ISU Speech and Language Clinic Meridian

SLP treating an adult patient

Location

ISU Meridian Health Science Center
1311 E. Central Dr.
Meridian, ID  83209

 

Hours

Academic Clinic:

Monday through Thursday
8:00 AM - 6:00 PM

Summer Clinic:

See Specialized Clinics for
more information

Contact Us

Phone:  (208) 373-1725
Fax:  (208) 373-1811

Clinic Director:

Shauna Smith
(208) 373-1720
ssmith@isu.edu

Parking

Patient parking is located in the clinics area parking (yellow painted lines) located in front of the ISU Clinics entrance of the building which is located on the southwest side of the building facing I-84.

In preparation for the construction of the Idaho College of Osteopathic Medicine (ICOM) school, the east parking lot will be blocked off.  Once you enter off Central Dr., turn left following the signs which will lead you to the fire lane area on the East side of the building and then to regular clinic area parking.  At times, this access may be blocked but will be marked clearly with a detour sign directing you to use the West entrance.

Detailed parking map for ISU Meridian

About Us

ISU's Speech and Language Clinic offers evaluation and treatment of children and adults in the following areas:  Articulation, Receptive and Expressive Language, Voice, Fluency/Stuttering, Alternative and Augmentative Communication (AAC), Pragmatic (social skills), and Accent Reduction Communication difficulties following stroke or traumatic brain injuries.

Services are performed by graduate student clinicians and supervised by SLP certified and licensed clinical faculty. Our program is a semester based program offering services from September thru December and January thru May, and specialty clinical programs in the summer months (traditional national holidays are observed).

Speech and Language Services

Services provided for adults include evaluation and treatment of:

Aphasia

Aphasia is a language disorder resulting from an injury to the brain, most often in the left hemisphere that affects all language modalities. Aphasia is not a single disorder, but instead is a family of disorders that involve varying degrees of impairment in four primary areas:

  • spoken language expression
  • spoken language comprehension,
  • written expression, and
  • reading comprehension.

A person with aphasia often has relatively intact memory and executive function skills, although these and other cognitive deficits may co-occur with aphasia. Sensory deficits such as auditory and visual field deficits may also be present.

Signs & Symptoms may include:

  • Difficulty finding words
  • Speaking in single words
  • Omitting smaller words like “the”, “of”, and “was”
  • Putting words in the wrong order
  • Making up words
  • Difficulty understanding others
  • Lacking awareness of others
  • Difficulty comprehending written material
  • Difficulty writing or copying letters, words, and sentence

Dementia

Dementia is a syndrome resulting from acquired brain disease and characterized by progressive deterioration in memory and other cognitive domains (e.g., language, judgment, abstract thinking, and executive functioning).  The cognitive decline associated with dementia affects an individual's ability to comprehend and produce linguistic information. Additionally, behavioral problems that develop as a result of the neuropathology (e.g., paranoia, hallucinations, and repetitiousness) may interfere with communication.

Signs & Symptoms may include:

  • Easily distracted
  • Episodic memory deficits
  • Difficulty multi-tasking and handling complex tasks
  • Inability to recognize familiar people
  • Difficulty recalling names of family and friends
  • Inappropriate behavior

Dysphagia

Dysphagia is a swallowing dysfunction where it takes more time and effort to move food or liquid from your mouth to your stomach. Dysphagia may also be associated with pain. In some cases, swallowing may be impossible.

Occasional difficulty swallowing, which may occur when you eat too fast or don't chew your food well enough, usually isn't cause for concern. But persistent dysphagia may indicate a serious medical condition requiring treatment.

Dysphagia can occur at any age, but it's more common in older adults. The causes of swallowing problems vary, and treatment depends on the cause.

Signs & Symptoms may include:

  • Difficulty swallowing
  • Pain during swallowing
  • Drooling
  • Unable to swallow
  • Being hoarse
  • Feels like food is stuck in your throat
  • Regurgitation

Traumatic Brain Injury

Traumatic brain injury (TBI) is a form of brain injury caused by sudden damage to the brain. The effects can range from physical, sensory, cognitive-communication, swallowing and behavioral issues. These problems significantly impair the effected person's ability to live independently. The problems vary depending on how widespread the brain damage is and the location of the injury.

Signs & Symptoms may include:

  • Difficulty thinking and understanding
  • Aggression, impulsivity, and lack of restraint
  • Dizziness, fainting, or fatigue
  • Anger, anxiety, or apathy
  • Nausea or vomiting
  • Slurred speech or impaired voice
  • Blurred vision or sensitivity to light
  • Headache, seizure, or ringing in the ears

Voice Disorders

A voice disorder is an abnormal pitch, loudness, or vocal quality resulting from disordered laryngeal function and may cause pain or vocal fatigue. Voice disorders range from mild hoarseness to complete voice loss, and limit the effectiveness of oral communication.

  • Hoarseness
  • Chronic cough or excessive throat clearing
  • Vocal strain or fatigue
  • Loss of voice
  • Reduced pitch range

Voice disorders can be caused by an injury resulting in paralysis of a vocal fold, an improper breathing pattern, or misuse of the voice. Voice disorders can also be due to medical/physical conditions or neurological in nature. The individual with a voice disorder may experience stress, withdrawal, and depression because of an inability to produce normal voice.

Signs & Symptoms can include:

  • Hoarseness
  • Chronic cough or excessive throat clearing
  • Vocal strain or fatigue
  • Loss of voice
  • Reduced pitch range

Services provided for children include evaluation and treatment of:

Articulation

An articulation disorder is the production of speech sounds spoken with substitutions, omissions, additions or distortions that may interfere with intelligibility.

  • Certain sounds are not produced but omitted or deleted (e.g., “cu” for “cup” and “poon” for “spoon”)
  • One or more sounds are substituted (e.g., “dood” for “good” and “wabbit” for “rabbit”)
  • One or more extra sounds are added or inserted into a word (e.g., “buhlack” for “black”
  • A syllable is repeated or deleted (e.g., “dada” for “dad” or “wawa” for “water”

Stuttering

Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The disorder is characterized by disruptions in the production of speech sounds (disfluencies).  Most people produce brief disfluencies from time to time. For instance, some words are repeated and others are preceded by "um" or "uh." Disfluencies are not necessarily a problem; however, they can impede communication when a person produces too many of them.

Signs & Symptoms:

  • Difficulty starting a word, sentence, or phrase
  • Prolonging a word or sounds within a word
  • Repetition of a sound, syllable or word
  • Brief silence or pauses within a word

Receptive Language Disorder

This language disorder affects a child’s ability to understand what is being said to them.  This usually is seen in children prior to age four.  In most cases, children with receptive delays also have expressive language disorder.  Children must be able to understand the spoken language in order to properly speak.

Signs & Symptoms can include:

  • May not listen when being spoken to
  • Inability to follow verbal instructions
  • Inability to understand complicated sentences
  • Language deficits
  • Repeating words that are said to them (echolalia)

Expressive Language Disorder

This language disorder affects a child’s ability to formulate words, speak in complex sentences, and remember words. Most often, the child does understand verbal communication.

Signs & Symptoms can include:

  • Limited vocabulary skills
  • Improper use of tenses (past, present, future)
  • Unable to speak in sentences

Apraxia

Childhood apraxia of speech (CAS) is a motor speech disorder. Children with CAS have problems saying sounds, syllables, and words. The brain has problems planning to move the body parts (e.g., lips, jaw, tongue) needed for speech. The child knows what he or she wants to say, but his/her brain has difficulty coordinating the muscle movements necessary to say those words.

Signs & Symptoms can include:

  • Does not coo or babble as an infant
  • Problems combining sounds
  • Understands language but doesn’t talk
  • Difficulty imitating speech
  • Is hard to understand

Tongue Thrust

A tongue thrust occurs when the tongue pushes against the front teeth or protrudes through the teeth during swallowing and/orspeech, or while the tongue is at rest.  It is commonly referred to as a reverse swallow and is normal during infancy and toddler stages, but should disappear by the time a child starts elementary school.   

Signs & Symptoms can include:

  • Articulation errors can include /s, z, t, d, n, l, sh/
  • Orthodontic issues
  • Mouth breather
  • Messy eater
  • Tongue visible during speech and/or swallowing

Augmentative and Alternative Communication (AAC) includes all forms of non-verbal communication that is used to express thoughts, needs, wants, and ideas.  AAC includes facial expressions, body gestures, use of symbols or pictures as well as the written word.  Many people with severe language deficits rely on AAC to communicate their needs.  The following options are examples of AAC communication:

  • Unaided Communication: Relies on the individual’s body to perform gestures, body language, and/or sign language.
  • Aided Communication: Relies on additional tools to aid in communication such as paper and pencil, communication boards, and electronic speech devices that produce voice output.

Adult Swallowing Clinic

The ISU Adult Swallowing Clinic provides diagnostic, treatment, and consultation services for individuals with swallowing disorders resulting from a variety of issues including:

  • Stroke
  • Traumatic Brain Injury
  • Progressive neurological disorders (e.g. Parkinson’s, Multiple Sclerosis, etc.)
  • Head and neck cancer
  • Difficulties following surgery to the face and/or neck
  • Age related difficulties
  • Coughing, choking, or difficulty swallowing for unknown reason

 

Pediatric Feeding and Swallowing Clinic

The ISU Pediatric Feeding and Swallowing Clinic provides diagnostic, treatment, and consultation services for families with children who are experiencing difficulties in feeding, including:

  • Difficulty sucking
  • Swallowing
  • Chewing
  • Children who do not feed themselves at appropriate ages
  • Transition from nasogastric or gastrostomy feedings to oral feedings
  • Neurological impairments
  • Development delays that hinder oral feedings, abnormalities of the mouth and throat that affect eating, difficult transitions from breast-feeding to cup/bottle or pureed foods and behavioral feeding issues.

Meridian Intensive Adult Program (MIAP)

MIAP is a 1-2 week summer intensive communication treatment program especially designed to assist clients diagnosed with aphasia or other communication disorders and their families to improve the client’s quality of life.  The MIAP program provides therapy five days a week.  The program includes: 

  • 2 hours of daily individualized speech and language therapy
  • 2-4 hours of daily small and large group speech and language therapy
  • Computer training and exposure to updated technology
  • Small group recreation activities

MIAP is designed to help clients achieve their communication goals.  Across rehabilitation disciplines there is growing evidence to support intensive treatment as the best practice for functional recovery.  This intensive program will provide a range of services and opportunities for our clients as well as their communication partners.

Candidacy:  MIAP clients are adults with all types of communication disorders, at varied levels of impairment.  Adults with post onset for many years can benefit from the intensive program.  Individuals with reduced tolerance for schedule changes, agitation or fatigue would not qualify due to dynamic and intensive program demands.  Caregivers do not need to attend unless the client is dependent care.

Lunch:  ISU will not be offering lunch during the program.  Families will need to pack and bring a lunch each day of the program.  Clients may also bring cash for a catered lunch ($7 – 10) that will be ordered in the morning. 

Program Dates:  Monday - Friday, June 19-30, 2017.  9:00 AM - 3:00 PM

Program Director:

Amy Hardy
(208) 373-1724
hardamy3@isu.edu

Summer Communication Pre-School

The summer pre-school program provides a structured environment that fosters speech and language skills as well as social-emotional, intellectual, and creative growth with developmentally appropriate activities for children with a variety of developmental disorders. The summer program operates Monday thru Wednesday for the month of July.  The program accepts children 18 months to 5 years old.

Program Dates:  Monday - Wednesday, July 10 - August 2, 2017. 

Program Director:

Amy Hardy
(208) 373-1724
hardamy3@isu.edu

Resources

Masters of Speech Language Pathology Program

The Masters of Science degree in Speech Language Pathology at Idaho State University is the only accredited program in the state of Idaho. Dedicated to enriching the lives of those with communication needs, the program has a strong clinical focus which provides graduating students with the tools to work in educational, medical, or other clinical settings with children and/or adults with communicative needs.

American Speech-Language-Hearing Association (ASHA):  ASHA is the national professional, scientific, and credentialing association for more than 173,070 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students. Audiologists specialize in preventing and assessing hearing and balance disorders, as well as providing audiological treatment, including hearing aids. Speech-language pathologists identify, assess, and treat speech, language, cognition, voice, and swallowing disorders.

Administrative Staff

Michelle Campbell, Administrative Assistant 1
(208) 373-1725

Supervising SLPs

Shauna Smith, MS CCC-SLP
Clinic Director & Clinical Associate Professor
(208) 373-1720
ssmith@isu.edu

Beth Guzi, MS CCC-SLP, LPC
Clinical Professor

(208) 373-1721
gurybeth@isu.edu

Karrie Hansen, MS CCC-SLP
Clinical Assistant Professor
(208) 282-1736
cummkarr@isu.edu

Amy Hardy, MS CCC-SLP
Clinical Assistant Professor
(208) 373-1724
hardamy3@isu.edu

Mary VanDonsel, MS CCC-SLP
Clinical Assistant Professor
(208) 373-1727
vandmary@isu.edu

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Pocatello, Idaho, 83209

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