About speech therapists
Speech and language therapists assess and treat difficulties with language, speech, voice, swallowing and communication in children and adults.
Getting mental health care in Sint Maarten
Public health system · Mental Health Foundation (MHF), funded mainly through SZV Social and Health Insurances
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How to check that a professional is licensed
- Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference. Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online. Search the official register
Insurance and coverage
SZV has care contracts with private psychologists and with the Mental Health Foundation, so SZV-insured people can be covered for psychological assessment and therapy.
Urgent help in Sint Maarten
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 912 · Ambulance
Information reviewed in November 2026 · Sources: thedailyherald.sx, thedailyherald.sx, sintmaartengov.org, thedailyherald.sx
What does a speech therapist do?
A speech therapist assesses and treats difficulties with communication, language, speech, voice, fluency and swallowing. Day to day they might help a toddler say their first words, a child with stuttering or reading-related language problems, an adult recovering language after a stroke, a teacher with voice strain, or an older person with swallowing difficulties. They also guide families, teachers and carers.
When to see a speech therapist
Consider a speech therapist if a child’s speech or language seems delayed or hard to understand, if there is stuttering, persistent hoarseness or voice loss, difficulty finding words after a neurological event, or coughing and choking when eating. Sudden loss of speech or swallowing needs urgent medical attention first. For learning difficulties beyond language, an educational psychologist may also help.
How is it different from other professionals?
A speech therapist works on the mechanics and use of language, speech, voice and swallowing. An educational psychologist or psychopedagogue looks at learning and school performance more broadly. An ENT doctor examines the ear, nose, throat and vocal cords and treats medical causes. A neuropsychologist assesses cognition after brain injury, often alongside a speech therapist working on language recovery.
What happens in the first session
The first session usually includes an interview about the concern and development or medical history, followed by observation and some standardised tests or play-based activities with children. The therapist will explain initial findings and propose a plan. Bring medical, hearing or school reports, recordings if the problem varies, and questions about goals, home practice and how progress is measured.
How long does the process take?
Speech therapy sessions are often shorter than psychotherapy sessions, especially with young children, and usually weekly or twice weekly. Some difficulties improve in a few months; others, such as developmental language disorders or recovery after brain injury, need longer support. Duration depends on age, the type of difficulty, consistency of home practice and involvement of family or school.
Online or in person?
Online speech therapy can work well for many language, fluency and voice goals, for school-age children who can engage on screen, and for parent coaching. It is less suitable for very young children with short attention spans, for detailed swallowing assessments, or when physical prompts are needed. A combination of in-person assessment and online follow-up is common.
How to check their qualifications
Speech therapy is a regulated health profession in many countries. Check that the therapist holds a recognised degree and is registered with the licensing body or professional college where they practise, which often offers a public register. Also ask about postgraduate training and experience in your specific area, such as early childhood, voice, stuttering, neurological rehabilitation or swallowing.
What affects the price?
Prices vary with session length, the therapist’s experience and specialisation, the city, and whether sessions are at a clinic, at home, at school or online. Initial assessments and written reports are often priced separately. Some centres offer monthly plans for regular sessions. Ask whether public services, schools or health insurance cover part of the cost in your situation.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Sint Maarten cover psychological care?
The Mental Health Foundation provides outpatient clinic care, day treatment, guided living, crisis intervention and an admission ward, with psychiatrists and psychologists on staff. It relies mainly on SZV and other insurers for funding since government subsidy ended in 2015. SZV also contracts private-practice psychologists, so SZV-insured patients can be covered for assessment and therapy.
How do I check that a speech therapist is licensed in Sint Maarten?
Ministry of Public Health, Social Development and Labour (VSA); Dutch BIG register as reference: Sint Maarten has no national register of its own yet; a draft National Ordinance on a Healthcare Professionals Registry was completed in 2026 but is not in force. Doctors have generally been required to be BIG-registered, and you can check Dutch BIG registration of psychologists, psychotherapists and psychiatrists online.