Amy Goudy

Janna Hacker and Associates

Credentials: M.S. CCC-SLP
Hours of Operation: Monday- Friday 8:00 AM- 6:00 PMSaturday- 8:00 AM- 3:00 PM
Treatment locations: Office/Clinic|Daycare|Other
3180 Professional Plaza Suite 101
Germantown, Tennessee 38138
Phone: (901) 328-2110

Overall Treatment Approach:
   For children diagnosed with CAS, I typically recommend no less than 2 individual sessions per week. I encourage 3-5 sessions per week if the child has a moderate-severe impairment. I am careful that my sessions take advantage of all of the time I have with the student. I have found that intensity is key! My sessions focus on comparatively fewer words than if I am working with a child who only has an articulation disorder. I have the child produce many, many repetitions of the few target words. I often use a token tower that holds 30 tokens. Each time the child says the target word he or she puts a token in the tower. This increases motivation and participation. The number of words I “drill” each session depends on each individual client’s age and level of progress. I start with more simple CV combinations such as VC and progress to more difficult ones such as CVC. I encourage my students to focus on what their "speech helpers" are doing- Is your tongue tip curling up? Are your lips coming together? I use visual feedback and auditory feedback. Example: I often call /t/ the clock sound. t-t-t-t. We have a picture of a clock on the table. I use the PROMPT method and the Kaufman Protocol. I give lots of praise to my students with CAS. They work HARD, and it is important for their continued success that I encourage them often.

Percent of CAS cases: 30

Parent Involvement:
   I allow the parents to make the choice of whether or not they want to be present during the session. I encourage them to watch the session, so that they can see how many repetitions of words I am requiring. They can also hear the feedback I give the children. I think it's important that we all "speak the same language" when working with children with CAS. Anyone who is going to be helping the child with speech practice (parents, grandparents, teachers, etc.) should use the same exact verbal cues I do. Consistency is SO important. If the parents chooses not to be present during the session, then I save the last 5 minutes of our session to bring them back to the room and show them what we worked on. I also give a homework list each time. I give them instructions on how and when to practice at home. Practice makes perfect!

Community Involvement:
   Often times I find that my job as a speech therapist is to ADVOCATE for my students with CAS. I have, more than once, had to insist that my students not be moved to a special needs classroom because of their decreased speech intelligibility. Unfortunately, many professionals assume that because these students cannot express things they know that means they do not KNOW anything. Just because a child can't tell you what he is learning doesn't mean that he isn't! I have provided in-services at several schools and preschools in the Memphis area. I teach teachers how to assess a child's comprehension in ways that don't require the use of expressive language. I teach them how to respond when their student with CAS is speaking, and they do not understand what he is saying. My in-services also provide knowledge of what CAS is and is NOT. I often remind them that CAS is not like an articulation disorder. The therapy approach is unique, intensive, and results take time.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Max Age Treated: 12

Insurance Accepted: Yes