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Business Name: Milton J Dance, Jr. Head & Neck Center - Greater Baltimore Medical Center

Address::
6569 North Charles St, Suite 401
Baltimore, Maryland 21204

Phone Number: (443) 849-2087

Email Address: pcaudill@gbmc.org

Website: http://www.gbmc.org/PediatricSpeech-LanguagePathologyService

Describe treatment approach used: - I recommend short treatment sessions for young children at 30 minutes 3-5x/week. Homework is not provided until child demonstrates consistency in therapy session, as homework is for reinforcement of emerging skills. Sessions include high number of repetitions, with mass production - as tolerated given age group with play drill and then play reinforcement. I tailor my approach to each child, frequently using visual-auditory-tactile cueing as in PROMPT approach. Positive reinforcement is key, but with age appropriate specific feedback about production. As appropriate, I fade my feedback and encourage self-feedback. I make certain we complete an activity that the child can complete successfully each session, in addition to more challenging tasks. The placement of these activities depends on the temperament of the child.

- In developing goals, I look at what the child has with regard to voicing ability and sound/syllable inventory. Careful analysis assists in determining goals and as soon as possible generating some early functional verbal approximations/verbalizations. Analysis includes looking at place, manner, mode of consonant phonemes, as well as vowel parameters of height, rounding, forward vs. back, tense vs. lax. If the child has fricatives, even if developmentally a later developing sound, we start with fricatives.

- I encourage total communication, using sign, gestures, verbal approximations, vocalizations and AAC as appropriate.

I recognize that my clinic is not always where a child needs to receive services and as appropriate, assist families with referrals to other services.

Describe parent/caregiver involvement: Parents participate in every treatment session, either through observing, acting as communication partners or providing positive feedback and reassurance. It's important to work as a team and include parents throughout the process as part of the team. For example, I recently had a parent tell me after 3 treatment sessions that their child who had only nasal vowels said "go" in the car only and did raspberries when he became mad. WOW! I was able to take those oral sounds and shape them into functional vocabulary and now we have "boy, bye, girl, beau (his dog's name), girl, geh (get)" etc... As noted above, only achievable homework is provided for home.

Describe your past and current involvement in the Apraxia community​?​ I am currently assisting a parent who is creating information and toolkits for parents whose child has received a recent diagnosis of apraxia. I am an advocate for increasing frequency and quality of school based services for all children with apraxia, but recently have had several children who hold dual diagnoses of Down syndrome and apraxia of speech.

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

Age range​ treated?​ 1 year years to 21 years years

Hours of operation: Monday - Friday 8:00 am-5:00 pm

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

Insurance accepted? Yes

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