Karen Criswell

Karen Criswell Speech Therapy

Credentials: MS CCC-SLP
Hours of Operation: Tues-Thurs
Treatment locations: Home|Daycare|Other

Destin, Florida 32540
Phone: (719) 355-9065
Email: karspeak@gmail.com

Overall Treatment Approach:
   For children who have difficulty with consistent spontaneous sound production or imitation, I begin with seeing how many sounds during play they can imitate (vroom, ah!, etc). If this is too difficult, then I try imitating their sounds back to them, to see if they can then repeat them again, to increase volitional control of speech. We will also try to do some blowing (to increase respiratory control which directly underpins speech) or sound play with tubes, etc. to increase volitional control of phonation. For kids who are able to do some sound and single syllable word imitation, I do extensive models during play (including phonetically simplified models, as indicated), while paying close attention to which phonemes and syllable structures child is able to attempt. If certain preferred phonemes and structures emerge, we will stick to those patterns until imitation attempts increase, then begin trying other phonemes and structures, as well. Parents will be given target meaningful words for modeling throughout week as HW, words which child was able to approximate with me. For kids who are talking consistently but speech is very unclear, I will do Kaufman cards diagnostically to determine if there are certain syllable structures which are causing a "break down" in speech production, then work on targeting those structures, using meaningful phrases in play. HW targeting those structures (flashcards or pictures) will be given as HW. If certain phonemes are missing or misproduced in all phonetic contexts, I will begin probing those phonemes to determine possible therapy targets, expanding to syllables and longer utterances as soon as possible. I will also be looking for phrases which child can produce more clearly with practice, that child uses most frequently, such as "I want ___, I don't want ____, want more ____," etc, etc. Such target phrases are often given as HW, as well.

Percent of CAS cases: 25

Parent Involvement:
   If parents don't sit in for session (such as when I see child at daycare), then I send parents video clip (with parent permission) of child doing various HW activities. Specific HW activities are given each week, with very clearly demonstrated expectations of what child will say. Child's progress on HW activities is reviewed each week, and new HW is selected.

Community Involvement:
   My husband was in the US Army for many years, so I have worked in many states and countries. Usually there was not a local apraxia community and it seemed like I was an "army of one," with many fellow SLPs not even believing CAS was a real diagnosis, or having the first clue how to treat it. I moved last year to Denver, and I am still trying to get plugged in to the local apraxia community here.

Professional consultation/collaboration: Yes

Min Age Treated: 1.5

Max Age Treated:

Insurance Accepted: Yes