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- 1091 Warren Point Road
- Cathleen Gray, M.S., CCC-SLP
I think treatment is child specific - however I always include language-based tasks in therapy. I choose targets based on the word structures and phonemes that are difficult for the child, incorporated with phonemes and word shapes that are successful for the child. I try to make practice as naturalistic as possible when I can. Sessions begin with a motor phoneme warm up or "drill" for massed practice, typically using words that will be used during play. I then engage in play, with as many opportunities as possible for the child to produce the target words. I provide multi-sensory cues - PROMPT/tactile cue techniques as well as visual cues, saying words in "unison" with fading auditory cues. I also like to include words that are meaningful for the child, that are used in every day speech (names, places, toy names, verbs that are used often, etc) to increase meaningful communication. If a child is severely unintelligible, AAC is introduced early for success in communication - whether it be simple picture systems or a more complex method. I also like to incorporate some hand "signals" or "Sign language" modified to signify certain sounds and oral movements.
I honestly do not have extensive involvement in the apraxia community, however I do hope to grow my apraxia caseload and become more involved with these children and their parents.
Parents are typically observing 50% or more of each session and thoroughly educated at every session through verbal explanation and demonstration. They are given practice to complete at home that was completed during sessions - such as massed drill practice of successful words and word shapes, as well as words to incorporate into play schemes.
I have never had a patient in need of high tech AAC with CAS. Most of the children I have treated, or are treating now, have been able to verbally communicate or have used some low tech AAC. I have worked with younger children that we have incorporated some "baby sign" or manual sign to assist with verbal communication. I have also used a modified version of PECS and simple icon selection (velcro with binder) to assist in functional communication.