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- 1800 East Northwest Highway
- Strive to Thrive Therapy, LLC
My treatment approach involves increasing accuracy and consistency of speech movement sequences through use of multisensory cues and repetitive practice of functional word/syllable shapes while facilitating language development. I focus on identifying the child’s current speech and syllable shape inventory, and establish a plan to achieve varying motor speech sequences. I also examine the child’s current vowel inventory and form a plan to increase vowel accuracy and reduce vowel distortions and omissions in the given sequence. My approach then focuses on selecting functional vocabulary and increasing the child’s ability to produce the vowels, words/syllable shapes in increasingly complex sequenced movements through use of multisensory cues, repetitive practice, and modifying other aspects of language to establish consistent and accurate productions. Multisensory cues I use in therapy include tactile, verbal, kinesthetic, and written cues. Most recently, I have started incorporating P.R.O.M.P.T. into my sessions after taking the introduction course. As target utterances are acquired, I encourage children’s speech flexibility by producing target utterances in a variety of structures while increasing language formulation, including syntax, morphology, and grammar. For children who are not yet imitating simple syllable shapes, I encourage facilitation of vocalizations in play via imitating sounds, using signs, communication boards, devices, and other gestures. I also collaborate with other professionals to identify other factors that may be impacting the speech motor system, including occupational and physical therapists. I encourage family participation and work closely to establish at home practice activities to increase transfer of skills from treatment sessions to home life and other environments.
I have supported Apraxia Kids’s Walk for Apraxia, attended support meetings, attended Apraxia Kids’s conferences, educated families and professionals about Childhood Apraxia of Speech, and have taken many continuing education courses regarding CAS.
I encourage parent and caregiver involvement in all aspects of the therapeutic process. I provide parents with opportunities to observe the child’s treatment, ask questions, and provide home practice activities to carryover skills to the home environment.
I have used AAC low tech communication boards to facilitate expressive language in order for the child to communicate wants and needs with families throughout functional activities. It allows the child to develop expressive language while continuing to work on the speech movement sequences. For example, I have used sentence strips with written words and visual pictures to help children who experience communication breakdowns, and can point to the words/pictures to give the communication partner information. I have also introduced signs and gestures as a means to communicate with others while continuing to target motor speech targets. I have also used high tech applications (such as the TouchChat application) to help those who have limited speech intelligibility communicate with others.