Kali Grumley

Penn Highlands Elk

Credentials: MA CCC-SLP
Hours of Operation: Mon-Thursday 7:30AM-4:30PM
Treatment locations: Office/Clinic
763 Johnsonburg Rd.
Saint Marys, Pennsylvania 15857
Phone: (814) 594-2490
Email: krgrumley@phhealthcare.org

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.

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

Max Age Treated: 100

Insurance Accepted: Yes