Speech With Heart LLC - Bilingual Pediatric Speech Therapy Tucson

Speech With Heart FAQ’s

Find answers to your frequently asked questions!  


Why isn't my child talking?

Sometimes there are reasons why talking is difficult for your child,  but it is often unknown. Parents need not feel guilty that their child is not talking as well as they had hoped.

The best thing to do you have a concern about your child’s communication is to have him or her evaluated. If your child is exhibiting frustrations in communicating their wants and needs, this is an especially good indicator that an evaluation would be beneficial. This is a much better approach than “wait and see” if the issue resolves in time. 

Will I (the parent or guardian) need to be involved in the evaluation or therapy session?

Yes! In order for you and your child to receive the most benefit from speech therapy, it is necessary for the adult present to participate. The adult communication partner who is present will learn language skills to be used in the home during the week. This will lead to a faster generalization of language learning strategies in the home. A child’s progress will be seen much faster in a family that participates in a home program given by the therapist than a child whose family does not use the strategies in the home that they are taught in therapy.

I have a family member/nanny who stays with my child during the day. Will you work with the child if they are cared for by someone else?

Yes! In the case that your child spends a significant part of the day being cared for by someone else, I encourage that person to also be a part of the therapy journey. As long as that person is a responsible adult (18+) and can use language skills that they are taught in the session, they are more than welcome to speech/language therapy.

Can other children be present for the evaluation/therapy session?

Yes! Siblings and other young relatives are often very helpful in order to keep the child being evaluated feel more comfortable and provide a real-to-life language sample. Siblings often can motivate each other more than adult caregivers when it comes to talking.

How is an evaluation of a bilingual child different from an evaluation in only English or Spanish?

A dual language evaluation must take into consideration both (or multiple) languages spoken in all of the child’s environments. The evaluator will determine if skills in all the child’s languages present as a language difference or disorder.

Do you take insurance?

Speech With Heart is currently out of network with insurances. We do accept HSA/FSA/ESA Class Wallet debit cards for payment. If you would like to submit a statement to your insurance to ask them about reimbursement, we will also provide you with Superbills. Speech With Heart cannot guarantee reimbursement.

What is the fee for service?

Evaluation: $225 (90 minutes) A thorough in-home assessment is completed and treatment goals are developed by family and Speech Language Pathologist (SLP) together. You will receive a detailed report (electronically) to summarize the evaluation.

Treatment: $92.50 (45 minutes) The in-home treatment sessions can be conducted with a parent or guardian (that typically cares for the child). A treatment session will have age-appropriate language or speech tasks, usually in the form of a game. As the session progresses we figure out what strategies work well for your child to use such as language/sounds/gestures/etc. At the end of each session, you will receive a “home program”.

What is a home program, and why is it necessary?

A home program is a focused “homework” for you to complete with your child throughout the week. This is usually a skill that you had an opportunity to try out with your child during the therapy visit. The therapist will make sure you understand how to carry out the home program and give you suggestions of how to work the home program into the course of your daily routines.

Parents and children need home programs in order to see changes and improvements. The therapist spends less than an hour with you per week, but parents are with their children during the rest of the week and can help their children begin to use new speech and language skills. Families who participate in home programs see faster results in their child’s language or speech development.