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- 801 Matlock Road
- Cook Children's Medical Center - Mansfield Rehab
I subscribe to Edythe Strand's Dynamic Tactile and Temporal cueing approach. It also is an approach that has many similarities with the cueing style I had developed naturally as an early clinician. I find that DTTC refined my cueing techniques by defining how to fade cueing a bit more specifically, yet it still allows for and encourages the use of multi-sensory cueing strategies. I understand and utilize the principles of motor learning in my practice, yet am all too aware of how current insurance trends often do not allow the frequency of treatment that would be most beneficial. Thus, it is critically important that parents and caregivers are trained how to use simultaneous cueing along with tactile and visual/verbal cueing to help their children at home between therapy sessions.
I have attended the Apraxia Kids annual convention twice and presented 3 sessions there. I found the conference a great way to connect with other professionals and parents. I also attended a small-group intensive workshop from the Once Upon a Time Foundation with other local SLPs who were dedicated to spreading clinical education about DTTC. I continue to mentor SLPs at my organization on working with children on their caseload who they suspect have apraxia.
Parents attend each session and I ask them to actively participate. At first this might mean observing the strategies I'm using, listening to information about the disorder, and learning to identify certain things in their child's speech. Then I work on teaching parents specific strategies, usually starting with simultaneous cueing. Parents get to practice using the strategy in the session so I can coach them on the timing of the cues and how to use them more effectively. We end each session by coming up with a plan for what to work on at home in between sessions. This usually consists of words that the child needs less cueing for, or ones that the parent was able to cue just as successfully as myself.
I utilize AAC, both high and low tech, for children who are struggling to communicate their wants and needs in a functional way. Sometimes we try low tech options before moving to a high-tech device. AAC can be a great tool to help a child successfully communicate in another way while we continue to work on verbal words. In many cases AAC is a bridge to talking, and other children may rely on it more throughout life.