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- 5957 Bauer Road
- Private Practice
I believe that the most important aspect of any treatment approach is to make certain child feels successful and empowered. Developing a rapport and establishing a positive relationship with him or her is just as important as the actual treatment. My personal approach to working with children with CAS is to begin by an assessment of phoneme repertoire through therapist directed play. Through this, I am also able to develop a rapport with children. After I assess what sounds are in his or her repertoire, I create a list of simple CVCV and CV words with those sounds only. Once the child feels successful with these productions, we incorporate new patterns. I introduce drill cards using the K-SLP kit after I've determined that the child is ready for this type of drill work. I "ease" them into it with lots of encouragement and tangible rewards. This approach has worked well for years and years, but I'm always continuing to read and research any new methods that are being presented! There is no "one size fits all" program for children with CAS, and each child is always a little bit different.
I work in a rural community with only a handful of speech/language pathologists. My caseload is so varied; from feeding and swallowing, to children with autism, to CAS, to children with hearing loss. I am only involved with the Apraxia community through posted articles by ASHA or through conferences that I attend.
The majority of my clients are seen in the home with parents present. Parents are very involved in the sessions. Throughout each session, I take the time to explain what their child is working on, what "level" they are at (i.e. CVCV, CV, bisyllabic, etc), and how they can help carry over practice skills throughout the week. I've also left picture cards for parents to practice with their children, but only words that need to be reinforced and with which that child has already shown success.
The majority of the population I work with is 0-7. I have used AAC (PECs boards -low tech) at times, and have used some high tech communication systems as well. However, the use of these has been limited to only a few children over the years because I haven't had many children with severe CAS on my caseload.