Self-Determination Services
Rachel Madel Speech Therapy Inc. provides individualized communication support services designed to help participants build the functional communication, social, adaptive, and self-advocacy skills needed for meaningful participation in everyday life.
Our services are focused on supporting individuals in home and community environments, with an emphasis on increasing independence, strengthening relationships, and improving access to daily activities.
We use a strengths-based, highly individualized approach to support each participant’s ability to communicate, engage, and participate more fully in their natural environments.
What We Support
Functional Communication in Everyday Life
We support participants in developing practical communication skills that can be used across daily routines and real-world interactions.
This may include:
Expressing wants, needs, choices, and opinions
Engaging in back-and-forth interactions
Building relationships and social connections
Participating in daily routines with greater independence
Navigating community environments with increased confidence
AAC & Communication Systems
We support participants in using communication systems, including augmentative and alternative communication (AAC), to increase access, independence, and participation in everyday life.
Services may include:
Supporting the use of AAC within daily routines and activities
Helping communication partners model and respond effectively
Increasing access to communication across environments
Promoting communication for a variety of real-life purposes
Social Communication & Community Participation
We support the development of skills needed for meaningful interaction and participation in social and community settings.
This may include:
Initiating and maintaining interactions
Participating in shared activities
Understanding and responding to social situations
Expressing preferences and advocating for needs
Engaging in group and community-based experiences
Adaptive Skills & Daily Living Participation
We support communication as it relates to daily living, routines, and participation in everyday activities.
This may include:
Following and participating in daily routines
Managing transitions between activities
Supporting flexibility and problem-solving
Participating in tasks and responsibilities
Building independence in everyday situations
Caregiver & Team Coaching
Caregiver and team support is a central part of our model.
We work with caregivers and other team members to:
Implement communication strategies within everyday routines
Support participation and engagement across environments
Create consistency across home and community settings
Build confidence in supporting communication throughout the day
Where Services Take Place
Services are provided in natural, real-life environments where communication and participation occur, including:
Home settings
Community spaces
Recreational activities
Social outings
Other everyday environments
This approach supports meaningful skill use, generalization, and long-term independence.
How Our Approach Is Different
Our services are distinct from clinic-based or medically-based services in that we:
Focus on real-world communication and participation
Provide support within everyday routines and environments
Emphasize independence, inclusion, and quality of life
Incorporate caregiver and team coaching for carryover
Address communication barriers that impact daily life and community access
Who We Work With
We collaborate with:
Families and caregivers
Independent facilitators
Regional Center teams
Other service providers
All services are individualized and designed to support meaningful outcomes in everyday life.
Our Commitment
We are committed to providing services that are:
Individualized and strengths-based
Focused on functional communication and daily life participation
Rooted in natural environments
Supportive of long-term independence and community inclusion