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The Speech-Language Telepractice and Education Project (STEP) was created to provide access to high‑quality, culturally responsive speech‑language pathology services for persons within the Caribbean and marginalized communities around the world.
We are a mission‑driven telepractice committed to access, equity, and education. Our work is grounded in the belief that communication is a human right, and no individual should be denied services because of geography, financial limitations, or systemic barriers. STEP blends innovation with compassion, delivering evidence‑based care while empowering communities through widespread education and outreach.
To ensure affordability without compromising quality, STEP operates through a Tiered Service System designed to meet people exactly where they are. This is made possible through the redistribution of profits, donor support, and strategic partnerships, allowing us to expand access, sustain excellence, and reinvest directly into the communities we serve.
Our services include comprehensive assessments and individualized therapy in the following areas:

Articulation therapy focuses on teaching correct sound production and Phonology therapy addresses patterns of sound errors to build a stronger foundation for language and literacy.

This occur when a child’s ability to produce sounds, understand words or use language effectively does not develop as expected for their age. These difficulties may affect speech clarity, grammar, vocabulary, or social communication.

This disorder affects a person’s ability to use language appropriately in social situations. Individuals may have difficulty understanding social cues, taking turns in conversation, adjusting speech for different listeners, or interpreting nonverbal communication such as facial expressions and tone of voice.

A Reading and Literacy Disorder affects a person’s ability to recognize words, understand written text, and connect sounds to letters.

A Fluency Disorder affects the flow, rhythm, and rate of speech. The most common type is stuttering, where speech may include repetitions (e.g., “b‑b‑ball”), prolongations, or blocks that interrupt smooth communication.
Individuals with fluency disorders may also experience tension or struggle when speaking.

This refers to difficulties with mental processes such as memory, attention, problem-solving, language, and executive functioning. People with cognitive impairment may struggle to remember information, organize thoughts, make decisions, or communicate effectively .
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