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Source: Ezine Articles
Speech and Language Therapy for Children With Autism
What is it?
The goal of speech therapy is to improve all aspects of communication. This includes: comprehension, expression, sound production, and social use of language (1). Speech therapy may include sign language and the use of picture symbols (2). At its best, a specific speech therapy program is tailored to the specific weaknesses of the individual child (1). Unfortunately, it can be difficult to create a child-specific, evolving, long-term speech therapy plan (1, 3).
The National Research Council describes four aspects of beneficial speech therapy-
(1) Speech therapy should begin early in a child’s life and be frequent.
(2) Therapy should be rooted in practical experience in the child’s life.
(3) Therapy should encourage spontaneous communication.
(4) Any communication skills learned during speech therapy should be generalizable to multiple situations (4).
Thus, any speech therapy program should include practice in many different places with many different people (2). In order for speech therapy to be most successful, caregivers should practice speech exercises during normal daily routines in the home, school, and community (1, 5). Speech therapists can give specific examples of how best to incorporate speech therapy throughout a child’s day (6).
What’s it like?
Speech therapy sessions will vary greatly depending upon the child. If the child is younger than three years old, then the speech therapist will most likely come into the home for a one hour session. If the child is older than three, then therapy session swill occur at school or in the therapist’s office. If the child is school age, expect that speech therapy will include one-on-one time with the child, classroom-based activities, and consultations between the speech therapist and teachers and parents (2).
The sessions should be designed to engage the child in communication. The therapist will engage the child through games and toys chosen specifically for the child. Several different speech therapy techniques and approaches can be used in a single session or throughout many sessions (see below).
What is the theory behind it?
Children with autism not only have trouble communicating socially, but often also have problems behaving. These behavioral problems are believed to be at least partially caused by the frustration associated with the inability to communicate. Speech therapy is intended to not only improve social communication skills, but also teach the ability to use those communication skills as an alternative to unacceptable behavior (1).
Does it work?
Many scientific studies demonstrate that speech therapy is able to improve the communication skills of children with autism (1). The most successful approaches to speech therapy include: early identification, family involvement, and individualized treatment (3). There are many different approaches to speech therapy and most of them are effective. The table below lists some of the different approaches. In most cases a speech therapist will use a combination of approaches in a program.
Type of Speech Therapy
Does it Work?
Augmentative and alternative communication (AAC)
broad term for forms of communication that supplement or enhance speech, including electronic devices, picture boards, and sign language
Discrete trial training
therapy that focuses on behavior and actions
communication technique that involves a facilitator who places his hand over the patient’s hand, arm or wrist, which is placed on a board or keyboard with letters, words or pictures
No (1, 3)
Functional communication training (FCT)
use of positive reinforcement to motivate the child to communicate
child is encouraged to mimic the therapists mouth motions before attempting to make the sound
use of prompts and reinforcements of independent requests for items (referred to as mands)
therapy techniques that focus on following the child’s lead and capitalize on the child’s desire to respond
Peer mentors/circle of friends
use of children who are trained to interact with the autistic child throughout the day
Picture exchange communication system
method of using picture symbols to communicate
Relationship development intervention
trademarked treatment program that centers on the belief that individuals with autism can participate in authentic emotional relationships if they are exposed to them in a gradual, systematic way
Sign language/total communication
language of hand shapes, movements, and facial expressions (especially useful for ages 0-3)
Story scripts/social stories
actual stories that can be used or adapted to teach social skills
Yes (1, 8)
Is it harmful?
There are no reports of speech therapy being harmful.
The cost of speech therapy is covered by the government through the Individuals with Disabilities Education Act (IDEA). The amount of speech therapy provided in this setting may be suboptimal and thus should be supplemented with private therapy. Private speech therapy can be expensive (approximately $100/hour)
Speech therapy requires parental investment of time. In order to be most effective, parents should be fully integrated into the therapy program and should seek out opportunities to practice communication throughout the daily routine. With time, this should become a new way of life.