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- 6569 North Charles St, Suite 401
- Milton J Dance, Jr. Head & Neck Center - Greater Baltimore Medical Center
A number of treatment approaches are used in speech therapy. Specific approaches are selected following evaluation and development of an individualized treatment plan. Careful analysis of the child’s speech system is completed to determine initial speech sound/syllable/word/phrase targets. Most children benefit from a multi-sensory approach, incorporating tactile (including PROMPT), auditory and visual prompting. Play is incorporated into all sessions as play is the “work” of children and increases the child’s interest in communicating. Sessions include many repetitions of the speech target(s), with quick transfer of target(s) into functional speech. Frequent, short treatment sessions are often recommended, but treatment plans are individualized for each child based on his/her needs.
-Guest speaker at local university on childhood apraxia of speech
-Collaborated with parent who created “toolkits” for parents whose child had received a recent diagnosis of apraxia.
-Advocate for increasing frequency and quality of school based services for all children with apraxia, including children with dual diagnoses (such as autism and apraxia of speech, Down syndrome and apraxia of speech.
Parent involvement is encouraged! Parents are invited to participate in every treatment session, either through observing, acting as communication partners or providing positive feedback and reassurance. It's important to work as a team and include parents throughout the process as part of the team. Parent involvement in sessions also allow the parent to learn strategies to assist with transferring skills/sounds learned in the therapy room to home.
I have used a variety of low and high tech options with children with CAS, including PECS and other picture communication boards to supplement communication, as well as a number of communication devices and software programs. I do not recommend specific high tech programs or communication devices and refer out to either the AAC specialist through the public schools OR to a private AAC specialist given the ever changing nature of devices and software. However, I am comfortable working in expanding communication using high tech options with children and writing appropriate goals and incorporating both the motor speech work and the expressive language work using AAC into my sessions. I find that high tech AAC with a talk back feature is often very motivating for my clients who will attempt to imitate, if the target is appropriate.