Guest guest Posted January 19, 2010 Report Share Posted January 19, 2010 I keep a chart of Age Level of Consonant Sounds here. It was given to me by an EI Therapist. " The solid bar corresponding to each sound (its a bar graph)starts at the median age of customary articulation; it stops at an age level at which 90% of all children are customarily producing the sound. " What age level has the speech therapist put him at? The range for f: 2.5-4yrs old. g:2yrs-4yrs r: 3yrs- 6yrs and k: 2yrs-4yrs. r you dont need to worry about since he's still within normal range for attaining that sound. The others should be adjusted for the age level of his speech, which means he should not be expected to have those sounds unless they've discharged him from speech for reaching his age level-have they? My 8dd's SLP at school said she used Prompt when my dd was very young, so it can still be used for your son too. > > > My son, 4 1/2, has recieved traditional speech therapy for the last 2 1/2 years. He has made great strides, but still struggles with /f/, /g/, /r/, and /k/ sounds. Would Prompt therapy benefit him for fine-tuning and adding new sounds? Thanks! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2010 Report Share Posted January 19, 2010 PROMPT therapy is wonderful but is not needed for every child. PROMPT gives the most info to a child about how to make the sounds, esp sounds in combination (coarticulation) by letting the child feel how the sounds are made on the mouth. PROMPT is a hands-on technique. Without seeing your child I would not be able to give more specifics about whether or not he could benefit. I would recommend that he be evaluated by an SLP who is trained in level 2 PROMPT AND structured oral motor exercises (Talk Tools). The way I use PROMPT in my practice is that if a child cannot imitate the sound(s) with visual/verbal/auditory cues only-basically watching my production-then I PROMPT the word on his/her mouth. ~90% of the time, I get a closer approximation. Also, it's important to fade the PROMPTing so that a child can produce the sound w/o assistance as well as they progress. I'm not sure where you are located, but if you are near land and want to schedule an appointment for an evaluation, please email me or call me off list. J Also, if you let me know in what city, state you are located, I can see if there is another private practice SLP w/the above training in your area. Warmest wishes, Barbara Barbara A. , M.S., CCC-SLP Executive Director/ Help Me Speak, LLC <http://www.helpmespeak.com/> http://www.helpmespeak.com (o) 410-442-9791 (f) 410-442-9783 2500 Wallington Way; Suite 103 Marriottsville, MD 21104 follow us on FaceBook: http://www.facebook.com/pages/Marriottsville-MD/Help-Me-Speak-LLC/1046288520 32 Call me with any questions about NutriiVeda! From: [mailto: ] On Behalf Of michelle yates Sent: Tuesday, January 19, 2010 2:02 PM Subject: [ ] Prompt therapy? My son, 4 1/2, has recieved traditional speech therapy for the last 2 1/2 years. He has made great strides, but still struggles with /f/, /g/, /r/, and /k/ sounds. Would Prompt therapy benefit him for fine-tuning and adding new sounds? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2010 Report Share Posted January 20, 2010 Hello Barbara, I am searching for an SLP with the training you mentioned below, but have not had much success. I live in Rockford, Illinois. Would you be able to help me find an SLP in my area (Northern Illinois or Southern Wisconsin?) Best Regards, Illinois ________________________________ From: [mailto: ] On Behalf Of Barbara Sent: Tuesday, January 19, 2010 8:59 PM Subject: RE: [ ] Prompt therapy? PROMPT therapy is wonderful but is not needed for every child. PROMPT gives the most info to a child about how to make the sounds, esp sounds in combination (coarticulation) by letting the child feel how the sounds are made on the mouth. PROMPT is a hands-on technique. Without seeing your child I would not be able to give more specifics about whether or not he could benefit. I would recommend that he be evaluated by an SLP who is trained in level 2 PROMPT AND structured oral motor exercises (Talk Tools). The way I use PROMPT in my practice is that if a child cannot imitate the sound(s) with visual/verbal/auditory cues only-basically watching my production-then I PROMPT the word on his/her mouth. ~90% of the time, I get a closer approximation. Also, it's important to fade the PROMPTing so that a child can produce the sound w/o assistance as well as they progress. I'm not sure where you are located, but if you are near land and want to schedule an appointment for an evaluation, please email me or call me off list. J Also, if you let me know in what city, state you are located, I can see if there is another private practice SLP w/the above training in your area. Warmest wishes, Barbara Barbara A. , M.S., CCC-SLP Executive Director/ Help Me Speak, LLC <http://www.helpmespeak.com/> http://www.helpmespeak.com (o) 410-442-9791 (f) 410-442-9783 2500 Wallington Way; Suite 103 Marriottsville, MD 21104 follow us on FaceBook: http://www.facebook.com/pages/Marriottsville-MD/Help-Me-Speak-LLC/1046288520 32 Call me with any questions about NutriiVeda! From: <mailto: %40\ > [mailto: <mailto: %40gr\ oups.com>] On Behalf Of michelle yates Sent: Tuesday, January 19, 2010 2:02 PM To: <mailto: %40\ > Subject: [ ] Prompt therapy? My son, 4 1/2, has recieved traditional speech therapy for the last 2 1/2 years. He has made great strides, but still struggles with /f/, /g/, /r/, and /k/ sounds. Would Prompt therapy benefit him for fine-tuning and adding new sounds? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2010 Report Share Posted January 20, 2010 Hi - I live in NY, but have you visited www.promptinstitute.com. They have a referral list. Try and get a certified therapist. Lori  Lori Melnitsky, MA CCC-SLP Executive Director, All Island Speech Therapy The Center For Stuttering Therapy & Communication Disorders STUTTERING SPECIALIST PROMPT CERTIFIED Founder- Long Island Stuttering Connection Practice Groups 516-776-0184 Plainview, NY 11803 ****You can now access my blog directly at: www.allislandspeech.com   " Nobody can make you feel inferior without your permission " -Eleonor Roosevelt  From: Stahl, <katie.m.stahl@...> Subject: RE: [ ] Prompt therapy? " " < > Date: Wednesday, January 20, 2010, 10:19 AM  Hello Barbara, I am searching for an SLP with the training you mentioned below, but have not had much success. I live in Rockford, Illinois. Would you be able to help me find an SLP in my area (Northern Illinois or Southern Wisconsin?) Best Regards, Illinois ____________ _________ _________ __ From: @groups. com [mailto: @groups. com] On Behalf Of Barbara Sent: Tuesday, January 19, 2010 8:59 PM @groups. com Subject: RE: [childrensapraxiane t] Prompt therapy? PROMPT therapy is wonderful but is not needed for every child. PROMPT gives the most info to a child about how to make the sounds, esp sounds in combination (coarticulation) by letting the child feel how the sounds are made on the mouth. PROMPT is a hands-on technique. Without seeing your child I would not be able to give more specifics about whether or not he could benefit. I would recommend that he be evaluated by an SLP who is trained in level 2 PROMPT AND structured oral motor exercises (Talk Tools). The way I use PROMPT in my practice is that if a child cannot imitate the sound(s) with visual/verbal/ auditory cues only-basically watching my production-then I PROMPT the word on his/her mouth. ~90% of the time, I get a closer approximation. Also, it's important to fade the PROMPTing so that a child can produce the sound w/o assistance as well as they progress. I'm not sure where you are located, but if you are near land and want to schedule an appointment for an evaluation, please email me or call me off list. J Also, if you let me know in what city, state you are located, I can see if there is another private practice SLP w/the above training in your area. Warmest wishes, Barbara Barbara A. , M.S., CCC-SLP Executive Director/ Help Me Speak, LLC <http://www.helpmesp eak.com/> http://www.helpmesp eak.com (o) 410-442-9791 (f) 410-442-9783 2500 Wallington Way; Suite 103 Marriottsville, MD 21104 follow us on FaceBook: http://www.facebook .com/pages/ Marriottsville- MD/Help-Me- Speak-LLC/ 1046288520 32 Call me with any questions about NutriiVeda! From: @groups. com<mailto:childrensap raxianet% 40groups. com> [mailto: @groups. com<mailto:childrensap raxianet% 40groups. com>] On Behalf Of michelle yates Sent: Tuesday, January 19, 2010 2:02 PM @groups. com<mailto:childrensap raxianet% 40groups. com> Subject: [childrensapraxiane t] Prompt therapy? My son, 4 1/2, has recieved traditional speech therapy for the last 2 1/2 years. He has made great strides, but still struggles with /f/, /g/, /r/, and /k/ sounds. Would Prompt therapy benefit him for fine-tuning and adding new sounds? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2010 Report Share Posted January 20, 2010 Hi , Sorry I couldn't post earlier--very busy day @ work today. I will post to my private practice grp. As Lori mentioned, u can call PROMPT for a list of a level 2 or 3 (certified) SLP near you. Warmest wishes, Barbara A , M.S., CCC-SLP Executive Director, Help Me Speak, LLC 410-442-9791 [ ] Prompt therapy? My son, 4 1/2, has recieved traditional speech therapy for the last 2 1/2 years. He has made great strides, but still struggles with /f/, /g/, /r/, and /k/ sounds. Would Prompt therapy benefit him for fine-tuning and adding new sounds? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2010 Report Share Posted January 21, 2010 OK. Thank you for the help. Best Regards, ________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2010 Report Share Posted January 21, 2010 I would like to know if the Prompt therapy is useful for a child who makes NO sounds. Our son, age 12, forms his lips for a few words such as the " j " for when he wants juice or " a " for apple. He has ST every day but the same therapists have worked for 2 years with him. I am looking for additional help. (ny 12) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2010 Report Share Posted January 21, 2010 Yes it would be worth an oral-motor & eating eval. But by an SLP who is trained in TalkTools & Prompt. Email me if u have further questions. Warmest wishes, Barbara A , M.S., CCC-SLP Executive Director, Help Me Speak, LLC 410-442-9791 [ ] Re: Prompt therapy? I would like to know if the Prompt therapy is useful for a child who makes NO sounds. Our son, age 12, forms his lips for a few words such as the " j " for when he wants juice or " a " for apple. He has ST every day but the same therapists have worked for 2 years with him. I am looking for additional help. (ny 12) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2010 Report Share Posted January 21, 2010 I find that prompt has helped my daughter. Sometimes she will puts her own fingers on her mouth to prompt herself to make the right sound now for a word.  Our SLP uses Talk Tools and Prompt.  Demi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2010 Report Share Posted September 3, 2010 Probably one of the SLPs can answer in a more formal way -but I want to throw in my two cents as a parent. Prompt is a form of touch cue -so she is correct. I personally did not seek a therapist who was only experienced in one motor planning method of therapy because most of our children are multifaceted- and quite honestly many of them are dealing with more than just apraxia even though we call all of it apraxia. For example -there are in many cases weakness issues and/or sensory issues that are sprinkled in there and you want to have a therapist that can address these diagnosis with therapy as well. I am a fan of oral motor therapy as well as motor planning and strengthening therapy. I sought out those therapists that would look at my child and choose which approach was right for which goal and use that....not try to use the same approach across the board to address issues that had nothing to do with motor planning. Well I may be over 2 cents now -but I also want to suggest you read The Late Talker book as that's a good newbie book and lots in there on therapy. If apraxia is suspected/diagnosed -you want to also schedule an appointment with either a pediatric neurologist or developmental pediatrician to confirm or rule out any " soft signs " I just sent a message out to newbie parent Mawgan from the UK here /message/98776 but also check our fb page http://www.apraxia.org under discussion for lots of topics for new parents -here's just one http://www.facebook.com/topic.php?uid=115029735601 & topic=13085 I do believe the above covers what I mean by " soft signs " There is so much hope no matter what the diagnosis -and sounds like you are 'on it' and to me that's most important! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2010 Report Share Posted September 3, 2010 Thanks for responding, , Madelyn has a diagnosis from a pediatric neurologist of apraxia (didn't specify oral or verbal, but I would guess oral by her age and things she can't do), hypotonia, and global delays. We have been seeing him for a year, and we have been trying to see a developmental pediatrician, but NONE are covered by our insurance (Cigna) and they are quite expensive (about $700 per visit). Our SLP uses a variety of methods to address Maddi's oral motor, motor planning, sound production, low tone and feeding issues. We are really happy with her, and the progress that has been made in her speech and feeding. I did read the Late Talker and gained tons of information. I am encouraging my husband to read it too. Thanks, From: kiddietalk Sent: Friday, September 03, 2010 9:42 PM Subject: [ ] Re: Prompt therapy? Probably one of the SLPs can answer in a more formal way -but I want to throw in my two cents as a parent. Prompt is a form of touch cue -so she is correct. I personally did not seek a therapist who was only experienced in one motor planning method of therapy because most of our children are multifaceted- and quite honestly many of them are dealing with more than just apraxia even though we call all of it apraxia. For example -there are in many cases weakness issues and/or sensory issues that are sprinkled in there and you want to have a therapist that can address these diagnosis with therapy as well. I am a fan of oral motor therapy as well as motor planning and strengthening therapy. I sought out those therapists that would look at my child and choose which approach was right for which goal and use that....not try to use the same approach across the board to address issues that had nothing to do with motor planning. Well I may be over 2 cents now -but I also want to suggest you read The Late Talker book as that's a good newbie book and lots in there on therapy. If apraxia is suspected/diagnosed -you want to also schedule an appointment with either a pediatric neurologist or developmental pediatrician to confirm or rule out any " soft signs " I just sent a message out to newbie parent Mawgan from the UK here /message/98776 but also check our fb page http://www.apraxia.org under discussion for lots of topics for new parents -here's just one http://www.facebook.com/topic.php?uid=115029735601 & topic=13085 I do believe the above covers what I mean by " soft signs " There is so much hope no matter what the diagnosis -and sounds like you are 'on it' and to me that's most important! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 3, 2010 Report Share Posted September 3, 2010 Hi again -well the good thing is you don't have to learn it all at once -you can ask questions and learn as you go too. About insurance -go for the appeal -and more than once -fight fight fight- read why here from our apraxia.org page http://www.facebook.com/topic.php?uid=115029735601 & topic=13830 And as far as oral or verbal apraxia...not all with verbal apraxia have oral but it's a pretty sure bet if oral is there verbal will be too. It's the one positive note of oral apraxia as you can get appropriate diagnosis to start appropriate therapy earlier as oral apraxia can be definably diagnosed earlier than verbal. Info about oral apraxia http://www.cherab.org/information/speechlanguage/oralapraxia.html http://www.cherabfoundation.org/2006/a-reason-to-know-the-signs-of-oral-apraxia/ For my son Tanner who had overcome in addition to all else - oral apraxia to be able to smile, blow the candles out on his birthday cake, imitate funny faces, lick stuff off his lips etc on command -at 13 years old he still had a " blank " look when not engaged in conversation -such as when he was sitting at his desk listening to the teacher at school. Some SLPs -even some so called experts don't get it why oral apraxia is a big deal. Facial expressions ARE a part of communication and in one case in particular we had to deal with an ignorant teacher who judged Tanner's ability to understand what she was saying by the " blank look " on his face. We had even tried due to that to attach electrodes to Tanner's face which of course I had to do first to show him that it's not painful (and he was hysterical because it makes your face go all distorted and twitchy!) I did that with Dr. Renai Jonas here in Florida. Thank goodness at 13 years old after trying everything and me saying (not kidding) " Tanner remember to move your face even when you aren't talking to anyone " that NV has worked it's magic in that area too. http://pursuitofresearch.org/pursuit.html I wish NV was around when Tanner was little. Again not to underestimate the fish oils/essential fatty acids as well -but the dramatic sudden surges across the board in so many areas I've seen with my own eyes in my own children -I never would have believed possible. And quick update -my brilliant but ADHD older son Dakota who now takes NV every day and as I've shared has had his ADHD surges as well. He attends a HS that is also a college -advanced program...for a math test today he scored well beyond the rest of the class - 101- the highest score was 105 -and the teacher praised him in front of the class. Tanner's grades so far from what I've seen are all spot on too. What's most amazing to me...I no longer have homework! They both do whatever needs to be done themselves and without me or my husband bugging them. As they say -life is good! Thank you for your kind words about The Late Talker -that book wasn't just a book -it was so much of what I learned the very hard way and it makes me happy to know it helps to make things a bit easier for others. That's the goal -we all work together to bring all these kids a smile and a voice (and us -the parents too!!!) Hope all are planned for a wonderful, safe and fun holiday weekend! ===== Quote Link to comment Share on other sites More sharing options...
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