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I follow Dr. Edythe Strand's Dynamic Temporal and Tactile Cueing (DTTC) approach - 5 days/week, 30 minutes/day for 4-6 week sessions each.
Parents attend each therapy session and observe the dynamic process involved in treatment. As words become automatic, parents are encouraged to elicit the target during structured play/activities. Parents are also involved in the target choices based on ability and need.
I use whatever the child is willing to participate in, whether it be sign, picture exchange or devices.