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- Megan
- Crandall
- 44121 Harry Byrd Highway, 255
Ashburn
Virginia
20147
United States - Progressive Speech Therapy
Ashburn
Virginia
20147
United States
Treatment for CAS at Progressive Speech Therapy involves evidence-based, intensive therapy with a collaborative team approach. In my sessions, I use Dynamic Temporal and Tactile Cueing in combination with motor learning principles to help my clients learn how to produce speech movements. This includes working on movements for difficult vowel and consonant combinations at their optimal level of learning (e.g., in words, in phrases, in connected speech) with practice incorporating different aspects of prosody (e.g., rate, emotion, coarticulation, pitch, volume). Targets for therapy are selected based on client preferences, boosting intelligibility, and functionality. As a team we are constantly assessing our clients with CAS in all areas, such as language, phonological impairments, and social communication, to best support their development. These are combined into our treatment approaches and are implemented through a motor lens. I also have experience with incorporating speech motor chaining, visual acoustic biofeedback, and SAILS for auditory perceptual training into treatment for my clients.
Throughout my training as an SLP, I have had a particular interest in children with apraxia of speech. I am passionate about exploring the application of biofeedback technology in treatment of CAS and residual speech sound errors. My background includes experience in research of and treatment using visual acoustic and ultrasound biofeedback for children with residual speech sound errors and some with CAS. I sought out additional training postgraduate school under the guidance of professionals who specialize in the assessment and treatment of CAS, where I currently work. I look forward to continued focus on using evidence-based practice to best support clients with CAS and hope to become involved in research efforts in this area of the field.
Parents are a key part of the therapy process. It takes a team to support a child in their participation in treatment. Parents of my clients are integral in helping to create a treatment plan that is individualized and functional for the child as well as to help carryover treatment activities for practice outside of our speech therapy sessions. Sessions incorporate time for feedback on therapy progress and home activities. I love having parents join sessions to work on current goals and share in the treatment process so we can best support their child together.
I have used both high-tech and low-tech AAC to augment, or support, communication within my sessions for children with CAS. High-tech AAC has included LAMP, an iPad app based on motor learning principles, and low-tech support, such as visuals or sign/gestures, to encourage my clients to use a multi-modal approach for effectively communicating a message while we work on improving speech production. Some clients have benefited from use of AAC to repair communication breakdowns or to communicate needs/wants with a variety of communication partners when verbal communication is unintelligible to listeners.