13 Jan Gillian Robinson-Lavigne
Posted at 17:00h in Uncategorized
Credentials: MA CCC-SLP
Hours of Operation: Mon-Fri 8:30-2:30 pm, 4:00pm-6:00 pm
Treatment locations: Home
21728 Kings Crossing Terrace
Ashburn, Virginia 20147
Phone: (571) 293-0728
Overall Treatment Approach:
Using initial evaluation results, and feedback from family regarding highly salient words for child/family, a set of target words (5-7words, depending on severity) would be developed using the child's current & stimulable syllable & articulatory inventories, to create combinations that including a known syllable shape with a novel consonant or vowel not currently used in that shape/position, or a novel syllable shape with a known consonant &/or vowel. During Treatment, & usungca DTTC approach, the words would be practiced with the goal of 100 repetitions each, during direct drill practice & through incorporation into activities. Cues & strategies would include rate modification, unison productions, delayed productions, tactile cues such as PROMPT, Visual cues, verbal cues & modifications of loudness, & pitch which would be faded out/in to maintain a high level of successful productions, with the minimal amount of cueing, and to incorporate naturalistic prosodic features. The child would be provided immediate & specific feedback in early sessions, & delayed, results oriented (correct/incorrect) feedback as proficiency improved, with allowance for child to evaluate their own productions. Predictability would decrease over sessions, with respect to frequency & order of repetitions to improve generalization. 2-3 sessions per week would be recommended. A 90% accuracy of productions is target for incorporation of a novel word into protocol. Probe words would be incorporated that resemble target words to assess generalization of motor movements. Assessment & introduction of AAC strategies including gesture, sign, hi tech & low tech options would be considered & incorporated into treatment time, during activities to target functional use of target words & communication to expand & support language development, &social communication. Use of books that include or can be modified to include target words is used often to incorporate literacy skills. As children progress toward achieving independent & accurate productions of targets, parents will be asked to practice at home.
Percent of CAS cases: 30
Parent involvement is critical to success. Parents are involved from the initial contact, providing valuable assessment information & identification of meaningful, highly salient verbal targets, and information on child's interests & family communication goals. Parents are encouraged to participate in therapy, to incorporate verbal targets & AAC in the home & to identify opportunities for functional practice. & to share feedback between treatment sessions to maximize treatment efficacy. Treatment planning is ongoing & parents are a partner in this process.
While working for a private practice a few years ago, I became very involved I. Treating & diagnosing CAS with up to 50/75% of my caseload. I participated in Apraxia Awareness walks within my community/DC, provided inservice to fellow colleagues regarding DTTC, motor learning Theory, provided IPad inservice to parents. While currently working privately, in EI & I in Schools through telepractice, I have provided education & resources to teachers & collleagues about CAS & differential diagnosis, as well as advocating for evaluation of students who demonstrate signs/symptoms of suspected CAS.
Professional consultation/collaboration: Yes
Min Age Treated: 2
Max Age Treated:
Insurance Accepted: No