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- Kelley
- Colbridge
- 822 Montgomery Avenue, Suite 306
Narberth
Pennsylvania
19072
United States - Goldstar Rehabilitation
Narberth
Pennsylvania
19072
United States
The treatment approach that we use at our clinic varies depending on what best fits each child. Primarily, children and their parents are involved in therapy using the Dynamic Tactile and Temporal Approach (DTTC). This approach uses motivating and functional words that the child is able to produce with a variety of visual, verbal, and tactile cues to support the child. These words are carefully chosen taking the speech sounds and syllable shapes that are in the child's repertoire and as well as sounds and syllable shapes that the child is able to produce given cuing. Targets start in massed practice and are transitioned to random practice by fading cues as quickly as possible with success. These targets are sent home for practice to encourage generalization.
For children with a mild-moderate diagnosis of CAS, the Rapid Syllable Transition Treatment (ReST) approach may be more appropriate. This approach uses nonsense syllables and focuses on self-monitoring for correct production. The child is taught to monitor and produce the correct beats, smoothness, and sounds that are modeled by the clinician.
From the beginning, I encourage parents to join in the evaluation process as they can provide invaluable information about their child. I encourage parents to join their child and I in therapy sessions so that they can hear the targets that are being practiced as well as the cuing that is provided. After each session, I provide a detailed explanation for homework and answer questions that may arise.
I believe that AAC is an integral part of the therapy process for a child with CAS. I believe that a total communication approach (signs, gestures, AAC, pictures, pointing, verbalizing) are all valid forms of communication and they should be recognized. If a child does not already have an AAC device, I often direct the family to an SLP who specializes in AAC. I think it is important to team with other speech providers working with the child, whether it be through Early Intervention or their school therapist to support their usage of their device. During our motor speech therapy sessions, however, the primary focus is practicing their target words.