Expertise

A hands on approach to improving speech production
What is PROMPT?
Prompts for Restructuring Oral Musculature Phonetic Targets is a tactile approach in which the speech-language pathologist utilizes touch cues on the client’s face (jaw, lips, cheeks, tongue, and larynx) to support and shape correct movement needed for speech production. These cues help the client coordinate their speech musculature properly. Over time, the PROMPTs are faded, allowing the client to gain independence. PROMPT therapy is beneficial for a wide range of communication impairments. It is most commonly used with articulation impairments, apraxia of speech, motor speech difficulties, and dysarthria.
Can any SLP use PROMPT?
To utilize PROMPT, speech-language pathologists must be trained by the PROMPT Institute. PROMPT training consists of four steps, that must be completed prior to being listed as PROMPT certified, which demonstrates the utmost competency in using the PROMPT approach.
1) Introduction to PROMPT: technique (3 day course)
2) Bridging PROMPT: technique to intervention (3 day course)
3) The PROMPT technique self-study project (video of one PROMPT session- critiqued by a PROMPT instructor)
4) PROMPT certification: A self-study project (videos of one client, over a four month period, tracking progress- also critiqued by a PROMPT instructor)
Catherine is currently working on the certification level of her PROMPT journey and hopes to be certified soon!
Speech disorders can manifest as articulation errors, phonological errors, apraxia of speech, dysarthria, oral motor difficulties, and/or lisps. Our specialized trainings allow us to give a comprehensive view of your child’s speech system and determine which course of treatment is best warranted.
Our specialized trainings include:
PROMPT (currently working on level 4 certification)
Beckman Oral Motor
Beckman Oral Motor- Deep Tissue Release
Talk Tools: Oral Placement Therapy
Orofacial Myology: From Basics to Habituation, 28 certification course
The same muscles that we use to talk, are the same muscles we use to eat. That is why speech-language pathologists are recognized as being able to treat feeding issues. Feeding issues can manifest as difficulty transitioning to purees or solid foods, inability to drink from a straw, constant choking, etc.. Our process includes a thorough review of your child’s medical history and a mealtime observation. Our training background always us to utilize many different approaches to determine what would best benefit the child, whether the impairment is due to a motor deficit, sensory deficit, behavioral, or a combination.
Our specialized trainings include:
SOS Approach to Feeding
A Sensory Motor Approach to Feeding
The SOFFI (Supporting Oral Feeding in Fragile Infants) Method
Catherine Shaker MS, CCC-SLP/BCS – Pediatric Feeding/Swallowing: The Essentials
Diane Bahr MS, CCC-SLP- Best Practices in Pediatric Feeding, Motor Speech, and Mouth Development
Melanie Potock MA, CCC-SLP- Feeding Therapy: It’s Not Just About Swallowing
Orofacial Myology: From Basics to Habituation, 28 certification course
AEIOU Approach to Feeding
Ellen Carlin: Tongue Tie and Oral Motor Dysfunction
What is an Orofacial myofunctional disorder?
The muscles of the face and mouth are very unique. Not only do they provide life sustaining tasks such as breathing, eating, and drinking, but they allow us to express ourselves through speech and facial expressions. When there’s an atypical pattern, an Orofacial myofunctional disorder (OMD) may occur. OMDs may manifest as difficulty with chewing, swallowing, speech, breathing, and more. An OMD can interfere with the growth, development, and function of the facial musco-skeletal system.
What are some signs of an OMD?
The following are some signs of an OMD Atypical chewing patterns (e.g. chewing with the mouth open, limited chewing, limited tongue movement during chewing) Atypical swallowing patterns (tongue thrust swallow) Non-nutritive oral habits (thumb sucking, pacifier sucking) Abnormal rest posture of the tongue, lips, and jaw (e.g. open mouth position with the tongue resting forward in the mouth) Drooling Poor speech patterns (e.g. limited tongue, jaw, and lip movement) What can happen if an OMD is not treated? If left untreated, the following may occur: Dental maloclussions Orthodontic relapse Abnormal facial and jaw growth Compromised airways Clenching of the teeth Articulation disorders Swallowing disorders How can myofunctional therapy help with tongue ties? After a tongue tie is released by an ENT or dentist, myofunctional therapy is a critical piece in the follow-up process. The tongue has been tethered to the floor of the mouth and must now learn new patterns for resting posture, swallowing, breathing, and speech. Additionally, this therapy helps prevent re-attachment due to limited movement as was the case prior to the procedure.
We offer a unique approach to stuttering, as Mrs. Catherine is a person who stutters. Her own trials and tribulations with her stutter helped her become the clinician she is today. Because of her background, she is able to better put herself into the perspective of the client and their family as they work to improve their fluency skills.
We are able to help with early autism, by working on improving joint attention, social reciprocity, and early communication. We work closely with the family to ensure training is occurring with the whole family, not just the child. We have extensive training in the DIR Floortime approach to increase engagement, regulation, and communication.
Hanen certified in It Takes to Talk, we are able to help families, help their children learn to become better communicators. Let us give you the tools to help your late talker blossom. We believe in using therapeutic play, so that children are excited to learn to communicate. Additionally, parent training is ongoing, to help result in quicker carryover.
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