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- 489 Devon Park Drive, Suite 301
- Kidmunicate Pediatric Speech Therapy
I take the information from the assessment and discuss motivating activities and special people in the child’s life to select the target words. I want to improve his/her repertoire of sound sequences as well as their functional language. I use a small set of target words with sounds and syllable shapes in their repertoire and words that will be motivating to them. Many of the children I see are 2-6 so I make the sessions interactive and fun with many opportunities to practice target words. I will use different level of cueing depending on what the child needs for each target word. I will use the least amount (or most depending) so the child produces the target word correctly. I have incorporated the use of DTTC, successive approximations (Kaufman), errorless learning, backward chaining, whole body cues, tactile cues - but I select the type of treatment depending on what is successful for the child. I provide home practice with specific directions target word or words and on level of cueing.
I have attended a local Apraxia parent support group. I am hoping to be part of their annual walk for Apraxia
Most of the time, the parents are in my session and they are able to see the repetition that is required and the cueing that is needed. If they are unable to come into the session, we meet at the end of each session to discuss progress on each target syllable and level of cueing for each syllable shape. We go over the cues and I provide a handout on how to do each cue. I give ideas in how to incorporate in their everyday life. I provide homework for targets that they have had success with during the session.
I often use sign language as an additional visual cue. I will pair the target words with the sign throughout the session. I have done the same with IPAD apps such as LAMP, Proloquo2go, Snap Chat + core or whatever device they may be using. For some children, I have a core board available and I model the use as I provide the visual cues needed for speech production.