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- 44121 Harry Byrd Highway, Suite 255
- Progressive Speech Therapy
Treatment is based on movement gestures versus specific phonemes. Dynamic Temporal and Tactile Cueing (DTTC) is incorporated with the use of multi-sensory cueing (e.g. PROMPT, turtle vowels). The Principles of Motor Learning are used to guide target selection, distribution of practice, and to facilitate generalization of targets. The child's sound and syllable shape inventories are considered for initial target selection, with ongoing stimulability checks to determine following targets. A core vocab is initially established, making sure to incorporate targets that are functional, important to the family, and that are considered "power" words. Augmentative and Alternative Communication is also incorporated as an alternative means of communication and to focus on language development.
I work with children with Childhood Apraxia of Speech, participate in the Walk for Apraxia in Washington, DC, and collaborate with other professionals on CAS.
Parents are involved in every session! Parent feedback is always incorporated and parents are encouraged to sit in and participate in sessions in order to provide education on Childhood Apraxia of Speech and to facilitate generalization of skills and carryover outside of speech therapy sessions. Detailed session notes and homework is sent home every session in order to make the best progress possible.
I have used various high tech devices including speech generating devices such as the Accent 800 and Accent 1000, iPads with various AAC apps (e.g. Words for Life, Speak for Yourself, Proloquo), low tech devices such as PECS, and signs to facilitate alternative communication. AAC is incorporated as soon as possible into sessions for children with significant difficulty with spoken speech as well as children who may only need a communication device for conversational repair. It is incorporated to reduce frustration with communication, enable children to have their needs met, improve ability to communicate wants/needs, and continually expand on language. Parent involvement and education is crucial for carryover at home and functional use outside of session.