Frequently Asked Questions
Speech Therapy Services in Montréal
At what age can we consult a speech therapist for our child?
There is no specific age: you can consult a speech therapist as soon as you have concerns about a child’s language, speech, or communication. The earlier the intervention, the faster the progress. You can consult from 18 to 24 months if the child speaks very little, and at any age for difficulties with pronunciation, comprehension, language, or learning (reading, writing, mathematics).
My young child speaks little or is not easily understood. Why should I consult a speech therapist?
Every child develops at their own pace, but certain signs warrant attention. It may be advisable to consult a speech therapist if:
- Your child does not seem interested in communicating verbally,
- Your child has few words and does not combine words (e.g., “more juice / daddy gone”) by age 2,
- Your child is difficult to understand by age 3.
Do speech therapists work only with children?
No, speech therapists work with all ages, from young children to adults and seniors (e.g., post-stroke, neurological disorders).
My child is being supported at school by a learning specialist. Why do I need a speech therapy evaluation?
Although these two professionals often work with the same children, their roles are distinct and complementary. A speech therapist is a healthcare professional (member of the OOAQ, Order of Speech-Language Pathologists and Audiologists of Quebec). Their role is to assess and diagnose oral language disorders (e.g., developmental language disorders) and learning disorders affecting reading, spelling, and mathematics (e.g., dyslexia, dysorthography, dyscalculia). They also provide regular follow-ups to develop comprehension, expression, reading, writing, communication, or mathematical cognition.
A learning specialist, on the other hand, is an expert in learning, often from the school education field. They observe and support the child with academic challenges, develop learning strategies, reinforce school concepts, and can help improve study methods. Speech therapy and learning support therefore provide complementary services to help children with academic difficulties or learning disorders.
Psychoeducation
What is a psychoeducator?
Why should I consult a psychoeducator for my child?
Psychoeducation is helpful when a child shows difficulties with behavior, attention, organization, anxiety, oppositional behavior, or managing emotions.
It is also recommended for frequent tantrums or challenges related to a neurodevelopmental condition (intellectual disability, autism spectrum disorder, ADHD, oppositional defiant disorder). Psychoeducation can also support social or academic difficulties and assist parents in implementing effective educational and guidance strategies.
Does psychoeducation also help adolescents, adults, and seniors?
Is a formal assessment required before starting support? What happens during the first session?
In psychoeducation, an assessment is always required before starting interventions. Its purpose is to clarify the request, gather information through various methods (with or without standardized tools), and analyze the situation to identify the individual’s strengths, challenges, and needs. This process allows for the development of tailored recommendations and intervention goals based on the concerns and priorities identified.
How many sessions are typically needed?
The number of sessions varies depending on each person’s needs: some issues can be addressed in just a few sessions, while others require longer-term support. Goals and needs are regularly reassessed in collaboration with the family or the individual.
What is the difference between psychoeducation and psychology?
Psychoeducation and psychology are complementary but distinct disciplines. Psychology focuses on diagnostic assessment, understanding emotions, thoughts, and personal history, as well as psychotherapy. It allows for formal diagnoses and aims for an in-depth exploration of the individual, often over a longer period.
Psychoeducation, which is more concrete and practical, focuses on daily functioning. It assesses the individual’s adaptation skills and environment, then implements strategies to promote skill development, organization, and behavior management. Interventions are generally shorter and structured, often using cognitive-behavioral techniques aimed at changing behaviors without addressing deeper beliefs.
Can psychoeducation help with daily organization and routines? How should I get involved?
Psychoeducation helps structure routines, organize tasks, and manage priorities using concrete tools (lists, reminders, strategies to counter distractions or procrastination). The goal is to integrate these methods into daily life to create lasting changes. Success depends on the individual’s active involvement, while the professional provides support and adjusts interventions based on needs and progress.
Specialized Education
What is a specialized educator?
A specialized educator is a trained professional who, in Quebec, typically holds a DEC in Specialized Education Techniques. They work to support the overall development, autonomy, and adaptation of children, adolescents, or adults facing challenges in behavior and emotion management, as well as affective or social development. Their interventions are practical and take place in the individual’s environment, often in collaboration with other professionals at the clinic, such as a psychoeducator.
What is the difference between specialized education and psychoeducation?
Although both professions share common goals, their training, mandates, and type of interventions differ.
Psychoeducation involves clinical assessment, analysis of overall functioning and affective, social, and environmental factors, and the development of an intervention plan. Specialized education implements concrete daily interventions to support routines, social skills, and autonomy. If a child has already been assessed through psychoeducation, the specialized educator structures their sessions according to the established intervention plan.
Where does the specialized educator provide support?
Intervention can take place in the clinic, at home to work on routines and behaviors, or in a school or childcare setting to support integration, social skills, or autonomy. The mode of intervention is determined based on the needs of the child and their family.
What challenges can a specialized educator help my child with?
A specialized educator is trained to support children with intellectual disabilities, autism spectrum disorder, behavioral challenges, or adaptation difficulties. Interventions are tailored to the child’s developmental level and specific needs.
Is an assessment required before starting support?
Not necessarily. A specialized educator can begin support after an initial observation session and needs assessment in collaboration with parents or other environments. However, when challenges are complex or affect multiple areas, an evaluation by another professional, such as a psychoeducator or speech therapist, may be recommended to better define the objectives.
What happens during the first session?
The first session in specialized education is organized with the family to discuss needs and priorities, establish concrete objectives to address, and propose initial strategies adapted to the situation. It allows planning the session format (frequency, location) with the family or environment and initiating collaboration with other professionals as needed.
How many sessions are typically needed?
This varies depending on the needs and goals being addressed: a few sessions may be sufficient for targeted objectives, while longer-term support may be needed for challenges related to emotions, behavior, or autonomy. The number of sessions is determined in agreement with the family or childcare setting and is adjusted based on observed needs, challenges, and progress.
Are the fees covered?
Fees are not covered by the RAMQ and are generally not covered by private insurance. However, specialized education services are usually more affordable than psychoeducation, which can be advantageous for clients without insurance or who have reached their annual reimbursement limit.
Speech Therapy Assessment and Follow-Up
What is the difference between assessment and intervention/follow-up?
Assessment is used for diagnosis, while follow-up focuses on progress.
The assessment helps to better understand the patient: their strengths, challenges, and communication style. It is necessary to define the goals to work on and to begin follow-up sessions.
Follow-up sessions involve working step by step on the goals chosen together, in a playful and motivating way. If the family wishes, small exercises or games are provided for practice at home to reinforce the work done during sessions.
Is a formal assessment required before receiving speech therapy services?
In most cases, an assessment is required for effective follow-up. It helps to understand the person’s strengths and needs, create a detailed profile, and set appropriate intervention goals.
For children under 3 years old, it is sometimes possible to start with a screening. This helps determine whether a full assessment is needed, provides recommendations and guidance, and offers parental coaching to enhance language stimulation.
My child has already been assessed and we have an evaluation report. Can we still receive services?
Yes, absolutely. If a recent assessment (less than one year old) has already been completed, we can begin follow-up sessions without repeating a full evaluation. We will review the existing report, discuss priorities with you, and establish an intervention plan tailored to your child’s current needs if necessary. Depending on the situation (relevance and currency of the report), an update of skills may be proposed in the form of a supplementary assessment, a brief re-evaluation, or a full assessment. These decisions are made in accordance with the Code of Ethics of the Order of Speech-Language Pathologists and Audiologists of Quebec to ensure a rigorous, ethical, and individualized approach for each person.
How long does a speech therapy assessment take, and what does it involve?
An assessment typically lasts between 1 and 4 hours, depending on the child’s age and the areas being evaluated (oral language, articulation, learning, etc.).
It includes:
- Review of documents completed by the family and sometimes by the educator or teacher,
- Administration of standardized tests and activities to assess the child’s strengths and challenges,
- A feedback session to explain the child’s profile, provide recommendations, and plan follow-up sessions. The report is then sent to you by email for your records and, with your consent, for sharing with partners (school, public services, childcare centers, etc.).
Can we receive services while waiting in the public system?
Yes, absolutely! Private and public services can complement each other. Due to long wait times for public services, especially in Montréal, many families choose to have their child assessed and supported privately while waiting for their turn in the public system. When your child is called by the public service, they can immediately benefit from those resources, and we can pause our sessions if desired. With your consent, we will share our observations or reports with the public service providers to ensure continuity of support.
How long does a follow-up session with the speech therapist last?
The duration of follow-up sessions is determined with the family, based on the child’s needs, age, and attention span. At the clinic, sessions are offered in 30, 45, or 60 minutes. Typically, preschool or articulation/phonological awareness sessions last 30 minutes, while school-aged children’s sessions are 45 or 60 minutes.
How many sessions are typically needed?
It is difficult to determine the exact number of sessions needed, as it depends on the nature and severity of the difficulties, the goals selected, the frequency of sessions, and the individual’s progress. Some situations require only a few sessions, while others need more regular follow-up over several months.
Breaks may be scheduled during the follow-up to allow the individual to integrate what they have learned before resuming sessions later if new needs arise. The planning of follow-up sessions is determined in collaboration with the family. The involvement of clients and families is also a key factor in the success of speech therapy.
How often are follow-up sessions held?
The frequency of sessions varies depending on the difficulty and the family’s availability: some situations require weekly sessions, others every two weeks, and sometimes monthly. The schedule is always adjusted according to the child’s pace and the family’s organization.
Services of a Speech-Language Assistant
What is a Speech-Language Assistant (SLA)?
An SLA is a trained professional (AEC), a recent graduate in speech-language pathology, or a speech-language pathologist trained in another country without Quebec equivalency. They are fully qualified to provide language stimulation for children and work under the clinical supervision of a licensed speech-language pathologist.
What is the difference between a speech-language pathologist and a speech-language assistant?
A speech-language pathologist is the professional authorized to assess, diagnose, and treat language and learning disorders. The speech-language assistant focuses on prevention, stimulation, and reinforcement of the language goals set by the speech-language pathologist in the intervention plan. The assistant does not assess language skills or make diagnoses.
How can a speech-language assistant help my child?
A speech-language assistant can support your child in developing vocabulary, improving oral comprehension, encouraging sentence formation, practicing speech sounds in a playful context, and strengthening narrative skills.
Does the speech-language assistant work in collaboration with the speech-language pathologist?
Yes, the speech-language assistant works under the supervision of the speech-language pathologist, who adjusts the goals, monitors the file, and re-evaluates if necessary. They meet regularly to ensure the child’s progress is on track.
Do insurance plans cover sessions with a speech-language assistant?
Services provided by speech-language assistants are generally not covered by insurance. However, they are usually more affordable than speech-language pathology sessions, which can be advantageous for clients without insurance or for those who quickly reach their annual coverage limit. Check with your insurer to see if services provided by an assistant under the supervision of a speech-language pathologist are covered.
Role of Parents and Collaboration in Speech Therapy and Language Stimulation
What is my role as a parent?
Your involvement is essential! You, more than anyone, know your child best. Between sessions, you can reinforce the strategies observed during appointments, practice activities provided, read with your child, encourage communication, and provide good verbal models. We guide and support you in this important role.
Can one of the parents attend the sessions?
Yes, depending on the type of session and the child’s age. We especially encourage parental presence for young children to observe the strategies used and support practice at home.
Depending on the child’s attention, participation, and your preference, you may wait in the waiting room during the session and then join us at the end for a brief oral summary of the work completed.
Do you collaborate with daycare centers, schools, or other professionals in Montréal?
Yes, we prioritize a collaborative approach. With your consent, we can communicate with teachers, educators, or other professionals to ensure continuity of interventions and to adjust school accommodations or provide recommendations.
Do you offer services at home, in daycare centers, or preschools in Montréal?
Yes, depending on the area.
If you live in Outremont, Côte-des-Neiges, or Westmount, it is possible to schedule assessments or follow-up sessions at your home, with a travel fee applied.
Services are also offered in subsidized daycare centers and preschools in Montréal to meet your child’s needs directly in their care environment and promote interactions with peers. Fees may be covered by the daycare or the families, depending on the situation.
General Questions
Is a medical referral required?
No, a referral or prescription from a doctor is not required to consult in speech therapy, psychoeducation, or specialized education. You can contact us directly and schedule an appointment if you have concerns about your child.
Are the fees covered by the RAMQ?
Speech therapy and psychoeducation services are not covered by the RAMQ, but most private insurance plans provide partial reimbursement. Check with your insurer for details.
Specialized education services are generally not covered by insurance; however, these services are usually more affordable.
You will receive a receipt for each service provided, which can be submitted to your insurance or kept for tax purposes under health expenses.
What forms of payment are accepted?
Accepted forms of payment are Interac e-transfer, check, and cash. The method can be decided according to your preference on the day of the first appointment.
Do you provide receipts for insurance and tax purposes?
Yes, after payment is received, a receipt is issued for each session for insurance purposes or as a tax-deductible health service.
Sessions conducted via telepractice are also recognized by most private insurance plans.
How can I book an appointment?
You can book an appointment directly through our online booking system on the website. Alternatively, you can give us a call!
What are your rates?
You can go to the “Book an Appointment” section, which will take you to the clinic’s appointment management platform. By clicking “I am a new client” and selecting the type of service you want, you will see all the clinic’s rates.
What are your wait times?
Is the information shared kept confidential?
How can I get to the clinic? Where are you located?
Our clinic is located at 4950 Queen Mary, Suite 452, in Montréal, in the Côte-des-Neiges neighborhood. The office is on the 4th floor, at the end of the hallway on your right. The space is easily accessible by public transit (a few minutes from Snowdon Metro, blue and orange lines) or by car (metered parking on Queen Mary, free street parking nearby, respecting time restrictions).
What happens if I need to reschedule or cancel an appointment? What are the policies?
We ask that you provide at least 48 hours’ notice for any appointment cancellations or changes, giving other families the opportunity to use the freed-up time. Appointments canceled with less than 24 hours’ notice, on the same day, or missed appointments (no-shows) are charged $40.
What should I bring to the first appointment?
Any previous assessments or reports (speech therapy, school, doctor, psychology, orthodontist, etc.) as well as any relevant documents (report cards, notebooks or recent school evaluations, intervention plans, etc.).