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- 880 6th Street South
- Johns Hopkins All Children's Hospital
I create an inventory of consonants, vowels, and syllable shapes the child can produce. I then create an individualized treatment plan to target specific combinations (C1V1C1V1, CV, VV, VC, VCV, C1V1C1V2, C1V1C2V2, CVCVCV, CVC, etc.) incorporating phonemes in their repertoire and targeting new ones. My patients have achieved excellent results using the Kaufman approach. I cue children using hand cues on my own face (typically the Easy Does It cues, but will tailor cues to the child if they respond better to certain ones), DTTC, and give them specific feedback on results (e.g., "You popped your lips! Perfect!"). I do my best to choose functional target words/combinations and incorporate AAC as needed to augment communication. I involve the parent in every treatment session, train them on cueing, and provide specific ideas for home practice of mastered productions.
I have participated/fundraised in 2 local Walk for Apraxia events. Each year I print out flyers and give them out to my families with children with apraxia, explaining the event and encouraging them to participate. One of my patient's moms has gathered a huge team for the past several years and has raised thousands for Apraxia Kids! I co-chair Johns Hopkins All Children's Hospital's Apraxia Specialty Team, whose goals are to provide further education to clinicians and families, create parent handouts, peer review evaluations and treatment notes, create resource libraries, and share therapy ideas. I am also a member of the Apraxia Tampa Bay Facebook group for families with children with apraxia.
Parents are present in all therapy sessions. They sit at the therapy table with us and participate in all activities. I often explain and model treatment techniques and have the parents cue their child within the therapy session. I want parents to feel empowered while facilitating carryover at home. I send home mastered words (>90% accuracy within sessions) to be targeted at home.
I have used high-tech AAC with several of my highly unintelligible children with CAS. They were able to obtain their own devices (typically a NovaChat) through insurance, allowing them to use the same device in therapy and at home. We would incorporate the device into treatment by practicing our target productions, then using the device to supplement (e.g., Targeting "tato" C1V1C1V2 production and then having the child use the device to state "I want Mr. Potato Head"). I have used low-tech AAC with many of my young children, such as incorporating signs (more, all done, eat, play, open) and pictures to augment speech.