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- 120 West Center Street, Unit 2
- Let's Talk Speech & Language Therapy Services, LLC
My treatment approach for kids with CAS is tailored to the needs of each individual child and varies as a result. However, things that are consistent in my approaches are:
1) Building functional language via shaping of progressive word approximations
2) Using multisensory cueing in all sessions (visual, verbal, tactile, proprioceptive feedback)
3) Intense practice in each session to maximize opportunities for production of targets
4) Incorporation of principles of motor learning within each session (practice, preparation, appropriate feedback, distributing practice, random practice)
5) Introduction of AAC to support communication and reduce frustration (typically beginning with basic picture communication boards)
6) Incorporation of DTTC (Dynamic Temporal And Tactile Cueing) hierarchy when presenting targets in sessions (simultaneous production, mime/mouth gesture, direct imitation, delayed imitation)
At Let's Talk we have helped with organization and set-up for the Boston Area CAS walk since 2013. We enjoy participating in the walk with staff every year and volunteering to help the event run smoothly. We have hosted meetings at our office for parents to discuss planning of the walk and have helped to make decorations/crafts. Let's Talk has also been a sponsor of the Boston CAS walk and we have worked to raise money for Apraxia Kids. We also frequently post resources from Apraxia Kids and updates on Apraxia Kids events on our business webpage and on the business Facebook page as well.
Parents often observe sessions or portions of the sessions with their child, so that the clinician can demonstrate the modeling and cueing techniques that are being used and explain the child's targets. At minimum, approximately 5-10 minutes of wrap-up time occurs at the end of each session to review with parents and give feedback. Each child also receives a "communication/speech binder" that the parent is asked to bring back and forth to each session. The clinician places pictures/worksheets with targets in the speech binder each week for home practice. Informative handouts are also included for parents in the binder (e.g., handouts on multisensory cueing, descriptions of visual/gestural cues, information on CAS diagnosis, principles of motor learning, etc.).