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- 138 Industry Lane #5A
- Mt. Washington Pediatric Community Rehabilitation Services
Initially, I determine the first three priority areas that are breaking down (e.g. mandibular control, lingual control, labial-facial control, prosody) from the motor-speech hierarchy. Then I develop a lexicon of functional syllables, words and phrases that target the areas of need. I incorporate massed practice and distributive practice in every session. I utilize various cues including: verbal, visual, gestural, and tactile kinesthetic PROMPTs (parameter, surface, syllable, complex) to support the client based on need.
Previously, I worked at a private practice that was well known for the use of the PROMPT therapy approach. I am also a military spouse and I try to be involved in the military CAS community by helping families understand the need for appropriate services for their child wherever they are stationed.
Parents either observe sessions or meet with me to discuss the session for the last five-ten minutes. Weekly home carryover assignments are given to target specific speech movements in a given list of functional words/phrases that can be easily incorporated into daily home activities
When appropriate, I have used basic signs, picture exchange, dynavox. If a child needs a high tech AAC device, I refer out to a specialist in AAC. When using AAC, I always incorporate verbal speech and am still mindful of the oral motor speech movement goals that we are working on.