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- Candice
- Smale
- 8906 Commerce Road, Suite 1
Commerce Township
Michigan
48382
United States - Lakes Speech & Language Pathology
Commerce Township
Michigan
48382
United States
Therapy for a child with CAS is most effective when it's frequent, at least two times a week, and focuses on getting as many practice trials as possible in each session. I carefully choose a small set (5-10) of target words to work on at a time. Targets are selected based upon your child’s vowel errors along with the consonants and syllable shapes they are able to use. I use a research-based method called DTTC (Dynamic Temporal and Tactile Cueing), which uses a hierarchy involving varying the levels of support as needed from simultaneous productions, direct imitation, and delayed imitation.
I believe parent/caregiver involvement is a crucial component in the treatment of CAS. I encourage parents to join my treatment session to learn cueing strategies and understand how to continue to practice targets at home. Parents are involved in the selection of target words in finding words that are impactful to the child within their environment that fit the target syllable movements we are addressing. Early in treatment, parents can help to establish visual attention to a person's face as well as increase imitative skills.
I incorporate augmentative and alternative communication, including sign language, gestures, and speech-generating devices, to support my clients with CAS. AAC is used to reduce communication-related frustration and enhance expressive and receptive language development. Because CAS impacts a child’s ability to produce speech due to motor planning difficulties, AAC offers a means for children to express themselves while continuing to develop their motor speech skills. It is integrated alongside direct motor speech practice to support overall communication growth.
