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- 2888 Loker Avenue East Suite 105
- MeBe San Diego
I follow ASHA guidelines as well as the PROMPT technique for treatment intervention for children with CAS. Following the above mentioned evaluation procedure, I then establish the syllable level to target and a range of words (within play activities) that I will target within a therapy session. My therapy sessions are primarily naturalistic and child directed. Clinician directed therapy sessions will occur as necessary (e.g. when attention and/or behavior issues may co-occur resulting in more structured therapy techniques). Therapy targets are based on what is most functional in the child's activities of daily living (e.g. what words are most common/necessary and used in school, home, environment, etc.). This helps motivate the children to use their words to communicate their wants and needs in a variety of functional settings and ultimately leads to increased motivation to communicate! My treatment can change depending on the child and their needs. I also include AAC communication in conjunction with signs and verbal communication, as I have seen wonderful benefits of these multiple modalities of interventions being paired together to increase communication. Overall, the combination of both of these techniques helps give our kiddos a "voice" and a way to communicate all their thoughts to us!
I currently participate in the Walk for Apraxia in San Diego, California
Parents are an integral part of the therapy process. It is optimal for the parents to be directly involved in helping develop goals as well as carry-over of learned techniques/use of targets across a variety of functional contexts (e.g. bath time, meal time, play time, etc.). Once therapy targets have been developed and established, I also provide homework activities and education during each session regarding the best ways to implement therapy strategies during activities in a variety of settings. I also help parents develop appropriate AAC communication pages that coincide with the functional therapy targets. This also includes parent training regarding HOW to program and change information on the device to keep the device updated to facilitate the child's language use and understanding. We see the best progress when parents are involved in all aspects of the intervention process and it is my job to educate them on how to make this functional for their family.
I am a big advocate for AAC device use for children with CAS. Following dynamic assessment, I will often have a conversation with the parents regarding use of the AAC device and its benefits in concordance with PROMPT therapy and ASL use. I will often implement AAC early on in therapy through my personal device using TouchChat, then will build a board appropriate to the child's level of communication. I will also refer the parent to either their school district or insurance to obtain a personal AAC device for the child. I have noticed that the more the child uses the AAC device, the more we see an increase in attempts to communicate verbally and more frequently. I also tend to see a decrease in frustration levels and behaviors, as the child has more of a "voice" and is able to actually functionally communicate their wants and needs. They feel they are being heard! I find that most children are more motivated by a speech output device that puts the control in their hands. Therefore, I tend to use AAC within therapy to help the child request an activity, request cessation, comment and greet others.