Depending on their level of severity, I incorporate the principals of motor learning to help select a small number of stimuli, providing a high number of opportunities each session. Therapy focuses on helping the child achieve the movements necessary for correct sequencing of sounds. I aim to maximize the number of cued productions to increase success. My stimuli are selected based on syllable shape, vowel content and functional vocabulary. I utilize DTTC methods to aid the child's productions. I also work with families to problem solve how AAC can be incorporated to decrease the child's frustration. I help educate parents to understand the diagnosis and how intensive treatment is key to success.
For the past 5 years at my current job my level of experience and expertise has grown tremendously. I have had to learn on the go as the number of children with CAS that I treat has grown. I read on my own, and have found Dr. Strand's materials immensely helpful.
Parents are encouraged to observe sessions in order to learn the DTTC hierarchy and prompting methods that are used in therapy. I aim to give parents specific targets (1-2 words or phrases) to focus on at home, based on newly stimulable targets from therapy. Parents are encouraged to bridge the gap of communication between therapists, as many of my kids see me in private therapy and also have a school SLP.
The incorporation of AAC needs to start at the beginning of treatment. I use a team approach to collaborate with parents, teachers and other SLPs involved to determine what the child needs. I am familiar with LAMP and the core vocabulary approach. Low tech options help the child rephrase their message by utilizing "clear speech rules" to include visuals to help them slow down, open their mouth and "say every sound."
I also use literacy skills to encourage my older students to augment their speech.