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- 4220 Proton Road, Suite 165
- Apraxia Dallas
Since each child with CAS is so different, I take a whole-child approach and work on specific areas of break-down for that child. When starting, I make sure that the child has a mode of communication to get their needs met. I use total communication and find the best mode for that child whether it be AAC, ASL, or speech. Often, depending on the severity of the child, I use a DTTC approach, using a small amount (10 or less) of functional words with high intensity repetition using a multisensory cuing approach. When moving past DTTC, I focus on high practice movement of phonemes connected to each other in syllable shapes rather than sounds in isolation continuing with the best multisensory cueing approach for that child. I also keep in mind the language and reading risk of children with CAS and use dynamic assessment to determine appropriate language and phonological awareness goals to keep the child on track academically.
I have helped plan and put on the Walk for Apraxia North Texas for 2 years. I went to the Apraxia Kids National Conference to learn as much as possible for the children on my caseload. I have also been a student and professional at an overnight 4 day Apraxia Ranch Camp conducted by Kay Giesecke, MS, CCC-SLP. I will continue to help with the Walks for Apraxia, Ranch camps, and Apraxia Kids conferences. I also will continue to learn as much as possible about CAS to help the children on my caseload.
At Apraxia Dallas, parents are expected to be involved in the therapy process. They sign a document that they will sit in the session to learn and carryover techniques. If they cannot, I write weekly email updates for carryover.
I use both low and high tech AAC devices to help children with CAS in early or severe cases to give them a mode of communication. I use a total communication approach based on the child's abilities focusing on sign language, AAC, and their voice.