Business Name: Therapy and Beyond
2020 East Hebron Parkway, #100
Carrollton, Texas 75007
Phone Number: (469) 892-7500
Email Address: email@example.com
Describe treatment approach used: First and foremost, I work to establish rapport and instructional control. I follow the patient's areas of interest and motivation to condition myself and the environment with reinforcers. Working on any speech is often hard and incredibly effortful for the child, so it is even more important to keep the value of engagement high.
Depending on motivation and behavior, I strive for frequent and intensive practice of highly specified and limited speech targets with the recommended 100-200 trials within a 30 minute session. These are initially rapidly mass trialed and consistently presented (“blocked practice”) to give sufficient practice for learning the specific speech motor planning for the targeted speech movements.
Treatment procedures are analyzed and modified both moment to moment within the session as well as over the course of treatment as progress is made toward treatment goals. For example, I follow Dynamic Temporal and Tactile Cueing for speech motor learning. Multi-sensory cues are provided to facilitate the correct speech movements (i.e. auditory, visual, tactile, cognitive, etc). As the patient is responding more fluently (accurately and timely), I probe the stimulability of maintaining these correct responses with less intrusive prompts/cues and adjust treatment accordingly (constantly adding or fading cues following each trial). Also, my background as a BCBA has provided specific training and knowledge of the use of errorless teaching (“cueing before failure”) that promotes success using DTTC. Functional vocabulary words are used as targets to maximize the outcome of the treatment. These words typically include the patient’s favorite items, activities, actions, and people.
It is important to note that all sessions are conducted as individual speech therapy, 1:1 direct. Depending on scheduling, funding, and availability, sessions occur multiple times per week.
Describe parent/caregiver involvement: All of relevant areas are integrated into parent/family training and involvement. These skills involve intensive direction, skill teaching, and feedback. These include motivation, practice intensity, individual targets, descriptive feedback, and use of DTTC. Parent training is required at a minimum of once per month, but it occurs more frequently as the parent/family are able to participate. This occurs as direct overlap in session. Less frequently, it includes role-play or video recordings. Parent education is a vital piece of teaching the importance of how to continue to teach and generalize taught skills. Recommendations for treatment intensity are provided to support parent carryover. Parents are required to complete practice sessions outside of the time the patient comes for direct intervention. Also, therapy materials (i.e. books, games, crafts, toys/prizes) are specified for home sessions to prevent satiation and to provide consistent implementation.
Describe your past and current involvement in the Apraxia community? Registered user on CASANA website
Apraxia-Kids Email List Serv
Member of the Apraxia-Kids Closed Facebook Group
Do you provide consultation/collaboration with other professionals (for example, attending IEP meetings, co treating, etc.) Yes
Age range treated? 12-15 months years to 21 years years
Hours of operation: M - F; 9:00 AM - 5:30 PM
Locations where treatment is provided? Office/Clinic
Insurance accepted? Yes
Business Name: Therapy and Beyond