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- 7 Brookshire Drive
- Kim Kerney, MA, CCC-SLP (PC)
I keep therapy fun and functional, implementing the principle of motor learning into my sessions. I think it's important to involve parents in the therapy process as much as possible. I want parents to leave my session understanding what we are working on and why in addition to feeling comfortable carrying over the activities at home. I truly want parents to feel supported throughout the therapy process. I like to provide practice that is easy and natural, occurring during family routines such as bath time, mealtime or play. I target a functional verbal lexicon and want my patients to be motivated and feel successful in therapy. I incorporate AAC early on to support the development of verbal speech. Total communication can be the key to success so children do not feel frustrated as their speech is developing. I'm experienced in using no tech, lite tech and high tech AAC and treat each child as an individual to best support their complex communication needs. There is no one size fits all approach. I strive to have excellent rapport with my patients and their families to maximize successful speech therapy outcomes.
I follow Apraxia Kids online. I refer my parents to the site in addition to connecting them with each other. I share my knowledge at work with other professionals. I would like to attend the intensive bootcamp one day ( when my schedule provides!) I try to stay current in reading about EBP and attending apraxia conferences.
In my small private practice, parents bring their children to my home office. They either sit in during all sessions which I encourage or right outside of my treatment room if that is their preference. I leave time at the end of each session to talk about what we have worked on. Each child has a folder or notebook where I write simple homework for the parents at home. Typically I include a verbal lexicon of words/approximations/short phrases (depending where the child is at) that helps to improve the motor skills needed during verbal speech. I emphasis how important short, frequent practice is at home to make a difference. I give ideas of games or books to use at home during practice. We also make photo books of important people/toys/ words that they can use for practice so it keeps the work fun and functional. I encourage the parents to accept approximations, model them back to their child and also provide the true target. I counsel parents to avoid the "say this". I have parents send me voice recordings through the week to give them feedback. We also do videos of singing happy birthday etc. as its a nice way to parents to really see progress when they do the same song three months later.
I use a variety of AAC from low to high tech with my students. I think its important for children to feel successful as communicators as they need AAC at times until they get more words verbally. It can alleviate frustration at communication breakdown and give our kiddies a chance to show how smart they are! I have used signs to pair with verbal approximations, as some children have increased success with pairing a gross motor movement with a verbal production. I have used PECS, manual communication boards, iPads with Proloquo2go in addition to dedicated communication devices. It is a way to work on increasing language if they child's verbal skills can't keep up or giving them a way to independently express themselves. I value total communication and building the child's self-esteem and their ability to initiate communicatin.