Every therapy session is individualized to best meet the child’s needs. A fun, interactive, multisensory, and multimodal approach is used to best bring out the child’s strengths and work on the areas of need. A combination of play and structured tasks are used to elicit the child’s individual goals. Sessions also use the key principles of motor learning and promote early pre-literacy skills. The use of AAC is incorporated as needed. The family is a key team member and encouraged to participate and watch every session. Activities, recommendations, and suggestions are provided to encourage work on skills in the home. The use of evidenced based practice is key in all of my approaches from frequency recommendations, treatment strategies, to home exercise provided to parents.
With a team of others, knowledge about CAS has been provided in the community. I have worked with other professions and parents in advocating and expanding information on CAS. I have attended CAS conferences including the Apraxia Kids intensive training bootcamp. I actively collaborate with other SLPs and work on providing education on CAS for teachers to better help their students. I have promoted Apraxia Awareness Day by connecting to others on social media and attending and creating fundraisers and events to help educate others on CAS. Support through participation and fundraising has also been given to neighboring Walks for Apraxia and I hope to start a Walk for Apraxia in the local area soon.
The family is a key team member of the therapy process. They are encouraged to participate at the level that best helps the individual child. Full participation during the session, sitting in the session and observing, and/or observing from a one-way mirror are all options. The family is given the “tools” needed to best help the child during every session. Activities, recommendations, and suggestions on how the family can work on skills in the home environment are given regularly. Coaching and giving the family additional support to best help their child is critical.
I use sign language all the time as an additional visual cue and to emphasize the message. I have taught sign language to children and families to better improve functional communication. I have used picture boards and picture exchange systems to help reduce frustration for children and increase communication. I have helped obtain iPads for children with CAS through the iPads for Apraxia program. I have used applications on iPads to expand vocabulary and functional communication. I also have obtained several communication devices for children with severe CAS and have worked with the children with their devices as well as the family and school district.