19 Dec 2017

BY: speechsolution


Auditory Processing Disorder


Auditory Processing Disorder

In this months blog we talk about Auditory Processing Disorder (APD), also known as Central Auditory Processing Disorder (CAPD).

CAPD is an auditory deficit where the central nervous system has difficulty interpreting auditory input. This is not due to any higher global disorder (meaning Autism, ADHD, etc.).  

Characteristics that set CAPD apart from other global related disorders are that these children will often have difficulty attending to information in noisy environments, discriminating sounds in speech, following directions, and difficulty with spelling and reading. It can often be perceived as if a hearing loss is present, when in fact there is not.

It is important to carefully examine the characteristics each child is demonstrating and not to assume that every child with difficulty attending has CAPD. 


In regards to assessment of CAPD, it is recommended that a multidisciplinary team is involved in the diagnosis process. It is important to rule out any hearing loss with an audiologist, at which time the audiologist can also run a series of tests to help determine if CAPD is present. 


There is no “one cure all” method for CAPD. Every child is different and the diagnosis extends across many different characteristics.  

Treatment plans will include:

1. Change to the environment: which can help a child process information more effectively. 

2.Compensatory strategies: strengthening skills in problem solving, memory, attention, phonological awareness, and more. 

3.Remediation: which includes individualized treatment activities. 


 If you have any questions about CAPD diagnosis and treatment feel free to contact our office.



Speech Solutions Hawaii 






12 Nov 2017

BY: speechsolution


Final Consonant Deletion

In this months blog we talk about final consonant deletion.

Final consonant deletion is a phonological process in language where children delete the final consonant off words.

Pretty simple concept right? But this makes them very hard to understand! 

Deleting the final consonants on words looks like this—> Cat becomes Ca

At the word level it may not sound too difficult to understand, but what about when this starts to happen in phrases and full sentences… 

/Mom I want ice cream/ suddenly becomes —–> /mo I wan I crea/ 

Not so easy to understand anymore, huh?

Children usually make this error with words until they are about 3 years of age.

But why? 

Because this is a simpler form of speech. Developmentally this is appropriate until age 3. Children are still learning how to put words together to form phrases and sentences.

But what if this error continues to happen after age 3? 

This is when speech therapy comes into play.

You can also try this technique at home!

 How to target:

Find words that sound alike but adding the final consonant changes the meaning. We call these minimal pairs.

For example:






These flashcard decks can also be found on Pinterest as a free download.

Present these words to your kiddo and then have them imitate the words back to you.

This is a good place to start. Once your child can repeat the words with the final consonants, see if they can successfully say final consonants at the phrase level, and once they succeed there, listen out for their errors in conversational speech and use any opportunity to model correct language for them.

If you have any questions on how to facilitate this at home or on starting speech therapy to target final consonant deletion. Feel free to leave a comment!


Speech Solutions Hawaii





BY: speechsolution


Do we take insurance?

There are times when speech and language delays appear obvious  but…the child may not be eligible for speech therapy services.  Cue most moms pulling out their hair!!  These decisions are based on qualifying criterion from federal regulations and state education laws. Sometimes, parents may also wish to have more services for their child, OR a school simply cannot provide the intensity of services that you want.  So, our phone rings off the hook from parents trying with all their might to get additional services.

But, when families look for private therapy the #1 question we get is….. “ DO YOU TAKE INSURANCE?”… cue me taking a deep breath here.  Most private health plans will not pay for exact same services that are provided in early intervention or public school settings. Although some therapies such as physical therapy and occupational therapy may be covered by your private insurance plan, speech therapy services are most likely a completely different story. The following may help to guide you in understanding what your options might be.

If your child has a diagnosis of Autism, some states will cover necessary therapeutic services for your child. To see what states this applies to, refer to our insurance tab here. Also, check out Luke’s law for information on services that are available by the state for your child diagnosed with autism.

Now if none of these apply to you, don’t fret. For birth-3 aged kiddos, Easter Seals Hawaii offers no cost speech services for those who are not eligible for services through the DOE. For your school aged child (including preschool) the DOE is required to provide no cost services when deemed necessary to educational development to those in a SPED program.

If the DOE is not an option, The University of Hawaii offers low cost speech therapy services to anyone in need.

Another thing to consider are that many scholarships out there for speech therapy services. We do have a running list to share with you if you were interested.  Contact us via phone or email to receive a copy

(808) 596-0099

We always encourage clients to contact their insurance providers and what your insurance may actually cover.

For more information click here.

Hope this helps!


Speech Solutions

19 Aug 2017

BY: trini



In this months newsletter we talk about childhood apraxia of speech or CAS. Childhood apraxia of speech is a motor disorder that effects a child’s ability to produce speech. These children know what they want to say; however, their brain has difficulty coordinating muscle movements of their articulators. The most noticeable sign of apraxia is the inconsistency of errors.

Others include:  Read More “CAS”

11 Jul 2017

BY: trini


The benefits of baby signs
If you’ve had a chance to read our July newsletter, we talked about the benefits of teaching your baby “baby signs”!
What are “baby signs”?
Baby signs are simple sign language gestures that your baby can use when expressing their needs and wants.

Common starter signs: Read More “The benefits of baby signs”

06 Jun 2017

BY: trini

Blogs / Education / Language / School / Speech Therapy / Therapists / Uncategorized

5 tips for eliciting the /s/ sound


Is your kiddo having a difficult time making the /s/ sound?
Here’s some tricks on how to elicit the sound correctly:
First: Place a tongue depressor on the alveolar ridge (the bumpy spot behind your teeth) so that your kiddo can become familiar with where their tongue needs to be.
Second: Have them make the /t/ sound. The /s/ and the /t/ are made by placing the tongue in the exact same place!

Read More “5 tips for eliciting the /s/ sound”

05 May 2017

BY: trini

Blogs / Education / Language / Speech Therapy / Therapists

Let’s talk social skills

Let’s talk about social skills!
Social skills are a huge part of language development!

But learning them does not always come easy, especially for our kiddos with Autism Spectrum Disorder. They tend to have a difficult time with social skills and it can be a task trying to incorporate them into their therapeutic routine. Read More “Let’s talk social skills”

15 Apr 2017

BY: trini

Blogs / Education / Language / School / Speech Therapy / Therapists / Uncategorized

3 tips for eliciting the /r/ sound

Aloha from everyone here at Speech Solutions Hawaii!

We know the /r/ sound is any SLP’s dreaded goal in therapy!  It’s hard to elicit and not to mention it isn’t a visual sound. But we are here to tell you that targeting the /r/ does not have to be a headache and can actually be very fun to teach! Read More “3 tips for eliciting the /r/ sound”

21 Mar 2017

BY: trini

Blogs / Education / Language / School / Speech Therapy / Therapists

App Review of “My PlayHome”

My PlayHome

As much as we try to avoid using iPad’s in therapy it is inevitable in this day in age. We have done some research to find the best apps to use for speech development. Here is one of our favorites! Read More “App Review of “My PlayHome””

27 Feb 2017

BY: trini

Blogs / Education / Language / Speech Therapy

Bring Literacy into Speech Therapy!

Want to bring Literacy into your speech and language activities?!?  One great way target articulation and language goals is by picking a favorite book. The options for targeting goals are endless. One of my personal favorites is Mrs. McNosh hangs up her wash. If you aren’t familiar with this one, it’s a very cute and silly story about a woman who hangs up EVERYTHING; starting with her clothes, to her newspaper,  and even her dog! This read is great for targeting the /s/ and /sh/ sounds, sequencing events, and even talking about the main character in a story.

Read More “Bring Literacy into Speech Therapy!”