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- Michelle
- Romeo
- No
- 653 Blairshire Circle
Winter Park
Florida
32792
United States - Centered Speech, LLC
Winter Park
Florida
32792
United States
I begin with a small set of words the child has difficulty saying, and plan 2-4 activities where they can practice these words in a meaningful context. I use research-based strategies during structured and play-based activities that are customized to each child’s individual needs and interests. I provide verbal, visual and tactile cues as well as specific feedback about the words they produce. This includes praising and celebrating words they say correctly or guiding them through what to do differently when they say a sound incorrectly. I also provide education to family members who are present throughout the therapy session so they can follow through at home. This allows for the most success and progress for the child.
Active family involvement is an important part of my practice. I work with each child’s family to set goals that are going to have the biggest impact for them. Families help to set goals by telling me about the people, objects and activities that are most important in the daily life of their child. This allows us to work as a team to select target words that are the most meaningful and functional for the child. When families participate in therapy sessions, they have a chance to ask questions and observe the strategies that are used. They can then practice these strategies as they communicate during everyday activities at home. Family involvement helps a child successfully use their new speech skills in different settings and improve their overall communication skills faster and more efficiently.
I have used low-tech AAC such as picture symbols and communication boards to facilitate basic functional communication with children diagnosed with CAS. I have found that providing children with a meaningful way to communicate successfully, while decreasing the burden on them to ONLY communicate verbally increases their willingness to participate in therapy and work towards increasing their verbal communication skills. I have used high-tech speech generating AAC devices from several companies to help support language development in children with moderate-severe apraxia of speech. These children often have enough basic functional verbal skills to express simple wants and needs, but not enough to fully show how much language they have due to the severity of their apraxia. While using high-tech AAC devices while they are working towards improving their verbal speech skills, they can develop and use more advanced language skills that their speech motor planning skills are not yet able to support.
