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- 2043 East St # 685
- The ProAACtive SLP
Building confidence and motivation in the child by establishing trust and making activities fun and engaging is so important. I create a multi-modal and total communication environment by providing visual and AAC tools/equipment. The parents are required to attend the sessions. The parents and I create a target list of functional motivating words that are organized according to their treatment plan. I focus on expanding verbalizations and co-articulatory targets and address prosody as early on in the process as possible. I sit at, or just below, eye level and limit distractions so the child can focus on my mouth. I use DTTC to determine and provide the necessary levels and types of cues that are necessary for the child to be successful. Since the research is showing that a high practice amount and massed distribution amount in treatment have a bigger impact on outcomes, creating a treatment plan that uses that structure is critical. Probe data collection at set intervals in lieu of collection in every session keeps the focus on the treatment and the positive relationship.
Thus far, I have been working diligently to acquire as much CAS training as possible. Thus far, I've been sharing discriminatory and non-discriminatory features of CAS with my colleagues and families and explaining evidence-based assessment and treatment approaches to optimize outcomes. In the future, I plan to bring awareness and accurate information to professionals and parents in my community many ways. First, Iâ€™d like to organize an Apraxia Awareness Fundraiser Walk in the San Francisco East Bay area. An Apraxia Awareness Walk in the community strongly aligns with my dedication to increasing CAS education and awareness for service providers and families. Next, my plan is to provide CAS training to related professionals/service providers (e.g., pediatricians, PTs, OTs, etc) and family members while emphasizing the importance of, and creating opportunities for, transdisciplinary collaborative service provision. Additionally, I will raise awareness throughout the year by sharing vetted online resources including Apraxia-kids archived FB Live videos with colleagues and parents as well as disseminating the Apraxia postcards each May during Apraxia Awareness Month. Furthermore, on social media, Iâ€™ll begin to include reader-friendly info tidbits each month that provides accurate and up-to-date info about CAS.
During treatment sessions, I require active parent involvement. I coach them and demonstrate the skills so they can practice with me, get necessary constructive feedback, to accurately carry over the skills with their child between sessions as prescribed in the child's treatment plan.
As an AAC Specialist for over 13 years, I've well versed in the importance of providing a multi-modal communication environment that can include appropriate low-, light-, and high-tech communication tools/equipment to support communication during treatment. First and foremost, to create practical expectations and goals regarding the child's immediate and accurate use of the AAC tool, I explain to parents and other service providers that it takes time for a child to learn the (symbolic) language receptively before being able to use it expressively. By beginning with this dialogue and providing ample training related to AAC learning and evidence based partner strategies, parents feel more open-minded about using augmentative tools while working toward their child's speech goals.