Reccommendation I read on the PROMPT Institute Website?

[Guest guest]

Hi,

I just read on the PROMPT Institute website that they schedule once a week

sessions. I read this at the bottom of the page from the below link.

https://promptinstitute.com/index.php?page=clinic-information

The sp that I currently see (in Australia) also said to me that once a week

would be enough, and told me that this was what the PROMPT institute

reccommended, but she is willing to do more if I wish.

My boy is 24mths and non verbal, in fact he doesn't even really have any sounds

that he makes.

I've read on the message board that many of you have several PROMPT sessions a

week.

Do you think there would be any benefit in just having an hour of therapy a

week? I am prepared to do more, but it is very expensive at $130 a session (our

insurance doesn't cover speech related expenses to anywhere near the same degree

as the States appears to).

[Guest guest]

From my personal understanding, and the guidance of my PROMPT therapist, it

seems the more repitition and practice, the better off the kids are when it

comes to speech. It's almost as if we're having to re-wire or train their

brains/mouths to do something that normally one doesn't even have to think about

- move the lips/mouth/tongue to form words.

If it's something you can afford, I'd push to get more time with the therapist.

For us, our therapist said we needed to do 2x/week and then showed me some

additional things to practice at home. Once hits a certain level of

performance, she said we could back off to 1x/week. However, I'd guess it would

take a minimum of one year to even think about reaching that point (based on

's current progress).

Of course, we've never met your son, so there's only so much guidance that can

be given. However, based on what I've experienced with a rather mildly apraxic

child, I'd still prefer more than less - especially since you've caught this so

early on. From what I see with other families, most people go at a minimum of

2x/week - the majority getting more time in than that.

If she has the space, and you have the finances to make it happen, I'd push for

more until she feels he could do with less.

Sharon

>

> Hi,

>

> I just read on the PROMPT Institute website that they schedule once a week

sessions. I read this at the bottom of the page from the below link.

>

> https://promptinstitute.com/index.php?page=clinic-information

>

> The sp that I currently see (in Australia) also said to me that once a week

would be enough, and told me that this was what the PROMPT institute

reccommended, but she is willing to do more if I wish.

>

> My boy is 24mths and non verbal, in fact he doesn't even really have any

sounds that he makes.

>

> I've read on the message board that many of you have several PROMPT sessions a

week.

>

> Do you think there would be any benefit in just having an hour of therapy a

week? I am prepared to do more, but it is very expensive at $130 a session (our

insurance doesn't cover speech related expenses to anywhere near the same degree

as the States appears to).

>

[Guest guest]

Tania--the ASHA recommendations for severe apraxia especially are 3-5 times a

week--half h sessions  better since kids can't focus for too long at that

age--it's all play based anyway--but it takes effort nevertheless.  i don't know

what the PROMPT institute says---but " FREQUENT " is the key and several sessions

per week are needed to get that child to even begging to make sounds. My

daughter was pretty non-verbal until 3.5 too.  We started with 2 PROMPT sessions

a week and 2 with a very good SLP--who used the Kaufman method and others--but

very good and very skilled at working with these little ones.  My daughter

always made soem sounds just not as much as other kids and could not make them

at will--could not motor plan them. PROMPT helpped as well as the biomed you

already know about,. Without that PROMPT was wasted --never carried through to

develop into a verbal communication system outside the therapy room.  Signing

helped tons as well.  Do

teach your child to sign if you're not already doing this---it will help

relieve the frustrations and enable him to show what he knows. Misdiagnosis is

often possible with these nonverbal kids and that is very murky because it can

stress parents out even more and without a real reason. 

At this age you want him to progress as quickly as possible so you can even make

a better diagnosis. If he's non-verbal  diagnosis of apraxia--present or not

cannot truly be made until the child has some sounds and begins to at least try

to put them together. So you want to reach that point quickly and 1 h a week is

just not really enough. We tested a year between 2-3 y doing that--but it was

NOT a PROMPT therapist. Once we got our working diagnosis and found therapists

who could work with a non-compliant 3 year old--we knew we were in good hands

and then after months still the progress was way too slow---and biomed changed

that.  PROMPT at that point began to amke a HUGE difference--everyone around her

was impressed and asked what we'd been doing---others just said " see I told you

she's start to speak! " ---but of course we knew that until her brain got some of

the vital nutrients it was missing---none of this would have started to

happen---it couldn't.

Good luck!--I know it's hard--see how much you can learn from what the PROMPT

therapist does so you can work with him too. My daughter never allowed

that--even now she refuses to do speech therapy type exercises with me--but now

she speaks and I can trick her--we sing songs etc.  But not all kids are this

difficult so learn yourself all you can if finances are tight.  It is

expensive--but well worth it. You need to know exactly what you're dealing with

and the sooner the better---you need to see that progress start happening to

start getting an idea of what works and keep at it.   We're paying $150/h here

too--and even for nonPROMPT therapy these are the going rates, but my husband's

empluoyer ahs so far given us good coverage--with headaches and appeals of

course---but we managed to get it--a year alter etc. but at least we did get

most of it covered in the end. I cnanot imagien what we'd do if the insurance

did not pay their share at all--or only

covered the 60 sessions they have stated in the plan.

Elena

From: rubykatee <ttaniaa0000@...>

Subject: [ ] Reccommendation I read on the PROMPT Institute

Website?

Date: Friday, February 5, 2010, 11:20 PM

Hi,

I just read on the PROMPT Institute website that they schedule once a week

sessions. I read this at the bottom of the page from the below link.

https://promptinstitute.com/index.php?page=clinic-information

The sp that I currently see (in Australia) also said to me that once a week

would be enough, and told me that this was what the PROMPT institute

reccommended, but she is willing to do more if I wish.

My boy is 24mths and non verbal, in fact he doesn't even really have any sounds

that he makes.

I've read on the message board that many of you have several PROMPT sessions a

week.

Do you think there would be any benefit in just having an hour of therapy a

week? I am prepared to do more, but it is very expensive at $130 a session (our

insurance doesn't cover speech related expenses to anywhere near the same degree

as the States appears to).

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