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- 895 Pacific Street
- Speakeasy BKLYN
I mainly use Dynamic Temporal and Tactile Cueing (DTTC) to treat CAS. After I have determined the severity, I will recommend a certain number of treatment sessions per week. I will also choose a particular number of stimulus words to target, also dependent on the severity of the case. These words will be functional; they will also be thoughtfully selected according to the vowels and syllable shape the child has currently mastered. These words will be practiced both randomly as well as in blocked practice. Blocked practice will follow the principles of DTTC (direct model, indirect model, etc). I find miming is successful for almost all of my children with apraxia. I will give children feedback based on their performance. I assess periodically to edit this stimulus list, removing words that have been mastered and adding new words. I will also use ReST when the child is able to group together three to four syllables.
I attended the Dynamic Temporal and Tactile Cueing conference presented by Dr. Edythe Strand in November 2018 at New York University. Previously I had trained with PROMPT in 2016. I will use resources such as Apraxia Kids to find research articles on Apraxia. I will also discuss my cases with mentors who have trained in DTTC.
I would prefer to have a parent or caregiver sit in on sessions. If this is not possible, I will make time to speak with parents outside of sessions to explain my goals and how I see the child progressing. I will share the words or phrases we have been targeting during our sessions. I will also explain what goals I will target in the future. I will ask parents what their goals are and if there are words they wish for me to target in my sessions.
I encourage all communication modes with my apraxia cases. If a child is at the age to produce narratives but cannot coordinate his articulatory movements to produce them, it is important to introduce a high tech AAC device. I have been successful with LAMP in the past. Parent and school involvement is vital when using these devices. With developmentally younger children, using sign language or low tech AAC (PECS) may help alleviate frustration.