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- 913 Otter Creek Rd
- WeeCommunicate LLC
Develop core vocabulary words depending on the family/client and likes/dislikes, use multi modality/sensory approach (providing gestural, verbal, visual cues for sounds for teaching and later prompting), provide high repetition practice and as many sessions per week when possible, chose sounds that are in their consonant inventory to form new words. Provide structure/routine to sessions and cueing to facilitate learning and retention of skills.
I attend conferences/meetings/walks when possible and help families connect to support groups. I am a member of Apraxia social support groups (i.e., facebook) so I can see needs/thoughts/opinions families face and share with others.
Parents are typically involved at the beginning (review past couple days and how things have gone, update progress, what worked and didn't work, etc.) and at the end of the session (go over session and performance on goals, discuss homework/carryover activities, etc.). In my experience, the client performs better if the parent is not directly participating in therapy session as the young children I see participate less if the parent is sitting next to them. It works best for most clients if the parents is observing/watching/listening a little bit away from the actual therapy table/area. I do teach parents hand signs/tactile sound cues so that carryover of prompting for speech sounds continues at home.
I use hand signs/picture cards paired with words to increase success when communicating and provide opportunities to use words. Also, use of signs/cards helps when communicating with others in the community/school/etc. I've used an IPAD for severe CAS impairments to increase communication.