13 Jan Shayna Leonard
Posted at 17:00h in Uncategorized
Credentials: M.S., CCC-SLP; Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Monday through Thursday 9-2
Treatment locations: In Home Visits
Overall Treatment Approach:
Overall Treatment approach: I use a dynamic approach incorporating a number of approaches and strategies depending on the child’s needs. The treatment strategies I use most are: Dynamic Temporal and Tactile Cueing (DTTC) working through the DTTC hierarchy in order to help a child become more independent in their speech motor movements. I am PROMPT trained so I use a lot of tactile cues. I use word approximations, some limited sign language, AAC devices, Lively Letters, Kaufman, and a whole lot of creativity to adjust and personalize each treatment plan to meet each child’s unique needs. I implement these strategies after I have evaluated a child and have a good idea of their sound inventory and syllable structures. I then pick targets that are going to be highly motivating and functional (as well as give them a level of success initially based on their sound inventory and syllable structures). Therapy follows a massed practice structure, starting at the level of the DTTC hierarchy that has been deemed appropriate and attempting to move to a lesser cued level as soon as appropriate to promote independence and generalization. I aim for a high number of productions during this phase and always base this off of the individual child's tolerance level which may change daily, we always aim for a fun, supportive environment where the child feels safe to take risks and push themselves. I encourage parent carryover by providing specific homework targets. As mastery of these sounds begins to solidify we move from more structured to less structured tasks allowing for more variable practice to ensure carryover and new targets are then added in. Goals are written in a six month format but are written fairly generally to allow for constant progression.
Percent of CAS cases: 80
Parental involvement is encouraged! Before a session begins it is always helpful to check in on how the child did from their last visit to now on their assigned homework and any challenges or successes they may have had. I have found it helpful to structure the treatment sessions with the child and therapist together and provide feedback and tips to the parent after the session is complete. I then assign specific homework and give different tips for how to help elicit these productions. Parents are the core to the success of skill carryover! I am also available via email in between sessions to help with any concerns or questions that might arise.
I’m a transplant to Boulder so I am excited to get involved in this CO Apraxia family!
Professional consultation/collaboration: Yes
Min Age Treated: 18 months
Max Age Treated:
Insurance Accepted: No