Denise Santos Ford

SPEECH MARIN

Credentials: M.S., CCC - SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday 9 - 6Tuesday 9 - 6Wednesday 9 - 6Thursday 9 - 6Friday 9 - 5
Treatment locations: Office/Clinic
Address:
645 TAMALPAIS DR, SUITE B
Corte Madera, California 94925
Phone: (415) 924-2444
Email: denise@speechmarin.com

Overall Treatment Approach:
   In general, I pull from a variety of programs/approaches. We use DTTC for cueing and to aid in independence of word productions. I am a proponent of using song, sign, AAC and word approximations to allow children the ability to communicate to their best ability. Language development is always monitored or targeted depending on the current needs of the individual. All therapy follows a systematic hierarchy to expand phonetic inventory as well as syllable shapes. This is done using real words/word approximations. Targets are picked based on phonemes, syllable shapes, various parts of speech (nouns, verbs, pronouns), and highly motivating words to the individual. Words are initially practiced using mass practice to increase independence of production in a structured, drilled manner while then distributing words throughout the session into increased utterance length while decreasing the structure of the activity. Mass practice is performed in blocks with feedback given depending on the level of cueing and clinician response needed. Children work with two clinicians to ensure generalization through varied practice. Parents are given a binder of blank sheet protectors. As the individual increases his/her ability to produce targets throughout the session, carry over ideas for a specific target is sent home on a paper to be added to the binder. This gives parents a book of everyday activities they can use as a reference/guide to aid in their child's generalization of new skills/sounds/words. Data is taken each session on the first 5 productions of a target to assess the current level of cueing needed for accurate productions. Cueing may use, but is not limited to: gestures (i.e. turtle vowels), PROMPT, tactile cues, verbal, etc. As targets are mastered in more structured tasks, they are moved to less structured tasks and new targets are added. We meet with parents quarterly to discuss the previous quarter's progress and the upcoming quarter's short term goals.

Percent of CAS cases: 60

Parent Involvement:
   Parents are given a post session update on current performance. We meet quarterly to discuss goal progress and upcoming treatment goals. Parents are given a binder of blank sheet protectors. As the individual increases his/her ability to produce targets throughout the session, carry over ideas for a specific target is sent home on a paper to be added to the binder. This gives parents a book of everyday activities they can use as a reference/guide to aid in their child's generalization of new skills/sounds/words. Some parents come into sessions to discuss current school and outside issues while others drop their kids off and solely get the post session digest. All parents are given a home program if one is desired. The complexity of the home program depends on how much the family wants to participate. Each family is different and we prefer to work with what fits the family's lifestyle. Therapy is a commitment that needs to work for everyone involved.

Community Involvement:
   I have previously participated in a Apraxia Kids walk. In the future, I hope to bring more awareness to the community and ways to support CAS. I've begun educating other professionals who work with my kiddos so that they can aid them in the school setting as well for carry over.

Professional consultation/collaboration: Yes

Min Age Treated: 18 months

Max Age Treated:

Insurance Accepted: Yes