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- 15 Forest Street
- LinkFirst Intervention
Functional communication is the most important goal for a child with moderate to severe CAS. With that in mind, I consider the child's phonemic inventory and work with the child's family to identify functional targets that are attainable. With a method like DTTC and the principles of motor learning, we use 3-5 functional word targets with at least 100 productions per session, which are incorporated into games or toys to make session participation as motivating as possible. Intense practice is essential. Because of this, I often recommend 3-4 sessions per week.
I have a particular clinical interest in motor-based disorders, ranging from Apraxia to dysphagia. I have worked with children with Apraxia for whom accurate diagnosis was crucial and sometimes long overdue. I am most passionate about accurate clinical information dispensed to all stakeholders, and am disheartened by the misinformation surrounding Apraxia, poor differential diagnosis, and the access to intensive services. Being listed in the directory allows me the opportunity to be aligned with an organization that is committed to educating families and professionals on a complex disorder, something I feel is badly needed. I hope to continue to expand my own knowledge and connect families with well-vetted resources.
Parental involvement is crucial to success in selecting targets, monitoring carryover, and facilitating practice opportunities. Parents are provided with frequent updates regarding progress, and are involved in functional word target selection. Another important aspect of parental involvement is education, support, and training for communication strategies.
I have introduced simple signs, which are free, easily learned, and always available. I also have significant experience establishing picture exchange systems and programming high tech SGDs.