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- 720 STONERIDGE DRIVE Suite 1
- GRŌ SPEECH LANGUAGE LEARNING
I use the Kaufman word hierarchy approach and I also use the PROMPT method. I find out what works best for the child and use a variety of cueing strategies besides PROMPT. For instance body swaying, table tapping with syllables/phoneme segmentation, gestures, visual mouth cues, syllable or sound segmenting. I try for 5 repetitions of a target with first a high degree of cueing/modeling and then slowly wean out the cueing. Then we build on getting that target in a longer and longer utterances for 5 repetitions with the least amount of modeling.
I began treating adults with apraxia who had strokes at the beginning of my careers in 1984. Given the right kind of treatment and a lot of it, I watched my patients improve. When I transitioned to treating young children in the late 1990's it was a fascinating to me to see the similarities and the differences treating a young child with apraxia who never had speech. Since then I have found it to be so rewarding to work with these children and their families. They hold a special place in my heart. As I have watched so many grow up and become successful students, I have noticed that they all possess an excellent work ethic. Something that they obviously learned from being in treatment at a young age. They have learned that possessing grit and perseverance they can and do conquer anything. What a great thing to learn at a young age.
If I have strong parental support, I send home words that are close to mastery in a "special" word book that they can share with the family and feel very successful with. I coach parents to help/practice with their child when it is a natural time to do so, and not to expect a child to do as many repetitions that they were do in the treatment room. Therapy is a lot of work, and it is taxing to a child. Parents need to be parents and enjoy their children in a lot of various activities.
I am open to having the parent in the treatment room on a case by case basis. I find that I can get much more work from a child when the parent is not in the treatment room. If that is the case, then we spend at least 5 minutes at the end of the session to review what we did and what to do at home.
I tend to use low tech AAC, in fact the lower tech the better. I try to teach sign language to those children who don't have an accompanied limb apraxia and if it isn't successful we use a picture board type of system that is easily portable.