Kali Grumley

Penn Highlands Elk

Credentials: MA CCC-SLP
Hours of Operation: Mon-Thursday 7:30AM-4:30PM
Treatment locations: Office/Clinic
Saint Marys, Pennsylvania 15857

Overall Treatment Approach:
   I always use a multi-sensory treatment approach when working with children who have CAS. With a multi-sensory approach I incorporate visual prompts, hand/touch prompts, sign language, and picture stimuli to support verbal speech. As the child progresses, I fade cues accordingly. During the first session, I establish with the parent the child's play interest and design therapy activities around that to keep motivation high.

Percent of CAS cases: 33

Parent Involvement:
   I do invite the parents into my sessions. I feel it is important for parents to observe my cueing techniques so that they can carryover my techniques at home. With most of the children I work with, I use some hand prompts and descriptive terms to refer to the sounds we are working on (i.e. "lip popper sound"). It is imperative for the parents to use the same terminology and techniques in order for generalization to be successful, and I ensure that they are aware of this. I also make sure parents are aware of when I am attempting to fade the prompts and cues.

Parent Explanation:
   I like to keep the explanation of CAS very basic in the beginning because I have found that when parents initially get the diagnosis they are overwhelmed and confused. My simple explanation to them is that CAS makes it very difficult for their child to pronounce syllables and words correctly and that their child knows what they want to say but is not able to produce the words clearly.
Over time I continue to further elaborate and educate parents regarding CAS. Usually they question if CAS affects intelligence and we have to address literacy as well. I have found that many parents I work with end up being more knowledgeable about CAS than other SLPs they encounter in pre-schools and elementary schools. I am lucky to have many great families that I work with and we are working collaboratively to be advocates for their children.

Community Involvement:
   I have helped coordinate the North Central Pennsylvania Walk for Apraxia. I also attended the Apraxia Conference in Charlotte. I currently have 5 children who are on my caseload who are diagnosed with Apraxia. In my VERY small town of St. Marys, PA there was little knowledge regarding CAS when I had my first referral for outpatient services for a child who had CAS in 2012.. In the past 6 years, we have made strides in the community in terms of spreading awareness and with collaboration of providers, but there is still a lot of work to be done.

Professional consultation/collaboration: Yes

Min Age Treated: 1

Insurance Accepted: Yes