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- 105 Hillside Avenue
- Donna Lederman, Speech-Language Pathologist, P.C.
My approach to treatment is a combination of the following treatment methods and principles: (1) PROMPT therapy to provide tactile-kinesthetic input to guide movements of the oral musculature for improved speech production within functional language contexts. (2) Application of the Principles of Motor Learning to guide practice and feedback schedules. (3) Use of "Pre-practice Principles" with close attention to joint attention and motivation. Target words should be socially relevant and appropriate to the client's developmental level. (4) Use of AAC when appropriate to facilitate functional communication as speech skills develop
I have enjoyed a long and rewarding relationship with parents, professionals and researchers who comprise the Apraxia community. I have developed and present seminars for Apraxia Kids, and I became an active member of the professional community specializing in diagnosis and treatment of children with CAS. I have discussed research projects with Dr. Overby and was invited to participate in her study of early diagnostic markers of CAS.
I have taken advantage of as many professional seminars on CAS as possible, and I continue my studies through reading, seminars and discussion groups. The most valuable lessons learned come from my extensive work with a wide range of children and young adults with CAS. I am occasionally invited to present workshops for parents and school professionals to broaden their understanding of the disorder and to explain best practices for treatment
I am fortunate in that I have weekly contact with the parents of the children with CAS in my private practice. Parents join each of my sessions for the last 10 minutes to learn how to facilitate appropriate motor practice and feedback of newly acquired syllables, words, phrases, etc. They understand that newly acquired words may not be ready for home practice, but are strongly encourage to incorporate words and phrases that have been retained during the session into various activities at home. Parents in my practice are kept apprised of assessment results and are encouraged to share the work of other professionals working with their children (SLP's, OT's, PT's, etc.).
Along with my work as a PROMPT Certified Clinician specializing in treating children with CAS, I advocate the use of AAC for children who are minimally verbal yet have intention to communicate. My AAC skills are limited to some signs and the use of Boardmaker to create simple PECS activities. Even a "Yes-No" board can have a powerful impact when teaching a child to accept or reject! When students require more sophisticated systems such as ProLo Quo, I defer to my employees who have greater experience with this technology.
Alternatively, I may suggest that a parent request an AAC evaluation through the local school district.