"Alone we can do so little; together we can do so much!" ~Helen Keller

Specialized Treatment Approaches

Child painting horse, speech language pathology in motion, equine assisted therapy

Animal Assisted Speech, Language and Feeding Therapy

Animal assisted speech, language or feeding therapy is the planned inclusion of an animal in a patient’s treatment plan. The animals, and interactions with them, can be used to:

  • Increase client motivation. 
  • Increase client participation in treatment.
  • Target skills such receptive and expressive language, articulation and phonology, functional communication, reading and speech fluency.   
  • Help a client develop joint attention and pragmatic language skills.

Animals we work with include horses, donkeys, sheep, goats, chickens, rabbits, cats, and dogs.

DIRFloortime, floortime approach, speech language pathology in motion

DIR® Floortime

The Developmental, Individual Difference, Relationship-based (DIR®) Model is used to help build healthy foundations for social, emotional, and intellectual capacities.  This in turn helps to develop critical cognitive, social, emotional, language, and motor skills, as well as a sense of self.

Research related to the DIRFloortime model supports its effectiveness in improving the core challenges of autism including relating, interacting,  and communicating while decreasing caregiver stress and improving  parent-child relationships.

hippotherapy, speech therapy, high five, speech in motion camp program, autism therapy


The use of "equine movement" in speech therapy is referred to as "Hippotherapy."  This treatment tool can be used to:

  • Increase client motivation and participation in treatment. 
  • Help the SLP target skills such as joint attention, receptive and  expressive language, oral motor abilities, articulation and phonology,  breath support, volume/vocal quality, swallowing and speech fluency. 
  • Help the SLP address speech and language deficits through facilitation of the physiological systems that support speech and language functioning.
  • Help a client develop pragmatic language skills through interactions with others and with the horse. 

PROMPT therapy, speech in motion, speech language pathology in motion

PROMPT© Therapy

PROMPT© stands for "Prompts for Restructuring Oral Muscular Phonetic  Targets".  It is a dynamic tactile method which can be used for the treatment of motor speech disorders.  PROMPT is highly effective for improving speech and helping patients develop sounds because it provides visual, auditory, tactile, kinesthetic and proprioceptive cues the speech system.
PROMPT© is used for the following reasons:

  • To develop an interactive focus or awareness for oral communication.
  • To develop an integrated, multi-sensory (tactile-kinesthetic) associative mapping for cognitive or linguistic concepts.
  • To develop, balance or restructure speech subsystems at the sound, word or phrase level.

Feeding therapy, the SOS approach to feeding, Speech Language Pathology in Motion

The SOS Approach To Feeding

The Sequential Oral Sensory (SOS) Approach to Feeding program was developed by Dr. Kay Toomey.  SOS is  an evidenced based and effective way to address problematic feeding  behaviors, and to expand the number of foods a "picky eater" consumes.

The SOS Approach To Feeding is used to help children with feeding difficulties develop a healthy, lifelong, positive relationship with food.  


Language Acquisition through Motor Planning (LAMP) is a  therapeutic approach based on neurological and motor learning  principles. The goal is to give individuals who are nonverbal or have  limited verbal abilities a method of independently and spontaneously  expressing themselves in any setting.


Ongoing research has shown the following improvements when LAMP strategies are used:

  • Increased spontaneous communication in any environment
  • Use of unique combinations of words
  • Increased mean length of utterance (MLU)
  • Enhanced receptive vocabulary
  • Use of various communicative functions
  • Increased natural vocalization 


The Picture Exchange Communication System (PECS) is a unique alternative/augmentative communication system.  

PECS consists of six phases and begins by teaching an individual to  give a single picture of a desired item or action to a “communicative  partner” who immediately honors the exchange as a request. The system goes on to teach discrimination of pictures and how to put them together in sentences. 

The primary goal of  PECS is to teach functional communication. Research has shown that some  learners using PECS also develop speech. Others may transition to a  speech generating device.