Apraxia of Speech: Speech Therapy Approach by Nancy Kaufman

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What is Childhood Apraxia of Speech and its core characteristics?

Carrie Clark 0:00

Hey everybody, this is Carrie Clark from SpeechandlanguageKids.com. Hey everybody, this is Carrie Clark from SpeechandlanguageKids.com. You are listening to episode number 22 of the Speech and Language Kids Podcast. You are listening to episode number 22 of the Speech and Language Kids Podcast. This is the podcast with activities and resources for families of children with speech and language delays, as well as the professionals who serve them. This is the podcast with activities and resources for families of children with speech and language delays, as well as the professionals who serve them. Today I have for you an interview with Nancy Kaufman all about the therapy and treatment for children with childhood epoxy of speech.

Carrie Clark 0:15

Today I have for you an interview with Nancy Kaufman all about the therapy and treatment for children with childhood epoxy of speech. Uh, before we get to that though, I did want to mention that over on the blog I have some new resource pages that are live and available for you. Uh, before we get to that though, I did want to mention that over on the blog I have some new resource pages that are live and available for you. Um, you can head over there and check those out on the home page. Um, you can head over there and check those out on the home page. There are links to all of those. There are links to all of those. I have a different resource page for all of the different speech and language topics that I write about.

Carrie Clark 0:37

I have a different resource page for all of the different speech and language topics that I write about. So um, these are some pretty massive resources that have lots of links to different articles, um, information that I have, free giveaways, uh So um, these are some pretty massive resources that have lots of links to different articles, um, information that I have, free giveaways, uh uh products that you can print out, all kinds of good stuff. uh products that you can print out, all kinds of good stuff. So um you can check those out on the m on the main website at speechandlanguage kids dot com So um you can check those out on the m on the main website at speechandlanguage kids dot com Or if you're looking specifically for the page on Apraxia, you can go to speechandlanguekids.com slash C A S for Childhood Apraxy of Speech, lowercase letters, C A S.

Carrie Clark 0:58

Or if you're looking specifically for the page on Apraxia, you can go to speechandlanguekids.com slash C A S for Childhood Apraxy of Speech, lowercase letters, C A S. Um, that will take you to the Apraxia page and that will have links to all of the different Apraxia resources I have. Um, that will take you to the Apraxia page and that will have links to all of the different Apraxia resources I have. If you go over there right now, you will see um I have a couple things up there, the current stuff that I'm working on. If you go over there right now, you will see um I have a couple things up there, the current stuff that I'm working on. Uh, but I'm working on Uh, but I'm working on uh writing a new book on apraxia.

Carrie Clark 1:22

uh writing a new book on apraxia. So I'm going to have more and more resources going up there as the months go on. So I'm going to have more and more resources going up there as the months go on. So keep checking back on that. So keep checking back on that. Alright, now let's go ahead and get into our feature segment. Alright, now let's go ahead and get into our feature segment. This is our interview, my interview with Nancy Kaufman. This is our interview, my interview with Nancy Kaufman. Nancy Kaufman is the owner and director of the Kaufman Children's Center for Speech, Language, Sensory, Motor, and Social Connections, and that is located in West Bloomfield, Michigan. Nancy Kaufman is the owner and director of the Kaufman Children's Center for Speech, Language, Sensory, Motor, and Social Connections, and that is located in West Bloomfield, Michigan.

Carrie Clark 1:46

Nancy has been evaluating and treating children, specializing in childhood apraxia of speech since 1979, and she is the author of the Kaufman Speech to Living.

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Chapters

8 chapters

1 What is Childhood Apraxia of Speech and its core characteristics? 0:00–4:54 2 How did Nancy Kaufman develop the Successive Approximation approach for apraxia therapy? 4:54–12:12 3 What does the Kaufman Speech‑to‑Language Protocol (K‑SLP) involve and how is it applied? 12:12–19:24 4 How much therapy frequency and intensity are recommended for children with CAS? 19:24–27:05 5 What home‑practice strategies help parents support their child’s speech development? 27:05–34:00 6 When and how should prosody and intonation be addressed in apraxia treatment? 34:00–40:08 7 How does Augmentative and Alternative Communication (AAC) fit into apraxia therapy? 40:08–47:14 8 What resources, materials, and training does Nancy Kaufman offer for clinicians and families? 47:14–51:49

Speakers

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Carrie Clark 9 min

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Topics in this episode

iTunes 1 iPad 1 Speech and Language Kids podcast 1 Carrie Clark 2 speechandlanguagekids.com 1 Michigan State University 1 Childhood apraxia of speech 4 Northern Speech Services 1 Nancy Kaufman 13 Kaufman DVD 1 Childhood Apraxia of Speech Association of North American 1 Kids Speech 2

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Recorded03 Nov 2014

Publisherspeechandlanguagekids.com ↗

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Show notes

Teaching Adjectives to Children: Activities and Worksheets for Helping Kids Learn AdjectivesChildhood Apraxia of Speech (CAS) is a rare, neurologically-based speech disorder where the child knows what he wants to say but the message gets mixed up in the motor-planning and execution phase so the sounds come out all wrong. Though the diagnosis of CAS is relatively new, experts have agreed that CAS usually includes these 3 generally-agreed upon components: Inconsistent errors on consonants and vowels in repeated productions of syllables or words(meaning that if the child says the same word many times, it may sound differently each time) Lengthened and disrupted coarticulatory transitions (meaning that the child’s speech sounds choppy or disconnected due to trouble transitioning between sounds or between words in older children) Inappropriate prosody, especially in the realization of lexical or phrasal stress between sounds and syllables (meaning that the rhythm, intonation, and stress of speech may sound off, the child may sound robotic, have incorrect phrasing, or stress the wrong words or syllables) Apraxia Therapy KitNo-Prep Worksheets for Teaching CV, VC, and CVC WordsJoin the Hub to Access (Free Trial)Listen to the Podcast on Nancy Kaufman’s Speech Therapy Approach for Childhood Apaxia of Speech Links Mentioned: Carrie’s Apraxia Page: http://www.speechandlanguagekids.com/childhood-apraxia-speech-resource-page/ Carrie’s Apraxia Book: http://www.speechandlanguagekids.com/products/ (Check the books at the top of the page) Nancy Kaufman’s Speech Praxis Materials: http://www.northernspeech.com/search/author/Nancy_Kaufman/ Childhood Apraxia of Speech Association of North America: http://www.apraxia-kids.org Who is Nancy Kaufman? Nancy R. Kaufman, M.A. CCC-SLP is the owner and Director of the Kaufman Children’s Center for Speech, Language, Sensory-Motor and Social Connections located in West Bloomfield, Michigan. Nancy has been evaluating and treating children, specializing in CAS since 1979. Nancy is the author of the Kaufman Speech to Language Protocol (K-SLP) an evidence based method of helping children with CAS and other speech sound disorders become effective vocal communicators. She is the author of many materials to help children who struggle to speak, published by Northern Speech Services. Nancy serves on the Childhood Apraxia of Speech Association of North America (CASANA) advisory board. She was awarded the Michigan State University College of Communication Arts and Sciences Outstanding Alumni award and the Michigan Speech Language Hearing Association’s Distinguished Service Award. Nancy continues to work directly with children through intensive programs at the KCC consulting with SLPs and families through video consultations and conferences. What is the Successive Approximations Approach for Apraxia Treatment? In this approach, you take a word that a child cannot say and you find the closest approximation (or attempt at saying the word) that the child is able to produce. The therapist teaches the child to say the word in that “close but not quite there” manner. For example, if a child is able to say the “t” sound but not the “k” sound, the therapist would teach the child to say “tootie” instead of “cookie”. Once the child had mastered this approximation of the word, the therapist would work to gradually teach closer and closer approximations until the child is able to produce the word correctly. How Much Therapy do Children with CAS need? More is always better Is often based on school schedule and availability At Nancy’s clinic, local children come twice per week and out of state children come for multi-day intensive therapy How Important is Home Practice for Chidhood Apraxia of Speech Treatment? Every family has many demands on them, especially those with special needs so you don’t want to overwhelm Important to teach parents how to treat their child during play so they can work it into daily routines Teach parents scripts they can use during play that will improve speech skills Anticipate what the child wants to say Provide the child with a model for the single word (or a phrase with a consistent pivot word or pivot phrase) by asking a question with the target word embedded: “Do you want to go out?” Help the child imitate the word How to Choose Words to Work On: Choose highly preferred and motivating words Choose words that will allow them to get what they really want through communication Do Traditional Speech Therapy Methods Work for Children with CAS? The traditional articulation model doesn’t work well for these kids Instead, work on complete words (not single sounds) Work on creating phrases and short sentences as soon as possible (use pivot words and phrases) Everyone working with the child uses the same cues to prompt the child to say particular sounds Fade out the use of cues as soon as possible Start at the child’s level. Start with short words (like vowel-consonant combinations) and work up to more complex structures Error-less teaching: cue the child before failure (like if you can see him about to say the wrong sound) Vary the practice and tasks so they don’t over-generalize Get as many repetitions per session as possible Therapy Session for Child at Single Word Level: Sit at the table Mix structured work with play (work on speech throughout) Give highly preferred object first (without working) Ask for performance but choose an easy task that they can definitely do (not necessarily speech) Ask for imitation (gross motor if not ready for speech) Gradually move into more difficult speech imitation tasks Work on words with simple sound structures (such as short words first), highly preferred words, words that can be used in many contexts, like “on”, “up”, “go”. Work on 2-3 word phrases and sentences (functional) as soon as possible while perfecting clarity of speech in single words Therapy for Older Children with Apraxia: Keep it fun Work on words that are important to them (sports, activities, hobbies, school subjects, curriculum) Target social language so they have scripts they can use in social interactions Keep them motivated and wanting to work with you When to Work on Prosody with Children with Apraxia: Hard to work on prosody when just working on sound combinations and two-syllable words (like when you emphasize one sound to aide in imitation) Need to get speech sounds in a word correct before you can address prosody on that word For older kids, important to talk about how emphasis on a certain word in a sentence can change the meaning May be too much to make children focus on prosody when they need so much effort to focus on speech sounds How Does Augmentative/Alternative Communication Play into Therapy: AAC often doesn’t happen due to parents/therapists hoping that they will talk without needing it AAC will augment their ability to want to verbally communicate Important to find an SLP who specializes in AAC for evaluation AAC reduces frustration from not being able to communicate Nancy Kaufman’s Products Kaufman Speech to Language Protocol Kaufman Speech Praxis Materials Nancy’s Products on Northern Speech Services How to Find out More about Nancy Kaufman Conferences and Workshops with Nancy: http://kidspeech.com/events–workshops.html?task=view Intensive therapy with Nancy Kaufman: http://kidspeech.com/services/intensive-programs-for-childhood-apraxia-of-speech.html?task=view More Apraxia of Speech Resources Inside The Hub:Apraxia Therapy KitNo-Prep Worksheets for Teaching CV, VC, and CVC WordsJoin the Hub to Access (Free Trial)Apraxia of Speech CourseAccess all of our trainings on how to help children with CASJoin the Hub to Access (Free Trial)About the Author: Carrie Clark, MA CCC-SLPHi, I’m Carrie! I’m a speech-language pathologist from Columbia, Missouri, USA. I’ve worked with children and teenagers of all ages in schools, preschools, and even my own private practice. I love digging through the research on speech and language topics and breaking it down into step-by-step plans for my followers. Connect with Me: The post Apraxia of Speech: Speech Therapy Approach by Nancy Kaufman appeared first on Speech And Language Kids.

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