Jessica Folk-Farber

Umbrella Speech & Language Services

Credentials: M.SLP, RSLP(C); Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Mondays, Wednesdays 9:00 A.M. - 3:00 P.M.
Treatment locations: Office/Clinic|Home|Daycare|Other

Overall Treatment Approach:
   I adhere strongly to a multi-sensory treatment approach, with cues being taylored to each child's individual needs. Some respond well to tactile cues, others prefer simultaneous speech, while still others do well with a combination of simultaneous speech and orthographic cues, for example. Cues are used to support acquisition of targets and then gradually withdrawn to promote independence and generalization. Goals are speech movement-based, but also take into account a family's specific requests (i.e., important names) and I always consider functionality. I include grammar and prosody from the early stages of therapy. Augmentative communication is encouraged whenever appropriate, and I frequently use visuals, such as picture schedules, in my sessions. While therapy is play-based, the goal is to have the child practice the target words/phrases with high frequency. Depending on what stage the child is at in therapy, practice may be mass or distributed, blocked or random, constant or variable.

Percent of CAS cases: 70

Parent Involvement:
   Parents are encouraged to be as involved as possible with the therapy process. They attend all sessions in full or in part, depending on the individual needs of the child. I discuss goals with parents and request their input regarding important words and phrases and functionality of targets. I explain to parents the reasoning behind my goal selection and therapy activities. Homework is given at the end of every session and is based on what we have done in therapy.

Parent Explanation:
   I explain that CAS is a condition that affects their child's ability to coordinate the movements required for speech. We discuss that it does not mean there is anything wrong with their child's muscles. We also talk about the difference between well-practiced words and new words, as well as between words that are imitated versus spontaneous. I explain that we need to create pathways in the brain that correspond to new movements, and that the best way to do that is through lots of practice to build them up. I give parents the CASANA website as a resource.

Community Involvement:
   Since attending the CASANA Intensive Training in 2014, I have maintained a connection to the CAS community. I am part of the Apraxia Kids, Apraxia Kids Canada, provincial, and 2014 Bootcamp Facebook groups; I have started a local city Facebook group for parents. For the past two years, I have volunteered as the Coordinator for the first and second Vancouver Area Walk for Children with Apraxia.

Professional consultation/collaboration: Yes

Min Age Treated:

Insurance Accepted: Yes