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- 509 Cedar Street
- Messenger Speech Therapy, LLC
My treatment of CAS is tailored to be FUNCTIONAL to the child and family. This means that I will not focus on words that are not relevant or motivating to the child. Why spend time focusing on establishing motor patterns for words that are not frequently used? I have my families come up with a list of words that they feel would be relevant, functional, and motivating for the child to be able to say correctly and determine which of the 15-20 words on that list would be appropriate to target based on the child's abilities and current sound inventory. I use many reputable resources to facilitate my intervention including Bjorem speech sound cues, Cari Ebert's silly sound cards (to focus on both prosody AND motor planning), Kaufman cards (as well as the Kaufman Speech Praxis Workbook to increase complexity and move up to pivot phrases), and Kaufman tactile speech sound cues. I use a multi-sensory cueing approach and use whatever cueing tactics I need to in order to help children establish new motor planning patterns. I am a HUGE advocate for AAC (alternative communication) and typically begin every session integrating functional and powerful sign language targets to reduce frustration and help each child begin to make powerful choices in their daily routines (examples: "want", "help", "mine", "more", "open", "milk", "eat", "all done", etc.).
Eventually I would love to become trained in PROMPT and DTTC to further improve my ability to work with individuals with CAS. I currently follow Cari Ebert and Jenny Bjorem to help guide my therapy techniques.
Parents are included in every aspect of my therapy process. Most importantly, parents are part of the goal writing process so that I can come up with functional/relevant word targets to focus on in intervention. Parents are included in therapy sessions and I teach parents the tactile sound cues to help them practice target words at home in their daily routines.
I always start with sign language supports during my first session and teach functional power words like "help", "eat", "milk", "mine", "all done", "more", "want". And as therapy progresses, we begin to trial more high-tech devices such as LAMP (Words for Life), Snap+Core, Proloquo2Go, etc. These are always meant to reduce frustration and enhance the child's ability to communicate and make requests in his environment. I always like to explain to parents that AAC is never meant to be a substitute for verbal speech and for parents who are skeptical, I find research to support AAC and how it can enhance verbal speech abilities.