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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- Rebeccah
- Smith
- Yes
- Manassas, VA
Manassas
Virginia
20111
United States - K.I.D.S Therapy Services
Manassas
Virginia
20111
United States
Treatment starts where the evaluation left off. I do follow the DTTC model while using the Principles of Motor Learning. I start with identifying 10-20 targets for treatment and daily practice that are based on the inventory of sounds and word shapes already in the child’s inventory and from the parent’s wish list of single words and phrases they would like for their child to be use. I like to use the picture stimuli from becoming Verbal and Intelligible. Each family has their own laminated copy of targets for daily practice. Once I get some approximations of sounds and words, we move to phrases quickly. Each treatment session is based on what that individual child needs to elicit an accurate production. I am PROMPT trained and use PROMPT techniques, but I do not follow it to the letter. I use other tactile, visual and auditory cues/prompts. We use movement, tapping, clapping, banging, and singing. A variety of activities bubbles, books, games and puzzles to work on phrases.
My families are involved in every aspect of their child’s intervention process. Parents/caregivers are in the room for all therapy sessions. Caregivers are asked to reflect on what they saw and what they heard (did they catch the vowel distortion or the token to token variability). They are taught strategies based on the principles of motor learning and the DTTC model to implement while working on their daily home program (hold initial consonant longer, when and what types of feedback to give etc.). Caregivers are asked to give feedback at the beginning of each session about what worked and what didn’t work. Parents are asked to identify activities and routines that their child enjoys so target words and phrases can be generalized over to frequently occurring activities. I believe that I cannot do this alone and that the success of all my patients has been a direct result of parent/caregiver involvement inside and outside the therapy room.
I do not consider myself an AAC expert and refer out for high tech AAC needs. I do have experience in using GO Talk, Dynavox and apps on an iPad such as LAMP. I do incorporate early signs and picture exchange for functional communication with all levels of severity with CAS.
