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- 11 Piedmont Drive
After assessment, which has determined consonants and vowels that child can produce and syllable shapes and word complexity, I will choose target words that have high meaning, functionality and effectiveness to the child in conjunction with the parent (child if capable). Planning target words will be done with care to include what the child can do with regards to speech sound and syllable shape. Moving from one motor movement to the next will be focused on rather than individual sounds. Normal speech sound development will not necessarily be used as the child may not develop sounds in the typical manner. Building confidence and risks in the child to communicate is of utmost importance so keeping targets attainable in each session.
Strategies will include trying to get as many repetitions as possible of the target in each session. Using play to get these words to keep child engaged or having a fun toy with lots of pieces to simply get multiple repetitions. Strategies used will be tactile to show movement of one sound to the next and using mirrors to show mouth position. Targets will be done with varying prosody so that can be incorporated.
Finally, deciding if any visuals are required to aide in the child's overall communication to decrease any frustrations or behaviours that may have arisen with little spoken language.
Attendance at Apraxia kids conference in 2019 and this year. Have brought apraxia training to other SLPs in the rural area that I live. Have educated school district staff. I plan on getting parents together of CAS kids and promoting awareness in the area.
Parents are at every session. Target words are determined together. Strategies are discussed and modelled for parent. Parent tries with child on how to elicit target words. Discussion on what will work at home and how to fit practice into daily life. Realistic goal planning with the parents for every child I work with. Finding out what the parents goals are and meeting parent where they are at.
Have provided children with simple core boards to promote an increase in communication, visuals to help with receptive and expressive language for child to decrease frustration with lack of communication. In preschools, have provided song choice boards and helped staff be inclusive by providing access to core boards.