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- 2141 Wisconsin Ave NW
District of Columbia
- The Speech Space
District of Columbia
Since I typically work with children 12 months to 6 years of age, my treatment approach is play based and functional. My initial session is typically used for establishing and building rapport. Once rapport and trust is established, I like to have parents make a list of words that are important and functional to their child and family (e.g., toys, foods, activities, names), so I can figure out how to help the family and child work on these words. In addition, I use the child's repertoire of sounds to work on imitating sound combinations in repetitive games in order to have a lot of opportunities for practice. As the child's sound and word repertoire and confidence increases, I will start to incorporate more of the K-SLP words (either in play, drill-embedded in play, or drill--depending on the child's age and attention) to help expand their sound and sound combination repertoire. I like to incorporate these into their daily life routines and play as much as possible in order to encourage generalization.
When we started our practice, we sponsored an Apraxia Walk in our community. It is an annual event and we look forward to participating this year as well!
In our practice the majority of our sessions take place in the child's home or daycare setting. Therefore, parents and caregivers are typically very involved in my sessions. I highly value parents' wishes for their child and like their feedback in order to make sure we are working on what is most functional and important for their child. I typically spend a few minutes at the beginning of our sessions discussing how the child has been doing since I last saw them, any gains or regressions, and if there is anything new the parents would like for us to work on or discuss. I like to have the parent(s) or caregiver(s) in our sessions so they can watch as I provide direct intervention, explaining what I'm doing and why, and encourage any questions from the parents and caregivers. Throughout the session and towards the end, I like to have the parent or caregiver try out some of the techniques or targets we worked on. I typically give "homework", with specific details and targets, for the family to work on in between our next session. I like parents and caregivers to feel empowered that they know what they can work on and how to work on it with their child.
I have used AAC to help children with CAS express longer thoughts, abstract ideas (feelings, emotions, etc), and answer questions in larger groups.