13 Jan Nancy R. Kaufman
Posted at 17:01h in Uncategorized
Credentials: M.A. CCC-SLP; Member CASANA Professional Advisory Council
Hours of Operation: 8:30 to 5:30
Treatment locations: Office/Clinic|Home
West Bloomfield, Michigan 48322
Overall Treatment Approach:
I implement the Kaufman Speech to Language Protocol (K-SLP) methods of which I am the author. This is an evidence based treatment approach that entails the principles of motor learning as well as general principles of behavior analysis which are similar to those discussed in motor learning principles. First the behaviors to either establish, improve upon or eliminate are assessed. In this case, what motor plans are faulty? What vowels, consonants and syllable shapes are not present within their repertoire. I determine what would be highly motivating to the child for reinforcement. I start with blocked practice on syllable shapes, common nouns, requesting words, favorites and high frequency words of which to target. I determine what they are stimulable to produce that they are not producing spontaneously and target those phonemes within syllables. I determine what multisensory cues are needed (visual, auditory, tactile) and how easily they can be faded. I move to different word lists and move ahead on word combinations supporting the child with cues and fading them ensuring there are many responses during the mass practice necessary during the acquisition stage, and move to random practice as the child progresses. I start with pictures and objects that represent the words that are necessary for functional communication and move to toys and the natural environment during each session. I assist with the appropriate prosody once the child masters the combination of consonants and vowels within each target. I coach the parents on home practice.
Percent of CAS cases: 90
Parents are coached to work with their children through play. They learn how to provide and fade cues, model, reduce questions to commenting only, and to know the goals prior to play as to what targets they are going to emphasize. Being lighthearted and fun is also emphasized. Our parents are observing every session, and are given video links of which to refer in the future. They then are coached through play as aforementioned.
I generally explain that CAS is a motor speech disorder whereby it is difficult for children to combine consonants and vowels to form words especially when attempting to produce novel words that are not automatic for them. They usually understand the words and their meanings (If there are not coexisting conditions that would interfere with language processing and comprehension) but struggle to produce them due to a disconnect between the message that the brain sends to the speech muscles and the ability to then execute what the muscles are told to do.
I am on the CASANA Advisory Board. I provide conferences throughout the country on CAS ( and sometimes internationally). I attend and participate, and sponsor Apraxia Walks. I provide parent education presentations. I consult with other private practices and schools as to how to implement best practices for CAS. I mentor my own staff. I continue to strive to learn more, teach and eventually move out of the way for others!
Professional consultation/collaboration: Yes
Min Age Treated:
Insurance Accepted: Yes