Debra Fenton

Lowry Speech & Occupational Therapy

Credentials: M.S., CCC-SLP
Hours of Operation: Monday - Thursday 8:00 am - 6:30 Pm Friday - 8:00 am - 4:00 pm Saturday - 8:00 am - 2:00 pm
Treatment locations: Office/Clinic|Daycare|Other
469 S. Cherry Street, Suite 201
Denver, Colorado 80246
Phone: (303) 360-0727

Overall Treatment Approach:
   I would determine most appropriate sound and syllable shapes to begin with based on stimulability and what's already in their inventory that I can build from. I would then develop a list of functional or meaningful word approximations the child could experience success with. I usually pair sounds with gestures, visual, and tactile cues to provide additional multi-sensory support (sometimes it's SEE signs, visual phonics, or whatever type of cue that child can connect with and relate to). If the child is older and comfortable, I will use some PROMPT to help establish motor movements and placements. I often use the Kaufman program with the younger children as I like the colorful pictures and the home program materials. I involve parents in every session so they can learn the cues, sounds etc. and so they can assist with daily practice at home. I will also introduce some basic signs or picture communication to provide the child with a means to communicate if they are experiencing frustration. I try to get as many repetitions of target sounds in a session as I can and continually assess as to whether I can add any new sounds or syllable shapes to increase the child's inventory of functional word approximations.

Percent of CAS cases: 10

Parent Involvement:
   Parents and caregivers are encouraged to observe and participate in each therapy session so they develop an understanding of the treatment hierarchy, target sounds/word approximations, and multi-sensory cues needed to support their child's speech. I always want the child to use their targets in meaningful ways and it is helpful to have parents in the session as it increases opportunities for mass practice as well as supports the parent and child in being able to generalize targets to other environments beyond the clinic. Having parents involved in the session is also helpful so they can provide feedback on what has been easy/difficult at home so I can provide additional support and offer alternatives to reduce frustration.

Community Involvement:
   I own my own private practice in Denver and we always sponsor our clients who participate in the Apraxia walk and we usually have some of our therapy staff join in on the walk. Over the years so much of my time has been devoted to the business side of building and running the practice that I have not been involved as much as I would like to be on the clinical side. I look forward to increasing my client time in the clinic and I would like to be able to offer my services to children with CAS as it is such a specialty area of practice and has always been an area of professional interest for me.

Professional consultation/collaboration: Yes

Min Age Treated: 18 mos

Max Age Treated:

Insurance Accepted: No