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- 1101 W. 31st Street, Suite 110
I follow the Principles of Motor Theory to develop a unique approach for each child who has CAS. My treatment for children who have CAS focuses on developing to ability to select, plan, organize, and initiate motor patterns for speech. I encourage self-monitoring of skills and development of typical prosody from the beginning of therapy. I incorporate multi-sensory strategies and work directly with occupational therapists and physical therapists to support the children's sensory integration and motor development during my treatment. I use various cueing strategies which I have learned over the years through many different trainings, including written, phonemic, tactile, and kinesthetic cueing. The cueing will be different for every child depending on their ability, motivation, co-morbid issues, and stimulability.I have training in using the Dynamic Temporal & Tactile Cueing (DTTC) approach for children who present with characteristics of severe CAS at the beginning stages of treatment. For children who are not yet ready for imitation, I follow a DIR/FCD model to increase engagement and reciprocal two-way intentional, gestural communication. Finally, I incorporate augmentative and alternative communication approaches when necessary, including sign language, pictures, and communication devices, to support a child's communication development.
My team at Pediaprogress and I volunteer annually at the Apraxia Kids Walk for Apraxia. We host meetings for the local parent network, The Apraxia Connection, at our office. We also offer free parent information evenings at our office.
At Pediaprogress, parents of children who are developmentally under age three may be incorporated into our entire therapy session. They typically participate with the child and I coach the parents to try strategies with their son/daughter. I suggest ideas to try at home and follow-up at the next session. When children are developmentally older, the parents may wait in the waiting room until the final 15 minutes of the session. In the final 15 minutes, we show the parents what we did during therapy and offer ideas to try at home. We frequently set-up a "home therapy" binder for the child to take work back and forth between therapy and home.
I have extensive training in using sign language and incorporate sign language as a visual and kinesthetic cue whenever possible. I have used pictures and communication devices when appropriate to supplement speech and language therapy. I have experience using the communication apps: Proloquo2Go, LAMP, and TouchChat.