How We Help Children with Speech Problems

Articulation evaluation and treatment

Articulation refers to sound production or the way that air or voice is moved through a child’s articulators, including the tongue, lips, teeth, and nose. Consistent error patterns evident in a child’s speech can be described as phonological processes.

Language evaluation and treatment

Language is broken down into two components, receptive and expressive. Receptive language refers to a child’s understanding of language. It can be observed in your child’s response to questions or ability to complete directions. Expressive language refers to a child’s use of language. It can be seen in the vocabulary, grammar, and length of utterance. Vocabulary weaknesses may be exhibited in receptive and expressive language skills and may be associated with decreased vocabulary or retrieval difficulties.

Phonological Awareness evaluation and treatment

Phonological Awareness refers to multi-level skills including the child’s ability to hear and manipulate the sound structure of a letter or word. These skills are essential to the reading process and may or may not be impacted by articulation or phonological delays.

Evaluation and treatment of fluency disorders

Stuttering affects the fluency of speech and may include prolongations, blocks, sound or word repetitions, interjections, or circumlocutions.

Pragmatic/Social skills training

Pragmatic and social skills refer to a child’s ability to understand and use “social rules.”

Delays and/or disorders in any of these areas may be secondary to chronic ear infections, hearing loss, weak mouth muscles, apraxia, heredity, genetic/​metabolic disorders, autism, PDD, brain injury, or of unknown etiology.

Consultative services and in-service trainings are also available.

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Click here for information on age appropriate speech and language development, as reported by the American Speech-Language Hearing Association.

therapist and child


North Shore Children's Therapies today to let us know how we can help your child.

For more information or to schedule an appointment, please contact:

Jeannette Kahn
Phone: (978) 535-3355
Email Jeannette

Bunnies and Turtles

bunny and turtle puppetOne way to target rate reduction in children who stutter is to use a bunny and a turtle puppet. The bunny represents speech that is fast and bumpy, whereas the turtle represents speech that is slow and smooth. The child can take turns using “rabbit speech” and “turtle speech” to say words and sentences while acting out the movements with the puppet. This is a great way to provide a visual representation for controlling rate of speech.