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- 3101 S Gulley Road, Suite F
- Futures HealthCore
Post dynamic assessment of the child and their motor system, targets are then selected, which I approach as a team with the family being at the center of the decision. These targets are based on the child’s abilities, fundamental words in communication (i.e. stop, no, yes, etc.), family-desired words that are impactful and used in their daily life. To successfully produce these targets, I use multi-modal cueing, such as tactile cues on the client’s face and/or mine when tolerated, visual cues (i.e. Kauffman Cards, etc.), and verbal cues (i.e. explanations of where the articulators go, etc.). I incorporate these cues based on where the client falls on a hierarchy such as Dynamic Temporal and Tactile Cueing. The DTTC hierarchy is followed within sessions to scale a client forward or backwards in order for the client to get to a level where they are able to appropriately produce the current targets in a therapy session. Additionally, I bring parents into my sessions in order to learn the current targets being worked on, cueing, and feedback used with their child in order to foster more successful and consistent practice at home.
I have participated in Apraxia Walks, fundraisers, and general increasing awareness of Apraxia within the community. I continue to increase awareness through research, volunteering efforts, and raising funds.
Families play a vital role in our therapy process, as they are involved in selecting client-important targets and developing a suitable home program. Parents are strongly advised to sit in therapy sessions, watching and learning various techniques and targets that can be practiced in the family home. They are also encouraged to practice with the client and therapist at then end of sessions to ensure appropriate carryover of techniques for home practice. Additionally, parents are given a detailed explanation of the therapeutic process, including why certain sounds/words are being targeted, what are the next steps, changing prognosis, etc. As always, they are encouraged to ask questions as they come up, and are able to contact me outside of our scheduled treatment session to get any and all questions answered.
AAC of various modes (i.e. picture icons, free iPad apps, etc.) have been implemented early in intervention, with client/family support and acceptance, when there are clear communication breakdowns causing frustration from both the client and family's perspective. If it alleviated such stressors on the family, then continuation of AAC usage has been recommended, and, as verbal speech increased, AAC was faded out appropriately.