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Speech-Language Evaluation & Treatment (ST)

Our agency will evaluate, design an individualized Plan of Care (POC) based on evaluation results, and treat communication disorders in individuals 0-21 years of age. We have experience working with individuals with autism, mental retardation, hearing impairment, cleft palate, apraxia, dysarthria, and various genetic syndromes. Communication disorders we are able to diagnose and treat include articulation/phonological deficits, language impairment, stuttering, and voice disturbances. Not sure if your child may need speech therapy? Check out this table for typical speech developmental milestones:

A baby’s first words are music to a parent’s ears. But how can you tell if your child’s speech and language development are on track?

While every child learns to speak at his or her own pace, general milestones can serve as a guide to normal speech and language development — and help doctors and other health professionals determine when a child might need extra help.


By the end of three months, your child may:

  • Smile when you appear
  • Startle upon hearing loud sounds
  • Make “cooing” sounds
  • Quiet or smile when spoken to
  • Seem to recognize your voice
  • Cry differently for different needs
By the end of six months, your child may:

  • Make gurgling sounds when playing with you or left alone
  • Babble repetitive syllables, such as “ba, ba, ba”
  • Use his or her voice to express pleasure and displeasure
  • Move his or her eyes in the direction of sounds
  • Respond to changes in the tone of your voice
  • Notice that some toys make sounds
  • Pay attention to music
By the end of 12 months, your child may:

  • Try to imitate words
  • Say a few words, such as “dada,” “mama” and “uh-oh”
  • Understand simple instructions, such as “Please drink your milk”
  • Understand “no”
  • Turn and look in the direction of sounds
By the end of 18 months, your child may:

  • Point to an object or picture when it’s named
  • Recognize names of familiar people, objects and body parts
  • Follow simple directions accompanied by gestures
  • Say as many as eight to 10 words
By the end of 24 months, your child may:

  • Ask for common foods by name
  • Use simple phrases, such as “more milk”
  • Begin to use pronouns, such as “mine”
  • Ask one- to two-word questions, such as “Go bye-bye?”
  • Follow simple commands without the help of gestures
  • Say more words every month
  • Speak 50 words and understand more
By the end of 36 months, your child may:

  • Say some 2 word sentences such as “’more milk”, “all gone”, “me go”
  • Asks for a cookie or toy
  • Understands “where is mommy/daddy?”
  • Understands simple directions “get your coat”
  • Understands more words than can speak/say


Talk to your child’s doctor if your child hasn’t mastered most of the speech and language development milestones for his or her age or you’re concerned about any aspect of your child’s development. Speech delays occur for many reasons, including hearing loss. Depending on the circumstances, your child’s doctor might refer your child to a hearing specialist (audiologist) or a speech and language specialist.  In the meantime, encourage your child’s speech and language development. Read to your child. Talk to your child. Sing songs together. Teach your child signs or gestures for common items or phrases. Ask your child questions, and acknowledge your child’s responses — even if he or she is hard to understand.


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Developmental Therapy (DT)

Developmental Therapy (DT) is a title used interchangeable with Community Based Rehabilitative Services (CBRS) and Special Instruction, depending on the arena in which it is used.  On the most basic level, it is developmental intervention uniquely designed to enhance cognitive, physical, behavioral, self-help, social-emotional, and language skills. Developmental Therapists view the child in a GLOBAL way.  This rehabilitative therapy for infants and toddlers is “play with a purpose.” Developmental Therapy is one service available to support children and families from birth to age three who have been determined eligible by the Children’s Developmental Services Agency (CDSA) for the North Carolina Infant Toddler Program. Visit the North Carolina Early Intervention website for more information on the CDSA in your area and the NC Infant Toddler program.  DTs will work with you and your child to offer activities and helpful information tailored to the individual needs of each child and family.  Direct, play-based intervention and parent/caregiver education are provided through hands-on learning activities that are fun and focused. Children and families will develop together in a variety of natural settings including: at home, in a childcare facility, at church, at grandma’s house, at the playground, etc.   Basically any natural settings and within a partnership that respects individual family needs, beliefs, cultures, and values.

Use this checklist as one way to see whether your child is meeting developmental milestones during the first year. If you have questions or concerns about how your child sees, hears, moves, communicates, learns, plays or interacts with others, talk with your primary care physician or contact your local CDSA. Success in your child’s growth and development can benefit from EARLY action. The Earlier You Know, The Better They’ll Grow!

1 month

·         Lifts head when on tummy

·         Looks at faces

2 months

·         Makes sounds – coos and gurgles

·         Follows objects with eyes

3 months

·         Recognizes faces

·         Holds head steady and upright

4 months

·         Smiles, laughs

·         Rolls from back to side

5 months

·         Holds out arms to be held

·         Likes to play peek-a-boo

6 months

·         Copies sounds

·         Rolls over in both directions

7 months

·         Creeps

·         Uses hands to pat, touch, stroke

8 months

·         Crawls

·         Pulls self up to standing

9 months

·         Says “Ma-ma” or “Da-da”

·         Responds to own name

10 months

·         Waves bye-bye

·         Drinks from a cup when it’s held

11 months

·         “Walks” holding onto furniture

·         Picks up small objects

12 months

·         Uses simple gestures

·         Knows at least three words