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- Nussbaum Levine
- 101 East 56th Street
- Child Mind Institute
Intervention is individualized to each child. I start with a comprehensive assessment to understand the child’s speech and language abilities, and then create goals and plan intervention accordingly. I use evidence-based intervention strategies, and incorporate a variety multimodal cueing systems (verbal, visual, tactile-kinesthetic) to elicit target sounds, words, and phrases. Activities are based on the child’s age, developmental stage, and motivation.
I have treated and evaluated many children with CAS. I attended Apraxia Kids national conference in the past. I have presented on CAS to other treatment providers, parents, and educators through the Early Intervention Training Institute (EITI) at my previous job.
Choosing targets: parents are the experts on their own children; they are insightful about what motivates them, what is meaningful to them, etc. Parents are involved in helping choose target/stimuli for the seasons (e.g., names of pets/friends, favorite toys/games, etc). Practice: once movement accuracy is achieved for a target, I will give the parents a list of words to incorporate at home. If we are targeting movement patterns (e.g. rounding), I will work with them to think of contexts outside of the clinic where those targets can be practiced. If possible for parents to attend the treatment session, I may work with a parent on "what to look for" and how to cue certain sounds that they could then work on at home.
I have used a range of AAC from PECS/communication boards to various high-tech speech generative devices. I used the AAC to support and augment verbal output. I used the device to give the child a means of communicating multiple words and lengthier utterances which were otherwise wholly unintelligible.