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- 2 Red Fern Circle
- Little Speech House
With a child with moderate/severe CAS I will already have my assessment completed and have an idea of, if not a completed speech profile of the child’s speech production skills. I will look at their consonant inventory, vowel inventory, word shapes inventory and pick words that I know they will be successful with. I will choose a limited number of target words (less than five) to incorporate into the play activities I have prepared. We will engage in the Dynamic Temporal and Tactile Cueing (DTTC) approach that is evidenced based for children with CAS. We will try to achieve as many repetitions of the limited targets words that we can in the activity/session. My ultimate goal is for 100 productions in 30 minutes which may not be attainable at first.. and which may seem like a lot but there kiddos can do it over time! Once the child is successful at a highly cued level, the cueing and prompting will quickly be faded in order to get the child independently producing the targets. Once they are independently producing the targets we will be focusing on trying for some generalization of those targets later in the session. If they need it, cueing will be reintroduced before being faded once again.
I participated in a research study with Shelly Velleman. I receive the Apraxia Kids Newsletter to stay updated.
Parents are always an integral part of the therapy process. While the SLP is the “expert” the parents are the ones that are going to be the major speech practice partner with these children when they are not in the therapy room! The parents are always welcome and encouraged to sit in and watch all sessions and after most targets I will quickly draw attention to my cueing or prompting. Once the child achieved success with DTTC and can be faded to verbal prompting alone they are then encouraged to practice with/show their caregiver who I then coach as they engage in the therapy process!