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Business Name: Child Mind Institute

Address::
445 Park Avenue
New York, New York 10022

Phone Number: (646) 625-4395

Email Address: alexandra.nussbaum@childmind.org

Website: https://childmind.org/bio/alexandra-nussbaum/

Describe treatment approach used: - Select target words (how many to start with will depend on severity, but probably starting with around 5-10 words) that contain existing sounds and/or word shapes
- Choose targets that are obtainable, and also functional/meaningful
- Use principles of motor learning to determine how practice will be organized
- Heir on the side of more intense, shorter sessions, more frequently
- Aim for maximal practice in sessions
- Utilize principles from Dynamic Temporal and Tactile Cueing (DTTC) to facilitate target (e.g., direct imitation, simultaneous production)
- Use any and all cueing systems to elicit the targets with movement accuracy!!
- Practice CORRECTLY!!
- 95% of my sessions are play-based where the targets are meaningful within the session. I choose materials that support meaningful production of the targets. For example, bubble play to elicit "pop" "go" "mine" "up" etc.

Describe parent/caregiver involvement: Choosing targets: parents are the experts on their own children; they are insightful about what motivates them, what is meaningful to them, etc. Parents are involved in helping choose target/stimuli for the seasons (e.g., names of pets/friends, favorite toys/games, etc).

Practice: once movement accuracy is achieved for a target, I will give the parents a list of words to incorporate at home. If we are targeting movement patterns (e.g. rounding), I will work with them to think of contexts outside of the clinic where those targets can be practiced.

If possible for parents to attend the treatment session, I may work with a parent on "what to look for" and how to cue certain sounds that they could then work on at home.

Describe your past and current involvement in the Apraxia community​?​ I have treated and evaluated many children with CAS. I attended CASANA national conference this past July. I have presented on CAS to other treatment providers, parents, and educators through the Early Intervention Training Institute (EITI) at my previous job.



Do you provide consultation/collaboration with other professionals (for example, ​​attending IEP meetings, co treating, etc.) Yes

Age range​ treated?​ 18 months years to 18 years years

Hours of operation: 9:00am - 6:00pm

Locations where​ treatment ​is ​provided? Office/Clinic

Insurance accepted? No

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