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: Shayna Leonard is currently on maternity leave. To request information during this time, she is available at the email listed above.
Treatment locations: Office/Clinic
Overall Treatment Approach:
Overall I tend to use a dynamic approach incorporating a number of approaches and strategies depending on the child. I would say the treatment strategies I tend to use most are: Dynamic Temporal and Tactile Cueing (DTTC)- using a probe 1x a week to measure generalization, but working through the DTTC hierarchy in order to help a child become more independent in their speech motor movements. I essentially am helping these motor patterns become the child's own as opposed to just repeating my words. This is the basis for all of my clients, but I use a variety of other tools to help during this process. I am PROMPT trained so I use a lot of tactile cues. I use word approximations, some limited sign language, AAC devices, Lively Letters, and really anything and everything that proves useful for each child. I tend to implement these strategies after I have evaluated a child and have a good idea of where they are at in terms 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). I then have an initial probe session (1x weekly) and then begin to practice these targets in a fun but massed practice manner starting at whatever level of the DTTC hierarchy that has been deemed appropriate and attempting to move to a lesser cued level as soon as appropriate. 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 fun in combination with hard work. I then begin to work towards sending some of the targets home, I typically like the child to produce targets with 80% accuracy or more in their probe before sending home this homework, I've found that this encourages better practice at home. As mastery of these sounds begins to happen 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: 40
I prefer to have parents to be quite involved. I encourage that the parent not be in the room, typically I find I get a lot more out of the child if they don't have their "life line" right there. But before every session I am debriefed on how the child did from their last visit to now on their assigned homework and any challenges or successes they may have had with that homework and outside of that homework. I will at times video tape to show the parents how I am working to accomplish a target sound if it is appropriate to help them carry it over in the home. I have also had parents bring in baby monitors if they are curious to see the entire session which I actually found quite helpful in terms of not needing to debrief for a long of a time after the session. After the session is complete I have a full debrief on what activities we did, what targets were worked on and what the success levels were. I find being concrete with these numbers helps them monitor progress for themselves. I then assign specific homework and depending on the parent give different tips for how to help elicit these productions if the child is having trouble at home. Other than that I find I often receive email questions to follow up on specific questions on off days of therapy and I find this is a helpful mode of communication and I appreciate the investment.
- I have helped to advertise for my communities walks- I have tried to get as much training through Apraxia Kids as possible including the bootcamp and the National Conference.
Professional consultation/collaboration: Yes
Min Age Treated: 18 months
Max Age Treated:
Insurance Accepted: Yes