Posts Tagged by Prompt
|July 10, 2011||Posted by Laura under 2011 CASANA Conference, K-SLP, Prompt, Treatment|
– I’m not necessarily writing about each session in the order that we attended. These are my thoughts after hearing each of these speakers and should not be construed as a summary of each speaker’s presentation. –
The first session we attended Friday morning was The Prompt Approach: An Overview presented by Deborah Hayden, MA, CCC-SLP who is the Executive Director and Founder of the PROMPT Institute in Santa Fe, New Mexico. Ms. Hayden developed the PROMPT method (Prompts for Restructuring Oral Muscular Phonetic Targets). There is an interesting history here about the development of this method.
PROMPT was not developed specifically for children with CAS and is also used with adults with Acquired Apraxia of Speech as well as other speech disordered populations. It differs in the more traditional type of speech therapy which relies particularly on auditory and visual input. PROMPT requires the practitioner to actually touch the patient’s face to give them tactile cues about which muscles and parts of the mouth, tongue, neck, and throat to move when speaking. If done correctly, these tactile cues are eventually faded.
In my experience prior to this conference, I have found that the speech therapists that we have seen who have treated E have either relied on the Kaufman Speech to Language Protocol (K-SLP) or the PROMPT method. I now know that these are not the only two choices. (More on that later).
Speech therapists that choose to undergo extensive training can become certified in PROMPT. Go here to find speech therapists in your area who have received training. Other speech therapists may undergo even further training and may become certified PROMPT instructors as well. Ms. Hayden primarily lectures now and no longer teaches training sessions. How lucky for us to receive an overview by the creator of PROMPT!
E’s current private speech therapist is trained in PROMPT but has not completed enough sessions to be certified. My husband and I chose this session to attend so that we could learn more about the type of therapy E is receiving,
There is not enough research about CAS. However, there is research showing the effectiveness of PROMPT on people with motor speech disorders – CAS is one of them.
We were shown videos of children with CAS in PROMPT therapy sessions. We were also able to watch Ms. Hayden do some of the PROMPT cues on herself. I can’t imagine how good she must be at this to do this movements on herself as well as from behind the patient in one of the videos.
The main thing that I came away with from this presentation was that PROMPT is a holistic approach to speech therapy. The practitioner will not always have his or her hands on the patient. In children specifically, attention and waiting need to be learned in order for PROMPT to be most successful. Furthermore, it is extremely important that the patient TRUST the practitioner. The practitioner will, after all, have their hands all over the patients face, mouth, and throat. It is important for the practitioner to meet the child were they are at – both developmentally as well as interest wise. The patient needs to be motivated, trusting, and learn turn taking and waiting.
Even though our private speech therapist is not PROMPT certified, I came away feeling good about the way she approaches E. E likes her and trusts her which is so important – especially when you consider that E has now seen 11 speech therapists regularly over the last two and half years. I left the session knowing that PROMPT requires a high level of training, which neither my husband not I have, but that we know enough about it to recognize when someone is practicing it appropriately.
|June 24, 2011||Posted by Laura under Prompt, Special Education, Treatment|
We got the bill from our Advocate today. I think I almost had a heart attack. 2.75 hour IEP, mileage, and prep work before hand at $125 an hour ain’t cheap. Plus, the original bill hadn’t yet creditd our $300 retainer. Thank God for wonderful grandparents who are financially stable and willing to help!
Our daughter’s private speech therapy (not covered by medical insurance) costs $110 an hour. That’s a deal because our private therapist comes to our house and does not have an office so she has little overhead. The usual cost for an hour of speech therapy around here is $125 an hour. We can’t just use any old speech therapist because we need one trained in Prompt and experienced with treating children with CAS. In addition, we need the right fit - someone who our daughter likes, trusts, and gets along with.
I get so frustrated with the expensive hoops we have to jump through to get appropriate therapy for our daughter. What about the parents who don’t have the financial means to jump through these hoops? What about the parents who don’t know about the hoops that need to be jumped through in the first place? What happens to these kids?
In the end, I feel like I’m not only fighting the good fight for E but for all the other children out there need someone knowledgeable in their corner. I hope that this website informs and encourages other parents and in the end helps their kids with CAS too. There is a lot of information on CAS out there and a lot of people going through the same thing. You just have to know where to look.