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- 19324 40th Ave West Suite A
- Alice Stroutsos, MS CCC-SLP
My overall treatment approach is 'team based'. I include the client and family/caregiver, and communicate with other involved providers (OT/PT, Teachers, etc). My treatment approach is motor-based and multi-sensory. I like to look at a child's whole communication framework which includes the physical-sensory aspects, the cognitive-linguistic aspects, and the social-emotional aspects. In order to be an effective communicator, all three aspects must be addressed and integrated into a balance and across many settings. After assessing the speech subsystems (which I observe/analyze in my assessment) I will choose a targeted lexicon (vocabulary) to work on with he child. If I need to provide tactile-kinesthetic input to help with speech motor learning I do that. Most importantly, no matter what treatment approach is chosen, it's important to work from a speech motor learning perspective--I work on choosing stimuli, then organize the practice with mass practice, give feedback, have distributed practice in therapy activities, give feedback and provide opportunities for successful carryover to outside environments. I like to involve parents and give suggestions that are both functional and interactive.
I've always been interested in working with children with CAS. In 1996 I took my first PROMPT workshop and continued on that pathway, becoming a PROMPT Instructor in 2000. I teach Introduction to PROMPT Technique workshops around the United States about ten times a year. I attended the Apraxia Kids Intensive Training Bootcamp in 2012 and became Recognized for Advanced Training & Clinical Expertise in CAS. I've also presented at two Apraxia Kids national conferences, participated in a Apraxia Kids webinar, and have joined in on the efforts of the Seattle, WA Apraxia Walk.
Some parents like to sit in on the treatment sessions and observe therapy activities. Other parents find that their child does better if they are not in the room. Regardless, I provide parents with ideas for things to do at home that are functional and interactive. I always provide 'homework' with the vocabulary that we are working on IF the child has been successful in the therapy session with at least 80% accuracy because I don't want the child to get 'negative' practice in at home if they aren't successful. Parents are an important part of 'the team' but they are not therapists.....so, I tell them to incorporate the targeted words or phrases into everyday activities and make it a fun learning experience, not a dreaded part of the day.
I've used augmentative and alternative communication systems for children with CAS--Signed Exact English, simple picture boards where clients can indicate wants/needs/comments by pointing, and more elaborate/sophisticated devices such last Touch Chat and NovaChat 8. I typically use the AAC for when a child has much more to say, comment, ask questions and then supplement our work on verbal (speech) output in targeting speech.