Depends on present levels of performance and severity. If non verbal and unable to imitate: introduce signs/gestures to ease frustration for family, while beginning imitation tasks (starting with single sounds, CVCV or CV words/approximations, or gestural imitation as is appropriate for individual child). As approximations/imitation is emerging, begin to introduce some functional vocabulary. I generally use Kauffman's materials and PROMPT combination, as well as other techniques in therapy. I teach parents and teachers (or other caregivers) tactile/visual cues to be used as needed outside of therapy.
Our clinic offers support groups for families of children with CAS.
AAC Use/Implementation Expertise:
Have used with older patients who had significant difficulty after many years of therapy of sequencing sounds. With patients who are verbal and make approximations, have used various forms to help ease frustration at home and school.