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- 1206 East 66th Street
- Savannah Speech and Hearing Center and Georgia Southern University, Armstrong Campus, Rite Care Center
Treatment addresses sequencing speech sounds from vowels, to CV, VC, CVC, multi-syllables, and phrases. The vowel sounds are initially introduced and expanded as needed. The vowel quadrilateral knowledge and Dynamic Temporal and Tactile Cueing (DTTC) are used to expand the number of vowel sound productions. The vowel sounds that are initially produced (whether this is 2 or all 15) are typically presented with the /m/ sound in CV, VC, CVC, multi-syllables, and phrases (ex. "me", "I'm", "mom", "mimi", "I may.", "I am mom."....). The next sound is not introduced until an accuracy of 95% for the presented sound is achieved at the DV, VC, CVC and multi-syllable levels of speech. The client is required to "watch me" as each stimulus item is presented. Hand cues (DTTC), Integral Stimulation Techniques (simultaneous productions, silently mouthing the stimulus item...), prolongation and/or exaggeration of the specific sounds, are provided as long as they are needed. Prosody (melody, phrasing, rhythm, accent, pausing) is addressed in each stimulus item presentation from the beginning, as robotic speech can be associated with CAS. "Overlearned language", through the use of repetitive stories (ex. "The Dress I'll Wear to the Party"), nursery rhymes (ex. "Little Boy Blue"), and/or songs (ex. "London Bridge"), is presented in every session, and continues throughout treatment.
Hearing Center allowed clinicians to specialize. CAS was one I was selected to represent. My caseload was largely CAS. Having moved to another community, but having this expertise, I began receiving referrals from the public schools and other speech centers. Unfortunately, SLPs continue to not receive enough reliable training, and many of them acknowledge that. The public schools in this county do not even allow the SLPs to diagnose CAS. I am a resource for them, and typically a referral source.
The parent attends every session, sitting at the table with a copy of the stimulus items that will be the client's homework. Most parents take notes, and ask questions. A calendar is provided to return with the client's folder. The calendar is used to mark each homework completion. Homework is recommended to be completed in small amounts but repeated a number of times daily. I have a high success rate, and I owe it to the parents because it takes a "team" to make this happen.
I have used sign initially for a number of clients, and I am very comfortable referring to SLPs in our area who specialize in AAC.