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- Lauren
- Gordon
- 2076 S. Independence Blvd, Suite 1B
Virginia Beach
Virginia
23453
United States - Ivy Rehab for Kids
Virginia Beach
Virginia
23453
United States
In my initial preparation/planning process, I start with a systems analysis to identify the child's strengths and weaknesses as well as patterns of mastery thus far. The results of this analysis help guide my treatment to incorporate sounds and syllable structures that are within the child's reach in 12 weeks (before I complete a plan update). When implementing these targets, I utilize my knowledge of PROMPT and DTTC in order to provide various levels of support as needed. Depending on the child's attention/age, I like to embed treatment targets within play-based sessions. It is important to my practice for the child to trust me and enjoy speech therapy. My sessions remain clinician-directed to not fully utilize a child-centered model unless it is required in order to increase engagement.
Parents are invited in all therapy sessions in order to provide continuous coaching in the moment of implementation. In the event that parents do not transition to the therapy room, parents are asked to develop a functional vocabulary list for immediate shaping and implementation. They are educated on the child's performance in each session and provided with home exercises as the child so tolerates.
The use of AAC across modalities requires familial involvement. I believe that an alternative method of communication can greatly impact a child's confidence in communication when we need to scaffold their intelligibility. I include language testing in all of my evaluations in order to provide the most comprehensive care, so the information gained in that assessment helps guide my high-tech device trial. In some cases, particularly in more mild cases, a low-tech option such as picture exchange or vocabulary board, may be more appropriate. Overall, using an augmentative communication system focuses on building vocabulary and grammatical structures, which can be very beneficial in reaching our long-term goals.
