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- 1120 S. Calumet Ave, Suite #3
- Kidworks, LLC
In my practice, I work mainly with children between the ages of 1-6 years. Therefore, therapy in my room is play based with a direct focus on vowel production and syllable shapes (CV, VC, CVC, CVCV, etc) initially. Usually I utilize tactile cuing to help the kiddos focus on my articulators to give them further input to process what needs to occur for correct production. I have found tapping on the table, toy, or child's arm can also be helpful when working on sounds, syllables and the transitions between them. These strategies just provide another layer of input for them and are usually quite helpful. Producing non-speech sounds such as animal sounds and environmental sounds are typically an initial focus also with my clients with CAS. I also work with the child's family members to create a core vocabulary that they would like the child to say at home to help them meet his/her wants and needs. My personal experience is that the core vocabulary works well very early on but grows relatively quickly once the child begins therapy and increases and/or stabilizes speech sounds in their repertoire. Once these basic steps are established we can usually work through expanding utterances and may begin focusing on language issues once intelligibility grows.
My involvement in the Apraxia community has been limited to the children and families that I have served over the past 30 years, my commitment to continuing education, and keeping abreast of the leaders in the field for proper referral.
It is the policy of our clinic that parents choose whether to sit in sessions or wait in the waiting room. It is my personal preference that parents participate in therapy, particularly if I suspect CAS. In either case, the last few minutes of therapy are used to consult with the family. Specific techniques are demonstrated and explained to the parent. I will ask them to try the technique with their child with me present before they are sent on their way. A brief discussion of how the homework from the previous week went occurs. We brainstorm how to get over obstacles, etc. Sometimes a parent will participate in random therapy sessions. These sessions are used to demonstrate and instruct techniques to elicit the best productions from their child. I am always available by phone, email, text, etc. to all of my families between visits. Many of my families contact me with both successes and concerns.
I am more likely to use low tech/pictures or choice boards if necessary. Families that I work with have been more receptive to low tech than higher tech like an iPad and appropriate apps. I would be open to recommending higher tech AAC for these kiddos but have not had a child so significantly impaired that the family was interested in utilizing higher tech at home to date.