SLP Categories: Recognized by Apraxia Kids for Advanced Training and Expertise in Childhood Apraxia of Speech and Apraxia Kids Speech-language Pathologist Directory Member
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- Melissa
- Gillmer
- Yes
- 784 Blanding Boulevard, Suite 108
Orange Park
Florida
32065
United States - North Florida Therapy Associates
Orange Park
Florida
32065
United States
My overall treatment approach is tailored to each individual. However, I have extensive background in principles of behavior and motor learning and use a multi-sensory approach, including PROMPT and discreet trials of gross motor imitation so that the child can experience success initially. In addition, my initial phases include a focus on functional communication. For instance, gross motor imitation tasks may include practicing a head nod for yes and/or pointing skills if they are also lacking. We move as quickly as possible from gross motor imitation to oral and vocal imitation so we can begin to develop a sound repertoire and elicit wordshapes, such as CV or VC, with more randomized practice in accordance with motor learning theory. As the child becomes more verbal and intelligibility increases, I also make it a point to address any linguistic and executive functioning issues which are common in children with resolving CAS, such as language processing or reading deficits.
Most parents participate in sessions initially by providing any updates since the previous session, observe the clinician working with their child and then are invited to practice the same skills or strategies they observed so that they may receive direct feedback from the clinician and feel confident that they can carryover these skills into other environments. Parents who do not participate in the sessions for whatever reason are given verbal and written reviews and opportunities to ask questions.
I have used sign language, PECS, dedicated communication devices and iPads to facilitate functional communication primarily through greetings, simple conversational exchanges, making choices, motivational learning opportunities as well as behavior management strategies (such as a visual schedule, token system visual timer).