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- 6168 Bentridge Drive
- Monkey Mouths Therapy Services
I use proven interventions based on motor learning principles, including DTTC and PROMPT, as well as Kaufman materials to shape speech production. During speech therapy sessions, I target a small number of functional words but provide opportunities for a large number of repetitions to increase motor planning with words the child will use in their daily environment. As therapy progresses, I work to expand the child's phonetic and syllable shape inventory. Throughout the therapy process, I also work to improve prosody in single words, phrases and sentences to assist the child in gaining natural, fluent speech production. If the child needs additional communication support, I am also skilled at introducing and implementing AAC systems. I recommend that therapy sessions for children with apraxia occur several times a week for 30 minutes sessions.
I have been treating children with Apraxia for over 15 years and approximately 25 percent of my caseload is children with CAS. I am familiar with community organizations that support children with CAS and their families, and I assist families in connecting with resources and support.
Parent involvement is an important part of the therapy process. Parents attend the evaluations and have the opportunity to observe therapy sessions. Parents are given home program activities that extend therapy into the child's natural environment. I consider parents to be an important part of the child's treatment team, and I encourage them to communicate their questions and observations in order to maximize progress.
I do not believe that AAC should be a first choice of intervention for children with CAS. However, for those children who are showing significant frustration or are making very limited progress, I believe that AAC should be considered. Any time I consider AAC, I always include the family in the decision. In addition, we continue to work on speech targets even after AAC has been implemented. I will tend to use low tech AAC just to improve functional communication and reduce frustration in children with very limited speech output but who are showing good potential. If the child has very limited speech output and a very high frustration (or significant behaviors related to their limited communication), then I will tend to look at a high tech device as it will provide more support for communication growth.