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Business Name: Practice privately under my name AND also see children at Cooley Dickinson Hospital

Address::
63 Ridgewood Terrace
Northampton, Massachusetts 01060

Phone Number: (413) 320-3661

Email Address: mdstiles@verizon.net

Describe treatment approach used: I am lucky enough to see children individually, with their parents present.
My sessions involve:
1) Establishing rapport and expectations of treatment (focused treatment followed by short break). Integral Stimulation, look, listen, do what I do, also incorporated during first session.
2) Visual Touch Cues utilized from beginning, to assist in helping child see, feel (and of course hear) the target speech movements, and those cues are shared with family and school to ensure consistency
3) Frequent drill and practice, focusing on movement sequences, with immediate and specific feedback (homework sent home after every session to increase carryover)
4) Target several skills at one time to allow for better carryover, and I use the Test of Syllable Sequencing Skills as a starting point for this, Syllable Drill cards also used at child's level, vowels targeted with use of Marshalla's place cues
5) Progressive approximation, shaping current productions to closer approximations of target
6) Prosody is also targeted from beginning to using rhythm (e.g. tapping/clapping out syllables) as well as melody/song (e.g. Time to Sing), repetitive Text Books (Brown Bear, Brown Bear)
augmentative if needed at the beginning of treatment if child has limited verbal skills and is growing frustrated
7) Target expressive language, including use of tools such as build a sentence.

Describe parent/caregiver involvement: The parents of the children I see attend every session.
Tests and procedures are explained.
Visual-Touch cues are taught and reviewed during every session
Parents are educated about the systematic approach of treatment as well as the importance of having reasonable expectations (e.g. if child is being taught a new word structure during therapy, the SLP, and in turn, the parent will only work on these structures with sounds the child is able to produce in some word position)
Homework is given following every session, (e.g. ask them to read Brown Bear, Brown Bear every day for one week, having child complete final word of this predictable text book on every page (Brown Bear, Brown Bear, What do you ----?)
Give parents weekly suggestion regarding how to gain multiple repetitions of target movement sequences (e.g. play with puppet and food and repeat "yum, yum, yum" multiple times)
Provide parents weekly suggestions regarding how to work on prosody (e.g. play with toy animals and practice using low and high pitch)
Run off copies of sound flip books for target movement sequences to practice in home setting (e.g. moo, moo, moo), instructing them to break up these more intensive practice sessions to shorter periods (5-10 minutes) of practice 2-3x per day
Use play as a medium to increase verbal attempts

Describe your past and current involvement in the Apraxia community​?​ I have accessed the various websites, asked questions and contributed thoughts. I have also been an advocate for many of my patients, writing letters to insurance companies to support continued treatment as well as attending IEP meetings with parents. I have educated speech assistants, parents, insurance companies and teachers about CAS.

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

Age range​ treated?​ 2 years to 18 years

Hours of operation: I see children at Cooley Dickinson Hospital Tuesday and Friday from 9-6 and Monday, Wednesday and Thursday privately, from 8-4

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

Insurance accepted? Yes

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