13 Jan Alice Stroutsos
Posted at 17:01h in Uncategorized
Credentials: M.S., CCC-SLP; Recognized by Apraxia Kids for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday - Wednesday; 8:00am -4:30pm Friday; 8:00am -4:30pm
Treatment locations: Office/Clinic
Overall Treatment Approach:
My overall treatment approach is 'team based'. I include the client and family/caregiver, and communicate with other involved providers (OT/PT, Teachers, etc). My treatment approach is motor-based and multi-sensory. I like to look at a child's whole communication framework which includes the physical-sensory aspects, the cognitive-linguistic aspects, and the social-emotional aspects. In order to be an effective communicator, all three aspects must be addressed and integrated into a balance and across many settings. After assessing the speech subsystems (which I observe/analyze in my assessment) I will choose a targeted lexicon (vocabulary) to work on with he child. If I need to provide tactile-kinesthetic input to help with speech motor learning I do that. Most importantly, no matter what treatment approach is chosen, it's important to work from a speech motor learning perspective--I work on choosing stimuli, then organize the practice with mass practice, give feedback, have distributed practice in therapy activities, give feedback and provide opportunities for successful carryover to outside environments. I like to involve parents and give suggestions that are both functional and interactive.
Percent of CAS cases: 75
Some parents like to sit in on the treatment sessions and observe therapy activities. Other parents find that their child does better if they are not in the room. Regardless, I provide parents with ideas for things to do at home that are functional and interactive. I always provide 'homework' with the vocabulary that we are working on IF the child has been successful in the therapy session with at least 80% accuracy because I don't want the child to get 'negative' practice in at home if they aren't successful. Parents are an important part of 'the team' but they are not therapists.....so, I tell them to incorporate the targeted words or phrases into everyday activities and make it a fun learning experience, not a dreaded part of the day.
First of all I like to point them in the direction of ApraxiaKids.org.....the work that CASANA does and the information that it provides to parents in unbelievably helpful! Then I explain that CAS is a neurological childhood speech sound disorder that involves a difficulty or inability to sequence speech movements. These kids have an underlying difficulty with planning and programming movements for speech. Sometimes I tell parents that the child's brain and mouth don't work well to communicate what he wants to say. I might give an example of instead of saying 'spoon' the child might say 'boos'. Sometimes the 'brain path' or the 'brain map' for certain words is disrupted; like driving on a bumpy road....then with lots of practice....we can 'pave the path' and get the words and movements in the correct sequence. I like to tell them that repetition leads to reproduction leads to refinement!
I've always been interested in working with children with CAS. In 1996 I took my first PROMPT workshop and continued on that pathway, becoming a PROMPT Instructor in 2000. I teach Introduction to PROMPT Technique workshops around the United States about ten times a year. I attended the CASANA Intensive Training Bootcamp in 2012 and became Recognized for Advanced Training & Clinical Expertise in CAS. I've also presented at two CASANA national conferences, participated in a CASANA webinar, and have joined in on the efforts of the Seattle, WA Apraxia Walk.
Professional consultation/collaboration: Yes
Min Age Treated: 18 months
Insurance Accepted: Yes