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- 275 Prospect Park West
- bklyn speech
I keep my therapy sessions very play-based, family-centered, and functional so that the child laughs and plays while making gains in each session. I use a combination of PROMPT, Dynamic Temporal and Tactile Cueing (DTTC), and Rapid Syllable Transition Treatment (ReST) in order to treat each child's CAS on a case-by-case basis. In very early cases, I tend to use PROMPT (increasing jaw stability etc) for early motor speech targets- always focusing on sounds in syllables in words and NOT in isolation. I also use DTTC to introduce some functional approximations so that the child can meet his immediate needs based on the family's concerns. I also introduce AAC early on if it is necessary. I educate parents on their child's CAS, try to put them at ease, and empower them to become active participants in their child's intervention
I am a member of many Apraxia support online forums. Since the majority of my caseload is composed of children with CAS, I often advocate in the community and schools to make sure that the needs of these children are met. I often advocate at IEP and IFSP meetings for children on my caseload. I provide training for other related service providers at team meetings so that they understand how to best work with children with CAS.
Parents are typically present during therapy sessions, especially early on in the therapeutic process. I always explain my observations and my course for intervention in terminology that the families can understand. Following each session, I discuss the child's progress and provide the parents with ideas to carry-over therapeutic targets into their daily routines. I make a conscious effort to make the home carry-over activities things that can easily be embedded in the family's routines and will not be an additional burden to the family.
Depending on the child's age and level of speech I have introduced a variety of AAC systems. I have introduced laminated pictures (low tech) of specific vocabulary such as- tv shows, places, foods, people etc that the child can request these items or to allow a shared known topic for conversation to increase communicative success. I have also introduced high tech AAC devices such as proloquo2go and LAMP in order to encourage robust communication. I often model on these devices during my sessions in order to give linguistic context for speech motor targets.