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- Kylie
- Hilliard
- 8007 NW 122nd Street
Oklahoma City
Oklahoma
73142
United States - Speech Pathway
Oklahoma City
Oklahoma
73142
United States
We use a variety of treatment approaches when treating Childhood Apraxia of Speech (CAS) as no one treatment is a "one size fits all" for all children. We focus on motor planning and increasing accuracy of approximation of words to immediately increase the child's feelings of success in therapy and at home. Our goal is for the child to feel confident in their speech efforts and to love coming to speech! We incorporate toys and/or games that the child will enjoy and choose target words that have a specific motor plan that can be produced multiple times within that session as we play with the toy/game. Research indicates that multiple repetitions of the target motor plan lead to the best results, so we incorporate that into our sessions. We also teach families how to do this at home. Families are encouraged to participate in sessions and we collaborate with them on how the child learns best while sharing what we know based on the current research for CAS. We teach families the power of word approximations (sometimes we call these "first forms" of words) so that the child's efforts can be immediately affirmed. This is an important part of our approach. Once families understand how approximations work, and how motor planning is targeted, it is amazing to see the progress kids can make with early/frequent/intense intervention! We will also educate parents on the use of AAC to facilitate effective/successful communication and will often incorporate that into our sessions. We don't always recommend AAC devices for children with CAS, but the use of them simultaneously with speech production has proven to be very effective.
Parents are encouraged to participate in therapy sessions and are coached throughout the session and asked to participate so that they feel confident in what to do at home. If parents are unable to participate, they are offered observation of the session either outside of the observation window or via teletherapy so that they can still listen in on the session and even speak with the clinician throughout. Parents are provided with education and training regarding CAS and how our treatment will proceed and how they can be involved.
We have used AAC during therapy sessions for a variety of reasons. Low or high tech AAC will assist with patient success...if the child is unable to produce certain words/phrases...instead of getting frustrated and not attempting to communicate, the child is able to point to what they want or create a phrase for what they want. AAC is also excellent at providing an auditory model of a word/phrase...so when the child selects the word, a high tech AAC device will say the word, and the child can imitate. We also encourage parents not to be nervous about AAC...we provide the research that it has been shown to increase the likelihood of speech production and not hinder it.