13 Jan Bonnie Leaf
Posted at 17:01h in Uncategorized
Credentials: M.Sc, R.SLP, SLP(C); Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday through Friday 8 - 5 pm. Appointments can be arranged for weekends and evenings.
Treatment locations: Office/Clinic|Home|Other
Rocky Mountain House,
Overall Treatment Approach:
1. Increase child's ability to sequence sounds in current speech inventory. Identify highly functional/motivating word targets to work on - identify targets that contain a variety of movement sequences - from simple to complex ; and progress through stages of DTTC - moving from simultaneous productions with multi sensory cueing to spontaneous productions and from blocked practice of words with knowledge of performance feedback to random practice using knowledge of results feedback. 2. Increase child's speech sound repertoire by working on new sounds within existing syllable shapes, taking into consideration facilitative environments. 3. When words can be spontaneously produced in random practice- move words into word phrases. Add in grammatical morphemes as appropriate. 4. As two syllable words emerge, target word stress patterns and phrase prosody. Incorporate work on emergent literacy skills within therapy sessions ( e.g.: rhyming, syllable segmentation, sound/syllable blending)
Percent of CAS cases: 30
Parent training sessions are held at the start of therapy - information is shared about speech sound development, motor planning hierarchy and multi-sensory cues. Parents partner with the therapist to identify highly functional, motivating word targets as well as initial goals for the child and parent. Parents also observe therapy sessions and practice working on target words with the therapist and child. Home practice targets are identified at the end of each therapy session as well as ways to work on those targets at home. Parents are encouraged to report back on home practice activities, inform therapist of new words and share additional observations and concerns.
CAS is a neurological speech sound disorder - the brain is sending messages to the lips, tongue, jaw on how to move but the message gets scrambled and as a result the child has difficulty planning and programming the movements needed to produce clear words. Children with CAS make inconsistent errors - say words differently upon repeated productions; have difficulty making smooth transitions between sounds and syllables and often speak using inappropriate prosody - their speech can sound robotic. Children with CAS benefit from multisensory cues - information that helps the mouth learn how to produce movements. I use Dave Hammer's exercise of having the parents twist their hands and link fingers so help the parents understand how cues help and that as we work together we will find out what cues are most successful for their child. I emphasize that the focus of therapy is to work on "movement gestures" not isolated sounds and to improve the child's ability to plan and sequence movements for clear speech.
-Participated in CASANA Boot Camp -Friend of CASANA -Presented on Emergent Literacy at the 2016 CASANA National Conference -Connected with Edmonton parent groups - Facebook Page, CASE society -Collaborate with CASANA grads -Participate on Apraxia Boo
Professional consultation/collaboration: Yes
Min Age Treated: 2
Insurance Accepted: Yes