No Records Found
Sorry, no records were found. Please adjust your search criteria and try again.
Google Map Not Loaded
Sorry, unable to load Google Maps API.
- Brittany
- Schulz
- 1 Children's Place
St. Louis
Missouri
63110
United States - St. Louis Children's Hospital
St. Louis
Missouri
63110
United States
My therapy approach is specific to each patient, but always rooted in the principles of motor learning. This means my sessions may not look the same for each child. Each child brings different motivations and skills to the session, but my basic targets are developed based on the child’s specific speech motor movement needs. My initial treatment sessions always include establishing a solid relationship with the child and family. My focus is to make them feel comfortable and safe when they are in my office. Taking the “pressure” to speak off the child is a theme throughout my treatment sessions. For a younger child, I take a play-based approach by incorporating modeling of sounds and words. This may look like dumping puzzle pieces onto the floor and as we put them in their spots we say “in”. Or play with bubbles encouraging sounds such as “dip” or “pop”. For older children, I incorporate repetitive practicing with flashcards embedded into structured play. This may mean I hide flash cards inside eggs to open or make an obstacle course where the child must go through the course to retrieve certain cards. If the child enjoys board games, I like to provide flashcards and practice targeted words between taking turns. Therapy ideas are endless and my favorite part of this job! A final, important aspect in my therapy approach is making sure parents/caregivers have a good understanding of their child’s goals and what they need to carryover to home. My weekly homework ranges from giving ideas on how to practice naturally throughout their day, to table-top worksheets.
An important factor to a child’s progress is the parent’s understanding of their child’s goals and what/how to carry over skills into the home. I usually involve parents of younger children (approximately ages 18 months-3 years) directly into the entire therapy session as these children learn through play and natural interests. Therefore, the parent can understand and learn what words to target at home and how to model these throughout their day. I spend time helping parents come up with ways to incorporate natural targets into their routine that match their current goals. For example, during bath time participate in blocked practice such as splashing and say “ah! Ah! Ah!”, or in the car practice random variables with /b/ such as: “beep! Bus, bike”, etc. For my older patients (approximately 3.5 and up) I usually have the parent in the first few sessions so they can understand what therapy looks like. After these sessions, the parent can choose to observe the session in the office, or wait in the waiting room and join for the last part of the appointment. I tend to use this model with older children, as my therapy approach is more drill-work based followed by carryover of the words into play or conversation. When the parent comes back into the session, this is a great time to have the child demonstrate what we practiced that day and go over homework with the parent. Homework is a regular part of my routine; whether I print a worksheet or educate parents on natural carryover to home. For my English Language Learners (ELL) I have experience integrating families into sessions to practice words in their primary language.
I have experience using both low and high tech AAC with my patients. For low tech experience, I have used core boards such as LAMP, picture exchanging/pointing, and gesturing/American Sign Language. For high tech experience, I have experience with both motor planning-based devices and page-based devices. These include iPad based programs such as LAMP Words For Life and ProloQuo2Go. I have experience with other devices such as Tobii Dynavox, Nova Chat, Tango, and GoTalk. I have the privilege of working along side an Augmentative and Alternative Communication (AAC) Team at my hospital, so it is easy for me to access their knowledge and input in regards to AAC supports.