Services

We provide services to children and adults who have difficulties with:

  • speech / articulation
  • expressive and/or receptive language
  • stuttering (fluency)
  • phonological awareness, reading, spelling
  • social language use (pragmatics)
  • play
  • nonverbal communication
  • swallowing, eating, and saliva control
  • voice

These difficulties may be associate with diagnosed conditions such as:

  • Autism
  • Down syndrome
  • Ear disease and hearing loss
  • Developmental delay
  • Cerebral Palsy
  • Childhood Apraxia of Speech
  • Dyslexia / Specific Learning Disability
  • FASD
  • Acquired Brain Injury
  • Stroke
  • Dementia
  • Parkinson’s and other neurological diseases
  • Vocal nodules, chronic laryngitis, vocal paralysis

We provide services individualised to our clients. These may include:

Assessment

We use a mix of current, standardised (formal) and informal assessment tools along with observation and interviews with parents, teachers and others. Another component of assessment is gathering information from other professionals, so we appreciate if you can provide copies of any relevant reports or letters. Assessment sessions are usually one hour long but assessment may take more than one session because:
– Individuals vary in their attention span, motivation level, and comfort with new people and surroundings
– Thorough, formal testing may be required for accurate diagnosis
– Schools may require formal testing to allow them to apply for support for the child
Assessment is usually conducted at the clinic, but together with parents/carers we may decide to visit clients in their familiar places to gain a better idea of their abilities in their typical environment.

Franceska has completed postgraduate training through University of WA to enable diagnosis of autism (in conjunction with other professionals). This includes use of the gold-standard ADOS-2 (Autism Diagnostic Observation Scale).

Therapy

We offer therapy individualised to the client, their family and their needs.
Therapy sessions may be weekly, fortnightly or less often. Occasionally more intense therapy schedules are used.
Clients are expected to carry out homework or practice between sessions. Parents or carers are expected to help with this. Practice activities can often be built into existing family routines.

Top End Speech offers a number of specialised treatment programs including the Lidcombe Program for stuttering, PECS (Picture Exchange Communication System), LSVT LOUD, Voicecraft, Hanen ‘It Takes Two to Talk’ and ‘More Than Words’, Social Thinking, SOS Feeding Approach and Sounds~Write .

Training

We can provide training to parents, carers, teachers, nurses, kitchen staff and others who work with or care for individuals with communication or swallowing disorders. Topics presented in the past include:
– Assessment of social communication (pragmatics)
– Language and speech development
– Key Word Sign (Makaton)
– Safe Swallowing and texture modification
– The role of speech pathology in various settings, and appropriate referrals
– Voice care for professional voice users

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