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 and licensed Speech-Language Pathologists (SLPs) committed to meaningful, research-based outcomes.
Our clinical experience spans the fields of Speech-Language Pathology and Applied Behavior Analysis (ABA), which 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.
Most of our clients receive multiple therapies a week and have numerous interventionists.
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 SLP’s 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, and 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:
- Private payment
- 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)
- Alternative Augmentative Communication (AAC) Specialist
- Formal Training in: Kaufman, PECS, Hanen More Than Words program, LAMP, Naturalistic ABA
My appreciation of and passion for speech pathology has only grown with each experience and continues to grow each day working at Integrated Speech and Behavior. I initially became interested in augmentative and alternative communication long before I knew what AAC was. A sweet child at the gym daycare where I worked showed me so beautifully what true connection and honest communication could look like; and he did so without words. Following just a few weeks of interactions with this amazing human, I began to look into the field of education. I was immediately pulled to find ways that I could support people in sharing who they are with the world around them; helping them to reduce 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. I spent my first year out of graduate school in the Vancouver School District in a developmental preschool. I then worked for over three years at Children’s Therapy Center near Seattle, WA, supporting the development of individuals with communication delays and differences with their families and caregivers.
I highly value 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 amazing opportunity to enhance connections with individuals and their families. My hope is to continue supporting people in their journeys to communicate and share who they are, what they need and like, and what they’re thinking with the world and people around them.
- Speech Language Pathologist, MS, CCC-SLP (May 2014)
- Formal Training in: PECS, LAMP
As an Ohio University undergraduate studying Communication Sciences and Disorders, I had many opportunities to observe speech-language pathologists in my hometown of Cincinnati. I was so enthralled with what I was witnessing at Cincinnati Children’s Hospital that I became a summer volunteer, delighted to learn and work alongside people who were doing something spectacular– helping children find their voices. I went on to complete my graduate studies at Miami University, earning my Masters in Speech Pathology and Audiology. While there, I had the opportunity to research the effects of the Picture Exchange Communication System (PECS) on the joint attention and communication skills of early learners. Impressed with what I was learning, I wrote a grant to be trained in the intervention. I have been using PECS and combining the principles of Speech-Language Pathology and Applied Behavior Analysis (ABA) to teach the power of communication throughout my career. During my graduate school internships and beginning career, I developed an interest in how to best support individuals who use speech generating devices (SGDs) and became inspired by the children who were working so tirelessly to be heard. Throughout the last five years as a school-based SLP with Douglas County School District and two summers as an SLP at Adams Camp, I continue to be amazed by these children and their families. Today, I enjoy collaborating with families and other professionals to help children replace challenging behavior with communication.
Working at Integrated Speech and Behavior fuels my passion for empowering individuals to find their voice, regardless of their communicative modality. I am honored to be a part of a team that tactfully blends the fields of Speech-Language Pathology and Applied Behavior Analysis in order to achieve beautiful outcomes–communication, connection, and inclusion for all we serve.
- Speech Language Pathologist, MS, CCC-SLP (May 2019)
- Augmentative & Alternative Communication (AAC) Specialist
- Formal training in: Naturalistic ABA, Kaufman
My passion for working with children who have complex communication needs began while volunteering at Fraser – a clinic for children with autism. I was able to see the power that alternative methods of communication hold for children who learn to communicate in an atypical way. More importantly, these amazing kiddos inspired me with how much they had to share with the world! So, I moved from Minnesota to Pennsylvania to pursue my degree at The Pennsylvania State University. During my time there, I had the incredible opportunity to learn from experienced clinicians in a neurorehabilitation hospital, a charter school, a speech/language clinic, and The Children’s Hospital of Pittsburgh. I worked alongside many clients who use augmentative and alternative communication (AAC) and their families, all of whom will continue to inspire me throughout my career. I also had the privilege of conducting research with caregivers from diverse backgrounds with children who used AAC. After hearing their stories, I learned how important it is for speech-language pathologists to take the time to communicate respect, to establish understanding, and to consult with the family before diving into therapy.
Although I enjoy working with any child, my heart lies with children who have complex communication needs and who use AAC. As a part of the Integrated Speech and Behavior team, I feel so lucky to be surrounded by professionals, families, and children who are motivated and excited for the future. I think it is every person’s right to be understood, fulfilled, and loved. I hope to be a teacher, an advocate, and a friend for every child and family that I work with, so that I can support them in their journey, their goals, and their happiness.
- Speech Language Pathologist, MS, CCC-SLP (May 2014)
- Formal Training in: PROMPT, PECS
My interest in augmentative and alternative communication (AAC) first began during my time as an undergrad in the Communication Sciences and Disorders program at the Pennsylvania State University. In the university clinic, I had the opportunity to observe a client trialing a device for the first time. Over subsequent sessions, I watched this individual learn to use this device to communicate, connect, and express preferences. I was amazed and wanted to learn more. I spent that following summer working at a camp for children with special needs, and again, witnessed the benefits of AAC.
Shortly thereafter, I moved to Vermont and completed my Master’s degree in Communication Sciences and Disorders at the University of Vermont. I have spent the past few years working in various settings, including early intervention, special purpose preschool programs, and a multidisciplinary clinic. Throughout those experiences, I have found my passion for working with, and advocating for, individuals with complex communication needs.
My therapy style is play-based and client- and family-centered. I’m excited to be a part of Integrated Speech & Behavior and look forward to continuing to pursue my interest in AAC, to teach functional communication, and to improve the quality of life for my clients and their families.
Here is a snapshot of how we combine strategies and 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 an individual may have communication impairment, within the very dynamic system of communication. 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