Business Name: Schwab Rehabilitation Hospital
1401 South California Blvd.
Chicago, Illinois 60608
Phone Number: (773) 565-3112
Email Address: firstname.lastname@example.org
Describe treatment approach used: As an early intervention SLP, I adhere to a combined play-based language and motor learning approach to intervention for children with CAS. The children’s specific diagnostic treatment programs are individualized and co-constructed with their families. Using play-based language therapy and integral stimulation techniques, I incorporate the four tenets of cognitive motor learning into therapy (e.g., precursors to motor learning, conditions of practice, feedback, and influence of speech rate). Integral stimulation includes the identified speech targets and requires the children to imitate utterances (e.g., syllables, words, or phrases) modeled by the clinician and/or mother in a “look, listen, do what I do approach.”
In general, mass practice of targets are done in predictable blocks with lots of cues for newer items and distributed practice in less predictable order for items that are improving. Multi-modal cues including auditory, visual, and tactile input are provided (along with integral stimulation and Dynamic Temporal & Tactile Cueing) with cues faded across time. I model multiple repetitions of the treatment targets using cognitive motor learning principles to stabilize the motor plan and establish motor learning versus motor performance .
Language therapy with the children and their families follows the interactive model and strategies inherent in The Hanen Program® for Parents. The SLP discusses applicable strategies, and practice techniques during treatment sessions. I also foster literacy modeling, opportunities, and interactions (including phonological and phonemic awareness) between parents and their children.
Through frequent sampling of the children’s productions during treatment (and at home) and analysis of case-based cumulative criteria, therapy plans are modified to respond to changes in the children’s speech motor abilities and performance capabilities. Individual programs ultimately reflect the children’s current speech and language skills and focus on increasing their functional ability to communicate across contexts.
Describe parent/caregiver involvement: Parents arrive with their preschool-aged children one time weekly for 45 minute treatment sessions. Many families can only come one-time weekly to our clinic due to insurance authorizations, work commitments, childcare for siblings, and need to take public transportation.
Parents are involved in each step of the therapy process. For example, parents at our outpatient clinic: (1) provide a description of their child's speech and/or language challenges, (2) assist in identifying initial targets that are phonetically simple and highly functional to maximize their children’s early success, (3) participate in therapy sessions- observing the SLP, practicing principles of motor learning, and receiving feedback along with their children, (4) identify activities and strategies for generalizing treatment strategies during home routines.
Throughout their children’s treatment programs, I encourage parents to record gestures, words, and phrases that their children are attempting in the home setting and then target those utterances during play-based activities using integral stimulation and DTTC techniques. I provide parents with information from the CASANA website (in both English and Spanish) to better understand the CAS diagnosis and evidence-based treatment plan.
My main goal is to empower parents to continue treatment techniques during home activities and become their children's primary language facilitators. I bring to parents' awareness those practices that they already use that are helpful in facilitating their children’s communication (e.g., modeling words and phrases, encouraging multiple productions of a phrase or verbal script, and/or praising their children’s communicative attempts.
Families are invited to borrow toys, materials, and books from the clinic for implementation in their homes. In a similar manner, parents are encouraged to share communicative routines and activities practiced in their homes for use in the clinic.
Describe your past and current involvement in the Apraxia community? Past and current involvement in the Apraxia community: I have attended a few of the CASANA conventions (which are excellent)! I presented at the 2012 CASANA convention.
I have completed online continuing education programs through ASHA.
I have had a few phone conversations with Dr. Mary Sturm about how the CASANA website can better serve Spanish-speaking parents.
I actively seek research and practical strategies for treating CAS through textbooks, research articles, conferences, and continuing education online opportunities.
I am most interested in adapting and modifying interventions for Spanish-speaking and bilingual families.
I'm editing a research article for submission to the American Journal of Speech-Language Pathology (AJSLP) on CAS and Spanish-speaking families- case studies. Dr. Ruth Stoeckel served as a mentor and collaborator as I collected data and completed the case studies across time.
Do you provide consultation/collaboration with other professionals (for example, attending IEP meetings, co treating, etc.) Yes
Age range treated? 2 years to 10 years
Hours of operation: 9:00 am-6:00 pm
Locations where treatment is provided? Office/Clinic
Insurance accepted? Yes
Business Name: Schwab Rehabilitation Hospital