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- 1101 West 31st Street, Suite 110
For a child with moderate-severe CAS and based on their speech sound repertoire (what sounds the child can say already), I chose 5-6 target words or phrases with sounds that the child can already say and the syllable structures they need to work on (e.g. consonant-vowel: "go" , vowel-consonant: "me"). I also make sure the target words or phrases are functional for the child and can be used across a variety of settings and routines. I use multi-sensory cues including visual cues, tactile cues, verbal cues, and gestural cues and start with producing the target words at the same time as the child and have them watch my mouth. As the child progresses, I provide the cues that benefit the child the best without saying the word at the same time. I always consider augmentative and alternative communication devices and low-tech support to support the child's verbal production throughout therapy.
I have been a member of Apraxia Kids since 2019 through my clinic. My clinic participates in events through Apraxia Kids such as meet and greets and the annual walk to Apraxia Awareness. If I am listed in the directory, I plan to continue to go to events hosted by Apraxia Kids and take more webinars to continue to learn and grow my treatment of CAS.
Parents are invited to sit in the session and participate depending on the child's age and abilities. I give parents and the family books with the target words/phrases in them to practice at home and typically make age-appropriate picture cards for home-carry over.
I have used low-tech to supplement a child's verbal production using modeling through play and therapy. I have also used high tech AAC devices for children with more moderate to severe CAS and always model on the child's device and use it as my own voice as well so that the child does not feel like it is just their voice and that it is used to be quizzed on.