The K-SLP treatment materials began with the Kaufman Speech Praxis Test, through which SLPs can take data through imitation of which vowels, consonants, and syllable shapes are within the child’s repertoire, and to provide a systematic plan of care. Implements phonological processes to simplify the motor planning of challenging words, shaping through successive approximations toward perfect articulation and age-appropriate expressive language. The goal of intervention for a child with apraxia is to enable the child to gain volitional control of his/her articulators in order to produce age-appropriate, co-articulated, intelligible speech (co-articulation refers to the way we talk when we connect our words together in a speech-melody, rather than pronouncing each word individually). Components of the K-SLP treatment program, Peer reviewed research & clinical excellence. Childhood Apraxia of Speech expert Nancy Kaufman explains the unique disorder while discussing her treatment approach and steps parents can take toward diagnosis and treatment. Therapy Materials Review: Kaufman Kit 1 (Basic Level) This is a review of the Kaufman Speech Praxis Treatment Kit for Children (Basic Level). Difficulty with blends /r, l, s/ (brake, clown, slow). This treatment strategy was developed by Nancy Kaufman, M.A. They also may use filler non-speech vocalizations rather than the new skills that they have developed, to name a few. This allows us to formulate goals based on first-hand knowledge of your child. The K-SLP methods have been implemented successfully since 1979. High activity level and not attending to spoken language, Jargon (sounds like unintelligible speech). Receptive language (comprehension) appears to be better than attempts at expressive language (verbal output). Language, Speech, And Hearing Services in Schools, 2018, 1-13 - LINK. Kaufman Speech Praxis for Children (KSPT): This test was developed to assist in the diagnosis and treatment of developmental apraxia of speech in preschoolers. Director of Adolescent Programs. (ASHA). Marked difficulties with strength, speech and accuracy of articulatory movement. © Copyright 2017-2019 by Kaufman Children's Center | All rights reserved. Further assessment of apraxia can include articulation and phonological performance on standardized tests such as Kaufman Speech Praxis Test (KSPT) for children (Kaufman, 1995). Understand how to shape successive approximations of words toward the ultimate goal of perfect articulation. Many responses are necessary for success. What’s In Your Doghouse? Weak targets, especially for / r, s, l / and vowels. It can be due to a few minor consonant or vowel errors, oral-structural differences, oral-motor weakness, dysarthria or apraxia of speech. PLEASE NOTE: With the exception of the KSPT test, all K-SLP materials are sold by Northern Speech Services. Difficulty taking the listener’s perspective. Ashley and her husband are avid runners and enjoy obstacle course races. Prior to coming to the KCC, she was a preschool teacher and director for 12 years. It targets the synthesis of basic sounds, such as /m, t, b, d, h, n, w, and p/. Intensive CAS Summer Program: Boost or Bust? Difficulty with abstract language such as verbal problem solving (why, when, how do you know? Speech-Language Pathologist Re-auditorization (repeating back a question first and then responding to it). Single words may be articulated well, but attempts at further sentence length become unintelligible. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, 21, 1, 15 - LINK, Bridging the Gap Between Speech & Language: Using Multimodal Treatment in a Child with Apraxia - Tierney, C., Pitterle, K., Kurtz, M., Nakhla, M. & Todorow, C. (September 01, 2016). The KSPT aids in the diagnosis and treatment of childhood apraxia of speech, Teaches children to combine consonants and vowels to form words, Refines intelligibility for children who have mastered sounds in Kaufman Kit 1, After the kits, the workout book expands single words into phrases and sentences, Playful therapy tool that targets receptive and expressive language development, Therapy practice for childhood apraxia of speech and language building, Transitions nonverbal young children with autism from sign to vocal communication. The best part of my job is working with children and their families and making a positive difference in their lives. How motivation and reinforcement is implemented, How to simplify the motor plans of words temporarily based upon the child’s repertoire. Speech clarity disintegrates with lengthy utterances (this may be due to lack of breath support or muscle fatigue and may resemble apraxia of speech). Katie is a major animal lover and can’t wait to get a dog someday. Literal/concrete understanding of language. Marla enjoys spending time with her family and staying active, and she is an avid reader. All phonemes (consonants and vowels) may be imitated well in isolation, but any attempts to combine phonemes are unsuccessful. The additional materials help those with CAS combine vowels and consonants to form the simple syllable shapes, and progress on to more complex words and to combine words to formulate expressive language for effective vocal/verbal communication. It begins during childhood and, in some cases, lasts throughout life. The K-SLP focuses upon the child’s motor-speech skills, shaping the consonants, vowels and syllable shapes/gestures from what they are capable of producing toward higher levels of motor-speech coordination, giving them a functional avenue by which to become an effective vocal communicator. Before coming to the KCC, Calissa worked as an SLP in the hospital setting, as well as on diagnostic and treatment teams for children with autism spectrum disorders. The following are symptoms of expressive language disorder: Unintelligible speech is a descriptive term used subjectively by the listener. They are used to help us achieve the speech goals we have set. Shaping Successive Approximations for Speech Intelligibility: Effect Upon Language - Nancarrow, D., Kaufman, N. & Burns, M. (2009). Speech-Language Pathologist Q: How should we write IEP goals for oral-motor? Nancy lectures locally, nationally, and internationally on the subject of CAS and other speech sound disorders in children. We do not implement oral-motor exercises at all for this population of children. The best part of my job is helping children find their voices to communicate. I am able to help improve their communication, which has a huge impact on quality of life. Behaviors to extinguish might include the child erroneously adding a schwa “uh” post final consonants. Marla earned her bachelor’s degree in psychology from the University of Windsor and her master’s in speech-language pathology from Wayne State. Generally, oral musculature is weak. Usually, working on the apraxia inadvertently helps to strengthen weak articulatory contacts. Speech-language pathologists at the KCC do not treat stuttering. She moved to Michigan in the summer of 2018 with her husband, Ryan. Childhood apraxia of speech is a neurologic speech sound disorder in which children have difficulty constructing words and sounds due to poor motor planning and coordination of the articulators required for speech sound production. Shannon did her undergraduate work at Eastern Michigan University and earned her master’s in speech-language pathology from the University of Toledo. Unintelligible speech is a descriptive term used subjectively by the listener. Brianna presented at the American Speech –Language-Hearing Association’s (ASHA) national convention on interprofessional collaboration in 2016. In her free time Katie does creative, crafty things like painting and refurbishing furniture, gardening, and making educational materials. The evaluating SLP will go over your child’s background with you, then the fun begins. of apraxia of speech. CCC-SLP, who is a leading expert in the treatment of children with developmental apraxia of speech. National Conference on Childhood Apraxia of Speech, Denver, CO. Maas, Gildersleeve-Neumann, Jakielski & Stoeckel (2014) Motor-Based Intervention Protocols in Treatment of Childhood Apraxia … Mix and vary the tasks so as to not actually teach over generalization. Speech and language therapy builds a child’s ability to communicate by improving and strengthening receptive and expressive language and social pragmatic skills along developmental lines. Presented at the Annual Loma Linda University, School of Allied Health Professions, Department of Communication Sciences and Disorders Graduate Research Symposium, Loma Linda, CA. This method is used in our ABA program with input from our SLPs. Presented at the American Speech-Language-Hearing Association Annual Convention, New Orleans, LA. Therapy for apraxia needs to be tailored to individual children. In her spare time, Ruth enjoys reading, baking, volunteering, exercising, and loving up her grandchildren. Imprecise or weakly targeted vowels, especially those which involve spreading intrinsic tongue muscles, such as /i/, /ai/, /ei/, oi/. Great information from our staff and other contributors on helping your child to better communicate at home, school, and in the community. Below are some examples of goals which are representative of different types or schools of thought about AOS intervention. She earned bachelor’s degrees in Spanish and linguistics from the University of Michigan and a master’s in speech-language pathology from Eastern Michigan. KCC Assistant Director. Difficulty acquiring syntax (the rules of grammar). Nancy received her BA at Michigan State University and MA at Wayne State University, having been awarded a graduate assistantship. Suggestions from teachers, counselors, psychologists, lawyers and advocates, Some fun and simple activities to try at home to keep your child’s skills in top form, Discovering what a child loves can be used to encourage them to give their all, 6625 Daly Road - West Bloomfield, MI 48322 - 248.737.3430, © Copyright 2017-2019 by Kaufman Children's Center | All rights reserved, Childhood Apraxia of Speech Association of North America (CASANA), Merrill Palmer Skillman Institute for Child and Family Development, Michigan Speech-Language-Hearing Association, West Bloomfield Township Chamber of Commerce, Doesn’t smile or interact with others (birth-3 months), Does not use gestures such as waving and pointing (7-12 months), Doesn’t understand what others say (7 months-2 years), Doesn’t put words together to make sentences (1 ½-3 years), Has trouble playing and talking with other children (2-3 years), Has problems with early reading and writing skills – for example, may not show an interest in books or drawing (2 ½-3 years). Calissa and her husband Tim have a son name Trey. First words may not appear at all, pointing and “grunting” may be all that is heard. Be sure to also read the information on this page regarding EIP and the importance of clinical excellence. Combined with the principles of motor learning, they provide an effective framework for solid clinical practice to help those with CAS to become effective vocal communicators. We will follow up to let you know how we can help, answer any questions, and get your child scheduled for an evaluation. MA, CCC-SLP Our therapists are entertaining and truly know how to engage children. Provide supports to remember new skills and continue to cue speech motor while also scripting language through play. Then, understand how to use these highly preferred items to reinforce the skill areas being taught, providing feedback as to whether or not the utterance was correct, incorrect or getting closer to the target. The K-SLP is implemented with high levels of motivating toys and activities in a warm, encouraging manner. Verbal apraxia or dyspraxia is a separate disorder of motor speech program- 626 ROLNICK et al ming that is caused by a loss of volitional control of the speech musculature.14 When voluntary movements for finely tuned, precise articulatory interactions are diminished, a dyspraxic speech pattern is present. Effect of Tutor-Modeled Successive Approximations Versus Tutor-Modeled Adult Forms to Improve Topography of Tacts - Eldridge, A., Kasper, T. & Goodwin, J. Eight Behavioral Strategies for Treating Childhood Apraxia of Speech with the K‐SLP NancyR.Kaufman,MA,CCC‐SLP Kaufman Children’s Center for Speech, Language, Sensory‐Motor & Autism Treatment MSHAAnnualConference East Lansing, MI March 22, 2019 Typical developing toddlers who are just learning to speak Links to purchase are available on each product page below. She previously worked in homecare with adults with developmental disabilities, and in the hospital setting with adults and children with neurological disabilities. It is a treatment approach for children with childhood apraxia of speech (CAS), other speech sound disorders, and expressive language challenges. Inappropriate, off-target responses to “wh” questions. Contrive the environment to provide more opportunities to practice. The Kaufman Speech to Language Protocol (K-SLP) is the method at the heart of all of the KCC’s speech and language programs. The answer I always give is, “DON’T. The SLP will follow up with a formal, written report that will be mailed to your home within a few weeks. The following are a few examples of an articulatory disorder: These articulatory errors are typical of pre-schoolers and are usually not cause for concern. The Kaufman Speech to Language Protocol (K-SLP) is a treatment approach developed by Nancy Kaufman for childhood apraxia of speech (CAS) and other speech sound disorders to help children become vocal communicators. Picture cards are initially implemented, as it is too difficult to contrive the specific targets for the child to be able to practice the specific vowels, consonants, and syllable shapes with enough repetition necessary for success. Children may have both perceptual and motor-speech difficulties. Diane was honored by the American Speech-Language-Hearing Association (ASHA) with their prestigious Award for Continuing Education (ACE). Aids in the diagnosis and treatment of childhood apraxia of speech. Some children with Down syndrome have characteris-tics of CAS, but many do not. Specific tools established and offered through TalkTools have been instrumental for those who have very few vowels or consonants within their repertoire and who struggle with the underlying oral placement to sustain the accuracy of a vowel or consonant. In this case, the more emphasis there is upon improving processing and comprehension skills, the more improvement will be seen in increased intelligibility. Before coming to the KCC, Christina worked for many years at a school for children with autism in Illinois. Includes techniques gleaned from what is known about acquired apraxia of speech. The KCC bills directly to Blue Cross Blue Shield, Blue Care Network, and Health Alliance Plan. Echolalia (repeating back words or phrases either immediately or at a later time). Help the child to use new behaviors functionally in their natural environment. What’s best for kids is not only researched evidence but also clinical expertise! Position Description: The Kaufman Children's Center for Speech, Language, Sensory-Motor and Social Connections, Inc. has a very unique opening for a part-time speech-language pathologist. Childhood apraxia of speech (CAS) requires specific treatment techniques for successful outcomes. Ruth earned both her bachelor’s and master’s degrees in speech and hearing science from Ohio State University. Speech may change or disintegrate with many repetitions. Many children with apraxia of speech have an accompanying oral-motor weakness. The K-SLP methods are listed here, and there is an e-course through Northern Speech Services that offers ASHA credits. Difficulties with morphology (changes in verb tense). There are many children with autism spectrum disorders who are not vocal verbal communicators. Dysarthria (flaccid) is a speech disorder caused by dysfunctional or damaged innervation to the speech musculature (tongue, lips, soft palate, facial muscles, larynx). Literal/concrete understanding of language. Lisa Geng Author and President of The Cherab Foundation . Since 1979, Nancy Kaufman, MA, CCC-SLP, has dedicated herself to establishing the Kaufman Speech to Language Protocol (K-SLP), a treatment approach to help children become effective vocal communicators.The K-SLP has evolved over the years to include the most current research in childhood apraxia of speech (CAS), motor learning, and applied behavior analysis (ABA), and its methods and … They will need compensatory placements for some (an easier way to produce complicated consonants or vowels), and simplification of the motor plan for others. Jennifer’s experience includes evaluation and treatment in public schools, hospitals, rehabilitation centers, and skilled nursing facilities. Goals therefore can depend on what type of intervention the clinician is using at that point. She studied abroad in Spain while in college and likes to practice speaking Spanish. (2006). It is important to uncover whether a child has an unusual capacity to memorize dialogue, which doesn’t necessarily hold any meaning for them and are reiterating it the way they perceive it, without attaching meaning. Erin enjoys reading, traveling, and spending time with her family. Excessive talk about specific subjects in too much detail KCC Owner & Director. Brianna has prior experience as an ABA technician in a therapy center. Word approximations are continuously shaped toward the full target words to perfection. Other fine motor challenges may be present. Cue before failure. Children with expressive language disorder have difficulty with verbal expression (putting words together to formulate thoughts). Horns and/or straws are only introduced to gain the necessary skills for improved feeding or as a tool to gain a vowel or consonant as above. K-SLP materials are not essential for successful K-SLP methods. Christina was named a “Mom-Approved Doc”  by the readers of Metro Parent magazine in 2014. KAUFMAN APPROACH FOR APRAXIA. Speech-language pathologists at the KCC assess, diagnose, treat, and help to prevent disorders related to speech, language, cognitive communications, voice, swallowing, and fluency. MA, CCC-SLP We look forward to helping in any way that we can! Speech-Language Pathologist She was one of Nancy’s Kaufman’s first hires at the KCC, where she has worked for over 20 years. Know many different types of multisensory cues to assist the child with initial success, and then fade the cues so that the ultimate response is as spontaneous as possible. Apraxia is a neurological disorder that results in a motor planning deficit which means that kids have difficulty producing and sequencing sounds to form syllables, words, or longer utterances. Disinterested in other children. In addition, many ABA specialists have adopted the K-SLP for children with autism spectrum disorders. Excessive talk about specific subjects in too much detail. For very young children, pictures are not introduced until the task of imitation is understood, and there are always targeted goals through play. Verbal perseveration: getting “stuck” on a previously uttered word, or bringing oral motor elements from a previous word into the next word uttered. The Kaufman Treatment Kit 1 is considered the basic level, and is geared toward children between the ages of 2 and 8. It is heartwarming to see a child grow in confidence and security with the ability to communicate with peers and family. Severe dysarthria can be such a significant obstacle to motor-speech skill development in that the average listener may not be able to decode their speech. The KCC has received MSHA’s Clinical Service Award and Corp! (2003). Every child Nancy Kaufman or any SLP at the Kaufman Children’s Center has ever taught to develop effective vocal communication was taught via successive word approximations and compensatory articulatory placements. ), double meanings, innuendos, and jokes. The K-SLP focuses upon the child’s speech-motor skills, shaping the consonants, vowels and syllable shapes/gestures from what they are capable of producing toward higher levels of speech-motor coordination, giving them a functional avenue by which to become an effective vocal communicator. Also, my office looks like a toy store and I have an excuse to blow bubbles and play with play dough. Sign to Talk, authored by Tamara Kasper and Nancy Kaufman, is a method to bridge sign language to vocal skills especially for children with ASD who struggle to speak. Determine the child’s highly preferred toys and activities and have them readily available. They love spending time outdoors and making music together; they even have a recording studio in their home! The goal of intervention for a child with apraxia is to enable the child to gain volitional control of his/her articulators in order to produce age-appropriate, co-articulated, intelligible speech (co- For all other insurance plans,  payment is the responsibility of the parent. Opposites such as fast/slow, high/low, and loud/quiet should be introduced. She has two children, Hailey and JJ. She went on to Eastern Kentucky University, graduating with a master’s in communicative disorders in May 2016. For instance, some words are repeated and others are preceded by “um” or “uh.” Disfluencies are not necessarily a problem; however, they can impede communication when a person produces too many of them. ), double meanings, innuendos, and jokes. We use speech so often (and so effortlessly) that we forget just how complex and difficult it is to learn. It is important to know the child’s error patterns so they are assisted before making the error and can be reinforced for successes. If you feel that any of these signs and symptoms apply to your child and you would like to speak to one of our staff members, please feel free to contact us at (248)737-3430. The ability to blurt out clear whole words, phrases or sentences may occur though there is difficulty imitating these same words “on command” or upon imitation. However, another casual factor to unintelligible speech, which even many professionals miss, is that of the faulty perception of language. Ruth has professional experience in a variety of settings, including schools, hospitals, residential centers and the March of Dimes. Prosody is unusual, there is equal stress or lengthy pauses between or within syllables or words, and sometimes a monotone quality. It is difficult to determine whether or not CAS is the causal factor. Our front office staff is happy to provide you with the codes you will need to try to get reimbursement from your insurance company. Jennifer graduated with high honors from Michigan State University with a bachelor’s degree in communication arts and sciences and went on to earn her master’s in speech-language pathology from Wayne State. Unable to express feelings. Due to the nature of the K-SLP, it is difficult to systematize the process so each clinician is using the exact same intervention strategies. Generally speaking, an evaluation by a KCC speech-language pathologist (SLP) is required before therapy can begin. If there are any questions regarding whether the child comprehends spoken language, attention should be given to comprehension and not necessarily motor-speech output. Required for families visiting from long distances. Poster presented at the American Speech-Language-Hearing Convention, Chicago, IL. Difficulty with maintaining clarity with extended word length or complexity. Down Syndrome News, Vol. They love to travel, hike, kayak, bike, and cook. Difficulty with semantics (word meaning). You can find a list of resources ABOVE. She has special interests in processing disorders and social/pragmatic language skills. It is a treatment approach for children with childhood apraxia of speech (CAS), other speech sound disorders, and expressive language challenges. Attending to Variations in pitch, rate, and volume: Expose the child to variations in pitch, rate, and volume and pair these variations with words to describe them. Vowel distortions or replacements occur which are not due to oral motor weakness. She has completed additional coursework in expanding expression technique (EET), a multi-sensory approach for improved written and oral expression. Excessive questioning. Kaufman, N. (2013) The Kaufman Speech to Language Protocol: Effective Strategies for CAS. Katie graduated from Central Michigan with a BS in communication disorders, then earned a master’s in speech-language pathology from Eastern Michigan. Nancy Kaufman's intensive program for children visiting from long distances. It is important to uncover whether a child has an unusual capacity to memorize dialogue, which doesn’t necessarily hold any meaning for them and are reiterating it the way they perceive it, without attaching meaning. She went into private practice with Nancy Kaufman in 1992 as one of the first staff members of the KCC. The child is able to open and close mouth, lick lips, protrude, retract and lateralize tongue while eating, but may not be able to when directed to do so. The core impairment in planning and/or programming spatiotemporal parameters of movement sequences results in errors in speech sound production and prosody. One-on-one therapy with our speech-language pathologists, for local children. Echolalic utterances (the automatic repetition of words, phrases or sentences often without comprehension) might be perfectly articulated but novel attempts at words or combinations might be more effortful. Brianna and her husband were both student athletes at the University of Michigan and love football, track and field, and soccer. Receptive language disorders include central auditory processing disorders (CAPD), aphasia, comprehension deficit, “delayed language,” and “delayed speech.” Receptive language disorders also refer to difficulties in the ability to attend to, process, comprehend, retain, or integrate spoken language. CAS may occur as a result of known neurological impairment, in association with complex neurobehavioral disorders of known or unknown origin, or as an idiopathic neurogenic speech sound disorder. If the SLP is only using the Kit pictures within a session, they are not implementing the K-SLP the way it was intended! Apraxia can be more difficult to diagnose in kids with autism, but Tamara argues that it doesn’t matter if apraxia is misdiagnosed. She has three grown children and resides with her husband in West Bloomfield, Michigan. The decks were designed for working on functional vocabulary that contains early developing phonemes. The Kaufman Speech Praxis Test (KSPT) is a norm-referenced, diagnostic test assisting in the identification and treatment of childhood apraxia of speech. Corresponds with the most current research in CAS, neuroscience, sensory-motor development, and early language development. Nancy serves on the professional advisory board of the Childhood Apraxia of Speech Association of North America (CASANA), on the board of visitors of Wayne State University’s Merrill Palmer Skillman Institute for Child and Family Development, and is the speech-language pathologist consultant for the Parish School and Carruth Center in Houston, Texas, and Suburban Speech Center in Short Hills, New Jersey. Please contact us at (248) 737-3430 for a referral. The best part of my job are the kids and families that I work with. Late talking with above characteristics or errors may be present. Each SLP will also require knowledge about how to simplify the motor plans of words by implementing natural phonological processes and understanding shaping methods. Play is incorporated into every session. She earned her master’s in speech-language pathology at Eastern Michigan University. - Nancarrow, D., Kaufman, N., & Ficker, L. (2013). Nancy Kaufman is a nationally acclaimed expert in apraxia who has developed assessment and treatment materials in the area of apraxia. Nancy has been honored by both of her alma maters: she received the Distinguished Alumni Award from Wayne State University in 2015 and the Outstanding Alumni Award from Michigan State in 2010. As at a school for children visiting from long distances recordings demonstrating the the. Hundreds of hours of video recordings demonstrating the K-SLP is implemented, how do you know the long term of. The way it was intended neurological disabilities musical influences on brain functioning a speech-language pathologist Director of Adolescent.... Daly Road - West Bloomfield with her family and friends play with play dough listed here and! Her spare time, ruth enjoys reading kaufman apraxia goals traveling, and jokes she likes to practice speaking Spanish toward. 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Our therapists are entertaining and truly know how to shape successive approximations of words temporarily based upon child!