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- 6231 Leesburg Pike, Suite 520
- Children's Speech and Language Services, Inc.
My treatment approach with children diagnosed with CAS is tailored to each individual child. After analyzing movement pattern errors, treatment focuses on the planning and execution of speech motor targets. It is important to provide verbal feedback to the child as to the errors they are making and instructions on how to correct error patterns. I used tactile-kinesthetic PROMPTs to map in new motor schemes. PROMPT cues are used with the understanding of the importance of planning and executing motor patterns. Finally, incorporating generalization of skills is essential. I often have the child engage in pretend play (i.e. baking cookies) and then walk around the office and use language to ask if another therapist or child would like a cookie. The phrase targeted varies depending on the child's motor skill abilities.
I helped volunteer at the Apraxia Kids walk in Northern Virginia in 2015. I currently work at private practice that focuses on Apraxia therapy. I am open to becoming more involved in the Apraxia community.
Parents are essential to therapy success. When therapy begins, I go over the treatment plan with the parents. I explain the nature of CAS and the importance of giving their child a means to communicate (e.g. gestures with words, low tech AAC with words, etc.) I have an observation window so that parents may watch and listen to therapeutic techniques and use similar verbal cueing at home. Additionally, parents are tasked with carry-over assignments that target functional words and phrases practiced in the therapy session. Phrases such as "put on" can be targeted during dressing a child at home or when the child is playing with legos. Parents learn the importance of motor practice and turn taking to encourage conversational speech.
I use AAC (PECs, iPad, dynavox) to supplement a child's expressive skills. Children with CAS often have higher receptive language skills than expressive language skills. Their ability to communicate should be augmented with whichever means (asl, aac, etc.) can assist them in having their needs met.