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re: Speech Therapy Recommendation

Posted on 3/21/18 at 10:34 pm to
Posted by killinme_smalls
Baton Rouge
Member since Jul 2005
444 posts
Posted on 3/21/18 at 10:34 pm to
I believe the original referral was due to a standard # of words they are supposed to say by a certain age. We had an evaluation completed and he is borderline. We we going to put him in therapy but insurance won’t cover it. Sessions out of pocket are $80/ each. We are on the waitlist at LSU and it is 2X a week for only $285/semester so that will be where we end up, just trying to get him started in the right direction. We live close to campus so we’re just kinda looking at maybe getting a student to “babysit” and work with him a little at the same time until LSU happens.
Posted by meeple
Carcassonne
Member since May 2011
9376 posts
Posted on 3/21/18 at 11:39 pm to
Look into Early Steps to see if he qualifies. It did wonders for our little one and at no cost since it’s through the LA Dept of Health.
Posted by Hu_Flung_Pu
Central, LA
Member since Jan 2013
22168 posts
Posted on 3/21/18 at 11:54 pm to
quote:

Early Steps


This. My twins are in it. It's until 3 y/o
Posted by biglego
Ask your mom where I been
Member since Nov 2007
76335 posts
Posted on 3/22/18 at 12:00 am to
quote:

See if you can get an early steps evaluation.

Early Steps is so broke and overwhelmed, I’d hope OP wouldn’t bother them with a toddler who justvdoesnt like to talk much.
Posted by meeple
Carcassonne
Member since May 2011
9376 posts
Posted on 3/22/18 at 12:02 am to
quote:

This. My twins are in it. It's until 3 y/o

It really is great. This is a state-run program that actually gets it right. We had speech, PT and an OT for our son between the ages of 1 and 3 yrs. Very caring therapists who all came to our house for the sessions so it was super-convenient.
Posted by meeple
Carcassonne
Member since May 2011
9376 posts
Posted on 3/22/18 at 12:07 am to
quote:

Early Steps is so broke and overwhelmed, I’d hope OP wouldn’t bother them with a toddler who justvdoesnt like to talk much.

There are listening and recognition things that can be done even if he’s not talking that are part of speech therapy.

As for it being broke, what’s your source? Our son has been out of it for a few years but back then it was great. It can’t hurt to apply.

ETA: I am assuming there is some underlying disorder with the OP’s son, but yeah, if he’s just not talking yet I don’t know that he’s even qualify.
This post was edited on 3/22/18 at 12:09 am
Posted by ksayetiger
Centenary Gents
Member since Jul 2007
68313 posts
Posted on 3/22/18 at 12:09 am to
I didnt read any responces, so forgive me if i repeat.


If you have a medical diagnosis, insurance will pay. Talk to your doctor.

Early steps is free, but takes a while to get in, again, talk to your dr.

If your dr wont/cant do the above two, get a new dr asap.
Posted by ChunkyLover54
Member since Apr 2015
6529 posts
Posted on 3/22/18 at 12:24 am to
In BR? NYC? Hard to help without details
Posted by Rougaroux
Madisonville
Member since Feb 2017
723 posts
Posted on 3/22/18 at 5:14 am to
Your pediatrician is being a little overzealous... what the hell are they expecting out of an 18 month old... thats like referring a 6 month old to a specialist bc he isnt walking
Posted by LSUgirl4
Member since Sep 2009
39501 posts
Posted on 3/22/18 at 5:30 am to
quote:

Does anyone know a grad student or upper level speech student that would possibly be interested in working with my 18 month old son? He is borderline so insurance won’t cover a true therapist appointment. Just trying to get him headed in the right direction. Thanks in advance.

quote:

He is on waiting list at LSU, hoping for the fall. He is a little young and borderline in need so we aren’t in a huge bind, just looking to get him started in the right direction.

quote:

His pediatrician referred him for an evaluation. The therapist there did some communication type games to gage comprehension and verbalization. He is fine on comprehension just what they consider borderline on the verbalizing. We think he is just kinda stubborn but would like to get him the assistance if truly needed.

quote:

I believe the original referral was due to a standard # of words they are supposed to say by a certain age. We had an evaluation completed and he is borderline. We we going to put him in therapy but insurance won’t cover it. Sessions out of pocket are $80/ each. We are on the waitlist at LSU and it is 2X a week for only $285/semester so that will be where we end up, just trying to get him started in the right direction. We live close to campus so we’re just kinda looking at maybe getting a student to “babysit” and work with him a little at the same time until LSU happens.

i'm not saying there isn't a problem. i do think you're overreacting at 430am.
Posted by Darla Hood
Near that place by that other place
Member since Aug 2012
13943 posts
Posted on 3/22/18 at 5:41 am to
I'm pretty sure it would be unethical for a student clinician to provide private services.

While you're on a waiting list perhaps the clinic might have a list of suggested things you can do at home? Games and things that encourage language development.

Maybe a retired speech pathologist whose license is still current could do something. That wouldn't be unethical. (I'm a retired speech pathologist, but I let my license lapse a few years ago.)
This post was edited on 3/22/18 at 5:44 am
Posted by NaturalBeam
Member since Sep 2007
14521 posts
Posted on 3/22/18 at 6:38 am to
My wife is a speech therapist and would say he's too young. Sure, a therapist will work with an 18-month old, but the progress he makes is likely just the same progress he would've made without it.

Boys are usually slower than girls. 18 months isn't anything to be worried about unless he has some severe deficits. I'm guessing this is a first child?
Posted by LSU Delirium
Member since Aug 2013
443 posts
Posted on 3/22/18 at 7:56 am to
Are you in baton rouge? My wife graduated their program, worked at early steps, and worked in a private practice. She now has her own business and sees a couple of clients while our two year old is in daycare. This would be right up her wheelhouse if we lived in BR.

If you are just looking for some reassurance/peace of mind, I'll ask if she can recommend someone, but from a neutral observer i think it would go like this: they would come in for a eval session, say he is fine, give you some exercises to do with him (even if he is going to sessions you should do this anyway), and then schedule another evaluation later if he isn't making progress.

Edit: wife says if insurance won't cover you won't qualify for early steps, although it's been 7ish years since she worked there. She suggested Excellence in Speech Pathology, bosses are Joy Pennington and Nicole Guest. Wife used to work for both and they are great.
This post was edited on 3/22/18 at 8:01 am
Posted by GeauxDoc
Highland Road
Member since Sep 2010
2541 posts
Posted on 3/22/18 at 8:16 am to
quote:

Not a good plan, although an innocent thought, it could constitute practicing without a license, recommend getting on the list at LSU and at that point the students are practicing under supervision of a licensed professional


Not sure why this got downvotes...he is right.
Posted by Morty
Member since Feb 2018
2252 posts
Posted on 3/22/18 at 8:26 am to
What’s the harm in someone “unlicensed” providing some verbal coaching or whatever they do. It’s not like he’s an unlicensed surgeon
Posted by 19
Flux Capacitor, Fluxing
Member since Nov 2007
33190 posts
Posted on 3/22/18 at 9:06 am to
If he isn't stimulable for the phonemes
p,I,I,h, and B by 24 months...
Posted by S1C EM
Athens, GA
Member since Nov 2007
11585 posts
Posted on 3/22/18 at 9:18 am to
quote:

If he isn't stimulable for the phonemes
p,I,I,h, and B by 24 months...


My youngest just started speech therapy a couple of weeks ago. He turned 2 this month. Doesn't say much at all, if anything, honestly. He definitely hears and understands what's being asked of him most of the time. The therapist says he certainly comprehends a lot more than his speech would imply. We figure a lot of it has to do with having two older siblings who do most of the talking around him. He's figured out that a point and grunt will get him what he wants, most of the time. We just have to work on curbing that.

That said, I'm not overly worried. Both of his siblings are reading/writing/speaking at gifted levels for their ages and I'm a j-school grad, so there's no lack of verbal expression around the house. He'll pick it up when he's ready to. It's interesting because the therapist said they look for a 2-year-old to use between 50-100 words.
Posted by ChunkyLover54
Member since Apr 2015
6529 posts
Posted on 3/22/18 at 12:14 pm to
You should look at the Emerge Center if you're in BR. It's a great resource
Posted by Hu_Flung_Pu
Central, LA
Member since Jan 2013
22168 posts
Posted on 3/22/18 at 1:51 pm to
quote:

. Doesn't say much at all, if anything, honestly. He definitely hears and understands what's being asked of him most of the time. The therapist says he certainly comprehends a lot more than his speech would imply. We figure a lot of it has to do with having two older siblings who do most of the talking around him. He's figured out that a point and grunt will get him what he wants, most of the time.


That's how one of the twins are. One speaks a bunch and the other knows what's going on but doesn't talk. Knows how to do all of the puzzles and challenges the therapists puts in front of him.
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