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- Kelley
- DaSilva
- No
- 1506 Post Road, 2nd Floor
Fairfield
Connecticut
06824
United States
Fairfield
Connecticut
06824
United States
I use multiple supportive strategies to support their ability to imitate and initiate specific phonemes. The supportive strategies used are motokinesthetic cueing, carrier phrases, visual and auditory feedback. Depending on the level of severity, I begin targeting sounds in isolation and/or if their repertoire is limited, isolation of an increased number of phonemes paired with work at increased syllable levels. I embed language based functional approximations to these targets. This inclusion of language provides clients high frequency functional opportunities for carryover.
Parents are encouraged to observe the therapy sessions and participate in learning the cueing strategies supporting their children's speech. They are encouraged to provide feedback on vocabulary relevant to the child's day to day functioning and interests. This is kept in mind and then depending on the child's level, approximations are potentially targeted for these words. Parents are encouraged to carryover and generalize stable core vocabulary words into structured aspects of the child's day.
For some children less impacted, AAC has been used to supplement their intentions that exceed their verbal output level. In other words, if a child is limited to intelligible productions at a single word level, AAc has been used to support expression for intentions relating to bi-syllabic words and phrase length expression.For children significantly impacted by CAS, AAC has been the primary means of communication with the use of verbal expression targeted for select, functional core vocabulary words, e.g., approximations of 'all done' 'more' 'go' 'on'
