Lucia Pasquel-Lefebvre

Holistic Kids, PLLC

Credentials: M.A., CCC-SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday-Friday 8-6 and some Saturdays.
Treatment locations: Office/Clinic|Home|Daycare|Other
Durham, North Carolina 27713

Overall Treatment Approach:
   Holistic, eclectic, multi-sensory, child-centered, evidence-based. Using a "power word" approach with highly motivating targets chosen with caregiver input and working initially on mass practice using varying levels of cueing (simultaneous/in unison, visual, tactile, gestural, motor) as needed for mass practice of correct productions. Moving towards perfect practice and LOTS of it. When using Dynamic Temporal and Tactile Cueing (DTTC), making sure to constantly move between varying levels of cueing and fade cueing towards independent and correct production of targets. Use of concrete feedback about productions and results with variation. Practice in varying settings and contexts of learned targets and moving towards new word targets to combine with already learned words to begin to increase expressive language skills, grammar. Data tracking to be cumulative, increasing number of trials each time. I use PROMPT as needed and then fade.

Percent of CAS cases: 70

Parent Involvement:
   Parents help determine target words; they participate in therapy (as appropriate); they do practice sessions at home and send me videos so I can give them feedback; we communicate verbally and via email on a consistent basis.

Parent Explanation:
   CAS is a motor planning and coordination disorder where kids know what they want to say but can't make it happen. I use the example of "wiggle your ears". I also talk to them about how learning to produce a word is like learning the steps of a dance routine and there has to be lots and lots of practice to develop the motor plans for such. I also talk to them about the important of sound as natural as possible.

Community Involvement:
   I have participated in 3 Apraxia Walks, I have provided various inservices to other SLPs, I provide ongoing mentoring and training to colleagues. For my older children, I do community outings for therapy.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Insurance Accepted: No