Suzanne Sylvester

Scarborough NeuroDevelopment Center

Credentials: M.S., CCC-SLP
Hours of Operation: 9 AM - 6 PM, Monday - Thursday
Treatment locations: Office/Clinic
144 US Route 1, Suite 4
Scarborough, Maine 4074
Phone: (207) 219-8300

Overall Treatment Approach:
   Treatment for CAS follows the principles of motor learning (i.e., with regard to practice and feedback) following the steps of Dynamic Temporal and Tactile Cueing (DTTC) (i.e., "watch me, listen to me, do what I do" with fading cueing hierarchy). A functional, core vocabulary is established through collaboration with the family. Then, the steps of DTTC are followed the help the child achieve production of the word. Integrated Phonological Awareness intervention is used if the child has concomitant phonological awareness issues. Rapid Syllable Transition therapy is used for children with prosodic abnormalities. Throughout the process, AAC is used where needed to supplement the child's growing language.

Percent of CAS cases: 3

Parent Involvement:
   Parents are closely involved from the beginning starting with the evaluation process. Parents are essential for providing case history information and voicing their primary concerns. This information allows for collaboration with parents to help develop goals for their child. Parents develop the core vocabulary list by selecting words that they deem to be most important for their child to say. Some parents choose to observe and participate in the therapy session. These parents can see how high frequency of practice with feedback can assist their child in achieving the desired target. Other parents are educated following the treatment session, and are provided with suggestions for how to continue practicing the core vocabulary at home. Parents are involved as the child progresses and meets short term goals, and new goals need to be created.

Community Involvement:
   I have provided services to the Apraxia community (CAS and acquired AOS) in Maine and surrounding areas since 2002. I stay up to date on the current literature and employ evidence-based practice in my sessions. I educate clients and their families about apraxia of speech, helping them to understand the fundamentals, assessment and treatment methods, and generalization and carryover strategies.

Professional consultation/collaboration: Yes

Min Age Treated: 18 months

Max Age Treated: 100+ years

Insurance Accepted: Yes