Neurodevelopmental and Behavioral Pediatrics

Speech therapy is almost always recommended for autistic children since many people with autism have difficulty with social communication. Even if a child is very verbal and says a lot of words, they might need to work on communication skills like: 

• responding to questions
• starting or ending conversation
• changing conversation topics
• using gestures like pointing
• understanding other people's body language 

Speech therapy is a big focus in early intervention for autistic children and is usually the starting place for recently diagnosed kids. There is a critical period in the brain for language development and so, it's really important to teach language and communication skills as early as possible, especially if there are any delays in that area. Your child will learn effective ways to communicate which will help them grow into more independent and confident individuals.

It might be obvious when a child struggles with speaking —they are very quiet, say only a few words, or don't speak at all.

Spot speech and language delays like a doctor here.

The goal of speech therapy is to help your child communicate effectively with other people across all environments. This may take the form of using gestures, simple signs, verbal speech, and Augmentative and Alternative Communication (AAC).

Some other common things speech therapists can help with:

• Nonverbal skills, such as signs or gestures
• Forming speech in a clearer way
• Communicating thoughts and feelings clearly
• Understanding and responding to questions
• Discerning facial expressions and their corresponding emotions
• Noticing and understanding body language
• Feeding and swallowing
• Stuttering

Music therapy can take place in a variety of settings including schools, hospitals, the child’s own home, rehabilitation centers, and clinics.

A therapy session will vary from child to child, depending on the child’s specific needs. Before your child starts music therapy, their music therapist will develop a personalized treatment plan for your child. Depending on your child’s goals their treatment may involve singing, dancing, listening to music, playing an instrument, or even composing music.

Once you find a music therapist, the therapist will perform an evaluation to determine if music therapy is a good fit for your child as well as determine possible goals. The evaluation will be comprehensive and look at your child’s response to a variety of musical stimuli, including giving your child an opportunity to play with instruments or listen to a variety of music types.

Evaluations will vary based on setting. For example, private practice has a number of evaluation tools while schools typically use an evaluation tool called the SEMTAP (special education music therapy assessment protocol) that focuses on looking at a student’s IEP goals and how or if the addition of music aligns with their IEP goals.

Most children go to daycare before they enter preschool at age 3 or 4. Most children stop daycare at the age of 6 when they go to school. Children who are homeschooled might continue daycare programs. Kids diagnosed with autism or other developmental disabilities might be in both daycare and therapy programs longer. Special needs programs and centers help children up to 26 years old.

One of the best things you can do is to have a conversation with the daycare staff. Share details about your child’s autism diagnosis, strengths, and challenges. Building open lines of communication will help you work together to support your child’s needs. Prepare the daycare provider to work with your child with a physical guidebook. This guidebook can include all of your child’s favorite things and how to calm them down. You might already have one ready from your experience with babysitters or teachers!

To read more about finding the right daycare provider, check out our guide.

The occupational therapy process includes an OT evaluation before care starts. Here are the four steps your family can expect when starting occupational therapy:

1. Complete OT evaluation. An occupational therapist first identifies your child’s strengths and needs through a thorough OT evaluation, also known as an OT assessment or screening. You’ll answer questions about your child’s skills, and your child will most likely demonstrate their skills via hands-on activities with the therapist. Evaluations can last 30 minutes to a few hours.
2. Approve OT plan. The therapist develops a care plan with individualized goals and customized interventions based on your child’s needs. You can also share any specific goals or concerns before approving the OT plan.
3. Start therapy sessions. The therapist works directly with your child and your family, using various strategies and exercises to systematically improve areas of limitations and to build upon a child’s strengths. Some exercises your child might participate in are animal walks, obstacle courses, and therapy swing activities. Your family may learn strategies for supporting your child’s individualized needs at home, such as ways of supporting emotional regulation and sensory processing. The therapist may also recommend tools and techniques to use at home, in the community, or in the classroom to help your child succeed.
4. Monitor your child’s progress. Parents and caregivers can expect ongoing progress monitoring and communication to ensure the child is achieving their short and long-term goals.

Occupational therapy can also be provided virtually via telemedicine. Virtual therapy is a great option for families in rural areas who may not have access to in-person services, or for families who prefer to have therapy in their child’s home.

Virtual OT allows the opportunity for increased caregiver participation and understanding of a child’s strengths, areas of improvement, and generalization of skills in the child’s home environment. Virtual therapy also provides increased opportunities for caregiver and family education to support the child and the family based on each family’s needs.