ABOUT US: For 27 years, The Center for Speech and References Language Pathology, LLC owned and Chapey, Roberta. (2014). Language Intervention Acquired Communication operated by Josephine K. Chen, M.S., CCC- Strategies in Aphasia and Related Neurogenic Communication Disorders. Lippincott Williams & Disorders in Adults SLP, has served over 1,000 children and Wilkins. adults with communication impairments. With offices located in Greenwich and Duffy, R.J. (2005). Motor Speech Disorders, Norwalk, CT, Josephine and her team of Substrates, Differential Diagnosis, and speech-language pathologists offer Management (2nd Ed.) Missouri: Elsevier Mosby comprehensive evaluations and up-to-date treatment services. Disorders such as Roth, Froma & Worthington, Colleen. Treatment articulation, apraxia, stuttering, Resource Manual for Speech-Language Pathology myofunctional (oral phase of swallowing), (2005). Thomson Delmar Learning: Clifton Park, voice, auditory language processing, NY.
expressive and receptive language, and Rosemary-McKibbin, Celeste. (2011). An memory/cognition are commonly treated. Advanced Review of Speech-Language Pathology: 3rd Edition. Pro-Ed: Austin, Texas.
Josephine K. Chen, M.S., CCC, LLC Sitzer, D.I., Twamley, E.W., & Jeste, D.V. (2006). Cognitive training in Alzheimer’s disease: A meta- analysis of the literature. Acta Psychiatrica Center for Scandinavica, 114, 75- 90. Speech & Language Pathology Josephine K. Chen, M.S., CCC, LLC
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Copyright © 2015 Center for Speech-Language Pathology WHAT IS A NEUROGENIC THE EVALUATION PROCESS: COMMUNICATION DISORDER? Following a consultation with Josephine K. Chen, M.S., CCC-SLP, assessment OBTAINING SERVICES AT THIS Neuropathologies or brain trauma often result procedures are chosen based on an CENTER: in language deficits. Some characteristics individual’s age and the nature of their you may observe in your loved one may Our offices are open Monday through Friday, disorder. Assessments may include clinical include: improper use of words and their with a wide variety of times available to suit observations, as well as standardized and meanings, the inability to express ideas, every schedule. Our answering service is non-standardized evaluation tools. The inappropriate grammatical patterns, reduced available 24 hours, Monday- Sunday. Call to results of the evaluation are shared and vocabulary, and the inability to follow schedule a consultation with Josephine K. discussed with the patient and their caregiver, directions. A person’s cognition may also be Chen, M.S., CCC-SLP at (203) 869-8272. if applicable, as well as their referring impacted, which may cause difficulty with physician. The therapist and patient then everyday thinking and executive functioning collaborate to develop an individualized Plan (e.g., sequencing typical daily routines). of Care outlining the course of treatment. Although symptoms can vary, changes in HOW LONG ARE THERAPY awareness, perception, reasoning, memory SESSIONS? and judgment are often observed. The duration and frequency of treatment TREATMENT OF NEUROGENIC depends on the severity of the disorder, the Acquired neurogenic communication COMMUNICATION DISORDERS: disorders can be attributed to: Acute injury age of the client, and associated physical, (Traumatic Brain Injury, stroke, concussion); emotional and social factors. Treatment After the speech/language/cognitive Neurological disorders (Multiple Sclerosis, sessions are typically 30 minutes in duration evaluation is completed, a patient-centered Parkinson’s Disease, Amyotrophic lateral and are recommended at least two times per plan of care is created. sclerosis); or Normal aging week.
Typically, therapeutic goals may include: Resulting disorders may include: -Improving cognitive skills necessary to fully -Aphasia: Impairment in one’s ability to participate in activities of daily living (ADL), produce and comprehend spoken language, including: memory, sequencing, executive as well as in one’s capacity to read and write functioning, and following directions -Motor Speech Disorder: Difficulty planning -Improving language skills in the areas of and coordinating motor movements for vocabulary, word-finding, word meaning speech production, secondary to muscle (semantics), and social skills (pragmatics) weakness, paralysis, or incoordination (i.e., -Improving planning, coordination, and Apraxia or Dysarthria) sequencing of articulatory movement for -Dysphagia: Swallowing disorder which can speech sound production include impairment in the oral, pharyngeal, -Training and use of Alternative and/or esophageal phases of swallowing Augmentative Communication (AAC) as -Cognitive-communication disorder: needed Deficits in verbal and non-verbal cognitive -Training family members and caregivers in processes, including attention, memory, communication strategies organization, problem-solving, executive functioning, and pragmatics