Vivian Hsu

Vivian Hsu, Speech Language Pathology

Credentials: MA, CCC-SLP
Hours of Operation: M-F-hours vary by day
Treatment locations: Office/Clinic|Home
3424 Carson St, Suite 230
Torrance, California 90503
Phone: (310) 977-1499

Overall Treatment Approach:
   I love working with children with CAS. I use a combination of PROMPT theory and technique with some Beckman stretches and OPT (as needed if the child has oral weakness, poor oral coordination, and/or feeding concerns). Depending on the assessment results, I typically work on planes of movement, as best described in the PROMPT theory- I start with the jaw, then labial facial, then lingual movements. I establish target words to address the appropriate movements, providing tactile kinesthetic input. The types of PROMPTS would depend on the need, but I typically use a combination of parameter and surface PROMPTs initially and fade cues as motor learning begins. I do not use a 'syllable segmentation' approach as I believe in slowing down speech with elongation of vowels to allow for transitional movements, not breaking up words into syllables, as this leads to overstressed prosody and poor timing.

Percent of CAS cases: 50

Parent Involvement:
   It depends... in general, I want parents to be involved in the process and participate in therapy, especially for young children. For most children, this works out great! We are a team (me, the child, and the family) and I work first to establish that concept with children- that our sessions are a safe zone where they can practice and it's ok if it's not perfect. With parents, I use the principles of Hanen to teach them how to be child centered and yet also establish structure for targeted words. This takes practice as it often requires new interaction patterns with their child (ask less questions, add more pauses, model)... I also start to teach parents how to use their eyes not just their ears for speech sound production- to look at jaw movement patterns, retracted cheeks, etc. After the first month or sometimes a few months, I begin to train families on how to do parameter PROMPTs to help support their child's speech production. When it appears this is going well, and when a child is 80% accurate in the skill in therapy, I start to send homework, if the family is ready. Sometimes, families are not quite ready- there are other children in the home, etc. My first priority is for parents to be parents first, then spend 10 min per day with a 'speech hat' on, and go from there.

Community Involvement:
   In 2006 and 2007, I took the PROMPT courses (Introduction and Theory), while working at a multi-disciplinary clinic focusing on sensory integration. We hosted PROMPT courses, and I taught a PROMPT parent course in 2007. I began to do inservices for local school districts on CAS and treatment after that.

Professional consultation/collaboration: Yes

Min Age Treated: 1

Max Age Treated:

Insurance Accepted: No