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- In Home Services
- Private Practice
The goals will depend on the child's specific needs. I like to ask the parents regarding any specific word that might be a priority. When selecting words, depending on the child, I would base my selection in different aspects:
- if the word contains phonemes that are easily stimulated for the child.
- any phoneme contrast that the child my need to develop.
- motivation to learn the word.
- acceptable approximations.
- the type of prompting/cueing the child would need.
I usually begin treatment with high frequency drills of specific target words that have been chosen based on the list above. As the child begins to master this, I then begin a generalization phase that may include random trials and variations in production (e.g. pitch changes, loudness changes, etc.)
I have taught CAS courses to parents, Speech Therapy students, and professionals. I have provided free screenings and teacher orientations in Puerto Rico.
When it comes to my kids with apraxia, parents have to be really engaged in the process. The follow up that they provide at home is key. That is why I usually provide with follow up activities that they can practice daily at home. I also train them on how to cue the child, based on what is working for him/her at therapy.
I am a certified Assistive Technology Provider. It is important for a child to have an immediate mean of communication while he/she is working in developing verbal skills. That is why I integrate AAC to help the child be successful during his/her daily interactions with peers, teachers, and family. I ensure that, as the child is able to produce certain words, he should use those words and not the device to communicate.