I use the PROMPT approach, assessing where a child is as far as their motor speech skills and addressing goals using domains of strength (social, cognitive/linguistic etc.) to help their weaker domains (eg. subsystem control). I start each session with a mass practice of specific vocabulary words that the child's individual speech motor system can handle. Then we practice those words in an interactive language based activity or communication routine such as a game where words can be practiced in a functional way. Throughout the session, I evaluate the child's needs and determine how much or how little PROMPTing they need in order to shape successful syllables and words. I also consistently assess the child's jaw control, labial facial control, lingual control and sequenced movement ability to continually increase the complexity of the words and phrases the client is able to articulate.
I have participated in the Walk for Apraxia in our community to help support the apraxia community.
100% of parents are involved in some sessions, especially at the start. Approximately 80% of parents are involved in the sessions on a consistent weekly basis.
Any child who is not currently speaking who has a diagnosis of CAS, or who is highly unintelligible, I will recommend AAC devices for. I have experience using low tech such as sign language and PECs as well as high tech devices such as Touch Chat, Proloquo2go, LAMP, and speakforyourself. If already has a device coming in, I try to help the family work with what they have to utilize it most functionally. If a child does not have a device currently, I usually recommend devices that use the language aquisition through motor planning approach as I find it seems to help children who have global motor planning impairments that many of the kids I see have. If a child needs a device we trial multiple platforms before making recommendations as far as what would be most successful for an individual child. I then utilize both AAC and PROMPT in a session together throughout a communicative routine so the child learns a routine of how to utilize both speech and AAC.