Options for Speech Therapy over the Summer???

Updated on January 22, 2011
L.M. asks from Willow Hill, IL
6 answers

Hi moms. My twin boys have a speech delay, and have been in speech therapy, but it is not working for them, and I am just sick trying to fight this battle. I have been assured that boys are slower than girls, and twins are slower than singles, but how long do you accept that? Yes, they did/do have their twin language. Sadly, I learned some of it which helped me know what they needed or wanted, but also enabled them to continue with it. I started the fight with this at around 15 months when they were not talking at all and the doctor would tell me they are just being slower at reaching that milestone, but if they are not saying so many words by their next appt. then we will look into it further. Well, that appt. came and went and so did the next one, and next one... and each time I got a new goal to strive for for them. I couldn't get their doctor to take my concerns serious, and finally I learned about the birth to 3 program through an acquaintance, and I contacted them myself to set up the evaluation. They made me under the impression that the doctor usually makes that referral, but they still helped me but contacted my doctor to get it. We went through 8 months with a therapist coming into our home, and literally got no results. Midway through, I had them back to their doctor and practically had to demand they have their hearing tested (again they just wanted to tell me it will come). The hearing tests were normal for both boys. I switched pediatricians, and our new one realized it to be a problem, and tried to refer me to therapy though the hospital which after having them evaluated to find they qualify for that program, our insurance would not cover it and we were hit for the full bill for that evaluation times two. Once they turned 3 they were referred to speech through our Early Intervention. They have no other delays so there wasn't a need for the class offered so we just did speech. They were set up for once a week for 30 minutes. Their birthday was in Feb. and with snow days, conventions the therapist had to go to, and holidays, they were only getting service every other week for the first 6 weeks or so. I tried with no luck to get the therapists to see them more because by the time the boys got comfortable with them and started to show some progress, it was the end of the year. I even asked one of them at one point what she would do if it were her child and she felt that she wasn't getting what she needed what would she do? Her answer, " Oh, I'd probably listen to her therapist." I requested a meeting for extended school year as a lot of people told me I needed to do, but these therapists that might have been around my twins for 8 or 10 half hour sessions, 5 hours, seem to think they know my kids better than I do, and didn't feel they needed extended summer even though I was there with a doctors note stating they needed to continue receiving the service for the very reason they didn't think it was necessary. We are back to possibly getting service through our hospital, but our insurance will not cover or even help with the cost, and living paycheck to paycheck, but making just enough over the cut off to qualify us for the medical card, we cannot afford to go this route either. I have done nothing by cry today, knowing that I am doing all that I know to do, but not getting anywhere with any of it. My doctor has mentioned that the next step is referring them to a developmental therapist to make sure there isn't a medical reason for this delay, though none of the people that have worked with them feel there is anything beyond just as speech delay. What worries me most about that (aside from our insurance covering it) is that I feel like I have been showing concern for so long to not be heard, and if they do go to the developmental therapist and he determines that maybe it is a form of Autism or Asperger's or something of that nature that maybe we are missing that window of opportunity that I have been reading about. I have read with those delays that if they are given proper treatment by age two, then one would never know they were diagnosed with it. I don't want to miss that window, and I don't want to back off for the summer and they regress. I don't want to feel like I missed out on getting them the help they need. Don't get me wrong. I don't feel like it goes beyond a speech delay nor do I want it to, in fact, I think it is a lot stubborness, but if I missed it as something worse because I was in denial or didn't know what to look for then I couldn't live with that. What else is out there for us? Maybe I am over reacting? I am to the point that I am trying to alter there diet for a short time to eliminate gluten and casein to see if there are any improvements, but I honestly don't know how to do that. Everything I know how to cook has one or the other or both. I realize this is a really long post, I think I really needed to vent, but if you have any insight to any of these concerns, I am open. Does anyone know if there are summer services that are for people in my situation. I feel like we are being punished for having insurance and that really sucks. How do you eliminate milk and wheat from your diet? Is it even worth trying? I just feel like I am doing everything I know to do. I am not just relying on the therapists to wave their magic wands and poof the boys talk like every other 3 year old, but I just know what I am doing isn't cutting it either. We have a nightly ritual that we say every night, and then we sing our ABC's together. They make sounds that you know they are trying, but they are not forming the words. That is progress as before they wouldn't even attempt, and I with hold things from them until they use their words, but they would just as soon go without sometimes then say the word. I act like I don't understand them even though I know what they are wanting. I ask them questions all day long. It used to be yes/no questions, but have now decide to ask more multiple-choice questions to try to encourage them to say more words. I am just at a loss. What do I do?

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N.H.

answers from Indianapolis on

I just had to write to let you know you are not alone. My son is going to be three this summer. He is not a talker and has some unusual tendencies that have raised some red flags about Autism as a possibility. We too are overwhelmed with all the information that we are reading about what this might mean for us.

He has been receiving speech therapy through First Steps but when he turns three he will transition to the local school system for service. He will be evaluated for his needs this week by the school psychologist/therapists etc. but they have only allowed 1 hour for this whole process, which in my opinion can't possibly give them a complete picture of all my son's abilities. But these people are supposed to be professionals so I am trying to give them some credit.

If your sons do not have any identified delays other than speech, maybe you don't have to worry so much. Many people have told me stories about friends/relatives who didn't speak until they were 4 or older.

You seem to be doing everything you can to make sure your boys have what they need in many ways.

Don't be so hard on yourself. You are a good mom. You aren't going to miss the window of opportunity, because this is the window and you are doing everything right. Talking to them and encouraging their responses, even if they are unintelligible right now is the best thing you can do. Also make sure you spend a lot of time narrating everything you are doing. That is what we were told to do from very early on in this.

We are in a position that we are able to also have our son evalutated at Riley Hospital for Children, but that is completely of our own doing. We just decided that it would be better to overreact now, instead of pretending that nothing was wrong and then finding out later that we were in denial. But since you have had your boys evaluated and they do not seem to be having other delays, I don't think you need to worry so much. There are very specific things that these professionals look for, and they must not be exhibiting them.

I really feel for you and wish you the best. Spend the summer enjoying your children and giving them every experience you can, narrating everything you do and see. They will probably begin to speak on their own, but if not you can push for the services they need this fall. If you have friends or relatives who spend much time with your twins, encourage them to talk as much as possible. The narrating seems strange at first, but you just get used to hearing yourself talk. It helps when others are doing it too. Plus, like you said, sometimes when it doesn't come from mom it helps a little.

Best of Luck!

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C.P.

answers from Kokomo on

Well, as a mom of a daughter with a history of feeding problems I understand your frustration with the system. But, perhaps a summer break is needed, mentally and financially. The boys are old enough to get involved in other social events, and maybe that will encouarage some verbalization. Check out play camps, bible schools, play groups, gymnastics..anything to get them around other children close in age. I am under no impression that will make them suddenly talk, but it may encourage them to make more attempts AND it gives everyone a break. You and I know this becomes a power struggle and they WILL win! So, 2 months of summer break will not close any magic window..you are still a great, caring, concerned mom and in the fall you can restart official therapy and keep working on doing the job you do everyday...being a fantastic mom!

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C.L.

answers from Raleigh on

I apologize your boys were not given speech-language therapy at the time you first expressed your concerns. Speech-language therapy is like ART. What works for one child may not work for the other. As for twins, therapy should be separate. I usually find music works best with young children, however, there are the exception. The following are some CDs that may help your children make progress towards accomplishment of their speech goals: http://www.expresstrain.org/Catalog_Kids_Express_Train_20... and
http://www.signingtime.com/parent-success-kit. Please visit my website for more resources: www.perfectlyspeaking.com

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N.S.

answers from Columbus on

Hi there
I don't know that I have a lot of advise... My friend has a 3 year old son who has speech delay. He does not pronounce any words correctly. He is turning 4 in August and will have to wait to work with a speech therapist until he goes to pre-school beginning of the school year. My friend went through a lot of hearing tests and evaluations and is frustrated as well. None of the tests have shown that there is anything "wrong" with him. She has tried to work with him herself but it seems that he listens better when someone else works with him. I think that she will just wait to see what the speech therapist says. But so far everybody that has evaluated him, has said that he is just very delayed but will catch up by the time he enters first grade if he starts working with a speech therapist now.
As far as the changes in your kids' diet, there is a disease called: Celiac disease that requires people not to eat gluten. There is a lot of information on the internet. Check out www.celiac.com. They have a section on there about gluten free cooking. That may help you.

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K.B.

answers from Cincinnati on

I don't know where your located, but sometimes colleges have people that can help with this. Like Miami University in Oxford OH has speech therapy they offer at very reduced rates. You get a student therapist and such but it could be something affordable to do in the summer time as at least an option. I think I remember someone telling me it was less than $10 a session.
One other option sons grandmother has found, is that at some places, there is a "discount" or other options of payment if you are paying cash and not using insurance. Be sure to ask about this at places that don't accept your insurance.
I wish you the best of luck! Our prayers are with you!

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M.R.

answers from Columbus on

L.,

Wow. You have hit the wall early. You have discovered some of the biggest pitfalls of developmental delay (even if it is just speech) Get that referal to a Developmental Pediatrican and get your appointment for them now. Insurance will cover a developmentalist. There is too much to explain here, I am an educational advocate for kids with disabilities, but you have found many of the common pitfals to advocating for your children. You must find a way for them to get therapy, the school will provide only enough for them to be functional in the classroom that is most appropriated for them, and no more, which is not all the therapy they need. I know it sounds harsh, but get used to it, you will always be making up the difference. Contact Easter Seals, sometimes you can get therapy throught them for little or no cost.

Above all, get the evaluation with the developmentalist, they will do a full speech and language evlauation too, and any other evaluation that the boys need. They will coordinate everything for you and give you a treatment plan to follow. You will never have to kick yourself because you missed something.

The first rule in dealing with "public" services is to never, never go into a meeting knowing less about your child than they do (and by knowing, I mean evaluations) After you have the evaluations, contact me and I can help you understand them backward and forward.

Last, I urge you to avoid the trap of non standard treatment plans. There are a million people out there that want to sell you something, a diet, a supplement, an idea...it is not going to help your sons, there is no credible evidence (and I use this evidence in mediations and due process) that any of these treatments work at all. If you want to try diet, or vitamins, go ahead, but do not abandond standard treatment.

Look at it this way, the brain is an organ, it has a phsycial structure, like your hand has a phsyical structure. You would never fall prey to the idea that you if you hand did not function or had a structual defect, that taking vitamins or eating different foods would fix it, and it won't work for a brain either. The good news is tha brains can be trained to do amazing things, but you need to get them standard therapy early, and as much as you can possibly get.

Good luck. Let me know if I can help you.

M. (Educational Advocate for kids with disabilites-Mom of 3 girls, 2 with ASD)

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