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- 400 Celebration Place, Suite C200
- AdventHealth Pediatric Sports Med and Rehab
I take a dynamic and multisystem approach to treatment. I choose target words that are considered high frequency for the child and break them down into an achievable level. I use PROMPT as well as visual and verbal cueing to assist the child in correctly producing the target word. I reward with the item we were working for. Ex. Child loves bubbles and requests bubbles at home using unintelligible speech to an unfamiliar listener, I would use target words such as bubble, open, pop, give me, my turn, etc but focusing on the words that could be produced using his or her phonetic inventory. Once a word is achieved we practice that word with varying prosody.
I would really enjoy the opportunity to engage in community event for kids with CAS. Presently, I have attended Apraxia courses and participated in parent sessions during those courses. I help advocate for my kids with CAS by connecting with patients school based therapists to ensure we are on the same page and working together for the patients best outcomes. I work closely with the child’s PT and OT (if applicable) to determine if there are additional praxis deficits requiring treatment. I market to physicians that I provide CAS treatment in order to assist parents with easily navigating how to obtain therapy.
Parents provide the high frequency word list that the child uses at home. I ensure all target words are functional to the child’s activities of daily living. I discuss extensively with families what to expect, additional resources, active treatment plan of care and targeted goals as well as how to help facilitate communication without frustration in the natural environment. When appropriate I have parents engage in play with the child so that trials of speech sounds are praised by the child’s most trusted person in their life.
As I address the child’s motor planning for speech production, I will utilize a total communication approach in order to reduce communication frustration and increase positive communication attempts. I’ve used ASL, PECS, low tech devices and high tech devices, depending the the severity of the child’s needs at that time. AAC is never used as a replacement for the child’s verbal communication attempts. I try to give parents a successful way to communicate with their child while working towards improving their child’s verbal communication.