How do we make it work?
Home practice between online speech therapy sessions
Home practice is short, guided practice between sessions, set and checked by the speech pathologist. What it looks like for...
A private speech therapy service for children and teenagers up to 18, by video with Dr Lauren Crumlish (PhD), Certified Practising Speech Pathologist. Sessions happen at home, wherever your family lives in Australia.
Starts with an assessment from $590. Sessions are $193. Medicare rebates are available with a doctor's referral.
How It Goes
What happens, in order, when a family works with Dr Lauren online.
Tell us about your child in the application form. It takes about three minutes. Our team will review your application; a place cannot be guaranteed.
Every family starts with an assessment by video: $590, $890 or $1,290, depending on what needs to be looked at. Dr Lauren then talks you through what she found and the plan.
What an online assessment involvesOne hour of service: 45 minutes of therapy by video, and 15 minutes of preparation and notes. Who does what depends on age. A toddler's parent does the playing while Dr Lauren coaches, a school-age child works at the screen with a parent nearby, and a teenager usually attends on their own.
Between sessions, the family's part is short, guided practice that Dr Lauren shows step by step and checks at the next session.
The research is encouraging and not complete. The main studies, and where the evidence is thin, are set out further down this page.
Often they do not need to. With a toddler, the parent is coached and the child plays; nobody asks a two year old to sit at a screen.
A laptop or tablet with a camera, a steady internet connection and a quiet spot where your child's face can be seen. A phone is a last resort.
Online speech therapy is not the right choice for every child, and for some, in-person help is the better place to start. When video suits and when it does not .
By Video, Wherever You Live
The evidence, in brief
The research on speech therapy by video is encouraging, and it is not complete. A 2017 systematic review (Wales, Skinner and Hayman, International Journal of Telerehabilitation) looked at seven studies of telehealth speech and language therapy for primary school children and found limited but promising evidence, with children seen by video and in person making similar gains on most measures. For early stuttering, a 2016 randomised trial of 49 preschool children (Bridgman and colleagues, Journal of Speech, Language, and Hearing Research) compared the Lidcombe Program by webcam with the same program in a clinic and found insufficient evidence of a difference in stuttering between the two groups nine months later.
The evidence is thinner for children under three, for autistic children, and for school-age children and teenagers who stutter, and few studies follow children for long. The research, study by study
One Clinician
Every session at Online Speech Therapy is with Dr Lauren Crumlish. The person who assesses your child is the person who works with them in every session after that. Dr Lauren holds a PhD from The University of Queensland; she is a speech pathologist, not a medical doctor. Dr Lauren works with a small number of families and has limited availability. About Dr Lauren
Fees And Funding
Every family starts with an assessment, then sessions are one set fee. Both are published so you know the cost before you apply.
Therapy
One hour of service: 45 minutes of therapy by video, and 15 minutes of preparation and notes
$193
First, an initial assessment
$590
Usually for late talkers, stuttering and speech clarity
$890
Usually for school-age language, literacy or social communication
$1,290
Usually for both language and literacy in a school-age child
Medicare rebates are available with a doctor's referral, and private health cover may apply depending on your fund. Online Speech Therapy is not a registered NDIS provider: self-managed and plan-managed participants are welcome, and NDIA-managed funding cannot be used. Fees in full and how Medicare, the NDIS and private health apply to video sessions .
Wherever You Live
A video session needs a device and an internet connection, not a clinic within driving distance. Families on properties, in small towns and on the road work with the same clinician as a family in a capital city, and keep her if they move. Where the connection is the weak point, the page for rural, remote and travelling families covers satellite and mobile data and what happens when a call drops.
No travel to a clinic
The same clinician if you move
Sessions at home, by video
Before You Decide
Will it suit my child, who do we choose, how do we pay and how do we make it work: each question answered in full.
See All GuidesHow do we make it work?
Home practice is short, guided practice between sessions, set and checked by the speech pathologist. What it looks like for...
Who do we choose?
Find out exactly who will work with your child, check they are a Certified Practising Speech Pathologist and ask whether...
Will it suit us?
Online speech therapy suits a child when the help they need can be given by talking, listening and playing on...
How do we pay?
Medicare rebates apply to speech therapy by video when your child has the right referral. The video items, the rebate...
How do we make it work?
A speech therapy app cannot replace a speech pathologist, but a good one can give extra practice of a skill...
Will it suit us?
Your child does not need to sit still for online speech therapy. What engagement looks like for toddlers, young children...
Questions
Online Speech Therapy is an online service: every session is by video. For some children in-person help is the better place to start, and the guide “Is online speech therapy right for my child?” sets out when.
No. You do not need a referral to apply or to start. A doctor's referral is only needed if you want to claim a Medicare rebate.
Dr Lauren works with children and teenagers up to 18. Sessions run differently for toddlers, school-age children and teenagers, and this site has a page on each.
If your family can hold a video call without it freezing, your connection is usually enough for online speech therapy. The technology and set-up page explains how to test it and what to do on satellite or mobile data.
Yes. Dr Lauren Crumlish is the only clinician at Online Speech Therapy, so she carries out the assessment and every session.
No. Online Speech Therapy is not a registered NDIS provider, so NDIA-managed funding cannot be used. Self-managed and plan-managed participants are welcome. It is not a Thriving Kids provider.
Session times are arranged with each family when a place is offered, and the application form asks which times could suit you. What happens with a missed or cancelled session is set out at the same time.
Dr Lauren works with a small number of families and has limited availability, so a place cannot be guaranteed. Our team will review your application, and if a place that suits your child is available, we will be in touch. Not every application receives an individual reply.
Yes. Online speech therapy, online speech pathology, telehealth speech pathology, virtual speech therapy and telepractice are names for the same thing: a speech pathologist working with your child by video call. In Australia the profession is called speech pathology, and many families say speech therapy.
Work With Dr Lauren
Dr Lauren works with a small number of families and has limited availability. Tell us about your child, and our team will review your application.
Apply Now