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- Edmonton, Alberta
I use the PROMPT conceptual framework of re-balancing the 3 domains (social-emotional, physical-sensory, cognitive-linguistic). There is variability depending on the child of course. I tailor treatment to what is going to work best for the child and family. From my assessment, I have 3 main priorities for treatment. I then plan various play activities that are going to embed the target words in natural, play based activities. I then use PROMPT techniques (at varying levels) to support children to produce the target words correctly.
I work with a variety of kids with Apraxia. I am a member of various Facebook groups related to Apraxia to keep current on what is happening in the community. I keep current on new research related to CAS.
Parents are always present when I'm working with kids. I encourage parents to participate in games or play activities. I teach parents Parameter PROMPTS. I then share the lexicon and target words with the parents and encourage them to complete homework of practicing the target words. We will sometimes brainstorm activities where we can fit in target word practice in natural activities.
I have used a variety of AAC options (low and high tech) with children with CAS. I always support the use of AAC to support the child's ability to express themselves while we work on the motor speech portion. I often find that giving the child a way to communicate helps to reduce frustration and verbal speech ends up coming more quickly. I have used low tech options such as core boards, PODD books and high tech options such as dedicated devices or iPads with a variety of software on them. I always look for a robust vocabulary so that the children have the ability to say as much as they may want to.