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- Jennifer
- Metaxas
- No
- 3510 Silverside Road, Unit 2
Wilmington
Delaware
19803
United States - Speech and Language for Kids LLC
Wilmington
Delaware
19803
United States
I provide individualized care and have strong communication with my families. Each treatment plan is tailored to the individual child to ensure progress. I typically recommend therapy more than once a week for children with apraxia. During my speech sessions, I provide a high amount of repetition. I start with a small set of treatment targets, and gradually increase the number of words as the child improves. I provide multiple prompts and feedback, including tactile prompts and visual feedback. I expand upon the syllable shapes and phonemes that the child already has in their inventory, and slowly add more phonemes and syllable shapes. In addition, my therapy also focuses on language and augmentative and alternative communication. Communication devices help expand expressive language and avoid frustration. My ultimate goal for children with CAS is for them to be successful communicators.
Parental involvement is vital for the progress of the child, and I provide home practice for each child to facilitate carryover. After every session, I write a note to the parents explaining what was worked on in the session, or discuss it with them verbally. I also make copies of the words that my clients are beginning to master so the words can also be practiced at home.
I have used PECS as a low tech device. I have attended the PECS level 1 training, and have used this training with my clients who have apraxia. I have also used a variety of high tech devices. One client currently on my caseload with apraxia is using ChatFusion by Saltillo. I also have worked with clients who use Proloquo2Go and Tobii Dynavox. AAC is very important when working with a client with CAS. Since verbal output is often very limited with apraxia or difficult to understand, they need an alternative way to express their thoughts, wants, and needs. Exposure to an AAC device can also reduce frustration for the child because they have an alternative way to communicate.
