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- 3220 Broadway St.
- Umbrella Speech & Language Services
I adhere strongly to a multi-sensory treatment approach, with cues being taylored to each child's individual needs. Some respond well to tactile cues, others prefer simultaneous speech, while still others do well with a combination of simultaneous speech and orthographic cues, for example. Cues are used to support acquisition of targets and then gradually withdrawn to promote independence and generalization. Goals are speech movement-based, but also take into account a family's specific requests (i.e., important names) and I always consider functionality. I include grammar and prosody from the early stages of therapy. Augmentative communication is encouraged whenever appropriate, and I frequently use visuals, such as picture schedules, in my sessions.While therapy is play-based, the goal is to have the child practice the target words/phrases with high frequency. Depending on what stage the child is at in therapy, practice may be mass or distributed, blocked or random, constant or variable.
Since attending the Apraxia Kids Intensive Training in 2014, I have maintained a connection to the CAS community. I am part of the Apraxia Kids, Apraxia Kids Canada, provincial, and 2014 Bootcamp Facebook groups; I have started a local city Facebook group for parents. For the past two years, I have volunteered as the Coordinator for the first and second Vancouver Area Walk for Children with Apraxia.
Parents are encouraged to be as involved as possible with the therapy process. They attend all sessions in full or in part, depending on the individual needs of the child. I discuss goals with parents and request their input regarding important words and phrases and functionality of targets. I explain to parents the reasoning behind my goal selection and therapy activities. Homework is given at the end of every session and is based on what we have done in therapy.
I use picture symbols in therapy regularly, as well as some signs. I have referred children to the Assistive Technology team for assessment for high tech devices and am currently working with a child who is using the TouchChat program.