I primarily use DTTC if the child is old enough. However, most of my caseload consists of preschoolers, many of whom, have limited attention skills. Although they can often imitate, getting them to attend to the face is a learning process. In this situation, I generally find what vowels, consonants and syllable shapes are within the child's repertoire and build on those. This, of course, is done within the context of play while utilizing the principles of motor learning and trying to maximize the number of productions in a session.
Parent Involvement:
I encourage parents to observe and participate in sessions if appropriate and often provide home carryover activities.
AAC Use/Implementation Expertise:
I am not AAC trained. If the child requires AAC training, I typically refer out. If the child is an AAC user, I encourage them to use in session as appropriate. I have helped families apply for iPad support through Apraxia Kids.
