Resources & FAQs


Grants & Funding Resources

Speech Language Pathology in Motion believes that all children deserve access to high quality speech, language and feeding therapy.  The  following is a list of grants that may help your family make private speech therapy possible.  Many additional grants are available, and can be accessed through a web search.  We have found that most families who actively pursue funding, when it is needed, are able to find it.  Please do not let financial difficulties stop you from getting the highest quality treatments available.  Contact us if you need assistance in finding a grant or are aware of additional resources for our families in need.

Frequently Asked Questions


How do I pay for services at Speech Language Pathology in Motion?

You can pay for speech therapy services by cash, personal check or credit card.  We accept Visa, American Express, Discover and Master Card. Payment is due at the time of the session.  If you have out of network coverage for speech, language or feeding therapy, you may choose to submit claims to your insurance company for reimbursement.  Many  major  insurance companies cover speech therapy services; however, each  insurance plan varies.  We can assist you in determining your coverage.    

We believe that each and every child with speech, language and feeding difficulties  should be able to afford high quality treatment.  We are committed to  keeping our therapy rates as affordable as possible while maintaining  the highest quality of care.  

If our services are not covered by your insurance plan, we may be able to assist you in securing funding for therapy.  Please visit grants and funding resources list for possible funding sources, or contact us for assistance. 

My child no longer qualifies for speech, but is still struggling, can we get private therapy?

Yes!  The early intervention and school systems provide services to children who have significant speech and language delays and disorders that will impact the child's education. If your child's speech or language difficulties do not impact his/her education, or are not found to be significant enough for them to be eligible for services through these programs, you still should help your child to overcome these difficulties by seeking private speech therapy.  

My child gets therapy at school or through early intervention, can they receive private therapy too?

Yes, you can receive private therapy in addition to county/state/school therapy services.  Additional private therapy often helps children to make progress toward speech and language goals at a faster rate, and the focus may be different in private therapy than in educationally relevant models. 

How often should we come for therapy? How long are the sessions?

Following the initial evaluation, if speech or language therapy services are recommended, we will make a recommendation regarding how often and how long you or your family member should come for therapy.   Each patient is unique; however we typically recommend speech therapy  1 to 3 times per week for 30, 45 or 60 minutes.   

My child already gets speech therapy in school. Can we just come for hippotherapy?

We do not offer hippotherapy as a "stand alone service" at Speech Language Pathology in Motion.  

We want the best for our clients.  In our experience, clients make the  greatest progress when therapy is provided in more than one setting,  using more than one technique.  This approach to treatment gives the  therapist a great deal of information about how the client is doing with his or her skills in different settings and helps the therapist to ensure that the client makes gains as quickly as possible. 

In addition, consistency is critical for progress.  There are times when the horses are not available due to scheduling or weather.  Progress  may be interrupted, or clients may even demonstrate regression in skills  if therapy is not consistent.  Clients are expected to attend therapy  in accordance with their treatment plan, and come to the Hauppauge clinic any time a scheduled session is not able to take place at the Islandia location to ensure continuity of care.

How does Hippotherapy differ from Adaptive or Therapeutic Horseback Riding?

The positive benefits of interactions between horses and individuals with  special needs have been recognized and researched for decades.  There are a variety of services and activities available for individuals with special needs that incorporate horses.  Two of the most common are "therapeutic/adaptive horseback riding lessons" and "hippotherapy".  

The most notable difference between the two is that hippotherapy is a  treatment strategy or tool that can be incorporated into medical  treatment, such as occupational therapy, physical therapy or speech  language pathology services.  These healthcare services require medical necessity, and can only be provided by properly trained and licensed  professionals.

Riding lessons do not require medical necessity, as they are recreational in nature and are not intended to provide habitation or rehabilitation.  Riding instructors typically do not have training in healthcare, nor do they have a medical license.  Riding instructors often have skills related to teaching horsemanship and are able to adapt their teaching style to meet the needs of individuals with special  needs.  They allow for the safe participation in the sport of horseback  riding for individuals with a variety of needs.


Why does SLPIM incorporate movement and sensory activities into speech therapy sessions?

Many complex processes contribute to a child’s ability to speak, including motor learning, motor planning, sensory processing and sensory integration.  The production of a single syllable requires the  participation of 8-10 body parts and the coordinated action of 70  muscles. Because speech is a complex motor task involving so many different muscles and body parts, it is important the entire body be  addressed.  Inadequate trunk control, instability at the shoulder girdle, and poor stability in the head, neck and jaw can all negatively impact speech production.Recognizing that speech is a movement task  means we must also recognize the importance of an intact sensory  processing system, because the ability to move well requires feedback to  the brain from the... 

Why horses?

Speech Language Pathology in Motion uses horses in our treatment for  several different reasons.  The farm is a language rich environment and  provides a lot to talk about.  Patients respond well to being around the animals and to being outdoors.  Many times the patients do not realize that they are working on therapy goals. The horse's walking gait moves the human body in a similar pattern to the human pelvis while walking.  The therapist is able to facilitate increased trunk control, stability and breath support through the movement of the horse.  These functions support speech and language. The horse’s walk provides sensory input through movement, which is variable, rhythmic, and repetitive.  While on the horse, the patient moves up and down, forward and back, side to side and through space as the horse walks. This type of  movement is not able to be replicated in a clinic.  The therapist carefully chooses horses for each patient based on the type of movement they produce.  The variability of the horse’s gait enables the therapist to grade the degree of sensory input to the patient, and then utilize this movement in combination with other speech-language pathology treatment strategies to achieve desired results. A wide variety of speech and language goals can be addressed while on the  horse, and around the farm. 

Is speech therapy incorporating hippotherapy and/or equines for everyone?

While many children and adults benefit from Hippotherapy and Equine  Assisted Therapy, it is not for everyone.  There are several factors  that may make hippotherapy or equine assisted therapy contraindicated.  

How much time will be spent on the horse?

The treatment plan is different for each patient.  At the time of your  evaluation it will be determined if Hippotherapy should be a part of the treatment plan, and to what extent.  The  scheduled session times  are 30, 45 or 60 minutes, and typically are provided 1-3 times/week.  It is at the therapist’s discretion how much of that time is spent on the horse, in the barn, and in the treatment room.  Each patient tolerates different amounts of time on the horse.  Spending time around the farm and in the clinic facilitates carry over of skills achieved while on the horse, and is a very important part of the treatment. The therapist has extensive training in conducting approach, and will use this expertise in determining how the session will be spent by taking  into account many variables (including but not limited to the best way to address specific speech-language goals, safety, and patient  performance). All sessions will be held in the clinic on days that it is  determined that Hippotherapy/Equine Assisted Therapy is not appropriate. 

Is hippotherapy safe?

Hippotherapy is safe when provided by a trained therapist, with the help of a specially trained team.  The use of equine movement at Speech Language Pathology in Motion is done with carefully selected horses, and well trained horse handlers and side walkers.  Our therapists have extensive experience working with horses and training in the use of hippotherapy and equine assisted speech therapy. A research study conducted by Rebecca Cook, OTR, HPCS found that "The hippotherapy injury rate (1/14,386) is significantly lower compared with recreational riders (1/100)." 

Are there age restrictions for the use of hippotherapy in treatment?

At Speech Language Pathology in Motion we begin treating children using  hippotherapy as young as 18 months of age, when appropriate.  


How is PROMPT therapy different from traditional articulation therapy?

"Traditional" speech language therapy relies on auditory and visual systems to provide information about sound production. PROMPT therapy adds another dimension to the process of learning to talk, by providing  information to the tactile system.  Adding this dimension helps children  and adults to better understand timing and placement for speech  production by providing them with physical cues in addition to visual  and auditory cues.  Sensory feedback from movements is stored and as the  child is provided multiple opportunities for practice muscle memory  builds and movement patterns for speech improve. 

Can you incorporate both hippotherapy and PROMPT in the same speech therapy session?

For many patients we are able to incorporate both hippotherapy and  PROMPT into the same session.  The exception to this is when the patient is too tall for the therapist to reach while on the horse.  Most of our pediatric patients receive hippotherapy on small horses and PROMPTing on the horse is not difficult.  Hippotherapy and PROMPT go together nicely.  Both PROMPT and Hippotherapy embody motor learning theory and both take the whole body into consideration when addressing speech and  language goals.  The two techniques complement each other well and when  combined are highly effective in the remediation speech and language  difficulties and improving motor planning abilities.  

What is a motor speech disorder?

Motor Speech Disorders are impairments in one or more of the motor processes that are required for speech.  Children with motor speech disorders may exhibit motor deficits in one or more of the following areas:

  • Sensory Processing and Motor Planning: Two major types of sensory input, tactile and proprioceptive, are closely linked to the acquisition of well-controlled movements for speech. Information from tactile and proprioceptive systems, generated during movement experiences, is critical to motor planning and the  automaticity of movements.  "Motor plans" are internalized plans of action that prescribe movement patterns for specific motor actions.
  • Sensory-motor Programming: This process accounts for the timing and positioning of movements of  the speech musculature, which are the foundation for coordinated  movements. Childhood Apraxia of Speech is a motor speech disorder affecting the ability to plan and program movement sequences for speech production.
  • Movement Execution: At the level of execution, the muscles of the jaw, lips and tongue produce the previously planned and programmed movements for speech production. Dysarthria is a term for a group of related motor speech disorders resulting from  paralysis, weakness, abnormal tone or incoordination of the muscles  used in speech.  Some children may exhibit characteristics that are  typical of dysarthria, (hypotonia, fine or gross motor delays), yet have no neurologic diagnosis.

Motor actions (for speech) are closely linked to sensory information received through movement experiences. 

Why is it called "Hippotherapy"?

Don't worry!  Hippos are NOT part of the "hippotherapy" team!  "Hippo" is the Greek word for horse.  The term Hippotherapy loosely translates as "treatment with the help of a horse".