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Business Name: Washington Speech

Address:
601 N Piedmont Street
Arlington, Virginia22203

Phone Number: (201) 983-9881

Email Address: bernarduccik@gmail.com

Website: http://www.washingtonspeech.com/

Describe treatment approach used: My overall treatment approach when working with kids with CAS is completely individualized! I value treatment that is both functional to the child's day-to-day life, as well as fun. It is important to consider motor planning and execution cannot happen in a vacuum (aka in the speech therapy room only) so I like to incorporate as much play-based therapy as possible, as a child's greatest strengths in communication tend to be routed in play. I primarily use the cueing hierarchy set forth by Dynamic Temporal and Tactile Cueing (DTTC) while incorporating motor planning principles. To me, it is more powerful to target the kids family member names, favorite toys, pets names, etc. while considering core vocabulary research, versus a set of words we may suspect to be useful. I strive to target between 5 and 10 functional words at a time depending on the severity of the diagnosis. When word targets are acquired, they move from an acquisition to a retention phase.

Describe parent/caregiver involvement: I strive to work with the child's parents in order to establish words that are most functional in the child's home environment within their phonemic inventory. Parents are an enormous aspect to my CAS therapy sessions, as they are key players in their child's success! As early as the assessment date I work to provide parent eduction on the nature of CAS, DTTC, and what treatment sessions will look like. I warn them that although it is intensive speech therapy, it is extremely rewarding and each new word their child gains should be celebrated. I strive to work with the child's parents in order to establish words that are most functional in the child's home environment within their phonemic inventory. I provide parents with a core vocabulary development sheet so the most functional stimuli can be identified. Parents are invited into the therapy room to observe the type of cueing and therapy taking place. I conduct an 8-10 minute "home program," at the end of each session where activities of carryover are discussed and how they can fit into home routines. I keep parents very involved in my treatment, as generalization is key in the treatment of children with CAS!

Describe your past and current involvement in the Apraxia community​?​ I have experience evaluating/treating children with CAS and refer families to the Apraxia-Kids website to gain additional information. I assisted in organizing a team for the Apraxia Kids walk in DC in October 2018. I correspond with other professionals including school speech-language pathologists that the children on my caseload work with, and seek out continuing education opportunities related to CAS to continue to refine my clinical skills with this population.

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

Age range​ treated?​ 1 to 12

Hours of operation: 8:00 AM- 7:00 PM

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

Insurance accepted? Yes

Notes: When first beginning my career, my primary interest was with children with feeding disorders. I had a client with both CAS and feeding difficulties who particularly sparked my interest. Since then, I have began seeing more and more children in our clinic with CAS. I took a particular interest and began observing my director and co-worker (both recognized by Apraxia Kids as professionals with experience in CAS). This both sparked and confirmed my interest, and I am looking forward to additional CEU's in the future. I hope to attend the National Conference in 2019 to continue to refine my skills and knowledge with the population, one which I find extremely rewarding to work with!

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