When a child is beginning therapy for remediating sCAS or CAS, I would choose sounds the child is already able to produce to build core words and phrases that are important to the family using reinforcement that is of interest to the child. I would use short periods of intense practice (massed practice) and use a blocked style vs. randomly selecting target words throughout the session. My feedback would be delayed approximately 2-3 seconds and would be very explicit in nature. I typically like to see children with sCAS or CAS at least 2 days a week for 30-45 minute sessions.
I work with families whom have a child diagnosed with CAS closely to help educate and support in the areas of need. I continually educate myself in the area of speech sound disorders.
Parent involvement is an integral part of effective speech therapy and collaborating with parents is a big part of my treatment approach. Input from parents helps me develop meaningful and appropriate treatment plans. When possible, I have parents sit in on our sessions so they can see what techniques work best for their child. Due to the nature of my ABA clinic, parents are not always present for therapy sessions however I do provide in writing specific feedback of session, education, and home programs each session to assist with generalization of learned skills. I am always available via email and phone for any questions the family may have. The main goal I have for families is to feel comfortable implementing speech strategies with their child and be their advocate!
I use AAC as an early and simultaneous method to speech production. I use various methods of AAC including simple signs, low and high tech devices.