services.
My child is getting Speech Therapy at school but I think she/he needs more, can she/he come to you too?
Sometimes families are seeking additional intervention for their children. In all circumstances we request that if this is the case, that the Moretalk SLT is able to have contact with the MOE (or other agency) SLT. It will be very important that the intervention approaches by both SLT’s are complementary and do not confuse the child. Sometimes this is the SLT’s discussing working on differing communication domains eg one on language structure while the other works on speech sounds. On other occasions like goals and like strategies are put in place with the Moretalk SLT doing individual therapy while the MOE SLT focuses on classroom based support and intervention. In all circumstances the SLT’s maintain open communication to meet the child’s needs.
Can you come to us in our home?
Yes. Moretalk is happy to see clients in which ever environment suits best. However if you live outside the Whangarei city limits there will be additional travel and milage costs that will need to be agreed upon.
When should a child start talking?
It is important to keep an eye out for milestones that also occur before 1st words. Within the 1st year child should be starting to imitate actions and gesture eg wave goodbye, pointing, peek a boo and begin to join sounds together and use meaningful sounds eg brrmmm for a car, moo for cow. They should have started to use their 1st words by about 12 months, and amazingly using up to 200 word by 2 years.
Will thumb sucking or dummy (pacifier) sucking effect my child’s speech?
The short answer is yes - dummies do effect the development of speech if they are used a lot or long term. Namely:
1. Children who have the use of a dummy other that at sleep times are prevented from speaking orally and using language because they "have the plug in" OR develop habbits of biting it to the side and speaking around it - effecting development of speech sounds. Dummies for sleep time only can prevent this.
2. Children who have long term access to a dummy (or thumb sucking), more often than not develop a pattern of swallowing with a forward tongue placement. This swallowing pattern then influences an ongoing pattern of "tongue thrust" or forward tongue placement which can effect teeth growth but also speech patterns. For example sounds such as /t/ /d/ /s/ /z/ and sometimes /sh/ which require the tongue to be placed behind the teeth are influenced forward into a lisp. (tongue between teeth or partially between teeth).
If you wanted to find out more there is research that presents:
'Scientists found pre-school children who had used a pacifier for at least three years are more likely to have difficulties talking than children who don't use them.'
Dr Alison Bruderer, from British Columbia University in Canada
I can understand my 4 year old but others can’t, should I be worried?
At 3 years it is very common for parents to have to interpret their child’s speech because others can not understand them. By 4 years a child should have developed a wider range of speech sounds and should be easier to understand. If you notice others are really struggling to understand him / her then we would recommend seeking SLT advice.
My child is 4 and has started stuttering, does he need speech therapy?
Fluency or stuttering problems are very common for children who are going through a huge language growth between the ages of 3 and 5. An analogy for this is like when learning how to ride a bike, there is a lot of new information to retrieve from your brain, and many movements to coordinate. Should the fluency problems start to interrupt the child being able to communicate confidently or they start to show frustration then seeking advice from an SLT is recommended. Lifelong Stuttering problems can also be familial, so if there is a family history then early intervention may assist.
Do you work with children with feeding problems?
Moretalk SLT’s are trained to work with children with feeding issues, but as a community based service those with more severe feeding problems such as dysphagia (swallowing disorders) are best seen by specialists at Northland Health (Child health centre) and we would seek to refer you on.
Can you help my parent who has had a stroke?
Yes. Moretalk SLT’s are trained to work with adults who are recovering from Brain injury due to a cerebral vascular accident (CVA) or other brain injuries.
How much does it cost?
Moretalk’s current charges are $115.00 per hour (GST inclusive). We ask families to commit to at least 3 sessions, in order to ensure we can appropriately assess and give immediate advice / guidance and home programme ideas. The 1st session is for 1 hour and then subsequent sessions 45 minutes each.
Can you do SLT sessions in my spouses rest home / private hospital?
Yes. Moretalk SLT’s have this arrangement already for some clients. One option some families take up is SLT sessions of once per fortnight, paired with our SLT assistant visiting the client twice per week.
What about my son who is an adult with Down Syndrome, how can you help?
Yes. We have had great success with adults who have had life long communication difficulties attending SLT to work on their functional communication. These sessions improving their clarity of speech and conversational communication in different environments.
I used to stutter when I was younger, but haven’t for years, it has come back, can you help?
Yes. Moretalk SLT’s are experienced in working with people with fluency difficulties in all age groups. In some circumstances it may only require a few sessions to remind you of the fluency techniques that you have forgotten. In other instances Fluency difficulties in adults may need a joint approach with for example a psychologist to work on any underlying issues as to why the difficulties have re-appeared and perhaps strategies for anxiety etc.