For a child with moderate to severe CAS, my therapy protocol involves participating in intensive treatment of 3-4x/week for 30 minute sessions, then reducing the frequency as progress permits. Parents are involved from day one learning the techniques and strategies. I trial several approaches/strategies and figure out the best fit for the child. Approaches/strategies include: dynamic tactile and temporal cueing (DTTC), successive approximations, backward chaining, and Kaufman Speech to Language protocol. I use a combination of drill, books and play to practice targets and help parents come up with a plan to continue their practice at home. I can easily incorporate gross motor movement (jumping, rolling, running) into therapy for the child who needs to move around. I focus on selecting meaningful and functional speech targets at the level at which the child is successful. I use your child’s favorite toys/activities and names of people and places in their environment to drive selection of speech targets so it’s individualized and promotes motivation for child and family.
I have participated in the walk for apraxia in Tampa, FL. I plan to continue to participate once they resume if in my area. I also work part-time as an instructor and clinical educator at the University of Hawaii at Manoa with the SLP grad students and plan to encourage their participation as well.
Parents are very involved in my therapy sessions. From day one I allow them to first observe, then practice, and then create a plan for home practice each session. I give them live coaching of strategies and handouts as needed to explain.
I have utilized low-tech systems such as PECS as well as higher-tech (dynamic display speech generating devices)