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- Lindsay
- Kallam
- 6916 N. Highland Avenue
Tampa
Florida
33604
United States - Bay to Beach Speech
Tampa
Florida
33604
United States
I conduct therapy from a child-led, play based approach in order to encourage interest, child buy-in and to set sessions up for success. I place a great deal of importance on having a strong rapport built with your child. It is important for your child to trust their therapist and enjoy their interactions in order to have successful sessions regardless of their diagnosis, but this is of the utmost importance with Childhood Apraxia of Speech (CAS). Children with CAS know what they want to say but may not be able to verbalize or verbalize their words without a lot of effort. Speaking may already be a source of frustration, so having an SLP encouraging verbal productions repeatedly while correcting their movements requires a lot of interest and trust to not cause even more frustration. I also place heavy emphasis on other members of the team (school SLPs, ABA therapists, teachers, parents) being involved in our therapy progress and goals. Appropriate treatment for CAS involves understanding and practicing speech from a motor perspective with the Principles of Motor Learning guiding therapy. For motor movements to be acquired and retained, accurate repetition is important with the least amount of cueing. In an ideal situation, speech therapy for CAS would consist of 3-4 weekly sessions, 20-40 minutes in length. Due to a variety of reasons, this is difficult to schedule in private therapy. Parents and other team members practicing the same target words, using the same type/amount of cueing and practicing with the principles of motor learning in mind is important. I enjoy communicating with school speech therapists if possible, in order for the entire team to be working on the same word sets with the same cueing. This allows for the child to get more practice in weekly. I have a strong passion for helping kids with CAS and I believe this shows in my therapy sessions.
After the initial evaluation, I create an initial target word list with parents. This often includes “power words” or words the parents feel are most important for their child to intelligibly communicate. I encourage parents to attend our sessions at least once weekly or review video recordings of our sessions, so they can implement the carryover practice for that week appropriately. I enjoy describing what we’re doing and why we’re doing certain things in our sessions so parents can understand exactly what’s going on and what needs to be focused on that week. If it’s too distracting for a child to have their parent in our sessions, I will do a FaceTime call/zoom call with my iPad or record parts of our session. I offer carryover activity ideas with words to focus on. I also share a note in the “notes” app on iPhones or through google docs with parents, updating homework on the “note” after each session. I leave a data tracking sheet for parents to track their practice weekly if desired. I encourage parents to text or call me with any questions or to update with progress throughout the week.
I’m very experienced in the area of AAC. Most of my experience involves high tech devices, but I also have experience using low tech (core boards, flip n’ talks, PECS). I incorporate AAC into my sessions and try my best to combine AAC into our activity while also targeting verbal motor planning with DTTC and PROMPT therapy. An example of an activity would be-- practicing the word “up” 5+ times verbally while blowing up a balloon, then once inflated, encouraging the child to request “go” or “fly” on the device, and immediately rewarding the use of the device by letting go of the inflated balloon and watching it fly. AAC is often needed for those with severe CAS so they have a functional means of communicating while improving their verbal skills. It’s important for the child to connect that their device is how they can request, protest, and obtain information. I’m a strong believer in natural modeling with AAC devices. A child shouldn’t be forced using hand over hand modeling to make requests. Research shows that natural language modeling is the best way for a child to learn AAC and make the connection that this is a way for them to communication what they want, not what a caregiver wants them to say. I have experience with PRC-Saltillo (LAMP WFL, TouchChat, Accent etc), Tobii Dynavox (TD Snap, SnapCore, I-series, etc), and AssistiveWare (Proloquo2go, Proloquo, Proloquo4text).