• Address: 3552 Avon St., Hartland MI 48353
  • Opening hours Monday - Thursday: 9AM - 6PM
    Friday: 9AM - 1PM


Learn more about the qualifications, certifications, and professional experience of our dedicated speech therapists. Rest assured that our commitment to excellence ensures that you or your loved one will receive the personalized, compassionate care you deserve.


What is The SPEAK OUT! and The LOUD Crowd?

SPEAK OUT! is a therapy regimen tailored to people with Parkinson’s disease to improve their voicing, and in turn, their swallowing. In this program, speech is transformed from an automatic function to an intentional task. SPEAK OUT! is usually completed and 12 sessions spanning four weeks, and then the client transitions to The LOUD Crowd. In this four-week span, clients report improvement in their speaking, and their ability to be heard, and their overall quality of life.

The LOUD Crowd is the group therapy portion of the program and meets once weekly. The sessions provide maintenance for skills obtained during SPEAK OUT! and are a source of camaraderie for the members.

The SPEAK OUT! and The LOUD Crowd therapy regimens were developed at Parkinson Voice Project in Richardson, TX. You can visit their website HERE.

What costs are associated with these services?

The speech therapist will bill your insurance for SPEAK OUT! treatment services provided. Please check with your insurance to determine the co-pay or cost associated with these services.

I have Parkinson’s disease. When should I begin seeing a speech therapist?

According to studies, up to 89% of people with Parkinson’s disease develop difficulty communicating and up to 95% develop difficulty swallowing. To postpone and prevent this decline, it is optimal to begin speech therapy as soon as possible. Participation in The SPEAK OUT! and The LOUD crowd can change the effects that Parkinson’s disease has on your voice. Muscles become weak because they are not used to their full capacity, not because Parkinson’s is making them weak. The SPEAK OUT! and The LOUD crowd requires you to use the muscles for speaking and swallowing to their full potential to prevent decline.

Evidenced-based treatment

Tailored To Meet Your Unique Needs

Areas of Expertise

Activities of Daily Living

Occupational Therapy (OT) encompasses all of our meaningful daily activities that we want or need to do on a daily basis. Some of these activities, or “Occupations,” are also commonly referred to as “self-care” and include bathing, dressing, grooming, toileting, and eating. OT also helps with other daily tasks such as walking, shopping, lifting, cooking, and many other daily activities of life.


Aphasia is the impairment or absence of comprehension and/or communication skills as a result of an injury to the brain’s language center. It can apply to spoken or written words and numbers and is most commonly associated with stroke and brain injury. It is characterized by a disturbance of the comprehension and formulation of language. It is loss of language, NOT cognition. 


Apraxia is the difficulty and/or inability to execute purposeful and coordinated movements even though the person has the desire to speak and the mouth and tongue muscles are physically able to form words. This often results in rearranged sounds within words. 


The ability to obtain and sustain appropriate attention to a task while filtering out irrelevant stimulation in order to focus on the information that is important in the moment. This can be influenced by motivation, self-esteem, sensory integration, practice, language difficulties and any existing diagnosis. This can result in difficulties learning new skills, successful social interactions, learning and broadening a repertoire of play skills, inability to follow instructions, receptive (understanding) language, and auditory processing (accurately understanding verbal information).


Cognitive rehabilitation services address difficulties in areas such as attention, memory, organization, visuoperception, problem-solving, self-monitoring, and self-awareness in order to maximize an individual’s safety, daily functioning, independence, social participation, and quality of life. Treatment of this area includes increasing awareness of deficits, goal setting, compensation, internalization of strategies so they become more automatic and generalize to wider context. 


Dysarthria is difficulty in articulating words due to a disturbance in the central nervous system often resulting in slow and slurred speech. Treatment involves intensive focus on oral-motor skill development.

Dysphagia/Feeding Disorders

Dysphagia is difficulty in swallowing food, liquids, and even saliva, due to muscle weakness or paralysis. Individuals may experience mild to severe difficulties when swallowing, including: Coughing, choking or throat-clearing while eating or drinking, throat pain or discomfort, sensation of food sticking the mouth, throat or upper chest, or gurgling noises when speaking. Feeding disorder happens when an infant or child has trouble eating or refuses to eat. Feeding difficulties may be an effect of underlying medical complications, but may also be related to sensory and behavioral issues. Symptoms of a feeding disorder may include: refusal to eat, trouble swallowing, taking longer than normal to eat or drink, vomiting, choking, gagging, and behavioral difficulties.

Executive Functioning

This is the cognitive processes that enable us to plan, focus our attention, remember instructions, and juggle multiple tasks successfully in various environments. The brain needs this skill set to filter distractions, prioritize tasks, set and achieve goals, and control impulses. Executive functioning helps you manage time, pay attention, switch focus, plan and organize, remember details, avoid saying or doing the wrong thing, do things based on your experience, and multi-task.

Fine Motor Coordination

This crucial skill involves the precise coordination of these small muscles to perform intricate movements with accuracy and control. Individuals sometimes need help of an OT for maintaining or regaining control of their fine motor skills to accomplish many actions required for daily activities of life. Fine motor coordination refers to the adept utilization of the intricate hand and finger muscles to skillfully grasp, manipulate, and manage objects essential for tasks like self-care, feeding, and writing.

Gross Motor Coordination

By assessing individual needs, OTs guide individuals towards improved coordination, balance, and strength, ultimately enhancing their overall quality of life. Gross motor coordination involves harnessing the power of major muscle groups for purposeful movement, and OTs play a crucial role in enhancing this ability. Through tailored interventions and exercises, OTs can help individuals refine their gross motor skills, enabling them to navigate their environment more effectively, perform self-care tasks with confidence, engage in recreational activities, and excel in their work-related responsibilities.

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Our goal is to provide comprehensive speech and language assessments and develop individualized treatment programs for both children and adults with developmental with developmental or acquired brain injuries. Let’s get start this journey together.