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- Amanda
- Izen
- 40 East 9th Street
New York
New York
10003
United States - EZ Speech Inc.
New York
New York
10003
United States
Therapy sessions for children with CAS or suspected CAS consist of various techniques and activities to help a child improve his/her overall speech intelligibility and repair communication breakdowns as they occur. Although therapy is individualized based on the child, therapy always consists of a combination between motor planning approaches and linguistic based approaches. Motor planning approaches emphasizes repetitions across speech sounds to help the child make and sequence accurate sounds words. Linguistic based approaches help the child to generate speech sounds based on linguistic rules for groups of sounds and sequences. I typically incorporate tactile facilitation such as Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT) paired with visual cues for parents to use within their routines at home to support the PROMPT technique. Therapy requires the parents to be active partners to help reinforce and carry over the growth made in sessions. The set of sounds targeted within sessions is child specific based on what they are stimulable for as well as the words that will help them to communicate functionally within their everyday.
Parents are continuously involved within my therapy process, however, I do want to note that parent involvement is individualized for the parent just as therapy sessions are individualized for each child. My sessions include parent coaching to use communication strategies to help increase overall intelligibility of their child as well as use of AAC, if the child is using a low tech/high tech device. Parents will be expected to carry over the goals of the session at home which includes practicing target words, sound combinations and more with their child between sessions. It is important to remember that parents are an integral part of the team and their concerns, questions and support is required to help their child communicate successfully.
I have used low tech AAC communication boards as well as high tech (iPad programs) to help facilitate language for children with CAS based on the needs of the child and the support available of the family. AAC does not limit or restrict a child's verbal language and is used to help support communication so the child can be successful across various settings and various communication partners. I have placed multiple low tech boards within rooms in client's houses to help facilitate constant communication and the ability for the child, as well as the parent to have a readily accessible tool to ensure the child's wants and needs are being met. I have used high tech AAC devices for children with CAS who may need more support verbally and are motoric ability to navigate a more complex device. These children carry around an additional device that they have accessible at all times of the day. High tech AAC provides a verbal model for the child where as a low tech board does not. Both types of AAC can be helpful but the needs of the child and the family must be considered, trialed, and reflected upon within the process. Some children may start with one type of AAC and move onto a different type or eliminate the use of AAC as time goes on.