About Me:

Thank you for reaching out to me and by visiting, expressing an interest in learning more about me! My name is Robin Kahn.  I am a speech-language pathologist with eclectic experience in work across a variety of settings and across the lifespan.  With an interest in helping children and adults learn how to incorporate strategies to enhance cognitive, feeding, language and literacy skills; I welcome the opportunity of working with different family members, those significant to those with whom I work as well as educational or medical members of their care, using evidence-based approaches to treating a variety of communication disorders.

My work began over thirty years ago when I completed my Master’s degree at Teachers College, Columbia University and had my post-graduate work experience in a school setting.

With an interest in neurology, I moved on to that work with developmentally disabled people of different ages who had been transferred from the Willowbrook State Facility https://disabilityjustice.org/the-closing-of-willowbrook/. Some of these adults lived and still live in group homes. I provided services to them in the evenings and trained staff in the use of language activities provided individual therapies which included feeding. With some, the use of low-tech alternative communication systems. https://aacbooks.net/books/AdaptingLowTech/ were utilized and staff became familiar with their use. New to this type of population, staff were being trained to work with adults who experienced significantly compromised language and feeding skills that were significantly compromised by pre-existing neurological deficits Within the hospital, adults with chromosomal opportunities such as Fragile X and Downs Syndrome, Cerebral Palsy came into the outpatient program at the hospital. Group and individual language intervention were provided to these individuals.

I later moved on to work on an adult rehabilitation unit servicing those with a variety of acquired neurogenic speech disorders such as strokes, Multiple Sclerosis, or Parkinson’s Disease. Many were in need of work to re-acquire skills in communication as well as feeding. Formalized assessment of feeding was conducted, patients and significant others trained in the use of strategies to safely consume foods and liquids. Collaborative work with other members of an interdisciplinary team was essential.

Life changed, I became a parent and had the need for a more flexible schedule. I initially transitioned to home health care with an adult population where those from the hospital had been sent home, needing to continue the initial work we had performed on the inpatient unit. The opportunity for the novel field of Early Intervention with zero-three years olds presented itself. https://www.health.ny.gov/community/infants_children/early_intervention/ At this time, I continue that work, taught graduate students at a local college where students were studying to enter the field and have expanded my work to include that of school-aged children with articulation, language, literacy and learning disabilities, those with signs and symptoms of autism and sensory deficits. As well, I provide SPEAKOUT! training. I have special skills in the evaluation of children with feeding disorders and have been trained in the use of PROMPT.

Articulation, Language, Literacy, and Cognitive Deficits

  • I offer provision of services to enhance and maintain skills being learned at school teaching building blocks for success or fill in the developmental gaps that may be affecting academic functioning, based on consultation with educational personnel with those of all ages. Children may not have had needs addressed in the areas of articulation, expressive or recep[tive language development approved for service at school. Some were evaluated but not approved to obtain early intervention services or speech-language therapy in the city schools. Other families have opted out of receiving special education services at school but want this privately.

SPEAK OUT! therapy to assist those with Parkinson’s Disease and related disorders to facilitate the development of a life with intent (awareness and mindfulness) as well as both improve, maintain the strength of muscles used for speech and swallowing. SPEAK OUT! typically consists of twelve speech therapy sessions. Together, the patient and their speech-language pathologist complete speech, voice, and cognitive exercises using a specialized workbook that Parkinson Voice Project provides to every person with Parkinson’s who is enrolled in the program. Consider the following questions and see if you feel that this approach could be beneficial to assist you at this time in the area of speech, language and feeding

*Based on the work of Daniel Boone https://youtu.be/tRFIAP1qZuM  and developed by those at https://www.parkinsonvoiceproject.org 

I am a NYS Department of Health Approved Evaluator and Ongoing Speech-Language and Feeding Therapy. You can find out more detailed information about the program at : https://www.health.ny.gov/publications/0532.pdf

Social Communication Disorders

I provide intervention to children who may have not developed basic social skills. Children who exhibit Autism Spectrum Disorders may demonstrate signs and symptoms of social communication challenges AND these skills may not develop at the same rate in each child. The impact of cultural and life experience cannot be ruled out. The skills of social communication are targeted in treatment. https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934980&section=Signs_and_Symptoms

Autism Spectrum Disorders:

According to the American Speech Language and Hearing Association “The core features of ASD [PDF] include (a) impairments in social communication, language, and related cognitive skills and behavioral and emotional regulation and (b) the presence of restricted, repetitive behaviors. These core features are significantly influenced by an individual’s developmental level of language acquisition (e.g., pre-symbolic, emerging language, and conversational language) and the level of severity of the disorder. In addition to these core features, sensory and feeding issues can also be present.”

Feeding Disorders in Children

Do you have a child who has challenges with feeding? According to the American Speech-Language and Hearing Association the following signs and symptoms may include the following signs and symptoms. Recognizing that feeding is a multi-faceted activity my work might will include that of a family interview to determine the severity of the disorder, discussion about any medical factors and consultation with your child’s doctor.

  • Back arching.
  • Breathing difficulties when feeding that might be signaled by
    • increased respiratory rate;changes in normal heart rate (bradycardia or tachycardia);skin color change such as turning blue around the lips, nose and fingers/toes (cyanosis);temporary cessation of breathing (apnea);frequent stopping due to uncoordinated suck-swallow-breathe pattern; anddesaturation (decreasing oxygen saturation levels).
  • Coughing and/or choking during or after swallowing.
  • Crying during mealtimes.
  • Decreased responsiveness during feeding.
  • Difficulty chewing foods that are texturally appropriate for age (may spit out or swallow partially chewed food).
  • Difficulty initiating swallowing.
  • Difficulty managing secretions (including non-teething-related drooling of saliva).
  • Disengagement/refusal shown by facial grimacing, facial flushing, finger splaying, or head turning away from food source.
  • Frequent congestion, particularly after meals.
  • Frequent respiratory illnesses.
  • Gagging.
  • Loss of food/liquid from the mouth when eating.
  • Noisy or wet vocal quality during and after eating.
  • Taking longer to finish meals or snacks (longer than 30 minutes).
  • Refusing foods of certain textures or types.
  • Taking only small amounts of food, overpacking the mouth, and/or pocketing foods.
  • Vomiting (more than typical “spit-up” for infants)

With an understanding that travel to an office may not be practical for some who seek my help, I offer the opportunity for home visits and flexible hours within Manhattan, New York.  Frequently I am asked  “what can I do at home?  I am here to help you figure out that answers through the provision of initial evaluations, ongoing therapy and training. I participate with some insurance carriers and accept private pay

Feel free to reach out and contact me, if i can be of help. On my contact link, please send me a message

Robin Sue Kahn, MS, CCC/SLP

Related articles and Videos

Articulation, Language, Literacy, and Cognitive Deficits

  • I offer provision of services to enhance and maintain skills being learned at school teaching building blocks for success or fill in the developmental gaps that may be affecting academic functioning, based on consultation with educational personnel with those of all ages. Children may not have had needs addressed in the areas of articulation, expressive or recep[tive language development approved for service at school. Some were evaluated but not approved to obtain early intervention services or speech-language therapy in the city schools. Other families have opted out of receiving special education services at school but want this privately.

SPEAK OUT! therapy to assist those with Parkinson’s Disease and related disorders to facilitate the development of a life with intent (awareness and mindfulness) as well as both improve, maintain the strength of muscles used for speech and swallowing. SPEAK OUT! typically consists of twelve speech therapy sessions. Together, the patient and their speech-language pathologist complete speech, voice, and cognitive exercises using a specialized workbook that Parkinson Voice Project provides to every person with Parkinson’s who is enrolled in the program. Consider the following questions and see if you feel that this approach could be beneficial to assist you at this time in the area of speech, language and feeding

*Based on the work of Daniel Boone https://youtu.be/tRFIAP1qZuM  and developed by those at https://www.parkinsonvoiceproject.org 

I am a NYS Department of Health Approved Evaluator and Ongoing Speech-Language and Feeding Therapy. You can find out more detailed information about the program at : https://www.health.ny.gov/publications/0532.pdf

Social Communication Disorders

I provide intervention to children who may have not developed basic social skills. Children who exhibit Autism Spectrum Disorders may demonstrate signs and symptoms of social communication challenges AND these skills may not develop at the same rate in each child. The impact of cultural and life experience cannot be ruled out. The skills of social communication are targeted in treatment. https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934980&section=Signs_and_Symptoms

Autism Spectrum Disorders:

According to the American Speech Language and Hearing Association “The core features of ASD [PDF] include (a) impairments in social communication, language, and related cognitive skills and behavioral and emotional regulation and (b) the presence of restricted, repetitive behaviors. These core features are significantly influenced by an individual’s developmental level of language acquisition (e.g., pre-symbolic, emerging language, and conversational language) and the level of severity of the disorder. In addition to these core features, sensory and feeding issues can also be present.”

Feeding Disorders in Children

Do you have a child who has challenges with feeding? According to the American Speech-Language and Hearing Association the following signs and symptoms may include the following signs and symptoms. Recognizing that feeding is a multi-faceted activity my work might will include that of a family interview to determine the severity of the disorder, discussion about any medical factors and consultation with your child’s doctor.

  • Back arching.
  • Breathing difficulties when feeding that might be signaled by
    • increased respiratory rate;changes in normal heart rate (bradycardia or tachycardia);skin color change such as turning blue around the lips, nose and fingers/toes (cyanosis);temporary cessation of breathing (apnea);frequent stopping due to uncoordinated suck-swallow-breathe pattern; anddesaturation (decreasing oxygen saturation levels).
  • Coughing and/or choking during or after swallowing.
  • Crying during mealtimes.
  • Decreased responsiveness during feeding.
  • Difficulty chewing foods that are texturally appropriate for age (may spit out or swallow partially chewed food).
  • Difficulty initiating swallowing.
  • Difficulty managing secretions (including non-teething-related drooling of saliva).
  • Disengagement/refusal shown by facial grimacing, facial flushing, finger splaying, or head turning away from food source.
  • Frequent congestion, particularly after meals.
  • Frequent respiratory illnesses.
  • Gagging.
  • Loss of food/liquid from the mouth when eating.
  • Noisy or wet vocal quality during and after eating.
  • Taking longer to finish meals or snacks (longer than 30 minutes).
  • Refusing foods of certain textures or types.
  • Taking only small amounts of food, overpacking the mouth, and/or pocketing foods.
  • Vomiting (more than typical “spit-up” for infants)

With an understanding that travel to an office may not be practical for some who seek my help, I offer the opportunity for home visits and flexible hours within Manhattan, New York.  Frequently I am asked  “what can I do at home?  I am here to help you figure out that answers through the provision of initial evaluations, ongoing therapy and training. I participate with some insurance carriers and accept private pay

Feel free to reach out and contact me, if i can be of help. On my contact link, please send me a message

Robin Sue Kahn, MS, CCC/SLP

Related articles and Videos

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