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- 1216 Hillcrest Dr.
- The Rehabilitation Center
My overall treatment approach with children with CAS focuses on speech movement through speech motor based therapy. Ideally, I would like to see clients with apraxia 4 times per week but in reality I see most children 2 times per week for 30 minute sessions in our outpatient facility. After assessment, I base my goals on their speech sound inventory and syllable shapes. During treatment, I use a variety of CAS treatment approaches to include the Kaufman Speech to Language Protocol Treatment Kit and Workout Book, Dynamic Temporal & Tactile Cueing, and PROMPT. For a child with a limited vowel and consonant repertoire of /b, m, d, a/ and is stimulable for CVCV word shapes, I would use mass practice to begin working with functional CVCV words such as "mama, papa" using the approaches mentioned above and provide appropriate, specific feedback. As children achieve success, we work on building their consonant and vowel repertoire in increasingly difficult word shapes, i.e., VC, CV, VCV, CVCV (repetitive, variegated), in words, phrases, sentences, and conversation in addition to the stress and prosody of their speech. It is important to me to include as many functional words, i.e, "hi, no, mine, mad" and the best approximation of their name to increase their ability to interact socially.
I have not had the opportunity to be involved in the Apraxia community. As CAS is not highly known about in the community I work in, one of my goals this year is to help a parent organize an Apraxia walk to raise awareness for CAS.
Children with the most successful treatment have parents who sit in our session and observe my treatment techniques. Some are comfortable enough to prompt word targets and provide cues in the session. I encourage parents to be as involved to the extent to which they are comfortable. I always provide a set of picture cards with our targets for home practice.
I encourage parents to put together pictures of family members, places they go frequently, favorite toys, functional words (yes, no, I want) etc. to increase communication. I have done this using low tech with pictures on a ring or in an album or high tech using an iPad with a communication app such as Proloquo2Go or TouchChat.