Mehreen Kakwan

Credentials: M.A., CCC-SLP
Hours of Operation:
Treatment locations:

Phone: (734) 765-5527

Overall Treatment Approach:
   I focus on improving motor planning skills through the principles of motor learning. I make sure to maximize the number trials during each session, and apply play reinforcers (e.g., play a short video, apply one more block to a tower). My method is loosely based on DTTC, as I do use specific gestures and tactile cues as well as materials from other sources to supplement progress. For cueing, I provide a combination of visual (e.g., gestures bringing focus to the mouth and positioning), verbal (e.g., lips together!), and tactile (e.g. gently pressing child's lips together for /m/ once child's comfortable with me) cues to start, and as the child improves, I fade out the cues. I make sure the child focuses on my face throughout. I may use pictures such as the Kaufman Speech Praxis Kit or the Bjorem Speech Sound Cues to aid in visual cueing as well.

Percent of CAS cases: 30-40%

Parent Involvement:
   Parents view the session either in the treatment room, watch the sessions live in the monitoring suite, or the sessions are recorded for them to view and share with other family members. This gives the family a good idea of how I am targeting the goals in treatment. Once the child has established a level of consistent success (~60% accuracy), I provide a detailed note to the parent so they can cue the child to practice the specified stimuli in their home environment. I may choose 3-4 functional word approximations to practice at home once I’m certain the stimuli target is achievable for the child and the parent can provide positive practice outside of treatment, then add more stimuli as the child improves. I remind parents that 5-10 minutes of dedicated practice plus intermittent practice throughout the day of functional words during daily routines works well for carrying over motor speech skills. I provide handouts and suggestions for books that the family can read together.

Community Involvement:
   During the last 5 years I worked in outpatient pediatric SLP at Beaumont Hospital, I was particularly drawn to the CAS population. When I resigned from Beaumont in June 2018, I wanted to dedicate time to learn more about the CAS population, and to specialize in serving them. Since June, I have intentionally sought out opportunities to learn more about treating CAS, and understanding how caregivers and families experience the challenges of having a child with CAS. In addition to online courses. With the knowledge I gathered from SLPs and families on the CAS journey, I wrote, illustrated and published the children’s book, “Billy Gets Talking: A Preschooler’s Journey Overcoming Apraxia of Speech” specifically for 2-4 year olds, the youngest kids with CAS (or suspected CAS).

Professional consultation/collaboration: Yes

Min Age Treated:

Max Age Treated:

Insurance Accepted: Yes