Integrated Speech and Behavior (IS&B) is committed to every
child having a joyful and personally expressed life with genuine
relationships, meaningful interventions, and tailored technology.
We are a team of passionate
Licensed Speech Language
Pathologists (SLPs) committed to
meaningful, research-based outcomes.
We are a team of passionate licensed Speech Language Pathologists (SLPs) committed to personal, meaningful, and research-based outcomes. Our clinical experience spans the fields of Speech/Language Pathology and Applied Behavior Analysis (ABA) and allows us to teach communication through behaviorally oriented interventions. Together the individual, parent, and therapist work to identify behaviors and skills that significantly increase quality of life and communication, while decreasing less productive and challenging behaviors.
WHY INTEGRATED SPEECH AND BEHAVIOR?
IS&B believes that effective teams are critical for lasting and meaningful change. Collaboration is the name of the game, and we LOVE working with other professionals. Given our background, we have the opportunity to bring teams of multiple professionals together with a single set of common goals that we all agree will make the greatest impact on our clients and their families.
Many of our clients receive multiple therapies a week and have numerous interventionists teaching skills. In fact, it is unusual for us to represent the only speech language pathologist (SLP) and Board Certified Behavior Analyst (BCBA) on the team. We enjoy partnering with ABA teams and other SLPs to provide global skill intervention with a focus on improving communication.
We provide direct, weekly intervention for clients using speech generating devices (SGDs) in their homes, schools, or communities. We work with individuals in the environment where intervention will be most effective and meaningful.
- Evaluation to obtain an appropriate speech generating device
- Evaluation of current levels of communication skills through the lens of speech/language pathology and Applied Behavior Analysis (ABA).
- Treatment using a combination of evidence-based strategies from the fields of speech/language pathology and ABA.
- How and when to communicate
- Responding to different stimuli using functional communication
- Navigation of the client’s device in a systematic way
We provide consultative services to families/clients/school teams who may not need or cannot coordinate weekly intervention.
We consult on:
- Customization and programming of the device
- Training of device implementation
- Systematic teaching plans using direct and naturalistic strategies across multiple environments
- Strategic written plans for an individual’s communication development
We love what we do and we love teaching others how to do it.
We are transparent and systematic! We problem-solve with parents and professionals regarding every client case to help bring optimism and success to all families, individuals, and therapists. We provide individualized trainings to families and therapy teams about communication plans and teaching strategies specific to an individual.
We present tailored trainings to organizations and companies specializing in speech therapy or ABA, day treatment facilities, schools, and home teams on the following topics:
- ABA Basics and What an SLP Should Know
- Communication Device and ABA Teaching Strategies
- Verbal Behavior and Speech Language Pathology: Combining Perspectives
- How PTs, OTs, and SLPs Can Best Support In-Home ABA Teams
- How SLPs Can Successfully Work with an Individual with Challenging Behaviors
In an attempt to make our services accessible to all families, IS&B accepts Medicaid, private payment, and insurance as an out-of-network provider.
As an out-of-network provider, we are able to provide clients who do not have Medicaid with a Super Bill to document our services, so that families can submit the claim and independently pursue reimbursement from their private insurance.
AMY FETTER – Owner
- Speech Language Pathologist, MA CCC-SLP (May 2008)
- Board Certified Behavior Analyst, BCBA (October 2014)
- Alternative Augmentative Communication (AAC) Specialist
- Formal Training in: Kaufman, PROMPT, PECS, LSVT
I obtained my masters degree in Speech and Language Pathology at the University of Colorado in Boulder. I was hired immediately upon graduation as a school-based SLP in the Cherry Creek School District. I later worked on the district Assistive Technology Team to provide support to SLPs who worked with individuals who use speech generating devices. Eager to gain more experience working with individuals with autism, I pursued a SLP position at The Joshua School (TJS). I was extremely inspired by the therapists, teachers, parents, and students at the school. The people at TJS drove me to learn Applied Behavior Analysis and to combine its benefits with the practice of speech and language pathology. I became a Board Certified Behavior Analyst (BCBA) in October of 2014 and created my own private practice shortly thereafter.
I am extremely passionate about what I do. Individual and family lives matter to me. Through training and teaching, I’m dedicated to giving parents and professionals the tools they need to make them more effective and proud of the work they do. I feel that, together, the fields of Speech and Language Pathology and Applied Behavior Analysis make fundamental positive change in the lives of young people with autism and other developmental disabilities.
- Speech Language Pathologist, MA, CCC-SLP (May 2013)
- Formal Training in: Kaufman, PECS, Hanen More Than Words program, LAMP, Naturalistic ABA
I first became interested in speech pathology when working at a daycare gym in my early years of undergraduate studies at the University of Washington. After befriending Micah, a 6 year-old boy with autism, I was intrigued in what ways I could support people like Micah in learning about and sharing with the world around them; helping them to diminish their frustrations and enhance their connections. I received a Bachelor of Science (Speech and Hearing Sciences) degree at the University of Washington and went on to complete my master’s degree at the University of Colorado in Boulder (CU). I spent my first year out of graduate school in the Vancouver School District at one of their developmental preschools. The past three years I have worked at Children’s Therapy Center near Seattle, WA, driving to homes to support the development of individuals with communication delays and differences with their families and caregivers.
While working towards a master’s degree at CU, I interned at The Joshua School and, separately, had the opportunity to participate in Talking with Technology Camp. I left both placements with a love for augmentative & alternative communication (AAC) and the application of behavioral components into speech therapy. I want to replicate that learning environment in all of the work that I do, creating a space that is fun and motivating for the learner and supportive of their communication skill development. For me, Integrated Speech & Behavior is an opportunity to create just this with individuals and their families. My hope is to continue supporting people in their journeys to communicate and share themselves with the world and people around them.
- Speech Language Pathologist, MA CFY-SLP (May 2016)
I graduated from the University of Colorado – Boulder in May of 2017 with a Masters in Speech-Language Pathology. My clinical experience there included working with individuals with a wide range of communication disorders. Throughout this experience I developed a passion for working with individuals with complex communication needs, particularly those relying on speech generating devices to communicate. During my final semester of graduate school, I completed an internship at the Children’s Hospital of Colorado, specializing in feeding therapy and augmentative alternative communication (AAC) therapy. The combination of my clinical experience at CU Boulder and my internships encouraged me to pursue a Clinical Fellowship that would offer me the opportunity to continue to work in the field of AAC. Since beginning work with IS&B, I have also become passionate about the teaching framework of applied behavior analysis (ABA) and it’s ability to demystify behavior and effect significant change, particularly in the realm of communication. I am thrilled to be a member of the team at Integrated Speech & Behavior serving the population that has taught me so much. I am constantly inspired by the clients, families, and providers that I have met so far in this field and look forward to the many learning opportunities that await.
Here is a snapshot of how we combine strategies/knowledge from both fields to address communication. As SLPs we’ve spent years working to better understand the scope and sequence of receptive and expressive language development including syntax, semantic, and articulation development. We work to identify where, within the very dynamic system of communication, an individual may have communication impairment. As behavior analysts, we also explore what stimuli the individual is successful in responding to, while concurrently identifying stimuli they are struggling to learn to respond to. We use effective teaching techniques such as shaping, chaining, stimulus control, prompting and prompt fading to teach skills. We collect data to track change over time, and measure our goals to ensure our treatment strategies are effective. We use reinforcement strategies to increase independence and frequency by which individuals communicate, to ensure that all people have a functional communication system.
Speech Language Pathologists (SLPs) work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults. Specific to communication, SLPs specialize in understanding the areas of speech production and fluency, language, cognition, voice, resonance, and hearing.
At IS&B we are proud speech language pathologists, but we’re also a little different. We address the above areas of communication through a behavioral lens, which helps us to be systematic, dynamic, and effective interventionists. It is the integration of these methods that makes us successful at working with very dynamic and complex individuals.
We realize you can Google, “What is ABA? But the real question is, “How do we explain the ways ABA guides our practice?”
ABA is founded on 7 Dimensions. In order to truly “do ABA” and to be effective at what we do, we have to employ all seven dimensions. Treatment that does not feature every dimension is incomplete and potentially compromised. As behaviorally oriented speech language pathologists, we live by these principles, but we do so with a communication twist.
Summary of the 7 Dimensions
- Applied: socially significant behaviors are chosen for behavior change (e.g., improving communication)
- Behavioral: observable and measurable behaviors are targeted in intervention
- Analytic: decisions are data driven
- Technological: interventions are described well enough that they can be implemented by others with basic training
- Conceptually Systematic: interventions are consistent with the principles demonstrated in the literature
- Effective: interventions are monitored to evaluate the impact of the intervention on a specific behavior
- Generality: skills occur in environments other than where they were directly taught