Margaret Fish

Dee Fish Speech-Language Therapy Center

Credentials: M.S., CCC-SLP, Licensed Speech Language Pathologist;Member of Apraxia Kids Professional Advisory Council
Hours of Operation: Monday - Thursday: 8 am - 6 pm
Treatment locations: Office/Clinic
900 Skokie Blvd Ste 107
Northbrook, Illinois 60062
Phone: 847-687-2596

Overall Treatment Approach:
   My treatment approach is multi-sensory and I follow the PRISM Model to be sure to address (1) increasingly complex phoneme sequences while building a complete phoneme repertoire (2) using a variety of playful strategies to support repetitive practice to strengthen the child's attainment and automaticity of motor plans for the target utterances presented (3) providing the child (through my work, as well as the efforts of the child's school SLP or Early Intervention team) with a dosage of treatment that is intense enough to optimize motor learning, depending on the child's level of severity (4) careful selection of target utterances to support attainment of increasingly complex syllable shapes and (5) the use of multisensory cues (visual, auditory, tactile, and metacognitive) to help the child establish increasingly accurate production of treatment targets and then gradually fading these cues to reduce cue dependency and support generalization.

Percent of CAS cases: 0.65

Parent Involvement:
   Most parents, especially parents of toddlers and preschoolers, sit in during each session and there is dialogue about why certain target utterances were chosen, as well as the cueing techniques/strategies that are proving to be most beneficial for the child to attain more accurate production of the targets. When parents are unable to sit in during the sessions, the parents are informed of the child's goals, targets, and strategies by session notes, after session discussions, and/or video. Parents are encouraged to carryover the goals in a manageable way at home depending on the circumstances of that particular family

Community Involvement:
   I serve on the Professional Advisory Council for Apraxia-Kids and am a frequently invited presenter at local, state, national and international conferences, workshops, and webinars. I am the author of the textbook, Here's How to Treat Childhood Apraxia of Speech, Second Edition, which is used by speech-language pathologists who are interested in gaining a deeper understanding of evaluation and treatment of CAS and as a required textbook for motor speech disorders coursework at many graduate schools both nationally and internationally.

Professional consultation/collaboration: Yes

Min Age Treated: 15 months

Max Age Treated:

Insurance Accepted: No