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- 17 Stratton Court
- PuppyLove Speech Therapy, LLC
Determine overall long term goals and short term goals
1. Determine functional communication level and devise goals
2. Determine any AAC needs (for number 1) and devise goals
3. Determine verbal/speech production level and devise goals.
4. Provide frequent and intense therapy within constraints of family schedules, family needs/wishes and finances, child's toleranceand insurance guidelines
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Extremely involved. Our therapy takes place in the home or a community setting. The parent is present during the evaluation and during the therapy session unless they elect the preschool setting. The parent provides feedback and input on goal development. By the parent being present during the evaluation and therapy, the parent is exposed to the therapy techniques and can participate in exercises. They also can ask questions as the therapy is occurring. Homework is provided for generalization. We also provide our personal cell phone so parents can call us or text us if they need to contact us. Parents can also choose to allow other family members, nannies, grandparents or siblings be a part of the therapy session. This allows them information to help the patient and also reduces the "stigma" of therapy.
I believe with CAS there is a short term and long term goal for communication...AAC provides an immediate short term goal to allow functional communication and reduce frustration while allowing to work on the long term goal of maximizing verbal production.
Regarding AAC, I consider any AAC option for the child depending not just on the diagnosis of CAS but any other diagnoses the child may have, cognitive level, and physical skills as well as needs and desires of the family. Often, my children with CAS have already been fitted with an Ipad with Proloquo, so that's we use and we make it work. Often the choice of the device, is not left up to me. Depending on the verbal skills of the child and their willingness to attempt verbalizations, I will often have them attempt a set of verbalizations in functional settings and use the AAC to clarify the verbalization if necessary. In addition, the AAC is used to provide expanded answers that are beyond their verbal expression ability.