Bite-Sized Beginnings

Bite-Sized Beginnings accepts Blue Cross Blue Shield PPO and private pay.

Bite-Sized Beginnings no longer provides in-home services to families. Our office is located at 2312 Deep Water Lane, Suite 132, in Naperville, IL 60564, inside Delta Behavioral Health.

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

Even if a provider offers parent training, it may look different from one provider to another. For example, an in-home provider might conduct a parent training session directly following a therapy session with your child to help explain what they’ve been working on with your child. At larger organizations, you might have a support group of families who are dealing with similar issues.

You can get your child an AAC device a few ways:

• Add it to your child’s IEP. If your child has an IEP, you can request that an AAC device be made part of it, and that they always have access to it in school. (Some schools will allow you to take the device home, too.)
• Ask your child’s doctor. You can request an evaluation for an AAC device through your child’s doctor. This requires an evaluation, and your child’s insurance should cover part (or all) of the costs.
• Buy one yourself. Many AAC devices are just apps installed on regular iPads or a tablet. They can be a bit pricey, but getting insurance to pay for AAC devices can take a long time.

It has become more common! While some families try DIR/Floortime on its own, it can be done in combination with other therapies, such as occupational therapy, speech therapy, and applied behavior analysis (ABA) therapy. Many families enjoy incorporating exercises from DIR/Floortime with other therapies. Many therapists and providers like to include DIR/Floortime’s play and child-led approach into their practices.

DIR/Floortime has some research to support its effectiveness, though this is limited. In a 2019 study, researchers published positive outcomes as a result of DIR/Floortime, including increased joint attention and initiation of activities.

DIR/Floortime is currently considered to be an experimental treatment. As of the 2015 publishing of the National Standards Project on evidence-based treatments, DIR/Floortime was listed under the “unestablished level of evidence” category. While Floortime can benefit some children, more research is needed to establish efficacy. Our expert recommends Affect Autism to learn more about the research behind DIR/Floortime.