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- 1935 County Road B2 West Suite 100
- Rosenberg Center: Assessment & Treatment for Children & Families
When working with children who have CAS, it is very important to determine the severity of CAS to determine a treatment plan. I also like to identify a child's strengths and use those to our advantage in the therapeutic process. Initially, my intervention is always based on changing motor movements and motor patterns. For more severely impaired children who can imitate, I use the DTTC approach. I have incorporated Melodic Intonation Therapy (MIT) for some children who struggle with imitation, primarily children with autism spectrum disorders. For children who are not as severely impacted and who can imitate sounds, I often use the Kaufman approach to Apraxia. As children gain skills and are able to sequence words and produce most sounds I often switch from a motor-based methodology to more traditional articulation therapy. This is usually towards the end of the therapeutic process.
I participate in continuing education on CAS and I stay up to date on research.
Parents are involved with every single session. After each session, I meet with parents to talk about what we worked on during the session and what parents can do at home. Each child is given a binder with their current "homework" and approximations of their functional words.
I use AAC as needed for children with severe communication deficits. I generally start with low-tech solutions to determine the efficacy of a system. For children that will benefit from more high tech solutions a referral is made to an AAC specialist. Generally my goal for children with CAS is verbal speech. AAC systems, from my point of view, are for functional communication until reliable verbal communication can be established.