Alexandra Spector

Children's National Health Systems

Credentials: M.S., CCC-SLP
Hours of Operation: 7:45am to 5:30pm Monday-Thursday. 8:00am-4:00pm every other Friday.
Treatment locations: Office/Clinic
9850 Key West Ave
Rockville, Maryland 20850
Phone: (301) 765-5415

Overall Treatment Approach:
   Initially, I elicit high repetitions of a few targets specifically targeting different syllable structures (CVCV reduplicated, CV, VC, VCV, CVCV with varying vowels, CVCV with varying vowels and consonants) utilizing the Kaufman Speech to Language Protocol. I use PROMPT cues to elicit better targets and give tactile cues to the child. I also use gestural cues to elicit sounds. I add and fade cues based on the child's performance to aid in successful productions of the target sounds/words/prosody. As soon as the child is able, I will elicit short phrases using the previous targets to promote generalization and target prosody. Within my models, I will target simultaneous productions, imitated productions, delayed productions, and carryover into spontaneous productions.

Percent of CAS cases: 35

Parent Involvement:
   Parents are requested to be in the therapy room (child behaviors permitting). If the parent is unable to be in the therapy room, I request they observe in the observation room. Parents are given frequent feedback throughout the session on the targets that I am using and the types of cuing that I'm providing to get positive results. Target words are sent home each session. Parents are encouraged to share high frequency words and vocabulary words that are important in their child's home and activities so that they can be incorporated into therapy. Parents are encouraged to practice the target words daily. Once words/syllable shapes become mastered, parents are told to have their child use those words as often as possible (naturally) throughout the day.

Community Involvement:
   I attended the Apraxia Kids 2017 Conference. It was amazing to meet so many different parents of children with CAS from all over the US.

Professional consultation/collaboration: No

Min Age Treated: 1.5

Max Age Treated:

Insurance Accepted: Yes