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- 1509 West Roscoe Street
- Crossroads Speech Therapy
"It is recommended children with CAS are seen more frequently and for shorter sessions 3-5 x a week for 30 minutes in the morning and again in the afternoon.
I maximize the response trials per session. I maximize their ability to look at my face. I use probe testing to measure progress instead of session data. I incorporate PML (blocked to random practice and frequent and specific to less specific and infrequent feedback.
The treatment method that is the most evidence based is DTTC. So, I would use DTTC with kids with CAS.
Prerequisites for use of DTTC are: able to focus attention to the clinician's face for at least a few minutes at a time and able to at least attempt direct imitation.
DTTC is an articulatory treatment methods based on integral stimulation. The treatment emphasizes the shaping of movement gestures for speech production and the continued practice of those gestures, in the context of speech.
Practice is organized by blocked practice and moving to random practice. Early in treatment I give more specific feedback and the feedback is faded to less frequent with some delay as well, a temporal delay.
We focus on the movement instead of the phoneme.
DTTC procedures are simultaneous production, to immediate repetition, then moving to repetition after delay, and finally spontaneous production.
Tactile cues, gestural cues, phonetic placement, holding the initial articulatory position longer may be used with simultaneous production."
I have 3 children and my middle child, he is now 3-years and 2-months old, had motor planning challenges and Praxis when he was a toddler. He began speech at 16-months-old. As a SLP I had lots of experience with children who were late talkers but not CAS or motor speech. He has been in speech 3x a week since that time and is doing so well. Since he was 16-months old I have made it my goal to learn as much as I could about CAS and motor speech so I could help my son and other children in my community with these challenges. Since then, I have taken many continuing education classes, observed other SLP's sessions and treated over 6 kids with CAS. This summer I will be attending the Apraxia Kids conference in Texas and I cannot wait. I would also love to attend other Apraxia Kids events. My practice could volunteer or sponser Apraxia Kids events.
Parents are very involved. They often sit in on our sessions. I teach them strategies and help them for their home practice. I also help them understand how I am working with their child and all the effort their child is giving. If they do not sit in on the session I go over the session afterwards, explain what we did and why, I always give a carryover activity for home practice and generalization too.
I have used AAC (low tech) for some of the kids on my caseload. Other clinicians in my practice have more extensive experience with high tech AAC and I am able to collaborate with them as well.