Adult Services

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Adult Services

Adult programs are offered in the areas of articulation, voice, fluency and language as well as overall communicative effectiveness. Special programs to address the communication needs of foreign-born speakers, women managers and business executives have been designed by our staff who are multilingual trainers as well as speech-language pathologists.

Special services have also been designed for adults with specialized voice needs, fluency problems, attention deficit disorder, residents in group homes, and adults who have experienced a stroke or brain injury. We serve caregivers with understanding and teach them both coping skills and helping strategies. Peninsula Associates clinicians are happy to provide on-site services at local senior community day centers, adult living complexes and retirement communities.

Speech/Articulation | Swallowing | Language | Hearing Impairment | Communicative Effectiveness
Fluency (Stuttering) | Voice | Accent Modification | Transgender and Gender Diverse Communication Services

Speech Clarity/Articulation

We design programs to correct specific sounds as well as to improve overall speech intelligibility. Individualized articulation programs are developed to help with:

  • Persistent speech errors (e.g., lisp, /r/ /s/ /l/ errors)
  • Phonological disorders (sound simplification patterns)
  • Apraxia/Dyspraxia
  • Oral motor skills
  • Dysarthria
  • Tongue thrust

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Dysphagia (Swallowing)

Peninsula Associates' staff demonstrate swallowing therapy exercises and techniques to clients, family members and caretakers. Our clinicians also provide consultation on modified consistency meals and meeting a client's nutritional needs. Therapy may be provided in the home, at a resident facility or in our offices.

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We provide language therapy to clients of all ages. Our goal is to increase an individual's understanding and use of language. Individual and group programs are available to work on:

  • Listening/following directions
  • Vocabulary/concept development
  • Cognitive skills (memory, sequencing)
  • Communication for daily living
  • Asking/answering questions
  • Understanding stories/conversation
  • Grammar/sentence structure
  • Relating experiences/everyday conversations

In addition to verbal language, we use any and all strategies to "jump start" language. Many clinicians are knowledgeable and trained in the use of the Picture Exchange Communication System (PECS), schedule boards, communication books and augmentative-alternative communication devices. Some clinicians use American Sign Language or Signing Exact English. Bilingual/bicultural staff members provide all bilingual assessment and treatment.

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Hearing Impairment

Peninsula Associates provides communication services for individuals with hearing impairment and deafness. Many of our clinicians have experience with:

  • Hearing aids and cochlear implants
  • Aural rehabilitation
  • Speech reading
  • Speech/voice training
  • Sign language
  • Total communication
  • Deaf culture

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Communicative Effectiveness

We offer communicative effectiveness programs for the working professional. Our training programs focus on communicating with colleagues and managers in the work environment as well as understanding language styles and cultural differences. Programs are also available to boost self-confidence and improve organization for business presentations. Our trainers focus on preparation, content organization, body language and speaking styles. These programs may be implemented in the client's work setting or at our offices.

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Fluency (Stuttering)

We utilize a variety of approaches in treating both the child and adult stutterer to promote fluent/controlled speech and improve self-confidence. For younger children, clinicians often provide indirect modeling of fluency-shaping strategies as well as parent counseling. Peninsula Associates offers support and practice groups that provide a comfortable environment to practice techniques during role-playing, script reading or sharing everyday experiences. We encourage participation in  local stuttering support organizations.


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We provide therapy activities to establish and maintain good vocal hygiene for:

  • Vocal nodules and other vocal lesions
  • Inappropriate loudness/rhythm/rate/pitch
  • Harsh/weak/breathy/nasal vocal quality

Examination by an ear, nose and throat (ENT) specialist may be required before voice therapy can proceed.

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Accent Modification

Peninsula Associates' clinicians are trained and certified in specialized accent modification programs. These programs focus on optimizing the communication skills of foreign-born speakers, understanding cultural differences and improving both personal and public speaking skills. Individual and group sessions are available. Most programs are accompanied by written and audio taped home activities. Services may be provided at our offices or on-site.

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Transgender and Gender Diverse Communication Services

Peninsula Associates is committed to working in a caring, thoughtful and allied partnership with adult and adolescent speakers in transitioning to speech, voice and communication styles that match their gender identity and individuality.

Clients are usually seen for an initial 3-hour session that includes assessment, consultation and diagnostic therapy. Follow-up individual therapy services are also available. Group therapy may also be available by special arrangement. Clients typically practice:

  • Vocal pitch ranges
  • Vocal resonance and pitch placement
  • Inflection/melody patterns
  • Other communication factors such as voice quality, language styles and nonverbal skills

Examination by an ear, nose and throat (ENT) specialist may be required before voice therapy can proceed.

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Serving the Peninsula Community Since 1978