Frequently Asked Questions (FAQ)

Here you will find answers to the most frequently asked questions about our services. This section is designed to help you better understand how we operate, the terms and conditions of our services, and the steps to follow to receive support tailored to your needs.

Are speech-language pathology services covered by RAMQ? The Québec Health Insurance Plan (RAMQ) does not cover speech-language pathology services provided in private clinics. However, speech-language pathology services offered through CLSCs, rehabilitation centres, or hospital settings are covered by RAMQ.

Do I need a referral to access services? No medical referral is required to access services at Cabinet JBM. However, some insurance providers may require a referral for reimbursement purposes. It is the client’s responsibility to verify reimbursement conditions with their insurer.

Are services covered by insurance? Many insurance plans cover, at least partially, the cost of speech-language pathology services. However, certain services provided by speech-language pathologists may not be included in this coverage. In addition, the following services may not be covered by some insurance providers: communication and language assistant services, specialized education technician services, parent coaching, and administrative fees. It is the client’s responsibility to verify reimbursement conditions with their insurer. Upon request, Cabinet JBM can provide a detailed estimate to help confirm whether services will be reimbursed.

Do you provide receipts for insurance purposes? A receipt is sent by email after each payment. It accurately reflects the services provided, including the name of the person who received the services and the exact date on which they were delivered. In accordance with legal and professional obligations, no modifications can be made to this information. The client is responsible for submitting the receipt to their insurance provider for any reimbursement request.

Is an assessment required? It is important to note that speech-language pathology is a regulated profession overseen by the *Office des professions du Québec*, and speech-language pathologists must comply with a professional code of ethics, which requires that a summary of assessment results be included in the clinical record. For this reason, at Cabinet JBM, speech-language pathologists complete an assessment before beginning speech-language therapy or targeted language stimulation services. This also allows for an accurate understanding of needs and the development of an appropriate therapy plan.

I already have an assessment. Do you accept it? If a client already has one or more reports from another professional, it is important to inform the speech-language pathologist. They may recommend complementary assessment, a brief reassessment, or a full assessment if the reports are considered incomplete or outdated. This process is carried out in accordance with the Code of Ethics of the Ordre des orthophonistes et audiologistes du Québec to ensure care aligned with best practices and the individual’s specific needs.

How many sessions will I need? The number of sessions varies greatly depending on the nature and severity of the difficulties, the person’s age, their needs, and their progress over time. Some individuals may only require a few appointments, while others may benefit from longer-term support. The frequency of appointments may also differ — weekly, biweekly, monthly, or sometimes more intensive for certain situations. Appointments generally last between 30 and 60 minutes. A pause may also be recommended during the process to allow time to integrate new skills. A reassessment may be suggested if new needs arise later on, particularly during school transitions or as language development evolves. Follow-up planning is always established in collaboration with the speech-language pathologist or responsible clinician, based on the assessment and the established goals. Client involvement, as well as the participation of parents, school or childcare environments, and the application of strategies at home, has a significant impact on progress. Engagement outside of appointments is often a key factor in success.

What is the difference between a speech-language pathologist and a communication and language assistant? Although speech-language pathologists and communication and language assistants often work closely together, their roles, training, and responsibilities are distinct. A speech-language pathologist is a regulated healthcare professional who holds a master’s degree in speech-language pathology and is a member of a professional order. They are qualified to conduct comprehensive assessments of language, speech, and communication, formulate speech-language pathology conclusions, and develop personalized therapy plans. Speech-language pathologists may also provide specialized care, particularly in complex situations or those requiring advanced clinical expertise. A communication and language assistant, on the other hand, supports the implementation of the therapy plan established by the speech-language pathologist. They carry out recommended objectives and strategies within an educational, preventive, or consolidation framework, under the clinical guidance of a speech-language pathologist. Communication and language assistants cannot conduct speech-language pathology assessments, make diagnoses, or determine new therapeutic goals.

What is the difference between speech-language pathology and orthopedagogy (learning support)? Speech-language pathology and orthopedagogy are two complementary but distinct disciplines that may sometimes work with the same individuals, particularly in the context of school learning. While their services may overlap, their responsibilities, approaches, and objectives are not the same. A speech-language pathologist is a healthcare professional specialized in communication and language disorders. They assess and treat difficulties related to oral language (comprehension, expression), written language (reading, writing), speech (articulation, fluency, voice), verbal reasoning, and mathematical language (understanding instructions, abstract concepts, problem-solving). Speech-language pathologists focus on the underlying cognitive and language processes that support learning. They can formulate speech-language pathology conclusions, develop personalized intervention plans, and support clients of all ages. An orthopedagogue (learning support specialist), on the other hand, primarily works within an educational context. Their role is to support students who experience learning challenges, mainly in reading, writing, or mathematics. They do not assess language disorders or provide diagnoses but instead implement practical strategies to help students better understand material, succeed in their academic tasks, and develop autonomy in their learning. In summary, the speech-language pathologist works on the foundational language and reasoning skills that enable learning, while the orthopedagogue supports students in applying and consolidating academic learning. Collaboration between the two can be highly beneficial, especially when a student presents both language-related and learning challenges.

Can exposure to multiple languages affect my child’s language development? Being exposed to multiple languages from early childhood does not harm language development. On the contrary, learning several languages at the same time is natural and can offer cognitive, social, and cultural benefits. It is normal for a child learning multiple languages to sometimes mix words from different languages within the same sentence or to appear to have a smaller vocabulary in each language individually. This does not indicate a delay but rather reflects a typical distribution of linguistic knowledge. What matters most is that the child is exposed to rich and consistent language models within a secure and supportive environment. Even children with language difficulties or a diagnosis can learn multiple languages, provided they receive appropriate support. Parents are therefore encouraged to continue speaking their own language with their child without fear of hindering development. If concerns persist regarding overall language development, a speech-language pathology assessment can help provide clarity.

Is telepractice intervention effective? For many clients, telepractice intervention is recognized as being as effective as in-person appointments, both in speech-language pathology and language stimulation. It follows the same quality standards and relies on clinical tools adapted for remote delivery. Telepractice allows for structured, dynamic, and interactive intervention while improving access to services, particularly for individuals with travel constraints or those living in less-served areas. It can also encourage greater involvement from parents or caregivers, who may find it easier to participate from the comfort of their home. At Cabinet JBM, since some clinicians offer their services exclusively through telepractice, this modality is often available more quickly than in-person services. Before beginning services, the clinician ensures that telepractice is appropriate for the individual’s profile, age, and specific needs.

In which languages are services offered? All of our clinicians provide services in French, and many are also able to offer support in English. In addition, some members of our team can provide services in Arabic. When submitting a service request, you may indicate your preferred language·s so that we can match you with a clinician who meets your linguistic needs.

Do you offer evening or weekend appointments? Our clinicians’ usual availability is from Monday to Friday, between 8:00 a.m. and 4:00 p.m. We encourage you to take this into account when planning your schedule. That said, some of our clinicians — particularly communication and language assistants — occasionally offer evening and weekend availability. Please note that these time slots are in high demand and availability is limited.

At what age can someone consult a speech-language pathologist? It is never too early — or too late — to consult a speech-language pathologist. Intervention can begin as early as the first months of life, particularly when there are concerns related to feeding, sucking, or early interactions. As a child grows, support may focus on oral language development, especially around 12 months of age, when first words and early verbal communication skills begin to emerge. Preschool- and school-aged children are commonly seen for difficulties related to speech, oral language, social communication, reading, writing, or academic learning. Adolescents may also consult, for example, for stuttering, written language difficulties, or social communication challenges. Adults and seniors also benefit from speech-language pathology services. Speech-language pathologists can help with voice, speech, or language disorders following a stroke, traumatic brain injury, or in the context of neurodegenerative conditions (such as Parkinson’s disease or Alzheimer’s disease). They may also support the development or improvement of communication skills, whether for personal or professional purposes. In summary, speech-language pathology consultations are possible at any stage of life. If you have concerns about communication, language, speech, or swallowing, a speech-language pathologist can support you, regardless of your age or that of your loved one.

When should I be concerned about my child’s development? It is natural to have questions about your child’s language development. As a parent, you are the expert on your child and are often the first person to notice early signs of a possible language delay or disorder. Here are some general guidelines that may help you determine whether consulting a speech-language pathologist would be appropriate: Between 6 and 12 months: your child does not respond to sounds, does not babble, or shows little interest in social interactions. Between 12 and 18 months: they use fewer than 10 words, do not point to communicate, or do not understand simple instructions. Between 18 months and 2 years: they say few understandable words, do not combine two words to express themselves, or only understand familiar routine words. Around 3 years of age: they do not produce complete sentences, are difficult to understand for people who do not interact with them regularly, or do not understand simple instructions. It is important to remember that these are general guidelines and that each child develops at their own pace. However, if you have concerns, doubts, or questions, this alone may indicate that a consultation with a speech-language pathologist could be helpful. An assessment can determine whether your child’s language development is following a typical trajectory or whether additional support may be beneficial. In summary, trust your parental instincts. Early intervention can make a significant difference in the development of your child’s communication skills.

For any other questions

Feel free to contact us at info@cabinetjbm.com . We will be happy to assist you.