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- 135 Columbia Turnpike
- Heidi Miller Speech & Associates
"My overall treatment approach is to use DTTC.
I chose my target/probe words based on what is in the child's repertoire.
I make sure that I have different syllable shapers and I utilize words that have functional meaning example: "no", "me", "eat", "hi"
I move through the hierarchy simultaneous, direct, imitation after delay and spontaneous production
We build in changed in prosody, intonation, rate and volume at each level, adding and fading cues as needed.
As soon as the child begins adding to vocabulary and more easily produces speech we move into phrases.
Apraxia is a label in time. I've watched my clients improve and move into a phonological realm with the right treatment."
I have a true passion for what I do. I've tried to spread the word about DTTC because I have had such success with it. Apraxia is something I have always seemed out more knowledge on. I stay in close contact with NYU and I believe I'm very informed on the latest treatments. I also am very familiar on all of the treatments for apraxia because I use all of my tools and collective knowledge. If in the directory it just means I can reach and help more families.
I have the parents observe sessions intermittently. When a target word is newly introduced I do not have family target it the word at home since I'm concerned they can not give the proper specific input. Once at "delay imitation" level parents can target at home. I also encourage families to actively use mastered words at home and add onto them.
I have used AAC devices such as iPADS, and simple board maker boards to help non - verbal children with apraxia communicate in ADDITION to encouraging speech sound production. I give up on no child. I'm always a believer!