Speech Therapy Services

Speech Therapy involves the evaluation and treatment of speech, language, swallowing, voice or cognitive-linguistic deficits. These deficits result in difficulties with communication or engaging in and performing everyday activities safely. Speech Therapy services can improve communication, cognition and eating/swallowing disorders resulting from a wide variety of causes. In many cases, deficits are a result of traumatic, neurological, degenerative, pulmonary/cardiac, post-surgical and congenital/developmental conditions.

Settings Provided for Speech Therapy Services

At Capital Region Medical Center our certified Speech-Language Pathologists identify, evaluate and treat patients with speech, language, cognitive-linguistic or eating/swallowing disorders in a variety of settings including:

Inpatient setting through acute care or while admitted to our Inpatient Rehabilitation Unit

Outpatient setting through therapy services provided at the Sam B. Cook Healthplex

Home based setting through therapy services provided by Capital Region Home Health.

Our team provides services from diagnosis to education and treatment for disorders related to:

  • Expressive Language Disorders
  • Aphasia
  • Apraxia of Speech
  • Articulation Disorders or Speech Clarity Deficits
  • Receptive Language Disorders
  • Cognitive-Communication Disorders
  • Eating and/or Swallowing Disorders (Dysphagia)
  • Stuttering/Dysfluency Disorders
  • Voice Disorders
  • Oral-Motor Weakness
  • Reading and/or Writing Deficits
CRMC Speech Therapy Team
Capital Region Speech Therapy Team. Back Row L to R: Stephanie Groves, Adrienne Wilde, Front Row: Michelle Stiefermann , Ruth Doerhoff and Nikki Gaylord

Specialized Therapy Services Provided at Capital Region Medical Center

  • Videoflouroscopic swallow studies for evaluation and identification of eating/swallowing disorders (dysphagia) done in conjunction with a Radiologist for pediatric and adult patients.
  • Training and instruction in the use of Expiratory Muscle Strength Trainer 150 (EMST-150) to improve respiration and phonation for communication skills as well as improving swallowing abilities.
  • Training and instruction in the use of augmentative communication devices for communicating with others.
  • Training and instruction to the utilization of Passy Muir Speaking Valve with tracheostomy patients to facilitate phonation for speech production and improve swallowing function.
  • Instruction and training to compensatory diet and swallowing strategies, including correct procedure for thickening of liquids and modifications to diet if needed.
Speech Therapist With Patient

What will be included in my Speech Therapy Program?

All Speech Therapy programs will begin with a detailed diagnostic evaluation that is specific to the individual’s communication, cognitive-linguistic and/or eating/swallowing difficulties.  Based on the results of the diagnostic evaluation and input from the patient, family and/or caregivers, the Speech-Language Pathologist will design goals and objectives to facilitate improvement in the individual’s communication, higher level cognitive thinking skills and/or eating/swallowing function.  Once goals have been written, the Speech-Language Pathologist will implement therapeutic activities to improve the individual’s communication, cognitive and/or eating/swallowing function.

Will my insurance cover my therapy?

Nearly all insurance plans have a benefit for Speech Therapy services.  You will need to contact your plan provider to find the specific coverage and/or co-pays, if any. Here is a link of all CRMC approved insurance plans:INSURANCE PLANS

How do I begin a Speech Therapy Program?

A Physician’s referral or order is required for any Speech Therapy services. Swallowstudy

For Inpatient Services, a physician will order a Speech Therapy evaluation through Capital Region Medical Center’s computer system. Based upon the physician order, the Speech-Language Pathologist will complete the evaluation and establish an appropriate plan of care to address deficits identified. A treatment plan will then be initiated, taking into consideration the patient’s and/or patient’s family’s goals, using a variety of modalities indicated to improve the patient’s communication, cognition and/or eating/swallowing difficulties. The therapist will communicate with the physician and nursing staff through daily documentation notes in the computer system or in person. The Speech-Language Pathologist is a key member of the inpatient rehabilitation unit team where a team approach to care is practiced, with the ultimate goal being to discharge the patient back to their prior living situation if at all possible with continued therapy being recommended if still needed whether it is through Home Health services or Outpatient Speech Therapy. 

For Outpatient Services, a physician order is required to receive Speech Therapy services. Outpatient Speech Therapy is provided at the Sam B. Cook Healthplex at 1432 Southwest Boulevard. To schedule an appointment with one of our Speech Therapists, call the Sam B. Cook Healthplex at 573-632-5614. A physician can fax orders to the Sam B. Cook Healthplex at 573-632-5990, or the physician can write a prescription for Speech Therapy services and give it to patient to provide at the evaluation visit.  Insurance benefits will be verified prior to your fist appointment. The first appointment is an evaluation that will take approximately 60 minutes.  Once the evaluation is completed the Speech-Language Pathologist will establish diagnosis-related goals and then implement a treatment plan using a variety of appropriate modalities to best benefit the patient to improve their communication, cognitive and/or eating/swallowing difficulties. The therapist will also take into consideration the patient’s medical history and information obtained from the patient, family and/or caregivers to develop the individualized treatment program. Communication occurs with the physician through written progress reports or in person to inform them of the patient’s progress. 

Need more information?

For Inpatient Therapy services, call (573) 632-5631 or email Stephanie Groves at for more information.

For Outpatient Therapy services, call (573) 632-5633 or email Adrienne Wilde at for more information.