Caterina Apruzzese
Credentials: Catap
Insurance Accepted: Yes
Business Name: Logos
Treatment Locations: Clinic/Office, School, Client’s Home, Client’s Preschool/Daycare
Address:
Via Pietro Nenni 6
Studio Logos
San Giovanni Rotondo
Foggia, 71013, Italy
Phone: +393483634674
Email: caterina.apruzzeselogo@gmail.com
Minimum Age Treated: 2
Maximum Age Treated: 18+
Percent of CAS cases: 26-50%
Overall Treatment Approach:
The fundamental aspect of CAS therapy is that the focus is on speech movements. This means that it is of fundamental importance, following a careful evaluation, the selection of the targets that will be the principles of motor learning. Sessions of about 30 min are preferred but more frequent during the week (4 times) to respond to the principles of quantity of practice, distribution of practice, type and quality of feedback so that the child with CAS can learn and generalize these aspects of movement on the generative component of language, with particular attention to the vowel and prosodic hold.
Community Involvement:
I have always paid attention to the motor aspects of speech, finding these aspects also for language disorders traditionally defined as purely phonological. I have been working with CAS for at least 6 years and over the years I have identified many children with this characteristic. I did specific training in Italy, the UK and the USA.
Parent Involvement:
Parents are an integral part of the therapeutic process. In fact, in order for the child to generalize, the parent is asked to use the chosen targets both at the time of training and as a functional lexicon. The parents are present at the therapy and I ask them to pay particular attention to prosody and not to require pure repetition, worse if spelled out.
AAC Use/Implementation Expertise:
My educational path also introduced goals related to AAC which is used with children with CAS on multiple goals. First of all, the AAC provides a modeling between child and interlocutor which helps the associative mapping between word, symbol and concept. The AAC supports the cognitive, linguistic and socio-emotional circuits of relational exchanges that help children with impaired speech. I always tell parents that while waiting for the voice, all other social skills and communication relationships must be supported. I also use AAC to support narrative skills and morphosyntactic components that we know are lacking in children with CAS.
Giorgia Margary
Credentials: I am a Pediatric Speech Language Pathologist who deals with Neurodevelopmental Disorders and is specialized in Speech and Language Impairments, Executive Attention, Developmental Dyspraxia , Childhood Apraxia of Speech and Learning Disorders.
Business Name: Child Neuropsychiatry Department (Complex Unit), Local Health Authority City of Turin – Italy
Business Address: via Monginevro 130, Torino, 10138, Italy
Business Phone: 303479801784
Business Email: giorgiamargy@gmail.com
Locations Available: Clinic/Office, Virtual Telepractice
Additional languages in which you provide services: French
Minimum Age Served: 1.5 years
Maximum Age Served: 18+ years
Percent of CAS cases: 51-75%
Overall Treatment Approach:
Clinical management of CAS requires first of all a systematic motor speech assessment for a differential diagnosis between Speech Sound Disorders, in order to focus on a specific approach for motor planning disorders. In the meantime, due to the comorbid issues found with CAS, it is very important to keep an holistic perspective of the interconnections through the domains of a child’s developmental profile (cognitive, linguistic, motor and social-emotional levels).
Encompassing all of these information in the therapy process enable to draw up a treatment plan, with hierarchical motor goals, based on the principles of motor learning: selection of the appropriate motor targets, quantity of motor practice, distribution of practice, support strategies, kind of feedback. Therefore, after a careful assessment and clinical return, an individualized treatment plan will be granted. Motor speech priorities will be embedded in the client’s functional language to support communicational needs and the adaptive functions of the child’s everyday life.
Parent Involvement:
Parents are involved in every session of training, both directly, attending the treatment session and/or with a treatment return which includes instructions for home workout or generalization activities in everyday life.
Apraxia Community Involvement:
I am trained in Prompt Method – Phd. Hayden : Prompt Bridging Trained , Prompt Technique Practicum Project + Mentoring and clinical cases supervision. Moreover I attended DTTC Training ( Phd. Strand), REST TEMPO Training ( Phd. Mc Cabe) and The Kaufmann K-SLP Method ( Phd. Kaufmann), first Level. I’m involved in CAS Community as a member of Prompt Italia Group and I attend periodical workshops with colleagues, clinical trainings and supervision of clinical cases. I’ve been working with Speech and Language Impairments since 1992, integrated with a clinical approach and overview to Motor Speech Disorders since 2015.
AAC Use:
I have used AAC when the motor and/or linguistic abilities of the child were not sufficient to support verbal communication compared to the communicational needs required. ACC is a very useful support of communicational, interactive, functional language and learning abilities goals, both in non verbal children and in verbal, but not fluent ones. It can be used as well to support specific morphosyntactic, lexical and narrative skills, verbal short term memory and early reading abilities.
Vittorio Graziano
Credentials: SLP with a Master’s Degree in Rehabilitation Science, PROMPT Bridging Trained
Insurance Accepted: No
Treatment Locations: Clinic/Office
Address: Via Beata Francesca, 58, Avellino, Campania, 83100, Italy
Phone: (366) 398-5055
Email: vittoriograziano7@gmail.com
Minimum Age Treated: 2
8
Percent of CAS cases: 11-25%
Any additional languages services are provided in besides English?:
Services are provided in Italian only
Overall Treatment Approach:
My therapy is based on new techniques and principles for CAS and involves several activities like playing, structured activity, and parent coaching.
Community Involvement:
Since I have become a SLP, I have studied several techniques and have taken care of some children with CAS in Italy.
Parent Involvement:
Parents should be aware of their child’s goals in order to practice at home, too. It is important to generalize what we do in my therapy session.
AAC Use/Implementation Expertise:
I usually use both low and high tech AAC to support speech activities and child’s motivation to communicate.
