Speech Therapy

at home

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 Founded in 2007, Chatterboxes is a well-established private practice with deeply rooted referral sources in Massachusetts. Our team of Speech-Language Pathologists provide services to children and families in the Boston Metro, Metro West, North Shore and South Shore. Our flexible service offerings include In-Home Services, School-Based Services, Teletherapy and Parent Coaching. 

Flexible Service Options For Your Family

SAFE, HIGH-QUALITY SERVICE DELIVERY METHODS

Woman and toddler play with blocks on the carpet.

In-Home Services

Your clinician will travel to your home at a frequency that works for you and your child’s therapy program. Home sessions can be provided indoors or outdoors to suit your comfort level. The cornerstone of therapy is the child’s natural environment, with an emphasis on parent involvement, giving you the opportunity to become highly involved in your child’s therapy sessions, and learn to support your child’s progress on a daily basis.

A girl, about 7 years old smiles and waves at her computer. She's wearing headphones and talking to a therapist online.

Teletherapy Services

Known as ‘Teletherapy,’ remote sessions are very similar to traditional face-to-face speech-language sessions, but they are done with a computer or tablet device. Your clinician will implement your child’s current therapy plan with traditional activities, while technology enhances therapy to deliver high-quality services. In addition, you will have the opportunity to take a more active role in your child’s therapy process!

A man and a 6 year old boy play with dinosaurs on the floor.

Hybrid Method

Our hybrid model blends In-Home services with Teletherapy services at a frequency that works for your family and your child’s therapy program. The natural ‘safe’ home environment means your child is at ease sooner with an unfamiliar clinician, bringing confidence and productivity. Both In-Home and Teletherapy allow parents to observe us teach your child skills and then become the teacher for when we’re not around (which is most of the time).

Getting Started

OUR CUSTOMIZED STEP-BY-STEP PROCESS

1

Formal | Informal Assessment

Standardized, Dynamic or Informal Testing is coupled with parent intake questions to gather information about your child’s current development and future goals.

2

Clinical Observations

We’ll take time to observe your child in their home/school environment to learn more about his or her communication abilities.

3

Determine the Starting Point

Based on the pyramid of speech and language building blocks for expressive and receptive language, we’ll identify our therapy starting point. 

4

Identification of Routine Parental Support

Let’s review the ways you can target speech and language in your child’s everyday routines during child-directed play and structured activities.

5

Home-Program Practice

We’ll share your child’s specific Home Program to be practiced in between sessions to increase carryover of skills and advance progress.

Now Enrolling

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“After over 15 years as a practice owner and speech-pathologist, our team has proudly served over 5,500 Massachusetts families. I have never been more thrilled to offer such a modern, immersive and convenient program to our families via approach to home-based, school-based and teletherapy services.”

– Megan Rozantes, M.S., CCC-SLP

Speech-Language Pathologist

Immersive In-Home Model vs Clinic Model

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Features

Hybrid Home Therapy Model

Clinic-Only Model

Functionality: Home environment incorporates familiar functional objects and surroundings for carryover of newly learned skills.

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Comfort & Productivity: The natural ‘safe’ home environment means your child is at ease sooner with an unfamiliar clinician. Bringing confidence and productivity.

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Parent & Caregiver Education:  Observe us teach your child skills and then become the teacher for when we’re not around (which is most of the time).

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Less Restrictive: Not limited by clinic guidelines. The focus is on your child’s immediate needs to help them to be a more functional communicator in their real-life everyday situations.

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Time and Money: Replace the time you typically spend commuting with implementing your child’s home program and your child will graduate from therapy quicker than they would in a clinic setting.

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Key Features of Speech Therapy at Home

BENEFITS WE THINK YOU’LL LOVE

Woman and toddler play with blocks on the carpet.

Time and Money

Work smarter, not harder! 
Rather than spending time packing up the family to fight traffic and commute to a clinic; you can now replace this time with the valuable implementation of your child’s home therapy program. 

A girl, about 7 years old smiles and waves at her computer. She's wearing headphones and talking to a therapist online.

Parent Engagement

We are with your child once or twice a week. You are with your child 70+ hours a week! Our parent coaching model means we’ll support you to become your child’s teacher for when we’re not around, which is most of the time!

A man and a 6 year old boy play with dinosaurs on the floor.

Functionality

The home environment allows us to target everyday speech, language and vocabulary in your child’s life. Let’s target your child’s toys, books, snacks, family members and interests in real-time, not a clinic-mock up!  

“We loved the overall experience, the trained staff and their kindness. Jamie looks forward to every session! Thank you!”

– Katerina Allende, Parent

Our Services

WE HELP KIDS DEVELOP THE FOLLOWING AREAS

Speech & Language Delay

Early intervention (ages 0-3) allows us to both identify and treat children using a systematic approach known as Routines Based Intervention. An individualized approach to enhance the child’s skills during daily routines with strong parent involvement.

Feeding Services

While working closely with parents, our Occupational Therapist’s feeding program employs motor exercises, oral-motor techniques and/or procedures to optimize mealtime structure, as well as to a sensory hierarchy to explore new food types and textures to expand diets.

Articulation & Phonology

Addressing the clarity of speech. Sounds can be substituted, left off, added or changed. These errors may make it hard for people to understand a child. Articulation therapy focuses on the motor aspects of speech production and the clarity of speech sound production.

Autism Spectrum Disorders

A neurotype characterized by social interaction, play, interests and communication skills which might different from non-autistic and ‘neurotypical’ people. We use a strengths-based approach and presume competence.

Stuttering / Fluency

Characteristics of non-fluent speech include repetition of sounds, syllables and phrases. Prolongations or stretching of syllables may occur, as well as blocks, or tense pauses. Physical behaviors or reactions may also co-exist with the stuttering episodes.

Expressive | Receptive Language

Expressive Language is difficulty with verbal expression. A Receptive Language Disorder occurs when a child presents with difficulties in the ability to attend to, process, comprehend, retain, or integrate spoken language.

Tongue Thrust

A delay or interruption in the oral maturation process,failing to progress to an adult swallow pattern. Therapy includes exercises for the lips, tongue and jaw.  Therapy works to change an incorrect or immature swallow to an adult pattern that is beneficial to the positioning of teeth and articulation.

Social Pragmatics

Pragmatics is the area of language function that embrace the use of language in social contexts (knowing what to say, how to say it.) Children with pragmatic language difficulties have trouble using language socially in ways that are functional or helpful.

Motor Speech Disorders

Apraxia of speech, or verbal apraxia, is a motor speech disorder where a child has trouble saying what they want to say correctly and consistently. The child has difficulty coordinating their oral muscles used for speech, not due to weakness,or paralysis, but rather due to voluntary coordination.

Accepting New Clients

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Connected Learning Saves Time & Money

SEE THE RESULTS

Our goal is to make big breakthroughs every week by providing fun, immersive and consistent therapy.  By incorporating rotating home-visits  with teletherapy visits, our clinicians become integrated into your child’s daily routines and home-life. We feel adding this rapport building and highly personalized component to your child’s teletherapy sessions, we naturally increase their accountability and connection, which in turn accelerates your child’s learning.

  • Immersive Home-Teletherapy Model 100% 100%
  • Clinic Only Model 33% 33%

Meet Your Clinician

OUR CARING TEAM OF OCCUPATIONAL & PEDIATRIC SPEECH-LANGUAGE PATHOLOGISTS


Bethany

Bethany

Speech-Language Pathologist

Bethany received her Bachelors of Science in Communication Disorders from the University of Massachusetts Amherst and her Master of Science in Speech-Language Pathology from the MGH Institute of Health Professions.

Angelica

Angelica

Speech-Language Pathologist

Angelica earned her Bachelor of Arts in Speech Language Pathology from Boston University as well as her Masters in Speech Language Pathology from Boston University.

Kasey

Kasey

Speech-Language Pathologist

Kasey earned her Bachelor of Arts in Spanish from the University of Vermont as well as her Masters of Science in Speech Language Pathology from Misericordia University in Dallas

Jessica

Jessica

Speech-Language Pathologist

Jessica earned Bachelors of Science in Communication Disorders from the University of Massachusetts, Amherst and her Masters of Science in Speech-Language Pathology from Sacred Heart University.

Lauren

Lauren

Speech-Language Pathologist

Lauren received her Bachelors of Science in Communication Disorders from the University of Pittsburgh and her Master of Science in Speech-Language Pathology from Boston University.

Allison

Allison

Speech-Language Pathologist

Ally earned her Bachelors of Arts in Speech and Hearing from Rhode Island College and her Masters of Science in Speech-Language Pathology from Nazareth College of Rochester

Sara

Sara

Speech-Language Pathologist

Sara received her Bachelors of Science in Speech-Language Pathology and Audiology and her Master of Science in Communication Disorders from the University of Vermont.

Kelli

Kelli

Speech-Language Pathologist

Kelli earned her Bachelors of Arts in Speech-Language Pathology and Theater Arts and her Masters of Science in Speech-Language Pathology from SUNY New Paltz.

Lauren

Lauren

Patient Coordinator

Lauren earned her Bachelor of Arts in Community Health and Psychology from Salisbury University and her Masters of Arts in Teaching from Towson University.

Megan

Megan

Speech-Language Pathologist

Megan, our Founder, earned her Bachelor of Science in Speech Pathology from The University Tulsa and Masters of Science Communication Disorders from The University of Tulsa.

Morgan

Morgan

Speech-Language Pathologist

Morgan earned her Bachelor of Science in Speech Pathology from Quinnipiac University and her Masters of Science Communication Disorders from Northeastern University.

EBOOK DOWNLOAD

A Cheet Sheet for
Promoting Language
In Your Young Child

  • No special tools or toys needed
  • Pro-Tips by certified speech-Language Pathologists
  • Learn How and Why these Strategies Work!

Client Testimonials

Family Feedback on our services


The McCallah Family

“Our older daughter, Michaela received therapy for a speech issue that is now no longer a problem”

Minh Quan

“Promptness. Energy and enthusiasm. Welcoming. Kindness. Flexibility in scheduling. Warmth of therapist was very welcoming.”

Sarah Bradley

“Super friendly people! Flexible on timing/schedule, personalized & caring feel. Sebastian felt comfortable right away.”

Contact Us

How Can We
Help Your Child?

Please reach out and our Director, Megan will be in touch with you shortly.

Neurodiversity and the Journey to Embracing Autism

Our Team does the very best we can to not only learn about autism, but to advocate and fight for the empowerment of autistic individuals! Awareness of Autism is only the very beginning of a journey to embracing autism.

Neurodiversity means that all brains are different…naturally! Through this perspective, we can appreciate that a neurodivergent brain holds just as much value and should be embraced no less than a brain that falls into a majority or ‘neurotypical’ realm. Neurodivergent refers to an individual who has a less typical cognitive variation, including, but certainly not limited to: Autism, ADHD, dyslexia, dyspraxia, and sensory processing disorder.

Leading the Change

Autistic Individuals are helping to lead the charge in the The Neurodiversity Movement: a social justice movement seeking equality, respect, inclusion, and civil rights for people with brain differences. As you know or can imagine, this has been an uphill battle for autistic people, given many factors including:

 

  1. Our society follows a medical or pathology model of viewing autism: ‘Something is wrong and we must fix it’ rather than ‘There is nothing wrong with being autistic and we must not try to encourage or force autistic people to appear/seem non-autistic.’Remember: There is no cure for Autism; ‘Removing autism’ from a person would change who they are entirely.
  2. Academic curriculums and social expectations are built in such a way that those who differ from the ‘typical’ or learn in different ways are often marginalized, isolated, and made to feel that they need to appear non-autistic in order to succeed or be seen/heard. This often leads to something called Autistic Masking and Autistic Burnout, which can be deadly.

Neurodiversity Affirming

Here at Chatterboxes, we pride ourselves on being informed, up to date with research and armed with the best therapy techniques and resources! Our goal is to support every child and family using an individualized approach. Over the last year, we have taken the time to learn about neurodiversity, to self-reflect on our practices, and to evolve accordingly. This has been a humbling learning experience for each of us. We will continue to learn and listen to the Autistic voice, as well as share with you!

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