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Frequently asked questions

Short answers, with links to longer guides where it helps.

About children's speech and language

What does a speech-language pathologist do?
A speech-language pathologist (SLP) assesses and treats difficulties with speech sounds, language understanding and expression, stuttering, voice, social communication and swallowing. In Ontario SLPs hold a master's degree and must be registered with CASLPO.
What is the difference between speech and language?
Speech is how sounds are produced: articulation, fluency and voice. Language is the system of words and sentences used to understand and express ideas. A child can have difficulty with one, the other or both.
At what age should a child be understood by strangers?
A common rule of thumb is that unfamiliar listeners understand about half of what a two-year-old says, three-quarters at age three and nearly everything by age four. Our intelligibility estimator compares your child with these benchmarks.
My child is 18 months and not talking. Should I worry?
Most 18-month-olds say at least a handful of words and understand far more. If your child has no words, is not pointing or gesturing, or does not respond to their name, it is worth an assessment. In Ontario you can self-refer to the free Preschool Speech and Language Program.
Does speech therapy work?
Research supports speech-language pathology intervention for speech sound disorders, language delay and stuttering in young children, especially when parents are involved. Progress varies from child to child, and no clinician can promise a particular outcome.
Will my child grow out of it?
Some children do, particularly mild speech sound errors on late-developing sounds like R and TH. Others do not, and it is hard to predict from the outside. An assessment gives a clear picture, and a speech-language pathologist may recommend monitoring rather than therapy.
Can I do speech therapy at home?
Parents are a big part of any good plan, and daily short practice at home often matters more than the session itself. Our at-home activities guide and the practice tools are built for this. They do not replace an assessment, which tells you what to practise.

Speech therapy in Ontario

Is speech therapy covered by OHIP?
Private speech-language pathology is not covered by OHIP. Publicly funded services exist through the Preschool Speech and Language Program, school boards, Children's Treatment Centres and hospitals. Many extended health plans cover part of private fees.
How do I get free speech therapy for my preschooler in Ontario?
Contact your local Preschool Speech and Language Program directly. It is free, families can self-refer, no diagnosis is needed, and the program serves children from birth until they start school. Our city pages name the agency and phone number for sixteen Ontario cities.
How much does private speech therapy cost in Ontario?
Rates vary by region and clinician. Typical ranges are roughly $110 to $180 per hour for therapy and $300 to $600 for an initial assessment. Our cost calculator helps estimate a block of sessions after insurance.
How do I know if someone is a real speech-language pathologist?
Search their name on the CASLPO Public Register. Anyone using the title in Ontario must be listed there. Our guide walks through it step by step.
Can the Ontario Autism Program pay for speech therapy?
Yes. Core clinical services funding through the Ontario Autism Program can be used for speech-language pathology delivered by a CASLPO registrant.

About Speechie

When will Speechie open?
Services will begin once the clinician's registration with CASLPO is confirmed. The waitlist is the easiest way to hear first.
Will Speechie offer virtual appointments?
Yes. Virtual appointments across Ontario are planned first, with in-person options to follow.
Does joining the waitlist commit me to anything?
No. It is a single email when services open, and you can unsubscribe at any time.
Why are there no reviews on this site?
CASLPO's Advertising Standards prohibit registrants from using testimonials or reviews in advertising. We follow those standards now, before launch, and will continue to.

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One email when virtual appointments open across Ontario. No obligation, unsubscribe any time.

Join the waitlist

Need help now? Ontario has free options.

Children not yet in school can self-refer to the Preschool Speech and Language Program. No doctor, no fee.

Find your local program