SLP Category: Apraxia Kids Speech-language Pathologist Directory MemberSLP Tags: California
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- 2404 Micheltorena Street
- Playful Path Speech Therapy, Inc.
Overall I use the principles of motor learning that Edythe Strand taught in her Advanced DTTC course. I choose 5-10 stimuli focusing on the movement between a consonant/vowel and vowel shape. I encourage the child to look at my mouth for imitation. I will incorporate picture stimuli for children if it is helpful to cue them. I try to attain modified block practice and being to fade to random practice as each target becomes more accurate. If parents can afford frequent sessions - we attempt distributed practice, but this is not always possible unfortunately. In these instances, I have to rely more 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. I am a firm believer in supporting low income communities, but this doesn't always allow for best practice. I also begin with specific feedback and fade to general feedback as the target becomes more accurate. If the child presents with severe CAS and limited attention, I have to use a more child-led and play based approaches. I use PROMPT tactile stimulation as the highest level of support along with simultaneous production and fade/reduce these cues to a lower level of cueing as the child becomes more independent. I am in the process of learning more about rEST so that I can become more proficient at treating children with less severe presentations of CAS.
I have been involved more formally in the Apraxia community for 1 year. I have sought out specialized training in Apraxia because those kiddos had been the hardest to treat for me in the past! My graduate training did not prepare me for all the complexities of motor learning as it relates to speech productions/movements. I'm so grateful for the training that I have gotten (in particular DTTC) and have seen my clients make great progress from applying these principles. I also plan to continue my education/honing of skills and provide evidenced based services to families in need in my area.
Parents are 1. encouraged to ACC to support the immediate communication needs of the child. 2. Parents are encouraged to make a Bragg book of words in the child's repertoire. 3. Parents utilize daily home practice of words that have been mastered already in therapy (without distortions).
AAC is used as to support communication and language development, as the child's speech is developing. Generally, children will begin with basic sign language and picture support. If further AAC support is needed, the family may be encouraged to receive a formal AAC assessment by a specialist for long-term use. If parents are not able to afford an evaluation, I will often encourage them to down CoughDrop or apply for a scholarship for a reduced price version of GoTalkNow, TouchChat or Proloquo2go