Breana Witte

Children's Therapy Center, Inc

Credentials: MA, CCC-SLP
Hours of Operation: Our Apple Valley clinic is open Monday through Thursday from 8:00am to 6:00pm with 30 minute speech sessions. There is an hour taken for lunch from 12-1pm every day.
Treatment locations: Office/Clinic
14635 Pennock Ave #300
Apple Valley, Minnesota 55124
Phone: (952) 997-2823

Overall Treatment Approach:
   I gather information about the child's baseline, then begin building upon their consonant and vowel productions with varying syllable structures depending on their level (CV, VC, VCV, CVCV, etc.). I incorporate core vocabulary as much as I can with imitations and try to build upon successful sequences given visual, tactile, and auditory cues and prompts. My goal is to increase their consistency with different syllable structures and move towards independent/spontaneous productions. During sessions I also incorporate phonological awareness skills as much as I can with books (rhymes, sound identification, listening for word differences) and songs (simple repetitive children songs like "Old McDonald" and "Baby Bumble Bee"). Once word level approximations become more spontaneous, I incorporate functional phrases such as: help me, I need, eat more, come here, etc. I incorporate both play-based and structured work depending on how the child responds. I incorporate Dynamic Temporal and Tactile cuing (DTTC) with as well as visual supports for children who have difficulty attending to others’ faces.

Percent of CAS cases: 16

Parent Involvement:
   Depending on the child, some parents attend sessions to see what sound sequences we are working on and how they are being cued. Due to some children's behaviors it is best for parents to observe from another room. Some parents opt not to observe and speech sound sequence targets are only sent home once the child has shown success within the therapy room. They then are sent home for mass practice.

Community Involvement:
   I am trying to reach out more for the Apraxia community in order to better serve clients I currently have and future clients with CAS. I have been referring new families to the Apraxia Kids website in addition to providing parent friendly handouts explaining what CAS is.

Professional consultation/collaboration: Yes

Min Age Treated: 18 months

Max Age Treated: 18 years (given or take depending on need and severity)

Insurance Accepted: Yes