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- 3878 Ruffin Road, Suite B
I follow the PROMPT technique for treatment intervention for children with CAS. I will evaluate first what the child is able to do within their speech sound repertoire, then will use dynamic assessment to see where the child demonstrates difficulties, what they are able to imitate and what is able to be PROMPTed. I then establish what syllable level I will be targeting 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. On rare occasions my therapy sessions will be clinician directed when beneficial for the child (i.e. low attention, impulsivity, etc). I prefer to target words and items that are used within the child's various settings (home, school, community) to promote practice and generalization as well as help the child communicate his/her wants and needs within their everyday life! My treatment can change depending on the child and their needs. I have also used the Kaufman cards to target words with children who benefit from some structure. I also am a big proponent of pairing AAC with verbal language, as I have seen wonderful benefits of these two interventions paid together. I find when the child's frustration is lowered through communication using their AAC device, I am able to PROMPT more frequently and the child is much more likely to participate within therapy as well as produce more spontaneous verbal speech to request and comment.
Highly involved, I believe that every child deserves the chance to find their unique voice. We work very closely with the local Apraxia Kids parent group, have hosted meetings in the past for this group and donate to their fundraising efforts (Apraxia Kids San Diego Walk).
We believe parents are their child's best therapists and we work to help empower families to work with their children by identifying areas of concern and aiding in development of treatment. Parents are given weekly homework to work with their children within current home routines to make therapy follow up meaningful to the child.
I have used low tech AAC including PECs, Sounding Board and WordPower TouchChat (among other high tech voice output devices) in order to help give kiddos a way to communicate their thoughts and needs when their speech production is impaired. I have found that through multimodal communication our children are given more than one way to be able to make their needs known and thus are more likely to attempt sounds that are difficult for them to produce.