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- 175 New Egypt Road
- Aliza Heller Speech-Language Pathologist LLC
I use the PROMPT approach for treatment. After choosing three motor-speech priorities that will create the greatest positive change to the child's system, together with the caregivers, we determine functional words and phrases that will be helpful for the child to use throughout the day. Once targets are determined, I embed these targets within highly motivating play activities. This ensures that the child will be practicing new skills within natural language-rich contexts. I often like to incorporate the same targets in literacy activities by choosing fun and engaging books that are simple and age-appropriate. I begin each session with a 5-7 minute "motor phoneme warm-up" to provide multiple opportunities to practice target sounds and phrases while giving whatever visual/gestural support the child needs to be successful. Once we complete the warm-up, I move on to introduce 2-3 play and/or literacy activities per session while integrating the child's motor-speech, language, or pragmatic skill goals within each activity. Most children I work with enjoy the touch-cues provided with the PROMPT technique.
I am involved with the families and teachers of the children that I treat by providing resources and information on CAS.
Parents are present for all or part of the evaluation. I let parents know that they are valuable members of the therapy process, and they should feel comfortable making suggestions on what they feel it is important for their child to learn. Since parents see their child in a wider variety of settings and situations, they have important information that can contribute to the success of the therapy process. Parents are encouraged to observe and participate in at least part of the therapy session when possible. I provide suggestions and ideas for carryover practice at the end of each session either in-person or via a communication notebook/email.
When a child comes to me and is non-verbal or minimally verbal, I use low or high tech AAC (depending on the needs of the individual) in order to reduce frustration and serve as means of communication. I value the use of AAC as a tool to use in the interim to help clarify the client's needs and intention while their verbal skills are developing and improving with therapy. I keep the device on the therapy table and provide aided language stimulation to model new words that the child is capable of using linguistically, but can't verbally produce since it is above their motor-speech ability at the given point in time.