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- Joanna
- Trabing
- 464 2nd Street, Suite 105
Excelsior
Minnesota
55331
United States - The Madison Center
Excelsior
Minnesota
55331
United States
Each client's therapy is unique- the focus is always on improving movement and motor planning with the ultimate goal of supporting clearer speech and increasing communication. Therapy begins with a dynamic assessment, using tools like the Dynamic Evaluation of Motor Speech Skill (DEMSS) and collecting speech sound inventories to understand severity and how your child produces speech sounds, syllables, words, and phrases. Therapy then follows a Dynamic Temporal and Tactile Cueing (DTTC) approach, which means teaching movement patterns rather than just individual sounds to build clearer and more natural sounding speech. Targets are selected based on what’s meaningful to your child and family. Frequent practice, both in sessions and at home, is essential for progress. Extensive home programming is provided to guide you on how to support your child’s learning outside of therapy. If needed, alternative communication options, such as Speech Generating Devices (SGDs), are explored to build expressive language and communication skills in conjunction with verbal skills.
Parents play a key role in the therapy process and their involvement is essential for their child’s progress. From the very beginning, parents are interviewed during the assessment to gather important information about the child’s history, current speech and communication abilities, and parent concerns and goals. This helps create a therapy plan that aligns with the child’s needs and the family's priorities. To help parents understand our approach, materials on the Dynamic Temporal and Tactile Cueing (DTTC) method are provided to explain how it works and how it is implemented in therapy. Throughout therapy, parents have an active role in selecting meaningful words and phrases that will be the most useful for the child in daily life. Home practice is a critical part of therapy. Targets and levels of prompting are provided for parents to work on with their child. It is important for families to discuss with their therapist how daily practice can be incorporated into their schedules. We also rely on parents to track progress outside of therapy, including improvements in speech clarity at home, school, or in social settings. Regular check-ins allow us to adjust therapy as needed, ensuring that your child continues to make meaningful progress in both structured sessions and everyday communication.
I use a variety of low-tech and high-tech AAC options based on each child's needs. High-tech AAC includes speech-generating devices (SGDs) like Tobii Dynavox and a variety of page sets, including core vocabulary, motor planning, and express pages. These tools help children communicate effectively and build expressive language skills while also supporting the development of verbal speech production. Low-tech AAC strategies include picture schedules, visual supports, core boards, signs, and gestures to encourage total communication—using multiple ways to express needs and ideas. I promote multimodal communication, ensuring that AAC is used alongside speech. Our goal is to give children the tools they need to communicate successfully in all environments while continuing to build their verbal skills.