When treating a child with CAS it is important to focus on the movement transitions during speech, rather than to focus on individual speech sound production. After assessment, a list of functional words (specific to each child) are chosen to target. As mastery of these words is met, we cycle in new functional words. I utilize a combination of Dynamic Temporal and Tactile Cueing (DTTC) coupled with PROMPT for specific tactile cues. Therapy activities are tailored to each individual child with motivational items/activities personalized as needed.
I focus my continuing education on Apraxia research and treatment whenever possible. I am passionate about training and educating other speech language pathologists, clinical fellows and graduate student clinicians about CAS and its treatment options. In addition, I work to train teachers, parents and other support professionals in the area of CAS.
Parents are involved in therapy from the start. Carryover and understanding from parents is an integral part of treatment. Parents are invited to attend all sessions and/or observe sessions at any time. In the event that a child participates easier without the parent present, open communication regarding the session is always important. Parents are asked to carryover stimuli that is being targeted and are taught basic PROMPTS and/or cues when appropriate. Phone conferences, text messages and emails are always welcome and answered promptly.
I have not yet used AAC when working with children with CAS.