← Rehabilitation

Speech-Language
Pathology

outpatient rehabilitation clinic
(307) 755-4730

Please call for more information or to schedule an appointment

This inpa­tient and outpa­tient based health ser­vice pro­vides eval­u­a­tions and treat­ments for cog­ni­tive and com­mu­ni­ca­tion dis­or­ders, swal­low­ing dif­fi­cul­ty, and changes in voice and speech. 

we provide


Eval­u­a­tion and Treat­ment for Cog­ni­tive and Com­mu­ni­ca­tion Disorders

Cog­ni­tive com­mu­ni­ca­tion dis­or­ders result from impaired func­tion­ing of one or more of the fol­low­ing cog­ni­tive processes:

  • Atten­tion
  • Exec­u­tive Function
  • Insight
  • Judge­ment
  • Lan­guage
  • Orga­ni­za­tion
  • Ori­en­ta­tion
  • Prob­lem Solving
  • Pro­cess­ing Speed
  • Rea­son­ing

A per­son with a cog­ni­tive com­mu­ni­ca­tion dis­or­der may have dif­fi­cul­ty per­form­ing every­day activ­i­ties nec­es­sary for work, school, house­hold man­age­ment, or social par­tic­i­pa­tion. They may have dif­fi­cul­ty recall­ing infor­ma­tion, fol­low­ing direc­tions, or say­ing and under­stand­ing speech and language.

Eval­u­a­tion and Treat­ment for Swal­low­ing Dif­fi­cul­ty (Dys­pha­gia)

The goal of treat­ment is to make the swal­low as safe and effec­tive as pos­si­ble. We do this by uti­liz­ing a vari­ety of treat­ment methods:

  • Exer­cis­es to increase the range of motion, speed, and strength of the muscles
  • Mod­i­fied Bar­i­um Swal­low Stud­ies — this is a pro­ce­dure that is com­plet­ed in Radi­ol­o­gy with the Speech Lan­guage Pathol­o­gist and Radi­ol­o­gist. It con­sists of mon­i­tor­ing liquid/​food as it moves from the mouth, into the phar­ynx, and into the esophagus
  • Amp­Care ESP swal­low­ing pro­to­col — per­formed by a cer­ti­fied clin­i­cian for the treat­ment of dys­pha­gia that com­bines neu­ro­mus­cu­lar elec­tri­cal stim­u­la­tion with resis­tive swal­low­ing exercises

Eval­u­a­tion and Treat­ment for Voice and Speech Changes

The goal of voice and speech ther­a­py is to achieve the best pos­si­ble voice with the least amount of effort. Voice changes include hoarse­ness, poor vocal qual­i­ty, voice fatigue, effort­ful voic­ing, weak voice, or qui­et voice. Voice ther­a­py ses­sions may include:

  • Edu­ca­tion on how the voice works
  • How to take care of the voice (vocal hygiene)
  • Exer­cis­es to strength­en the voice
  • Iden­ti­fy­ing spe­cif­ic vocal tech­niques that will improve vocal quality
  • Improv­ing the clar­i­ty and under­stand­abil­i­ty of speech
  • Work­ing with a cer­ti­fied clin­i­cian in the Lee Silver­man Voice Treat­ment (LSVT® LOUD) for speech and voice dis­or­ders relat­ed to Parkinson’s dis­ease and oth­er neu­ro­log­i­cal disorders.

Eval­u­a­tion and train­ing for Aug­men­ta­tive and Alter­na­tive Com­mu­ni­ca­tion (AAC) and Speech Gen­er­at­ed Devices (SGD)

Aug­men­ta­tive and alter­na­tive com­mu­ni­ca­tion (AAC) includ­ing speech gen­er­at­ing devices can give a voice” to indi­vid­u­als who can­not func­tion­al­ly com­mu­ni­cate using their own abil­i­ty to speak. Our Speech Pathol­o­gist provide:

  • Com­pre­hen­sive AAC eval­u­a­tions for chil­dren and adults
  • Edu­ca­tion on pur­chas­ing infor­ma­tion for devices
  • Device train­ing and sup­port pro­vid­ed to the patient and care­givers for low tech AAC devices and high tech AAC devices

our team

Shelley Barton, MS, CCC-SLP
Speech Language Pathology Provider
Karlee Smith, MS, CCC-SLP
Speech Language Pathology Provider