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- 6144 Route 25A, Suite 9 Bldg B
- Manorville Speech Pathology, PC
My treatment approach is highly influenced by my experience with and knowledge of PROMPTs for Restructuring Oral Motor Phonetic Targets (PROMPT). This approach is bottom-up and is very effective in that I know where to begin and not to start at too high of a speech motor load for the child. I choose what types of motor support (PROMPTs) that I will utilize including Parameter PROMPTs, Surface PROMPTs, Syllable PROMPTs, and Complex PROMPTs. I choose a communication focus and whether I will focus on the physical -sensory domain, cognitive-linguistic domain, and/or the social-emotional domain. I then choose speech motor goals that match my priorities which will then guide my treatment planning. I then choose speech targets to embed within my sessions starting with mass practice and then embedding these targets within functional language-based activities. I also employ strategies such as Moving Across Syllables.
In sum, my overall treatment approach is highly-verbal, highly-visual, multi-sensory and tactile in nature providing as many opportunities for success, no matter how simple the task, to build confidence and willingness to attempt more .
I have been and am involved in the apraxia community in my own community through my practice and through many years of Early Intervention. I educate professionals, parents, doctors on what Apraxia is and how to best treat it. If referring to Apraxia Kids, I just joined! I am very involved in the PROMPT community as I regularly attend PROMPT groups even though they are all 2 hours one way. I am currently preparing for PROMPT certification after many years of using the approach .
I show parents our treatment throughout and at the end of the sessions. I give HOMEWORK! Parents know that homework and carryover of simple techniques makes it easier for the child to warm up motorically for me in the next session. I also keep speech notebook. I show parents simple PROMPTs and support that they can employ as well as simple speech motor drills such as clapping hands to match syllables. I have parents attempt these actions in front of me so that I can coach them.
I have incorporated sign language and use of PECS Picture Exchange Systems in order to use the AAC to assist with the reduction of frustration while using motor treatment to focus on the speech production aspect.