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- 1960 County Road 408
- Apraxia Austin
My overall treatment approach is totally child centered and eclectic. There are many effective treatments available today but no one treatment is perfect for every child nor for every stage of treatment for a child. So I use what is appropriate for the child and the stage of therapy that is being treated. My treatment approach includes 1) different amounts and types of cueing as well as gradual withdrawing of cueing so that the child may become independent, 2) increasingly harder syllable shapes, phrases, and sentences, 3) teaching grammatical components as the child advances, and 4) coarticulation (blending sounds together to form flowing words and sentences) and prosody (the accent, intonation, pauses, volume, etc) from the earliest treatment all the way to the end. Commercial CAS Programs that I include as appropriate at Kaufman Praxis Kits, Speech Easy Apraxia Program, and Webber Mini Apraxia Cards. With children who are basically nonverbal, I also use Strand's Dynamic Temporal and Tactile Cueing.
I taught on CAS at the TX Speech/Hearing Association Convention every year from 2005 to 2017, 5 times at the Apraxia Kids national conference, 1 time at the American Speech and Hearing Assoc. Convention, at 3 TX universities (UTD, TWU, & Stephen F. Austin), 2 international universities (U of Newcastle and U of Zambia), 5 TX Regional Educational Service Centers, 3 TX regional speech associations, 3 full day workshops in 2018 in London, UK, and in 2019 an Apraxia Kids workshop on working with kids with CAS in the schools at TWU in Dallas. I have also walked most years for the last decade in the Apraxia Kids walk and made financial contributions to Apraxia Kids.
I require one parent, grandparent, or nanny to be present for therapy and be trained to help the child at home. I believe family involvement is extremely important.
No formal AAC is taught, but lots of written cues are used and gestures with speech (even speech approximations) are highly encouraged.