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- 556 East 300 South
- Speech Matters
I don't use any one specific protocol, but I have found Nancy Kaufman's Mutt family book and card kits helpful as therapy materials. I use games, family names, common phrases, environmental sounds, dot marker pages, books, puzzles, and picture activities that motivate multiple productions at the level of difficulty indicated by assessment. For example, I may use a farm set to elicit multiple CV forms such as "moo, baa, neigh, ru(ff), bo(k), hi, bye, go" multiple times as the animals enter and leave the barn. I use a lot of cause and effect toys and toys with multiple pieces (Pop Up Pirate or magnetic fishing pole and multiple fish).
I often begin a session by using the Kaufman card kits at a certain level. I find that if I start with high structure and decrease the structure as the session continues, the children stay more engaged and are willing to complete some drill practice right off the bat. I also use my own hand signals that I teach the parents as needed. These visual cues have helped my CAS clients more than anything. That is why I'm interested in becoming PROMPT certified, but I can't afford it yet.
When I started practicing, apraxia was something I had barely heard of. Over the years I am seeing an increase of CAS clients in my caseload so I have begun attending continuing education courses on my own. I also try to read any professional articles (including Apraxia Kids articles) on the subject.
They occasionally observe and/or participate in sessions. I know it is ideal to have the parents in sessions more often, but most of my parents have to bring other children with them which disrupts the sessions. Ninety percent of the time I speak with the parent after EVERY session to share successes, share the types of activities that the client found motivating, give homework and explain how to work on it, and teach cueing techniques.
I have not had such severe cases that I have ever had training in high tech AAC. All of my cases have been children who begin non-verbal but quickly demonstrate some speech or children who are already verbal. The most I have used AAC is in the form of sign language and use of iPad to indicate "yes/no" responses and point to pictures