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- 721 Monterey Boulevard
- SF Speech Therapy
My treatment approach starts with building rapport and motivation, recognizing that while speech therapy can be hard work, we learn best when we are inspired to work together towards a common goal. Treatment targets speech movement and coordination following the principles of motor learning. Children become more successful through frequent practice of carefully chosen target sounds, syllables, words and phrases. Sessions incorporate specific feedback and multimodal cueing to shape and maintain accurate production. Multimodal cueing incorporates visual cues, auditory cues, and tactile cues in the form of facial touch. More frequent, shorter sessions are offered when possible and families are given a home program to promote generalization.
Most of my involvement with the Apraxia community has been as a provider. I have also been a part of the Apraxia Kids Official Support Group on Facebook for years. I really value being a part of the group because I learn so much from professionals and parents alike. In particular, it helps me develop a more holistic understanding of the day to day struggles and victories experienced by children with CAS and their parents, and in so doing helps me to be a better, more empathetic, and more creative therapist.
While I am an expert in speech and language, parents are experts on their children, and as such are respected, appreciated and vital pieces of the therapy puzzle. I work collaboratively with parents throughout treatment. Specific areas of collaboration might include: 1. Parent interview to determine the best way to motivate, engage and promote enjoyment for the child 2. Parent participation in a home program to generalize speech skills across settings 3. Parent education around the rationale for specific therapy practices 4. Check-ins to understand how the child is doing holistically, how CAS may be impacting this, and problem solving any areas of concern
AAC is a wonderful bridge to spoken language that can help to encourage speech and language development as well as increasing a child’s ability to be understood by his or her communication partners. I pair appropriate forms of AAC with motor speech practice to give children the best opportunity to communicate and be understood. Depending on the needs of the child, I have used various forms of AAC, such as sign language, switches, Go Talks, iPads and pictures/icons. AAC can function as both a cue and/or a model for the child as well, and I always use it in conjunction with spoken language.