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- Tina
- Payne Chasse
- No
- Private Practice
1) Assist the child in communication of needs, by assessing what forms of assistance they need and the family is willing to take part in as partners. Make sure the family understands what is going on, the protocols, and prognosis.
2) Set up reinforcement for what the child is trying to communicate in order to reduce behaviors and build rapport with parents and caregivers This is essential to the process.
3) Promote hearing testing.
4) Begin teaching ASL and tactile cues to the extent that they are supportive and as appropriate.
5) Try various sounds and sound combinations to determine what the child can produce.
6) Choose initial targets: when multilingual choose targets that map to both languages to facilitate transfer and words that will ease generalization in both languages
7) Work on a small number of sounds and sound combinations with multiple repetitions, assign home practice as appropriate and only when there is good carryover.
8) Make sure that generalization is occurring by using dynamic assessment.
Parents are essential to the process, and teaching how to make a communication-rich
environment is an integral part of the therapy process.
As a home-based therapist, a parent or caregiver is present for every session. I expect parents to do approximately 10 -15 minutes of homework per day approximately 5 days per week. If they can only do 5 min that is fine, I am mostly going for consistency. I ask for frequent updates and feedback on what is working or not working in the various contexts in which the child takes part.
ASL used extensively
Low tech: communication book, pictures
High tech: I do not provide assessment, but have trained people to use many systems
