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- Seattle, Washington
- Skipping Stones Therapy PLLC
I approach therapy with functional communication in mind. I plan for therapy based on a child's current abilities, taking into account the sounds and structure of syllables they are able to produce. I outline and update the prompting method that fits a child's needs (e.g. verbal, visual, tactile cues). From here, I incorporate repeated practice into session activities that fit with individual interests. For example, we may select 3 simple words that can be used across all communication environments during a game of "hide and seek" (e.g. go, in, my).
I have been involved in the apraxia community through serving clients with CAS, participating in the Puget SLP's PROMPT Facebook group, and collaborating with other PROMT therapists. I also plan to increase my involvement by participating in meetups with with CAS providers of the Seattle area and expanding my knowledge of evidence based practices for CAS.
Parents are involved in observing session activities with specific functional word sets/syllable shapes/ phonemes involved. When parents are not available to observe sessions in person, I provide video models of specific prompt types (e.g. parameter, visual, verbal) that can be used in the home with a list of words that can be the focus for that week. Depending on the family, I may also provide a specific printout for an activity to target in the home. In addition to home practice ideas, I often refer families to online resources (e.g. ASHA, apraxiakids.org, PROMPT) to gain further information about specific questions.
I approach intervention with AAC in mind from the beginning. I provide multimodal communication opportunities with visual picture representations, I may focus on gestural communication as a goal. Additionally, if a family expresses interest in high tech options after my consultation, I guide them to funding resources and identify the best app for their needs.