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- Jayme
- Stolz
- 3325 Medical Center Drive 5th Floor
Torrance
California
90505
United States - Torrance Memorial Medical Center - Pediatric Outpatient Rehabilitation
Torrance
California
90505
United States
First and foremost I will provide a thorough evaluation that involves standardized and dynamic assessments, case history, oral-motor evaluation, and a speech sample (if the child is verbal). Once CAS is suspected, and/or diagnosed, I will work with the family to decide what intervention strategy(ies) would be most beneficial given a multi-factorial approach of abilities/constraints. From there I will provide therapy in a setting that is comfortable for the family and child, where the parents can be an integral part of the learning process. Possible interventions may include PROMPT, ReST, DTTC.
Parents are an integral part of my therapy process. I believe parents are the true teachers of their children, which means it is my job to teach parents to do what I do. That way they can carry over lessons throughout the week, as we know that for children with motor-speech deficits, practicing every day is critically important to the brain's motor-learning process. After each session, the clinician and parent will review what was learned in that day’s session and will be given homework to complete with their kiddo on the days they do not have speech therapy. This partnership will include consistent feedback on what is/is not working, how lessons can carry over into everyday activities, and lots of positivity and encouragement!
Depending on a child’s verbal and cognitive abilities, AAC can be an advantageous way to access a child’s language while motor-speech capabilities are developing. Once a child’s ability to access AAC is assessed (e.g. ability to point or use eye gaze, recognize pictures) then the clinician is able to determine the best program that suits that individual child. Before initiating funding for high-tech AAC, I often begin with a low-tech communication board. This usually consists of 6-8 icons that a child can access via a board or cards to help aid the child in making simple choices to get their basic needs and wants met. As a child gets older (3+) and their language becomes more sophisticated it is important to move to a high-tech device that can support combining words with grammar structures intact. I have worked with children using LAMP, Snap Core, TouchChat, and GoTalk. I once worked with a child with Down Syndrome who also had CAS, and she was very successful in communicating her basic wants and needs using Snap Core. This program allowed her to respond to yes/no questions, choose the activity she wanted to play, report if she needed to use the bathroom or wanted a drink or snack. Her mother reported a significant decrease in maladaptive behaviors once she was able to communicate her needs more effectively.
