SLP Category: Recognized by Apraxia Kids for Advanced Training and Expertise in Childhood Apraxia of Speech
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- Carla
- Monteleone
- Yes
- 327 Renfrew Street
Vancouver
British Columbia
V5K 5G5
Canada - Carla Monteleone Speech Therapy
Vancouver
British Columbia
V5K 5G5
Canada
My overall treatment to kids with CAS includes only a few target sounds/words/phrases during a session with multi-sensory cueing (verbal, gestural, tactile). I do use PROMPT with some clients. Treatment sessions include the use of functional vocabulary and frequent intensive practice of the target (sound, syllable, word, sentence). I use both massed and distributed practicing depending on whether I am working towards acquiring the target or generalizing the target. I also make sure to target prosody from the beginning of therapy. I make sure that my sessions are fun and motivating for each client. The use of augmentative and alternative communication may or may not be used in therapy depending on the client. In addition, I don't follow the development hierarchy of speech sounds when picking initial targets.
Parents are included in the assessment, goal writing and treatment sessions. They are required to carry on at home with practice on a daily basis. Practice is dependent on the level that the child is at in therapy sessions. For example, a child may say "hi Daddy" every time they sees their dad. Parents may be able to provide some level of cueing at home (e.g. initiate the child to say "hi Daddy' by waving to Dad).
I always consider the use of AAC with clients with CAS and if used will implement AAC early on in therapy. This is used simultaneously while doing speech practice. I will encourage the client to use their AAC device to respond and then pair it with verbal speech. In the school system in British Columbia, there is a trained AAC specialists who will follow through with using the device in the school system.