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- 18017 Sky Park Circle, Suite G
I typically begin my therapy protocol by incorporating the sounds that the child is already saying on his/her own, both consonants and vowels. I then ask for a list of words that are important to the child and are important to functionally communicate, such as the child's favorite toy or a word to request something to eat. If the child is unable to communicate with words, I begin with either a high or low tech AAC system (e.g. iPad with an app or picture exchanges) that the caregivers feel comfortable incorporating at home. If the child is able to imitate speech or simultaneously imitate, I begin by using syllable structures and sound already in their repertoire and expand from their after initial proficiency is established via a DDTC-based approach with principles of motor learning and a variety of cues specific to the child's needs.
As I am a newly licensed SLP, I plan to bring awareness of CAS to my community by sharing helpful tips and parent resources. With my name and clinic on the Apraxia Kids directory, I hope to reach more children and families impacted by CAS.
At this time, parents are not currently allowed in our treatment rooms due to COVID-19. However, parents are involved 100% via telepractice and are given verbal and visual instructions for how to best cue their child's errors. I also provide instructions on how to resolve communication breakdowns, such as incorporating AAC or offering choices for requesting.
I have used both high and low tech AAC with children with CAS, selecting options that are most appropriate for the family and child's individual needs. Most commonly, my low tech options include picture exchange or a binder of pictures organized in functional categories, and my high tech options include either an iPad with Proloquo2go or a designated device such as Tobii Dynavox. With either option, I spend several sessions working with the caregivers on how to incorporate its use in the home and/or school setting.