No Records Found
Sorry, no records were found. Please adjust your search criteria and try again.
Google Map Not Loaded
Sorry, unable to load Google Maps API.
- Dexter Ave N
- Olympic View Children's Therapy
For children with severe CAS, I would adhere to the Dynamic Tactile and Temporal Cueing (DTTC) approach. I would start with a small stimulus set (4-8 targets) and apply the principals of motor learning. I would start with a modified block practice with frequent feedback and move on to distributed practice with reduced feedback as quickly as possible. As stimuli targets are mastered, I would replace them with new targets. For the severe case of CAS, I would recommend short, intense, and frequent sessions (e.g., 20 minutes, 3-5x per week).
For mild-moderate cases of CAS, I would determine the relative contribution of CAS to linguistically based speech errors and determine treatment based on that. If a child truly demonstrates a strong relative contribution of CAS to other deficits, I might use a successive approximation therapy approach and move closer to target productions rather than demanding perfect productions before finding new stimuli.
I am relatively new to the CAS community but I would like to become more involved. I have taken many CAS CEUs since completing my graduate work in 2013 and I have worked with several children/families who had the diagnosis.
In the private practice setting, parents are highly involved in the therapy process- they sit in on all sessions. The last 5-10 minutes are devoted to coaching the parents to deliver the intervention to the child. If the parent is successful in cueing the child and reducing supports as necessary, I provide homework for the family to do. If the parent struggles to provide the appropriate intervention even with my coaching, I do not encourage homework (as this can promoted errors in speech motor learning patterns).
I have not used AAC with children who have CAS. I have worked with predominately young children who were acquired speech once we began speech- CAS- treatment and AAC was not needed to increase or enhance my clients' communication skills.