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Business Name: Cobblestone Therapy Group

Address::
12010 Etris Road, Suite A-150
Roswell, Georgia 30075

Phone Number: (770) 998-9599

Email Address: heather@cobblestonetherapy.com

Website: http://www.cobblestonetherapy.com

Describe treatment approach used: After the evaluation and dx has been confirmed, I develop a plan to build intelligible speech, that is to work with what the child is currently able to do and build that from simple to complex. The start point varies for each child depending on what is currently in the motor plan and what is absent. I prioritize highly useful small word targets and work with the patient as often as possible which can be challenging with insurance coverage limitations. I do train the parent to work with the child expanding on targets that are within the child's ability level while I take the opportunity during therapy to build in motor plans that are more difficult for the child to execute. Parents are actively educated about apraxia and learn what it means to build the motor plan for speech. They learn what to accept from the child and how to respond appropriately to elicit the best the child is able to do in his or her environment. In my sessions, I use such materials as the Kaufman Kits, Word Flips, NCIH apps, and Moving Across Syllables, combined with eliciting targeted word shapes/forms as well during play time. I work to start with the syllable forms the child is able to produce and then step by step build onto those forms as we progress in therapy. I use PROMPT for tactile kinesthetic cueing as well as sign language, clapping to syllables, and singing when appropriate. I build from small CV, VC upward to CVC, CVCV, and upward in length and complexity moving into 2-3 syllable words and phrases until we are at a sentence level. At the sentence level, I make sure to integrate morphemes and syntax as these areas challenge our kiddos with apraxia. With parent involvement and the trust of the child, I have very good success rates with these intervention strategies.

Describe parent/caregiver involvement: First, I have to educate parents about what apraxia of speech IS and the principles underlying the diagnosis. I then explain to them about the strengths and weaknesses regarding their child's motor plan for speech...where we will begin in therapy...how we expect the child will respond and progress...and how we will build upon each set goal/target...and ultimately what we expect in the long term. At that point, I train the parent to work with the child expanding on targets that are within the child's ability level while I take the opportunity during therapy to build in motor plans that are more difficult for the child to execute. As the child develops the motor plan for new targets, I introduce those to the parent for carryover at home. Often I have parents buy some affordable materials for at home targets and I make recommendations on how and when to focus on speech output in the home and community settings.

Describe your past and current involvement in the Apraxia community​?​ Our practice has participated in CASANA walks for apraxia.

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

Age range​ treated?​ 1.5 years to 18 years

Hours of operation: 8am-6pm

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

Insurance accepted? Yes

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