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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- Meg
- Sprunger
- Yes
- 7784 Innovation Park Drive
Baton Rouge
Louisiana
70820
United States - Emerge Center for Communication, Behavior, and Development
Baton Rouge
Louisiana
70820
United States
I use a multi-sensory approach incorporating principles of motor learning. The therapy sessions will necessarily include a great deal of repetition and practice, but I attempt to keep the therapy sessions fun, functional, and fast-moving, embedding the repetition into playful activities in order to motivate the child, but keeping the therapy direct and focused. Each child's unique personality informs my approach, which is always eclectic, pulling from specific programs and my own experience to find those techniques that work best for a given child. Cueing and prompting are provided when needed and faded as the child develops some independence, naturally bringing cues in and out of use based on the complexity of the task and the performance of the child. Language skills are addressed hand-in-hand with speech, with emphasis on building functional communication abilities. A total communication approach is used from the very beginning, with early introduction of manual signs and/or other augmentative communication modalities as needed.
I incorporate parents into the sessions in a variety of ways, including direct observation (either present in the room or through a one-way mirror), listening in to the sessions (by phone or Skype), or intermittent parent participation in sessions. When this is not possible, we may choose to communicate via notebook or e-mail. Video clips are also used to demonstrate techniques or progress.
I introduce signs immediately, using this as both as communication modality and a form of verbal prompting. If a child needs an AAC device, I do not hesitate to go directly to a full-language, speech-generating device that can grow with the child. My preference is to use the LAMP (Language Acquisition through Motor Programming) approach, as I feel this supports the particular needs of children with CAS without significantly limiting the language available to them.