Consent to Treatment
By signing the below terms and conditions, parents consent to the therapist treating their child for a block of intervention, duration to be determined by assessment findings, clinical observations, and response to intervention, in conjunction with the family’s input and therapist’s recommendations. Parents have the right to withdraw their child from services at any point, giving a minimum of 24 hours notice, provided in writing.
Location of Sessions
Sessions can be conducted at the therapist's office, in the home, or within the child’s nursery/school (fees vary depending on location). It is requested that parents provide a quiet environment, free from distraction (e.g. phone, TV). It is also expected that either a parent or caregiver will remain with your child for the duration of the session. When a session is arranged at a child's school/nursery, the school must be informed and be in agreement. It is expected that a member of staff will be available to observe and discuss the session.
Length of Sessions
All sessions are scheduled for 50 minutes, 45 of which encompasses direct 1:1 intervention with your child, allowing 5 minutes of discussion at the end of the session. In the event of a behavioural, medical or other such incident, the session may be concluded early in order to allow for longer discussion time. The therapist also reserves the right to stop the session at any time should either the therapist’s or child’s safety be at stake, or if behavioural or medical challenges are detrimentally impacting therapeutic gains. If more than 2 consecutive sessions are stopped (or cancelled) due to behavioural or medical challenges, a meeting will be scheduled in order to problem-solve possible solutions.
Although the therapist’s working hours will be flexible in order to accommodate all clients as much as possible, the work week will generally be scheduled from Monday to Friday, with sessions taking place in the afternoons and evenings.
As numerous studies have demonstrated the importance of parent and caregiver involvement in the therapeutic process, both within sessions and in the home, parents and caregivers will be expected not only to attend all sessions, but to carry over therapeutic activities to other communicative environments, and to openly discuss the therapy process. The therapist will discuss appropriate strategies and activities and how frequently specific tasks should be carried out at home. These activities should be practised regularly in order for your child to gain maximum benefit from therapy. Upon request, a detailed home programme can also be provided (billed at an hourly rate), and may be recommended by the therapist at different points in the therapeutic process.
To provide the most effective care, it is important to liaise with other professionals involved with a child’s learning and development. Where other therapists (such as ABA, OT, PT) are involved in a child’s intervention, parents will be asked to provide written consent for the Speech and Language Therapist to contact these professionals in order to discuss relevant information pertaining to the child’s progress. No contact will ever occur without receiving prior written consent from the child’s parents.
Service Delivery Model
All sessions, unless otherwise requested or recommended, will be conducted 1:1 between the therapist and the child, for a block of 6 weeks. Following initial assessment, the frequency of sessions will be agreed upon. A minimum of 1 session per week is typically recommended; however, some children may only require sessions fortnightly, in conjunction with a structured home programme. It is not always easy to predict the number of therapy sessions a child will require, as response to intervention is often the best prognostic indicator. In cases where it is likely that long-term intervention will be required, therapy progress will still be reviewed and discussed at the end of each block.
Services & Populations Served
Every child is unique and will require a specialised approach to intervention. As such, all clients are accepted on a case-by-case basis, as determined by the child’s needs and the therapist’s ability to provide effective intervention. In such case that the therapist determines she is unable to provide a sufficient level of support for the child, parents will be supported in finding an appropriate specialist to facilitate their child’s rehabilitation.
The therapist has up-to-date training and considerable knowledge and skills in working with the following populations and areas of difficulty:
Autism Spectrum Disorders, Global Developmental Delays, PDD-NOS, Down Syndrom, Hard of Hearing and Deaf Individuals
Speech Sound Disorders - including phonological, articulation and motor-speech difficulties (e.g. apraxia of speech)
Receptive and Expressive Language Disorders - including difficulty understanding or following instructions, difficulty with sentence structure, grammar, narrative structure
Pragmatic (Social Skills) Difficulties - including limited eye-contact, joint attention, turn-taking, maintaining conversation topics, inappropriate social behaviours, difficulty interpreting or expressing emotions
Fluency (stammering/stuttering) Disorders - children under age 7
Voice Disorders - both adults and children.
Early Intervention (under the age of 2 or 3)
Areas with which the therapist has less experience, and will thus accept on a case-by-case basis, if it is determined that the requisite skills are present include:
Acquired Acute or Degenerative Neurological Disorders - including Parkinson’s Disease, Motor-Neurone Diseases, Aphasia following Stroke or CVA
Feeding, Eating, Drinking and Swallowing Disorders - e.g. food aversions, modified textures and liquids, modified utensils
Fluency (stammering/stuttering) Disorders - children over age 7 and adults
Accent Reduction / Modification
Fees have been set in relation to comparable services offered by Masters qualified Speech and Language Therapists working in private practice. Please refer to the Fees page for details of all prices.
Payment is requested at the time of each session, unless otherwise agreed upon. Children receiving funding through programs such as the At Home Program will be invoiced at the end of each month. Once invoiced, payment is required within 7 days.
As clients are scheduled in blocks of 6 weeks, much like in a school setting, when a cancellation occurs, regardless of the notice given, it is not possible to slot another child into the available space. As such, the following policies will be implemented:
If a parent provides greater than 24 hours notice of cancellation, the session will be rescheduled at a time that is convenient for both the family and the therapist
If less than 24 hours notice is provided, the session will not be rescheduled or reimbursed, unless otherwise specified
If the therapist cancels the session for any reason, it will be rescheduled at a time that is convenient for both the family and the therapist
Where it is not possible to reschedule the session within the current block of intervention, the session will be held as a credit against the next payment.
If the client will not be continuing for another block of intervention, the client will be issued a refund.
If a client cancels more than 2 sessions within a block of therapy, only the first 2 cancellations will be rescheduled. In the event that a child is hospitalised or will be unable to attend more than 20% of their scheduled sessions, parents are asked to provide a minimum of 24 hours notice, and sessions may be rescheduled for a subsequent block of therapy.
If your child is sick, it is important to note that this can significantly impact their learning within a session so I ask that parents please respect the following guidelines:
Fever - If your child has had a fever (100F/38C) in the past 24 hours, I kindly request that you do not bring your child for his/her session, as they may still be contagious and will likely still be feeling quite ill. Your child must remain fever free for 24 hours, without the use of fever reducing medication, prior to resuming his or her sessions.
Diarrhea and Vomiting - Diarrhea due to illness is highly contagious. If your child has diarrhea, please keep him/her home. If your child has 2 or more diarrhea episodes, or any uncontained diarrhea during a session, you will be called to pick him/her up. If your child vomits while in a session, you will be called immediately to pick him/her up. Please keep your child at home until 24 hours after the vomiting has stopped. When children return too soon, there is a much higher rate of recurrence and contagiousness
Coughs or Colds - Colds are a common occurrence. However, there are some symptoms that warrant keeping a child home. These include, but are not limited to: bad cold with hacking or persistent cough, green or yellow nasal drainage, productive cough with green or yellow phlegm being coughed up. These symptoms may be present with or without a fever.
Rash - A rash may be a sign of many illnesses, such as measles or chicken pox. In infants, an external rash may be a sign that something is going on internally. Please do not send your child to the center with a rash until the doctor says it is OK to do so.
Lice - Lice is easily spread from child to therapist, and from therapist to other children. As such, if lice is detected in a session, a child will immediately be sent home and will not be readmitted until a minimum of 24 hours after the child and the rest of the family has been treated, in order to avoice reoccurance. During their first session following treatment, I will make a visual inspection and determine if the child can be readmitted.
Chicken Pox - Chicken pox is infectious for up to five days before and not more than five days after the appearance of the last spots. To reduce the risk to others your child must be excluded from his or her sessions for up to five days after the appearance of the spots, or until the spots are dry.
Parents often feel that if a child who is sick attends a session, they will still gain some benefit from therapy, even if it is not the full benefit they might receive when healthy. This is a common misconception. True learning can only occur when your child is happy and healthy. Additionally, if your child attends and they are still contagious, it is likely that the therapist will become sick and will then be forced to cancel not only your child's session, but also other childrens' sessions. This is not fair to the therapist or to the other families with whom the therapist works. It is therefore requested that all parents please respect the above guidelines.
Data Collection and Protection
Information obtained from the parents, caregivers, or other sources during assessment and treatment, including personal details, medical history, family history, and assessment results will be collected solely for administrative purposes and for the purpose of establishing a comprehensive communication profile for your child, to create a holistic intervention programme. This information will be held in files, within a locked office and in electronic format under the child’s initials only, under password protection on the personal computer of the therapist. All information will be held and processed in line with Data Protection Principles given in the Data Protection Act 1998.
Terms & Conditions
I firmly believe in the importance of transparency in the therapeutic process. As such, all families are required to read and agree to the following terms and conditions, prior to starting intervention. You will be provided with a hard copy of said terms and conditions during the intake process.
M.Sc (Hons), RSLP