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- 190 Goldens Bridge Road, Suite 5, Lower Level
- The Speech Studio
As often as possible, children are scheduled for therapy sessions two to three times per week for either thirty or forty five minutes, depending on their individual needs. Each child's therapy plan follows a systematic hierarchy to expand their phonemic inventory and repertoire of mastered syllable shapes. This is done using real words as well as word approximations. Targets are picked based on phonemes, syllable shapes, parts of speech, and specific high frequency words that are important to the child (such as their pet's name, their favorite toy, etc.). Each session contains mass practice of target words. The levels of cueing and prompting vary depending on the child's position in the hierarchy in conjunction with the accuracy of their productions. Feedback is given in a frequent, timely, and specific manner. As the child increases the accuracy of his/her productions in less structured tasks, carryover is given to the family for home practice. When appropriate, children are introduced to either low tech or high tech AAC to enable them to communicate and expand their language abilities while they work on verbal speech.
Each year, I give approximately ten presentations to local preschools, daycares, and parent groups to educate the community on childhood speech and language disorders, including CAS. I plan to continue this form of outreach, as well as work with the teachers of my clients with CAS to increase awareness and generalization of skills. I have also participated in a past Apraxia Kids Walk for Apraxia, and assisted with fundraising for the event
Parents are invited to observe therapy sessions at any time, and to participate as appropriate. They are given progress updates at the end of each session. If they are unable to attend the session, they are updated via phone or email. When appropriate, families are given carry over activities to aid in the generalization of skills to other settings (home, school, etc.). Detailed progress meetings are held every six months, at which time parents are included in goal setting for the next segment of treatment.
I have used simple picture exchange systems with clients, and have provided copies to parents for home use. I have not yet had a client for which a high tech device was used.