Karen Novakoski

North County SpeechWorks

Credentials: MS CCC-SLP
Hours of Operation: M-S 9-4
Treatment locations: Office/Clinic|Home|Daycare
1550 NW 110th Ave, Apt 349
Plantation, Florida 33322
Phone: (410) 925-9327
Email: knovakoski14@yahoo.com

Overall Treatment Approach:
   As stated above the treatment starts with evaluation. I will start with building on phonemes the child has and using that functionally in some functional communicative word. Building immediately to syllable/words is essential and often will use large motor to get that word. From this syllable/word, I will attempt to build that repeitition, by using that word in a game, or a physical activiity. If a child has [p] and I get [pa], I will try to get push, by pushing on bristle blocks, pushing a ball or something like that. Repetition is essential and will at this point try to get the parent to join us. Shaping [pa] to push or pull, or pow, or whatever "word" you are attempting is the next step. From the word, trying to immediately getting it in a phrase is important. Me push, pull it, push me, etc might be successful. (Being flexible and thinking on your feet are great skills to have) From this, getting these words into communication within the child's life is key. Pull it might be used in the kitchen to ask for a drink (open the fridge). This type of methodology is carried out throughout treatment, with focus on repetition and functional communication. The phonemes selected won't be as listed developmentally. I used [s] with a three year old because that is all he had. We worked on that sound with different vowels and gave him some words and phrases he could use. Inserting suprasegmentals in therapy is important right away. I have found these kids do better with that built in almost immediately.

Percent of CAS cases: 20

Parent Involvement:
   I usually ask parents to watch and when appropriate, to engage as a therapy partner. Engaging in games, asking questions, cloze techniques are all types of activities I try to encourage. I use PROMPT often, so that isn't always a place to have them enter into the therapy process.

Community Involvement:
   I have, for ten years, been involved locally as the "expert" in CAS in my school district. I was a supervisor and was called upon to help therapists and teachers with CAS and also be involved with parents. My small private practice was typically 50% apraxic children and significant speech sound disorders. In semi- retirement, I hope to work with small children with CAS and significant speech disorders in private practice.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Max Age Treated:

Insurance Accepted: No