Speech and Language Therapy Programs

Brain injury, stroke and other neurological disorders often leave patients with significant deficits in their ability to speak.

Bacharach’s licensed speech pathologists are specially trained and experienced to improve speech function and communication skills in adults and children.

What is Speech Therapy?

Bacharach’s speech and language pathologists keep up with evidence based best practice standards for evaluation and treatment of each patient. They work closely with the patient and family to define functional goals, including family support and training. Speech therapy helps people with trouble communicating or swallowing after illness, accident, or injury.

What types of disorders can speech therapy treat?

  • Articulation disorders; improving speech and sound articulation
  • Language disorders: Refining language skills for cohesive speech
  • Oral/motor deficits: physical function of the mouth for speaking and eating
  • Chewing and swallowing problems
  • Voice disorders
  • Cognitive impairments

Speech Therapy for Adults

Stroke, brain injury, car accidents, cancer, Parkinson’s disease and many other conditions may interfere with communication and swallowing. Bacharach speech and language pathologists carefully evaluate each patient to devise an individualized plan of care.

Evidence based programs include:

Language Programs

  • Semantic feature analysis, to strenghen a patient’s ability to find words
  • VNeST verb network: a therapy that concentrates on using verbs to improve wordfinding for all words
  • Melodic Intonation Therapy uses melody and rhythm to improve expressive language
  • Phonological Component analysis: using sounds to strengthen the ability to find words
  • Speech generating devices such as Tobii Dynovox or iPad with AAC apps

 

Parkinson’s Disease Voice Programs

    • Speak Out!Program to improve loudness by speaking with “intent”
    • Lee Silverman Voice Therapy Program to improve loudness by speaking “loud”

 

Cognition

    • Metacognitive and compensatory strategies are used to help a person maintain attention to a task
    • Environmental Modifications- are changes to the environment to make the environment a less distractive place
    • Memory strategies, i.e. external strategies (to- do lists, note taking, calendars, alarms and timers) and internal strategies (repetition and visualizations)

 

Chewing and Swallowing Problems

  • Neuromuscular Electrical Stimulation (NMES)- Neuromuscular electrical stimulation (NMES) is a treatment for dysphagia that involves electrical stimulation of swallowing
    muscles to improve muscle strength, coordination and swallowing function
  • Expiratory Muscle Strength Training (EMST) – patients forcefully breath into a one-way spring-loaded valve to strengthen respiratory muscles to improve coughing and
    swallowing strength
  • The Iowa Oral Performance Instrument: IOPI-an air filled bulb uses digital information to evaluate and treat tongue and lip strength and endurance
  • McNeal Dysphagia Therapy Program- MDTP- exercise based program to improve swallowing
  • Myofascial Release- Myofascial release and manual therapy are modalities to help restore range of motion in the swallowing mechanism

Speech Therapy for Children

    Bacharach speech and language pathologists treat children with communication problems caused by a wide variety of conditions. Some of the conditions are autism, hearing impairments, cognitive (intellectual, thinking) or other developmental delays, weak oral muscles, chronic hoarseness, childhood apraxia of speech, birth defects such as cleft lip or cleft palate motor planning problems, articulation problems, fluency disorders, feeding and swallowing disorders and traumatic brain injury.
Evidence based programs include:

Speech Sound Disorders

 

  • Cycles Approach – designed for children with highly unintelligible speech
  • Distinctive Feature Therapy – focuses on certain sounds that the child has not yet developed

Motor Planning Problems

 

  • PROMPT – provides auditory, visual, tactile feedback to the speech system

 

Swallowing Disorders

 

  • SOS Feeding Program for children with food aversions
     

    Fluency Disorders

  • Van Riper’s approach: using techniques to reduce dysfluenices, i.e. hand tapping, facial grimacing, and tension
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    Meet our Speech Language Pathologists

    Caitlin McCardell, M.A., CCC-SLP holds a B.S. in Speech Pathology and Audiology from Stockton College and M.S. in Speech Pathology from Kean University.  She evaluates and treats children and adults in swallowing, developmental disorders, speech and language delays, and cognitive communication disorders due to stroke or brain injury. She is certified in PECS, VitalStim therapy, and PROMPT technique. Specific areas of interest include language therapy for children and teens with autism, device training for AAC methods, and PROMPT technique for speech and language development.

     

    Siobhan Grossman, M.A. CCC-SLP earned a B.S. in Speech Pathology and Audiology from Boston University and an M.A. in Communication Disorders from Northwestern University. She has 30 years’ experience and holds a Certificate of Clinical Competence from ASHA, a New Jersey State License in Speech Pathology, and New Jersey State Educational Certification as a Speech Language Specialist. She is trained in PECS and augmentative communication device use for non-verbal or minimally verbal children.

     

    Nicole Troendle M.S. CCC-SLP is the Director of the Speech Department. She graduated from Stockton University with a Bachelor’s Degree in Speech Pathology and received her M.S. degree in Speech Pathology at Towson University.  She works with adults who have suffered a stroke or traumatic brain injury and her areas of interests include adult neurorehabilitation, voice, and dysphagia.  She is certified in the Lee Silverman Voice Treatment (LSVT), Myofascial Release Therapy and is a VitalStim Therapy provider.

     

     

    Alicia Spinelli, M.S. CCC-SLP received her B.S. in Speech Pathology and Audiology from Stockton and her M.S. in Communication Disorders from the University of Central Missouri. During an internship, she became interested in helping brain-injured patients recover from their accidents. She treats inpatient and outpatient brain injury and stroke adults with speech, language, voice, cognition, and swallowing disorders. She also works with children with speech, language, and feeding difficulties. She is a certified VitalStim provider, and is trained in PROMPT, a multidimensional approach to treat speech production disorders. She is also trained in “Speak out” a program for people with Parkinson’s to utilize their voices with intent as well as PECS.

     

    Julia Zabihach, M.A. CCC-SLP earned her Bachelor of Science Degree from Rutgers University and her Master of Arts in Communication Sciences and Disorders from Temple University.  She completed her Clinical Fellowship at Bacharach Institute for Rehabilitation and stayed on at Bacharach as a licensed Speech Language Pathologist.   Julia is a member of Bacharach’s Brain Injury Team as well as the Ethics Committee.  She is a certified provider of VitalStim Therapy for swallowing disorders. She enjoys working with individuals recovering from brain injuries and strokes, as well as treating pediatric outpatients.

     

     

    Susan Spiegal, M.A. CCC-SLP graduated from Kean College of NJ with a B.A. and M.A. in Speech Pathology.  She works with patients who have neurological illnesses, stroke and brain injuries and swallowing disorders. She performs Modified Barium Swallow studies and treats dysphagia and voice disorders using a multi treatment approach including myofascial release and Neuromuscular stimulation.  She also holds a Vital Stim specialty certification.

     

    Jane Hocker, M.A. CCC-SLP, clinical supervisor, received her B.A. in psychology and M. A. in Speech Language Pathology from Kean College of NJ.  She focuses her practice on acute rehabilitation specializing in brain injury and stroke recovery. She performs Modified Barium Swallow Studies, and performs and interprets fiberoptic endoscopic evaluations for swallowing. Her dysphagia training includes Vital Stim specialty certification. She treats patients after laryngectomy and is skilled in the management of of TEP Voice Prosthesis.

     

    Heidi Hackett, M.S. CCC-SLP graduated from Stockton with a B.S. in Speech Pathology and Audiology and from Penn State University with a M.S. in Communication Disorders.  She works primarily with pediatrics, treating those who are more severely involved.  She has experience with children who are physically, mentally and/or cognitively disabled.  She treats people with developmental delay, autism, Cerebral Palsy and multiple syndromes.  She has experience with people who are emotionally disturbed, visually impaired, have difficulty with fluency, are nonverbal or who have auditory processing disorders.

     

    Tanya Grossman, M.S. CCC-SLP has been a speech therapist at Bacharach for nearly 30 years.  She earned her Bachelor’s degree at Penn State University and completed her graduate work at Bloomsburg University.  She specializes in treating adults in the acute care setting for a variety of diagnoses including neurological disorders, dysphagia, and laryngectomy patients.

     

    To learn more call the Speech Pathology Center at 609-652-7000 or use the form below:

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