Megan Shingleton

Good Speech Nevada

Credentials: MS CCC-SLP
Hours of Operation: 7:05-2:15 M-F school hours 3:30-5 M, W, Th after school working for Good speech of NV as an independent contractor
Treatment locations: Home|Other

Las Vegas, Nevada
Phone: 702-858-9962

Overall Treatment Approach:
   My goal is to help kids communicate effectively by using the sounds she already makes to form increasingly complex words and sentences as well as by teaching movements to produce brand new sounds she hasn’t learned yet. I introduce brand new sounds which are drilled in easy-to-produce combinations of consonants and vowels so that her muscle memory retains the formula for producing those quick movements. When she is able to produce the new sounds quickly in simple words, or when using sounds she’s already making, I increase the complexity and the variety of the structure of the words. Through a combination of drilling the words in repetition with feedback on her production and using activities designed to give the opportunity to use the words functionally and successfully, she will build a map in her brain to help her communicate efficiently. The words chosen will be familiar, useful, and meaningful for her so that she has early success and so that she benefits from communicating with others while fostering a positive attitude towards verbal communication.

Percent of CAS cases: 6

Parent Involvement:
   I encourage as much participation as the parents want. They are heavily involved in identifying target words. I first ask them when does the communication become the most frustrating for both them and the child? For instance, is it harder to understand him when he’s trying to explain his day, or talk about a TV show, or ask for a favorite person/toy/activity? I’ll ask them what their typical day looks like as well. While picking target words, I make sure to include words to ease that frustration. I’ll typically give a few activities that can incorporate a couple of the target words or sounds either in play or during their daily routine. I will give a “new word” list with mostly mastered words with simple activities to try such as using “see” instead of “spy” in “i-spy” games, or when they are in the grocery store and practice saying “in” or “out” while placing objects in or out of the cart. I can show parents how to cue for sounds, but parent participation is definitely a struggle in the school setting here. In-home therapy, I let parents observe, and during generalization activities, the parents are the main recipients of communication attempts, and I support the child’s communication attempts with visual/tactile cues.

Community Involvement:
   Apraxia/phonology consultant for the speech/language department in Clark County School District in Las Vegas, NV since 2014. Presented on general CAS information relating to differential diagnosis, assessment, and treatment.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Max Age Treated:

Insurance Accepted: No