Stephanie Naberhaus

Building Bridges Therapy Center

Credentials: MS, CCC-SLP
Hours of Operation: Monday - Friday 8:30-6:00
Treatment locations: Office/Clinic
Address:
Plymouth, Michigan 48170

Overall Treatment Approach:
   Children with CAS need a lot of practice improving the efficiency of motor movements needed for speech sound production, so I do a lot of drill or “blocked practice” during the first portion of my therapy sessions. I provide short, frequent breaks for the child during this time. This enables me to get a lot of repetitions and the child is motivated for a break or whatever reinforcer they have chosen. The second part of my therapy sessions typically consists of more random practice. After analyzing the child’s consonant and vowel repertoire, I create a list of functional words or word approximations to target during therapy activities. Throughout therapy sessions I am providing specific feedback about motor performance.

Percent of CAS cases: 60

Parent Involvement:
   The last few minutes of each therapy session are spent talking to parents and going over what we did that day and why we did it. Activities and suggestions to facilitate carryover of skills learned in therapy to the home environment are provided. For example, if a child is able to produce bilabials and we have worked on the word “more,” I might suggest to parents that they contrive opportunities to have the child request "More eat", "More bubble", etc. at home.

Parent Explanation:
   I tell parents that CAS is a condition in which the pathways in the brain that tell our mouth muscles how and when to move, do not work as efficiently as they should. I let them know that CAS is a treatable condition and that we are going to work on strengthening those pathways so that it becomes easier for their child to speak. I always stress to parents that their participation and involvement in the therapy process is critical.

Community Involvement:
   My company supports our local Apraxia walk every year.

Professional consultation/collaboration: Yes

Min Age Treated: 12 months

Insurance Accepted: Yes