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- 79 Greenfield St. 2nd Floor
- Meghan Duffy, CCC-SLP and Beyond Boundaries
Overall I base my treatment approach on motor-learning principles (taking into account mass vs distributed, blocked vs random etc) and Dynamic Temporal and Tactile Cueing (DTTC). For the "tactile cueing" portion of DTTC, I use PROMPT to give a more consistent predictable input. I try my best to give consistent feedback on the shape of the production using both knowledge of results and performance. I also focus on intensity of practice, working towards getting in a high number of trials per session. In choosing targets I use syllable shape, focusing on vowels, and choose the number of targets and type based on the child's ability & focus on having a rationale for decisions. I use probe testing to track progress.
I have spent a lot of time educating myself on treatment planning, implementation and decision making for the few cases I do have. I just now feel that I have enough knowledge and competence that I can serve as a specialty resource for parents who need it, so I will be fairly new to the community! In the past I was involved as a supervisor by supporting other clinicians in learning evidence-based resources. Specifically, I directed them to the free resources provided by Dr Edythe Strand. Now that I have a caseload, I plan to also be involved in the Apraxia Kids community, offer parent education, and continue to offer professional support.
Parents are involved in the therapy process with discussions and training on how to support the child's communication at home. This may be with the use of AAC. If the parents agree and it is approved, I like to do home visits for parent training and support as a routines-based intervention. Parents are also provided with education and resources on CAS and given frequent updates on progress.
I use AAC simultaneously with DTTC therapy. I have a tablet loaded with speech apps (such as speak for yourself) that we can use during sessions if the child does not yet have their own device. Although most of the session time is spent maximizing trials, I think it is important to have the opportunity to use it if needed. Parents are encouraged to use and follow through with AAC as a part of our treatment plan when needed & I fully support the request for devices. Low -tech options such as static picture support and signing are also modes that I support.