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- Tzara
- Caswell
- No
- 1853 Phillips Way
Los Angeles
California
90042
United States - Playful Path Speech Therapy, Inc.
Los Angeles
California
90042
United States
When treating apraxia, an individualize treatment plan is created using the goals of the family and the he principles of motor learning. Because the principles of motor learning require repetitive practice, sessions incorporate a balance between both structured practice and child-led and play based approaches. A session often includes high repetitions of target words, focusing on completing a small set of skills very accurately. There is focus on movement between sounds and accuracy of movement. Once an accurate movement has been accomplished, practice will be faded into more random receptions and carryover is maintained by parent’s home practice. AAC is used to meet the child’s immediate communication needs and support as a child's speech develops. Research conducted by Edythe Strand, indicates short and frequent sessions with repetitive practice to be the best approach. When families are not able to accommodate frequent sessions, an emphasis is placed on parent training to help them identify vowel distortions, etc. so that they can help more with home practice of targets that are not fully achieved. Picture support and PROMPT tactile stimulation may be used as the highest level of cued support for a child.
I maintain up to date knowledge of research being conducted for CAS treatment and assessment. I have a very close relationship with all the families I work with and enjoy connecting families with each other when appropriate.
Parents are vital part of creating and implementing all speech and language treatment. Parents are taught about what apraxia is and together with the expertise of the therapist help to create a treatment plan. Parents are given resources for community support and taught to adv and are often given daily home practice of words that have been mastered already in therapy (without distortions). Parents are often encouraged to use ACC to support the immediate communication needs of the child. They maybe encourage to create a Bragg book of words in the child's repertoire.
AAC has been shown to support communication and language development, as the child's speech develops. I generally begin with unaided AAC such as sign language and move towards more dynamic systems if needed. If long-term AAC support is needed, the family may be encouraged to receive a formal AAC assessment by a specialist. If parents are not able to afford an evaluation, I will often encourage them to download a free language based commutation system, apply for a scholarship, or apply through their local school district.