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- Tricia
- Pigman
- No
- In-Home Therapy
Lakewood
Colorado
80227
United States - Gate to Communicate Speech Therapy
Lakewood
Colorado
80227
United States
My treatment approach will be different based on the needs of each child. These approaches include Edy Strand’s DTTC, PROMPT, Kaufman Approach and Moving Across Syllables. I use a multi sensory approach incorporating the Principles of Motor Learning in every session as well as movement activities for active engagement in sessions. Prosody is addressed right away if the child is having difficulty with suprasegmental features. During treatment sessions, I do whatever it takes for the child to focus on my face to watch mouth movements! Goals are functional and reflect what is important to the family/child. I utilize a child lead, motorically based, play therapy approach which consists of structured play to build speech and language skills while incorporating quick reinforcers that are motivating for the child to maximize response trials to facilitate motor learning. Communication is the overall goal. The child still needs to be able to communicate if their speech is unintelligible therefore signs, AAC devices, and gestures are be incorporated as well when appropriate. A cueing hierarchy is used consisting of max amount of cues (physical/touch, visual, verbal, gestural, wait time) and fading those cues to teach a speech motor plan. I believe in parent education and supporting families with what they can do at home to facilitate success for their child. Building trust and a bond with my clients and their parents is very important to me.
CAS is a very complex disorder in which parent involvement is crucial to their child’s progress. Parents need to be accurately informed of what the disorder is and how they can help support their child in the home environment when the clinician is not around to promote motor learning and generalization. Strategies and treatment approaches are explained to parents as well as modeled during therapy sessions while the parent is observing, so they understand what is being done in sessions. Parents are encouraged to be present in every session.
I use both AAC high and low devices in my practice early on in children with CAS or Suspected CAS. I have implemented core vocabulary books and boards to children as well as static topic boards to facilitate communication. I use picture icons containing icons with relevant and functional vocabulary words in therapy as visual cues and during requesting items. For children with severe CAS, dynamic programs such as Proloquo2go are used as an alternative means or to augment communication. I use a variety of touch cues as well as gestures and sign language with children as well.