Salt Lake City
I use an eclectic approach to intervention based on the core breakdowns in CAS. What this means is that I use an approach based on Motor Control and Learning, I use Dynamic Temporal and Tactile Cueing (DTTC) as my framework with tactile cues learned from being PROMPT trained. I use multi-sensory cues. I have created a long term intervention plan involving a heavy focus on co-articulation and prosody, which I call Prosodic-Coarticulation Therapy. This involves focused practice of blending sounds within and across words using the natural movement gestures on every day speech. Additionally, I use a great deal of rhythmic cueing to promote natural prosody. As children get older, a focus on literacy is included. My approach involves the use of highly focused drill-play in combination with embedding and practicing targets in natural play contexts in every session.
I have been learning about and treating CAS since the late 1990s. I have attended conferences, read the literature and even completed work toward a PhD with a focus on CAS. I taught at the University of Utah at the Speech Language and Hearing Clinic for about 10 years and I have taught the class related to CAS for the graduate students. I have presented on CAS within my community and I was a presenter at the National Conference on Childhood Apraxia of Speech in Charlotte, NC in July, 2018. At this time, I am working in a public school preschool program. Within this context I am opening up conversations regarding how to best address the needs of our children with CAS.
I am an educator. I teach parents so that they understand the reason for the breakdown and why I am using certain approaches at certain times. I give parents activities that are appropriate for their child to practice successfully at home and I encourage natural interactions and relationships first.
I use sign language a lot with my little ones. As needed, I have assisted families in acquiring and using tablets to be used as assistive devises for the purpose of effective communication. Additionally, I make pictures very accessible to promote effective communication in the home and classroom. I place a heavy focus on verbal output if it is reasonable. Therefore, I almost always use these techniques in combination with an attempt at verbal output.