Re: How much therapy

[Guest guest]

My son is getting 2 hours " one-on-one " meaning the attention of the SLP is

only on my son. It is not pull out, but in classroom help (preschool) from

the public schools. This just started last month despite his first IEP

being in May! He is still going to Prompt Institute for two hours of

private therapy as well. I haven't seen the in class therapist (not Prompt

trained, but familiar with apraxia and agrees he clearly has it) help him

in any way yet, but it hasn't been very long. Prompt training is not a

requirement for apraxia. Most SLPs are not Prompt trained. For my son it

was the key. He was diagnosed with verbal and some oral dyspraxia as well

as receptive language delays (not as severe) a month before he turned

4. He only has very minor motor planning issues with fingers only, not

severe enough to diagnose as dyspraxia. He does not have sensory

issues. He was diagnosed with " moderate autism " at age 2.5, but no one who

works with him now, including his pediatrician, believes the label fits (as

parents we never saw it fitting!) We'll get a final say on that in a year

or maybe sooner.

Miche

At 04:07 PM 3/6/2006, you wrote:

>I was just wondering how much therapy everyone's child is getting. I

>read in " The Late Talker " , a child with apraxia needs at least 3 hours

>of therapy a week. Are most SLP's prompt trained? Is this a

>requirement for apraxia?

>

>Thanks,

>Patty

[Guest guest]

Hi Patty -

As the mom of a son who was discharged from ST 2+ years ago, I can

just tell you my experience. My son went to ST 2x a week (1 hr each)

for 3 years. We worked ALOT at home - every day, multiple times a

day. Without this reinforcement, I know he'd still be struggling with

S & F. This therapy was PRIVATE - our ins covered it - and if

we'd been going through EI or the district, he'd also still be

struggling. If you need to use EI, be sure you get homework for the

off-time.

Lastly, I've said this oodles of times - prompt is NOT a prerequisite

for apraxia. In fact, my therapist tried to use it, but my son was so

defensive that it would NEVER have worked. (Would you like someone

sticking a purple gloved hand in your mouth??) Now, for some kids it

might be necessary, but the most important thing is that you find a

good match for your child. Our extra fabulous therapist for my older

son was amazing with him - perfect, calm, etc. When it came time for

her to treat my younger son (communication disorder - not apraxic) it

was a terrible match. He made little to no progress in 6 mos. The

therapist was a good match for ME - also important - but most

importantly, you need to see progress and make it as enjoyable and

successful an experience as possible for your child.

good luck!

Marina

>

> I was just wondering how much therapy everyone's child is getting.

I

> read in " The Late Talker " , a child with apraxia needs at least 3

hours

> of therapy a week. Are most SLP's prompt trained? Is this a

> requirement for apraxia?

>

> Thanks,

> Patty

>

[Guest guest]

through early intervention, my daughter rcvd 5 x 45 one on one w/

prompt therapists.

Through the school district ( she is now 4 ) she receives 2 x 45 one

on one prompt at home - 2 x 30 one on one at school.

It is documented that the more therapy the better, I've been told it

is better to have therapy more times a week even if for a smaller

amt. of time. When we increased Callie's therapy from 3 to 5 days a

week, the change was amazing, it was as though the flood gates

opened & sounds & words started flowing out. I really think that

wwas the turning point for her, progress up to that point had been

very slow.

>

> I was just wondering how much therapy everyone's child is

getting. I

> read in " The Late Talker " , a child with apraxia needs at least 3

hours

> of therapy a week. Are most SLP's prompt trained? Is this a

> requirement for apraxia?

>

> Thanks,

> Patty

>

[Guest guest]

>Lastly, I've said this oodles of times - prompt is NOT a prerequisite

>for apraxia. In fact, my therapist tried to use it, but my son was so

>defensive that it would NEVER have worked. (Would you like someone

>sticking a purple gloved hand in your mouth??)

Whoa! My son goes to speech therapy at the Prompt Inst and he has never

had anyone place anything in his mouth! Well if you count cereal to get

him to pinch his lips, but he then puts it in his own mouth it's just

presented to his lips. They just don't do that. I wonder if your " prompt "

therapist was mixing different techniques and calling it all prompt? The

Prompt technique is done on the outside of the mouth and under the jaw with

gentle touches, not grabbing or sticking things in the child's mouth.

I do agree that not all kids need Prompt. It is one method among

many. There are a lot of kids that will not respond well to it, especially

if you catch them at a certain point where they may be more resistant, but

it has been key to my son's recent progress. Unfortunately it was those

with bad experiences that kept us from going sooner, calling it things like

torture and saying they held the child down. That has never happened to my

son, in fact the same people who complained to me about Prompt loved the

therapists we had problems with in EI. Sometimes it is a matter of what's

a good fit for one isn't for another.

Miche

[Guest guest]

My insurance will not cover speech therapy. We've already appealed twice. He

had EI, and is now in the school district.

marina3029 <philipmary@...> wrote: Hi Patty -

As the mom of a son who was discharged from ST 2+ years ago, I can

just tell you my experience. My son went to ST 2x a week (1 hr each)

for 3 years. We worked ALOT at home - every day, multiple times a

day. Without this reinforcement, I know he'd still be struggling with

S & F. This therapy was PRIVATE - our ins covered it - and if

we'd been going through EI or the district, he'd also still be

struggling. If you need to use EI, be sure you get homework for the

off-time.

Lastly, I've said this oodles of times - prompt is NOT a prerequisite

for apraxia. In fact, my therapist tried to use it, but my son was so

defensive that it would NEVER have worked. (Would you like someone

sticking a purple gloved hand in your mouth??) Now, for some kids it

might be necessary, but the most important thing is that you find a

good match for your child. Our extra fabulous therapist for my older

son was amazing with him - perfect, calm, etc. When it came time for

her to treat my younger son (communication disorder - not apraxic) it

was a terrible match. He made little to no progress in 6 mos. The

therapist was a good match for ME - also important - but most

importantly, you need to see progress and make it as enjoyable and

successful an experience as possible for your child.

good luck!

Marina

>

> I was just wondering how much therapy everyone's child is getting.

I

> read in " The Late Talker " , a child with apraxia needs at least 3

hours

> of therapy a week. Are most SLP's prompt trained? Is this a

> requirement for apraxia?

>

> Thanks,

> Patty

[Guest guest]

My 4 year old severe apraxic son also has a Prompt certified therapist and

she never sticks her hands inside his mouth. She uses gentle touches to cue

him where the sound is coming from. My son has made tremendous gains because

of Prompt therapy. He will even Prompt himself to remind himself where the

sound is made. For example. " G " is a back throat sound so he will point to

his throat to get the sound. Eventually it is just a verbal cue and then the

sound. This works well for my son and he is speaking in 5-6 word sentences

which are pretty intelligible most of the time. He works hard in school and

privately. We are so proud of him and all his achievments. We know he still

has a long road ahead, but prompt is not about sticking fingers in a child's

mouth, it's a touch cue process. Not all children respond to this type of

method, I was just trying to explain the method and how well my son does with

it. Also he gets oral motor therapy for his dysarthria and lazy tongue to help

strengthen the mouth and jaw etc. I hope this helps. Dana ( Mom to

4 yrs old severe apraxia, mild hypotonia, mild dsarthria and SID sensory

seeking and oral issues)

[Guest guest]

I second that!!!!!!! We had tried the speech therapist at Neumours (who said

she understood apraxia but all she did was express her frustration to my

daughter) than 2 others at diffferent locations thru Baptist Hospital.

Another at a Speech and Hearing location a small bit of progress she was

sweet and help with my daughters self esteem the most. Than she had a health

emergency so we went to a e school for children with cochlear implants

and that therapist said she thought she knew apraxia but now " we really do "

with your daughter. And that was when I pursued the PROMPT therapist in

Georgia and WOW we have seen such strides!!! She has never put anything in

's mouth and yes occasionally my daughter will balk during the one

hour weekly session when the therapist puts her hand on her face/neck but

she knows how to redirect and calm her with " let me help you " . She

treats her with maturity and patience where most of the therapists aways

talked down to her and would just shut down and not even try. I am

so happy we finally found this great therapist!!! I have tried to introduce

the PROMPT method to the public school system and the two private schools we

are in touch with but until you actually have a need do you search for the

right therapy.

Thanks to this website !!! When I first adopted my daughter I had never

heard the term PROMPT therapy but I know it works for us!!!!

Roxanne

's Mom

_____

From:

[mailto: ] On Behalf Of Grassia

Sent: Tuesday, March 07, 2006 4:29 PM

Subject: Re: [ ] Re: How much therapy

>Lastly, I've said this oodles of times - prompt is NOT a prerequisite

>for apraxia. In fact, my therapist tried to use it, but my son was so

>defensive that it would NEVER have worked. (Would you like someone

>sticking a purple gloved hand in your mouth??)

Whoa! My son goes to speech therapy at the Prompt Inst and he has never

had anyone place anything in his mouth! Well if you count cereal to get

him to pinch his lips, but he then puts it in his own mouth it's just

presented to his lips. They just don't do that. I wonder if your " prompt "

therapist was mixing different techniques and calling it all prompt? The

Prompt technique is done on the outside of the mouth and under the jaw with

gentle touches, not grabbing or sticking things in the child's mouth.

I do agree that not all kids need Prompt. It is one method among

many. There are a lot of kids that will not respond well to it, especially

if you catch them at a certain point where they may be more resistant, but

it has been key to my son's recent progress. Unfortunately it was those

with bad experiences that kept us from going sooner, calling it things like

torture and saying they held the child down. That has never happened to my

son, in fact the same people who complained to me about Prompt loved the

therapists we had problems with in EI. Sometimes it is a matter of what's

a good fit for one isn't for another.

Miche

[Guest guest]

My son prompts me too. They are so cute. He even prompts himself just like

your child, especially when I tell him he can't have something. All our

children work so hard to speak and I pray that God blesses each and everyone of

our children with a voice. Take Care, Dana

[Guest guest]

>She has never put anything in

>'s mouth and yes occasionally my daughter will balk during the one

>hour weekly session when the therapist puts her hand on her face/neck but

>she knows how to redirect and calm her with " let me help you " .

I asked my son's therapist today about putting something in a child's

mouth. She said that is NOT part of Prompt. The only time anything goes

into the mouth would be a stick in the child's hand which would be guided

to show where the tongue goes for L (which actually I remember they did

with my son at the very start, his SLP modelled where to place the stick

and he placed it on the back of his teeth himself, the SLP did not come

near the inside of his mouth! Now my son will put his own finger there

when he's having problems. Front of the mouth tongue sounds are his

biggest struggle, L, D, T.) Gloved fingers are never placed in a child's

mouth. That can happen with other kinds of oral motor work, but it is not

part of Prompt. Whatever therapist did this was mixing another technique

and calling it Prompt!

My son now asks to be prompted. He puts his hands on his therapist's face

and will sometimes say " help " when he needs it. He clearly recognizes it

helps him and desires more help! They use the phrase, " Let me help you "

all the time. I think I have described in the past how therapists have

said my son is non-compliant. At his first Prompt eval he just shut down

when asked to do a harder task after an easy one. He just turned away and

broke off all eye contact (one thing that made others misdiagnose him as

autistic.) Finally Debbie just stopped and said with so much

understanding, " Is it too hard? " He turned, looked her straight in the eye

with tears in his own and nodded. Someone FINALLY understood him. It just

broke my heart yet made me so happy at the same time. I'm tearing up again

thinking about it. They were the first to understand it's not him being

non-compliant it's being overwhelmed with frustration that shuts him down

sometimes. It is just HARD for him!

The other funny thing with Prompt is he tries to prompt ME! He'll come and

ask for soda and I'll say no. So he'll put his hands on my face and say,

" Soga....Y-E-S! " while prompting me with the Prompts for y. The little

stinker does this with a huge I'm-too-cute grin on his face!

Miche

[Guest guest]

Hi, I read your post from a while back. How were you able to get that much

therapy? You are lucky. I booked an appt. with an SLP, but for only one 45

min. session a week. There are no other openings.

Patty

Grassia <miche@...> wrote:

My son is getting 2 hours " one-on-one " meaning the attention of the SLP is

only on my son. It is not pull out, but in classroom help (preschool) from

the public schools. This just started last month despite his first IEP

being in May! He is still going to Prompt Institute for two hours of

private therapy as well. I haven't seen the in class therapist (not Prompt

trained, but familiar with apraxia and agrees he clearly has it) help him

in any way yet, but it hasn't been very long. Prompt training is not a

requirement for apraxia. Most SLPs are not Prompt trained. For my son it

was the key. He was diagnosed with verbal and some oral dyspraxia as well

as receptive language delays (not as severe) a month before he turned

4. He only has very minor motor planning issues with fingers only, not

severe enough to diagnose as dyspraxia. He does not have sensory

issues. He was diagnosed with " moderate autism " at age 2.5, but no one who

works with him now, including his pediatrician, believes the label fits (as

parents we never saw it fitting!) We'll get a final say on that in a year

or maybe sooner.

Miche

At 04:07 PM 3/6/2006, you wrote:

>I was just wondering how much therapy everyone's child is getting. I

>read in " The Late Talker " , a child with apraxia needs at least 3 hours

>of therapy a week. Are most SLP's prompt trained? Is this a

>requirement for apraxia?

>

>Thanks,

>Patty

[Guest guest]

Hi, I read your post from a while back. Was just wondering how you were able to

get 2 sessions a week of speech therapy? I booked an appt. with an SLP but was

only able to get one session a week because they were all booked up. Also, you

were lucky your insurance covered it because mine does not.

Patty

marina3029 <philipmary@...> wrote:

Hi Patty -

As the mom of a son who was discharged from ST 2+ years ago, I can

just tell you my experience. My son went to ST 2x a week (1 hr each)

for 3 years. We worked ALOT at home - every day, multiple times a

day. Without this reinforcement, I know he'd still be struggling with

S & F. This therapy was PRIVATE - our ins covered it - and if

we'd been going through EI or the district, he'd also still be

struggling. If you need to use EI, be sure you get homework for the

off-time.

Lastly, I've said this oodles of times - prompt is NOT a prerequisite

for apraxia. In fact, my therapist tried to use it, but my son was so

defensive that it would NEVER have worked. (Would you like someone

sticking a purple gloved hand in your mouth??) Now, for some kids it

might be necessary, but the most important thing is that you find a

good match for your child. Our extra fabulous therapist for my older

son was amazing with him - perfect, calm, etc. When it came time for

her to treat my younger son (communication disorder - not apraxic) it

was a terrible match. He made little to no progress in 6 mos. The

therapist was a good match for ME - also important - but most

importantly, you need to see progress and make it as enjoyable and

successful an experience as possible for your child.

good luck!

Marina

>

> I was just wondering how much therapy everyone's child is getting.

I

> read in " The Late Talker " , a child with apraxia needs at least 3

hours

> of therapy a week. Are most SLP's prompt trained? Is this a

> requirement for apraxia?

>

> Thanks,

> Patty