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- 44121 Harry Byrd Highway, Suite 255
- Progressive Speech Therapy
Overall PhilosophyFun, joy-filled sessions using multi-sensory cuing based on DTTC methodologyTarget Selection* Use phonetic, phonemic, and phonotactic inventories to come up with a list of targets * Approximate number of targets: severe - 5 targets, moderate - 8 targets, mild - 10 targets* Targets selected by increasing one variable at a time (e.g. sound OR word shape), consideration given to homorganic/heteroganic nature of targets.* Targets selected are targets that are stimulable for correct production (practice makes permanent rather than practice makes perfect)* Exceptions made for “power” words e.g. child’s name* Consideration given to core vocabulary research in order to select high frequency wordsDynamic Temporal and Tactile Cueing* Dynamic Cueing: follow a non-sequential hierarchy (max cues are added/faded within/across tx session)* Temporal Cueing: reduced rate for increased proprioception/pairing with prosodic elements* Tactile Cueing: Use of tactile (e.g. PROMPT) & gestural cues (e.g.Turtle Vowels)* Add & Fade Cues as each utterance is produced
* Continually mentor clinicians in the Northern Virginia area
* Participation in Walk for Apraxia
* Given numerous local talks, presented at the Apraxia Kids National Conference, and produced webinars for Apraxia Kids
* Offer parent support by phone, email, in person
* Offer IEP support and advocacy
* Served as a Volunteer Outreach Coordinator for Apraxia Kids
* Instructor for the Apraxia Kids Intensive Training Institute, fondly known as "Apraxia Bootcamp"
* During intake processes, our philosophy of TEAM based treatment is shared, with parents being primary team members. A 5-10 minute commitment to daily home practice is agreed upon to maximize progress
* Parents are encouraged to be in the therapy room during therapy sessions
* Parents are given words to target at home or in other natural functional environments* “Homework” is dependent upon parent-child success level with targets e.g. some families receive retention phase homework, while others are assigned acquisition phase homework
* Homework assigned is as functional as possible
* Attempts are made to incorporate homework into a daily routine in order to increase feasibility of homework completion (as a parent, I know 5 minutes are hard to come by!)
* Parents are asked to join in therapy activities e.g. return demonstrations of work that will be assigned as homework
* Sessions are 1 hour in length, 45 minutes of direct therapy followed by 7-8 of therapy session feedback and discussion of homework with parent and child, 7-8 used to type a SOAP note that includes goals, data towards goals, and family homework
* often do an AAC assessment to determine best device/modality* most often we use signs, gestures, and/or dynamic display devices* signs/gestures used to help with motor planning and programming – mostly used for children with less severe CAS whom we see being able to successfully verbally communicate in the near future* dynamic display devices – invite an AAC specialist to join us in our sessions, she brings in a variety of high and low tech devices (minimum of 3), we trial them and see what the child is most successful with* large focus on high frequency core vocabulary