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- 9670 E. Washington Street, Suite 206
- Indiana University Health/Riley Children's Health/Riley Rehab Services-MMP East
My goal for children with CAS is to clearly communicate. I approach this goal through motor learning principles and working with families to make certain their child has a way to communicate their wants and needs. I typically use DTTC or dynamic temporal and tactile cueing, and I'm currently exploring how rapid syllable transition treatment (ReST) can be used, especially for some of the older kids I serve. Re: DTTC, I use a hierarchy of cues that encourage children to pay attention to the clinician’s face. I motivate through short activities so that distractions are minimized, and practice is maximized. I provide feedback to help children get as accurate as possible with their targets while supporting their self-confidence about talking. Research supports shorter, more frequent sessions for CAS, so I implement this component when possible.
In the recent past, I've spent the majority of my time completing CAS continuing education and serving families through my clinical services. I am interested however in participating in the Walk for Apraxia in my local community this year.
Parents are invited to be part of my therapy sessions for the entirety of it, and if not, I ask that we come together toward the end where coaching and planning for carryover can occur. I want parents to feel empowered that they can communicate successfully with their child.
An avenue for effective communication must be established as soon as possible for children with CAS-any and all low and/or high tech options should be considered. Children I serve have typically used a total communication system-signs, gestures, pictures, and speech. High tech (a speech-generating device) has been an avenue I've pursued with some children.