Advanced Trainings
At Speech in the City, our team of pediatric speech-language pathologists is committed to ongoing education, advanced clinical training, and evidence-based care. Our therapists pursue specialized professional development in speech, language, feeding, oral motor function, and complex communication disorders to provide individualized treatment for every child.
Our team brings together expertise across a range of therapeutic approaches, allowing us to consider the whole child and select interventions based on each child’s unique developmental profile, strengths, and needs.
Our Specialized Training & Treatment Approaches
PROMPT Therapy
PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) is a tactile-kinesthetic approach to speech therapy that uses carefully applied touch cues to support speech motor control and movement. Our team includes PROMPT-trained clinicians and certified PROMPT expertise, particularly in treating childhood apraxia of speech and motor speech disorders.
Dynamic Temporal and Tactile Cueing (DTTC)
DTTC is a motor-based treatment approach developed for children with childhood apraxia of speech. It uses individualized cueing, repeated practice, and carefully adjusted support to help children develop more accurate and consistent speech movements.
Ampcare Effective Swallowing Protocol (ESP™)
Our team has specialized training in the Ampcare Effective Swallowing Protocol (ESP™), an advanced approach to dysphagia rehabilitation that combines neuromuscular electrical stimulation (NMES) with targeted swallowing exercises. This evidence-informed approach is designed to support swallowing muscle activation, coordination, and function. Ampcare training expands our clinicians’ knowledge of specialized interventions for individuals with swallowing difficulties, supporting individualized treatment planning based on each child’s needs and clinical presentation.
AEIOU: An Integrated Approach to Pediatric Feeding
AEIOU (Acceptance, Exposure, Independence, Observation, and Understanding) is a responsive, family-centered approach to pediatric feeding therapy. This framework emphasizes child autonomy, positive mealtime relationships, and individualized treatment strategies to support children with complex feeding challenges, including food aversions, sensory difficulties, and feeding tube dependence.
SOS Approach to Feeding
The Sequential Oral Sensory (SOS) Approach to Feeding is a multidisciplinary framework for evaluating and treating pediatric feeding disorders. Through a systematic, play-based approach, children are supported in gradually exploring and interacting with new foods while developing the sensory, oral motor, and developmental skills necessary for successful mealtime participation.
Dynamic Temporal and Tactile Cueing (DTTC)
DTTC is a research-supported, motor-based speech therapy approach developed specifically for children with childhood apraxia of speech. Through intensive practice, individualized movement targets, and dynamic cueing, therapists help children improve speech motor planning, coordination, and the accuracy and consistency of speech production.
Rhythmic Movement Training International (RMTi)
Rhythmic Movement Training is a movement-based approach incorporating developmental movement patterns, rhythmic exercises, and sensory-motor activities. Our clinicians have pursued specialized training in this framework to broaden their understanding of movement, postural control, and sensory-motor development as part of a whole-child approach to care.
Get Permission Approach
The Get Permission Approach is a child-centered, responsive feeding framework that emphasizes trust, autonomy, and positive relationships around food. Rather than relying on pressure or compliance-based techniques, this approach supports children in developing feeding skills at their own pace while respecting their sensory, motor, and emotional needs. Our clinicians incorporate Get Permission principles to help children and families build confidence, reduce mealtime stress, and foster positive, sustainable feeding experiences.
Solid Starts – Infant Feeding & Starting Solids
Our clinicians incorporate resources and principles from Solid Starts, an internationally recognized pediatric feeding education platform focused on helping infants transition safely and confidently to solid foods. This approach emphasizes developmentally appropriate food preparation, self-feeding, responsive feeding practices, and the progression of oral motor skills. We support families in navigating baby-led weaning, introducing new textures, developing chewing skills, and promoting positive early feeding experiences while respecting each child’s individual developmental readiness.
Orofacial Myofunctional Therapy
Our clinicians have specialized training in identifying and treating orofacial myofunctional disorders. Therapy may address tongue resting posture, lip closure, oral movement patterns, and functional challenges involving speech and swallowing. We collaborate with orthodontists, ENTs, dentists, and other healthcare professionals when appropriate.
Pediatric Feeding and Swallowing Therapy
Our practice has extensive experience treating pediatric feeding disorders, including food selectivity, oral motor difficulties, sensory-based feeding challenges, and children who rely on feeding tubes. Our clinicians draw on specialized training in pediatric feeding, responsive feeding practices, and interdisciplinary approaches to support safe, functional, and positive mealtime experiences.