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Business Name: Medley & Mesaric Therapy Associates, LLC

Address::
421 N Bethlehem Pike
Ambler, Pennsylvania 19002

Phone Number: (215) 643-5585

Email Address: mesaricj@gmail.com

Website: http://www.mmtaspeech.com

Describe treatment approach used: First and foremost I establish rapport with the ids and a routine in therapy. My clinic uses a "circuit approach" in sessions in that there is a mix of structured tasks (at the table) and less structured tasks (in play on the floor) to help generalize table top skills.. Because we specialize in children and adolescence who have an ASD diagnosis, working on strengthening their social engagement skills is critical to being able to successfully do motor speech work. Clients who have an apraxia diagnosis have goals that target their motor speech deficits written in treatment plan. Data is taken every session and progress is reviewed every 3-4 months. Motor speech targets are chosen based on speech sound inventory gathered from the diagnostic evaluation or therapy sessions in conjunction with the "power" the word will have in the child's life (i.e., the overall motivation to use and practice the speech target). Targets are practiced first at the table utilizing a variety of techniques with ranging prompts depending on what the child needs (direct imitation, chorally, visual tactile cues, physical prompts, etc.) Prompts are faded as quickly as possible. Negative practice is avoided by moving on to the next target following there attempts, with each final attempt being a "success" , even if max assist is needed.

Describe parent/caregiver involvement: Goal meetings are held quarterly to discuss goals and progress. During therapy sessions, parents sometimes sit in (if the child can still focus on therapy) and observe the session. In the case that the child does better without a parent present, the parent is asked to join in the last 5 minutes so that s/he can be debriefed on the session. Parents are given suggestions on what motor speech targets to focus on, for the week and how to elicit at home.

Describe your past and current involvement in the Apraxia community​?​ I utilize CASANA's website and often discuss CAS and best practice with colleagues

Do you provide consultation/collaboration with other professionals (for example, ​​attending IEP meetings, co treating, etc.) Yes

Age range​ treated?​ 3 years to 21 years

Hours of operation: Monday-Friday 8-6

Locations where​ treatment ​is ​provided? Office/Clinic

Insurance accepted? No

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