Therapy plans are tailored using the client’s own household items and daily activities, making the skills learned more practical and easier to apply in real world situations.
By improving sound production, pronunciation, and overall speech clarity, clients gain confidence in their ability to communicate, supporting greater independence in daily life.
Therapy targets practical communication needs such as asking for help, speaking on the phone, and participating in social interactions, directly supporting the client’s ability to remain independent at home.
Home based therapy supports consistent practice and reinforcement of learned skills, which contributes to more meaningful and lasting progress.
Speech therapy services are delivered as part of a coordinated care approach, with collaboration among speech therapists, occupational therapists, physical therapists, and other healthcare professionals when appropriate, supporting overall patient well being.
Home based therapy provided by Freida Home Care helps patients express themselves more effectively, strengthening family bonds and reducing the social isolation and loneliness that can stem from communication difficulties.
The home setting allows family members to observe therapy sessions, learn specific techniques directly from the Freida Home Care therapist, and incorporate speech and language exercises into daily routines such as mealtimes or playtime. This collaborative approach supports stronger carryover and meaningful progress.
Therapy delivered by Freida Home Care in a familiar and safe home environment helps reduce anxiety and stress commonly associated with clinical settings, particularly for children and individuals with anxiety related conditions.
In home therapy through Freida Home Care eliminates the need for travel, saving time and energy for both patients and caregivers and making consistent participation in therapy more achievable.
Receiving care at home with Freida Home Care reduces exposure to illnesses and infections often present in public or clinical environments, which is especially important for individuals with health vulnerabilities.
Daughter:
Mom, the nurse mentioned articulation therapy as part of your recovery. What exactly is that?
Patient:
I was wondering the same thing. It sounds complicated.
Nurse:
It is actually a very straightforward process. Think of it as physical therapy, but for the muscles we use to talk.
Daughter:
For talking?
Nurse:
Exactly. Articulation refers to how we use parts of the mouth, such as the tongue, lips, and teeth, to make specific speech sounds. When someone has an articulation disorder, they may have difficulty producing certain sounds clearly, like saying a “w” instead of an “r” in a word like rabbit.
Patient:
So it is more of a physical issue, not a problem with my thoughts or words.
Nurse:
That is correct. Articulation therapy focuses on the physical production of sounds, not on language understanding or vocabulary.
Daughter:
So what will the therapy involve?
Nurse:
A speech language pathologist will work with you to practice producing specific sounds that are difficult. Therapy usually starts by practicing a sound on its own, then progresses to using it in words, sentences, and eventually in everyday conversations.
Patient:
So it is a lot of practice.
Nurse:
Yes. The goal is to make the correct movements automatic so you do not have to think about them. Consistent practice, including practice at home, is very important for carrying those skills into daily life.
Daughter:
That makes sense. We can practice together at home. I have also heard the American Speech Language Hearing Association has helpful resources.
Nurse:
That is a great idea. We are all here to support you as you work toward clear and confident communication.
Common speech sound errors are often described using four categories:
Substitutions Replacing one sound with another, such as saying wabbit instead of rabbit.
Omissions Leaving out sounds, such as saying ca instead of cat.
Distortions Producing a sound inaccurately, such as a lisp or a slurred sound.
Additions Inserting extra sounds, such as saying buhlack instead of black.
In children, articulation difficulties may be related to developmental patterns, hearing concerns such as frequent ear infections, or structural differences such as dental alignment issues or tongue tie. During our in home visits, we observe speech in the child’s natural routines and work with families to understand when speech is hardest, such as during play, school related tasks, or conversations with unfamiliar listeners.
Treatment through Freida Home Care involves guided practice with a licensed speech language pathologist. We teach correct sound placement and help your child practice sounds in a step by step way, moving from the sound alone, to words, to short phrases, and then to everyday speech. We also coach parents and caregivers on simple, realistic home practice strategies that fit naturally into daily routines to support steady progress and carryover.
At Freida Home Care, articulation disorders in adults are addressed as speech sound production challenges that affect clarity and intelligibility. An articulation disorder means a person has difficulty physically producing certain speech sounds because of reduced strength, coordination, timing, or precision of the tongue, lips, jaw, and palate. These errors affect how sounds are formed, not the person’s vocabulary, intelligence, or ability to think.
Common speech sound errors can include:
Substitutions Replacing one sound with another.
Omissions Leaving out sounds in words.
Distortions Producing sounds imprecisely, such as slurred speech or sound distortion.
Additions Adding unnecessary sounds into words.
In adults, articulation difficulties may occur after a stroke, brain injury, neurological conditions, dental or structural changes, or other medical factors that affect motor speech control. Freida Home Care provides in home evaluation and therapy so we can observe communication needs in real life situations, such as speaking with family, using the phone, participating in medical conversations, or communicating needs safely.
Treatment is delivered by a licensed speech language pathologist and focuses on improving the accuracy and consistency of sound production through structured practice and functional carryover. We work toward clearer speech for everyday communication and support caregivers with practical strategies to reinforce therapy goals between visits. Our home based model reduces barriers to care and allows therapy to be integrated into real communication demands in the environment where speech is most needed.
At Freida Home Care, we provide services through qualified and certified speech language pathologists who are trained to assess and treat articulation disorders. We do not rely on untrained home health aides to deliver speech therapy.
Our therapists have experience diagnosing and treating speech, language, voice, swallowing, and cognitive disorders, allowing us to tailor care to each client’s specific needs.
We develop personalized, evidence based treatment plans that are adjusted as progress is made, with a focus on improving functional and meaningful communication.
All Freida Home Care staff undergo comprehensive background checks, drug screening, and skills validation to ensure safety, professionalism, and high standards of care.
We maintain ongoing oversight through regular performance evaluations and unscheduled supervisory visits to ensure our care consistently meets established standards.
We provide families with education and practical resources to support speech exercises at home, reinforcing skills learned during therapy sessions.
Freida Home Care adheres to rigorous standards of care and safety, and we align our practices with recognized accreditation and quality benchmarks within the healthcare industry.
Initial assessment and diagnosis At Freida Home Care, we begin with a comprehensive evaluation completed by a qualified speech language pathologist to identify the client’s specific articulation needs, current strengths, and areas for improvement.
Collaboration We work closely with the client, family members, and other healthcare professionals when appropriate, including occupational therapists, physical therapists, and the ordering physician. This collaborative approach ensures the plan of care reflects real world communication needs and daily routines.
Plan development Freida Home Care develops a formal, individualized plan of care that outlines the client’s presenting concerns, clinical impressions, and recommended interventions. This plan guides therapy delivery and supports medical necessity and insurance requirements when applicable.
Intervention selection We select evidence based therapy techniques matched to the client’s needs, such as structured sound practice, targeted oral motor support when indicated, and the use of visual or tactile cues to improve speech clarity.
Caregiver education A core part of our home based approach is training family members and caregivers to support therapy goals through guided practice and carryover strategies between visits.
Regular reassessment We regularly reassess progress, typically at least every thirty days, to update goals, adjust interventions, and ensure the plan of care remains effective as the client improves or if progress slows.
At Freida Home Care, therapy goals are written in clear, functional terms so progress can be objectively measured and directly connected to meaningful communication outcomes.
Targeted skill focus Goals clearly identify the specific speech sound or communication skill being addressed, such as improving sound production in words, phrases, or conversation.
Objective progress tracking Goals include measurable criteria so progress can be consistently monitored and documented across therapy sessions.
Realistic progression Goals are set at an appropriate level based on the client’s current abilities and are advanced gradually as skills improve.
Functional relevance Goals are tied to everyday communication needs, such as being understood by family members, participating in social interactions, or confidently expressing needs at home.
Planned timeframes Goals include an anticipated timeframe so clients and families understand expected progression and when updates or changes to the plan of care may occur.
Through ongoing reassessment and collaboration, Freida Home Care delivers structured, high quality speech therapy that supports consistent progress, functional communication, and long term success in the home environment.
Physician order or referral At Freida Home Care, speech therapy services begin with a clear physician order or referral that includes the diagnosis and date. A supporting physician encounter must document medical necessity, including the need for home health services and confirmation of homebound status when required.
Initial evaluation A licensed speech language pathologist completes a comprehensive evaluation to identify specific articulation deficits, such as which sounds are affected and where errors occur. This assessment establishes the patient’s previous level of functioning, current abilities, and overall prognosis.
Plan of care We develop an individualized plan of care that is certified by the physician. The plan outlines functional therapy goals, the type, frequency, and duration of speech therapy services, and the specific skilled interventions to be used. It also includes documentation of patient and caregiver education to support practice and carryover at home.
Daily visit and progress notes Each therapy visit is documented in a detailed progress note that stands alone as a summary of the session. Notes include the date of service, total treatment time, specific interventions provided, the patient’s objective response to treatment, and any communication with other members of the care team.
Monitoring ensures that therapy remains effective and that skilled intervention by a speech language pathologist continues to be medically necessary.
Objective data collection We use measurable data to track progress, such as accuracy percentages or frequency counts, rather than subjective descriptions. This allows progress to be clearly demonstrated over time.
Functional improvements Documentation connects articulation gains to real life benefits, such as improved ability to communicate needs, participate in conversations, or be understood in community settings.
Caregiver feedback and involvement We document caregiver observations and their ability to correctly carry out home practice strategies, reinforcing the collaborative nature of home based care.
Reassessment and goal adjustment The patient’s status is regularly reassessed. When goals are met or progress changes, the plan of care is updated to reflect new priorities or more advanced communication goals.
Skilled necessity justification Throughout the episode of care, we clearly document why the patient requires the expertise of a licensed speech language pathologist and cannot achieve the same outcomes through an unsupervised home exercise program alone.
To prepare for an articulation therapy consultation, it is helpful to document specific sound errors, gather examples of speech, and identify goals to discuss with the speech language pathologist. Preparing relevant medical and insurance information in advance allows the consultation to focus on evaluation and planning rather than logistics.
Document specifics List the speech sounds, words, or error patterns causing difficulty, such as sound substitutions, omissions, or patterns like fronting or stopping.
Gather information Collect pediatrician or physician referrals, previous speech or developmental evaluations, and insurance information. Prepare a short list of questions about the therapist’s experience and treatment approach.
Create recordings Prepare brief audio or video samples of the individual speaking to help demonstrate articulation challenges in natural communication.
Define goals Identify what you hope to achieve through therapy, such as improved speech clarity, better intelligibility with family members, or increased confidence when speaking.
Prepare questions Plan questions about the therapist’s approach, session structure, home practice expectations, and anticipated outcomes.
Identify needs Be ready to clearly describe current communication challenges and the situations in which speech is most difficult.
Check credentials Confirm that the speech language pathologist is licensed and has experience treating articulation disorders.
Confirm logistics Verify scheduling availability, fees, and insurance coverage before the appointment so expectations are clear.
What can I do between sessions to support progress at home?
How long will therapy take?
What are the signs that therapy is working?
What happens when therapy is finished?
Hospice care is provided by an interdisciplinary team that includes doctors, nurses, social workers, home health aides, chaplains, and volunteers. Services typically involve pain and symptom management, emotional and spiritual support, and help with daily activities like bathing and dressing.
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