K-SLP & Autism Spectrum Disorder

Methods that act as a bridge to vocal communication


There are many children with autism spectrum disorders who are not vocal verbal communicators. It is difficult to determine whether or not CAS is the causal factor. Nevertheless, best practices for CAS are also best practices for these children. Very often, however, the child may not clearly understand the task of producing isolated vowels and consonants. They may not yet be able to imitate behavior in general.

Here are specific methods that have been developed by speech-language pathologists and others to help this special population.

These techniques are used to provide tactile/sensory cues so a child is able to find the correct oral placement or posture to produce sounds they are not yet able to directly imitate.

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Renee Roy Hill's Apraxia Shapes are ideal for transitioning kids with motor-planning deficits from oral placement activities to speech production.

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Rapid Motor Imitation Antecedent training effectively uses behavioral momentum to gain first words for many children with autism who struggle to speak. This method is used in our ABA program with input from our SLPs.

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Sign/Select 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.

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K&K Sign/Select to Talk

Selecting and shaping vocal language for complex communication needs


Created by Nancy Kaufman and Tamara Kasper, K&K Sign/Select to Talk builds communication and speech in autistic individuals and others with complex communication needs. It is designed specifically for learners and their treatment teams who use multimodal communication to teach requesting with unaided AAC systems (gestures or signs) or with aided AAC systems (picture exchange or speech generating devices). Concurrent with AAC instruction, this approach uses Kaufman K-SLP successive word approximations to improve the functional clarity of verbal vocal production of the items and actions being requested.

  • Includes over 200 vocabulary cards representing everyday foods, drinks, toys, and activities that learners frequently request and find motivating.
  • Vocabulary items were selected to meet the unique generalization and motivational needs of autistic individuals.
  • Each target item or action is represented by an engaging photograph on a large, glossy 5"x7" card.
  • Photographs were selected for iconicity and to aid in transfer of skills across different language functions.
  • The reverse side of each card features Kaufman "word shell" successive approximations to assist in improving verbal vocal production.
  • Also included is a description of the sign (ASL) for that target item with pictures of the hand shapes.
  • The accompanying 50-page manual fully explains this approach.

Ages 2 to 12 years.

Published by Northern Speech Services.

 

K-SLP Test & Materials

K-SLP products, video demonstrations, and where to buy


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.

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.

K-SLP materials are sold by Northern Speech Services. Links to purchase are available on each product page below.

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Speech Praxis Test

KSPT aids in the diagnosis and treatment of childhood apraxia of speech

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Treatment Kit 1

Teaches children to combine consonants and vowels to form words

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Treatment Kit 2

Refines intelligibility for children who have mastered sounds in Kaufman Kit 1

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Workout Book

After the kits, the workout book expands single words into phrases and sentences

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K&K Sign/Select to Talk

Selecting and shaping vocal language for complex communication needs

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K-SLP Teaching Strategies

Combining principles of applied behavior analysis and motor learning


Childhood apraxia of speech requires specific treatment techniques for successful outcomes. Many teaching strategies of applied behavior analysis (ABA) and more specifically, applied verbal behavior (AVB) are aligned with the most current research in CAS. 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.

The K-SLP methods follow these best practices and are implemented here at KCC.

Clearly define the behavior that is desired to be established, improved upon, or extinguished.

In this case, it would be to establish vowels and consonants that are not within the child’s repertoire, establish the combinations of vowels and consonants to create syllable shapes/words, or establish the ability to connect words and move into grammatical skills.

Behaviors to extinguish might include the child erroneously adding a schwa “uh” post final consonants. The child might be adding erroneous vowels, consonants, or syllables to words. They also may use filler non-speech vocalizations rather than the new skills that they have developed, to name a few.

 

Determine the child’s highly preferred toys and activities and have them readily available.

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.

 

Cue before failure. It is important to know the child’s error patterns so they are assisted before making the error and can be reinforced for successes.

 

Understand how to shape successive approximations of words toward the ultimate goal of perfect articulation.

Many children are not stimulable for the consonants and vowels that are contained in words that are important for them to learn. They will need compensatory placements for some (an easier way to produce complicated consonants or vowels), and simplification of the motor plan for others.

This is where phonological processes are implemented to simplify the motor plan and shape toward the target.

 

Mix and vary the tasks so as to not actually teach over generalization. This also involves the principles of motor learning, blocked vs. random practice for retention of the skills to be maintained.

 

Gain as many responses as possible during a session on each goal.

 

Help the child to use new behaviors functionally in their natural environment. Provide supports to remember new skills and continue to cue speech motor while also scripting language through play. Contrive the environment to provide more opportunities to practice.

 

1369596152

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Notes from Nancy

Clinical speech and language collaborations


Working with kids with childhood apraxia of speech and other speech sound disorders can be challenging! Nancy Kaufman offers collaboration with groups to determine goals and treatment techniques for individual children on your caseload. It is appropriate for the speech and language staff of:

  • School districts
  • Private practices
  • Hospital clinics
  • Any SLP group working with kids with childhood apraxia of speech

COLLABORATION RATE: $2,000 (USD)

Prior to the consultation date, Nancy will review up to 5 video recordings of full therapy sessions. A summary of each child's treatment and/or most-recent report is required, including goals that you are working on as well as those that the child has already met. Video footage must be received no less than one week before the collaboration date.

On the scheduled date, Nancy will meet online with your staff to determine goals and treatment techniques for each of the children reviewed (2 hours total) and answer any questions (30 minutes).

The host organization is responsible for:

  • Setting up the virtual meeting and inviting participants
  • Any meeting-related tech support
  • Managing any continuing education credits

All staff members involved in the collaboration should complete Competencies in the Treatment of Children with Apraxia of Speech: The Kaufman Speech to Language Protocol, available through northernspeech.com.

If you are interested in scheduling a collaboration with Nancy Kaufman, please email Cyndi Davis, outreach coordinator.

CONTACT

Email Cyndi Davis with
questions or to schedule

Online Courses with Nancy Kaufman

Learn K-SLP methods with courses you can complete at your own pace


Visit the links provided to access content. Some courses require a membership or fee.

This 6-hour online course focuses on evaluation and treatment strategies for childhood apraxia of speech (CAS) using the Kaufman Speech to Language Protocol methods.

The presentation includes signs and symptoms of CAS, establishing motivation, shaping word approximations, implementing and fading cues, reinforcement strategies, data collection, scripting functional expressive language, coaching parents, and practicing skills in the natural environment. Also discussed is implementing the principles of motor learning for practice schedules, and how to move from the acquisition stage to the retention stage of learning to be an effective vocal communicator.

The methods, strategies, and techniques presented in this course follow the most current research in CAS and provide clinicians with the information they need to help children progress from a simple core vocabulary to phrases and eventually to sentences and conversational speech. Therapy session videos are shown throughout the presentation to enhance the learning experience.

Focus is on children ages 2-6 years. Offered for 0.6 ASHA CEUs.

COURSE AVAILABLE FROM NORTHERN SPEECH SERVICES

 

The competency course combines Nancy Kaufman's 6-hour K-SLP overview with three new expert-level courses on the following subjects:

  1. Strategic selection of practice words and phrases in childhood apraxia of speech
  2. Framing techniques to achieve clinical excellence in CAS therapy
  3. Clinical mistakes in the treatment of CAS and what to consider instead

Clinicians who successfully complete this course will demonstrate proficiency in the K-SLP, which is the most-used method for CAS treatment in the United States.

Offered for 1.0 ASHA CEU (10 hours of content)

COURSE AVAILABLE FROM NORTHERN SPEECH SERVICES

 

Children with childhood apraxia of speech (CAS) require cues to help them to remember the upcoming consonants, vowels, and syllables of practice words. They also often need help to combine words to formulate phrases and sentences by following scripts that they can retain and implement spontaneously.

This webinar will overview how cues and scripts can assist children with CAS to become successful vocal communicators. Cueing and scripting techniques will be overviewed and presented via video.

COURSE AVAILABLE FROM APRAXIA KIDS

 

It is often difficult to motivate children with childhood apraxia of speech (CAS) to practice at home or even to cooperate within a therapy session.  This webinar will offer suggestions to maximize practice through play.

  • Parents and caregivers are coached to pair themselves with fun toys and activities, making the speech and language practice activities highly preferred, exciting and successful.
  • Therapy materials are implemented as well, though paired with play activity.
  • Kaufman Speech to Language Protocol (K-SLP) methods of cueing motor-speech and scripting functional expressive language to include the language of toys and games will be emphasized.
  • Fading cues and scripts as well as teaching successive approximations toward target words and phrases is taught. 

COURSE AVAILABLE FROM APRAXIA KIDS

 

Come along for a FREE parent presentation! This virtual event was was hosted by the Parish School and Carruth Center in Houston, TX where Nancy normally visits once a year to consult. This year she was grounded due to COVID-19 restrictions, but that didn't stop her from connecting online for an instructive and entertaining presentation on childhood apraxia of speech. Good news for everyone - our friends at Parish and Carruth recorded the session so you can watch too.

COURSE AVAILABLE ON YOUTUBE

 

Nancy R. Kaufman is excited to offer this complimentary one-hour course for parents! Included is a wealth of information of what Nancy has learned to be effective therapy for CAS from over 40 years of experience.

COURSE AVAILABLE ON YOUTUBE

Click HERE for a printable list of fun, therapeutic activities you can do at home with your child.

 

Questions

Contact Cyndi Davis

Live Courses with Nancy Kaufman

Virtual courses for current professionals and professionals of tomorrow


 

K-SLP Course for Professional Groups

Full Kaufman Speech to Language Protocol overview for clinics, schools, and organizations

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Clinical & CAS Course for Students

Clinical and childhood apraxia of speech course for tomorrow's SLPs

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Clinical & CAS Course for Students

Available to tomorrow's SLPs in undergrad and master's programs


Nancy R. Kaufman, MA, CCC-SLP enjoys working with the next generation of speech-language pathologists and is available to speak with student groups at no charge.

Her presentation covers her experience with childhood apraxia of speech and the clinical skills that lead to effective treatment. The course is about 45 minutes in length, with additional time for questions.

The presentation includes:

  • An overview of childhood apraxia of speech (CAS)
  • 8 applied verbal behavior strategies for CAS
  • Phonological processes
  • Kaufman Speech to Language Protocol techniques
  • Effective clinical skills for successful outcomes
  • Video of a treatment session
  • Evidence-informed practice
  • Nancy's favorite materials and toys for treatment sessions

Please email Cyndi Davis with any questions or to schedule a course.

CONTACT

Email Cyndi Davis with
questions or to schedule

K-SLP Course for Professional Groups

Available to clinics, schools, and other speech and language organizations


Learn the Kaufman Speech to Language Protocol (K-SLP) methods direct from the creator, Nancy R. Kaufman, MA, CCC-SLP.

This 6-hour overview is presented virtually in three-hour sessions over two days with a 15-minute break each day. This is an intermediate-level course intended for speech-language pathologists, ABA technicians, special education teachers, occupational therapists, and audiologists.

Nancy's fee for the full course is $4,000 USD, to be paid in advance of the course. If participants are charged for the course, Nancy requires 25% of registration fees per participant for groups of 100.

Preparation: Setting up the virtual meeting, inviting all participants, and sending Nancy the link where she can join the meeting and share her screen. There is to be absolutely no recording of the presentation without Nancy Kaufman’s prior and explicit permission.

Tech support: Facilitating any additional meeting-related tech support that may arise before and during the presentation. A meeting to test technology is required prior to the course.

Continuing education: Arraigning for and managing any CEUs credits for participants.

The Kaufman Speech to Language Protocol (K-SLP) evaluation and treatment approach will be demonstrated. Elements of shaping word approximations to simplify the difficult motor plan of words, the use of natural phonological processes in therapy, and cueing and scripting systems will be highlighted via video. The K-SLP is rooted in the teaching strategies of applied behavior analysis (ABA) and motor learning principles regarding practice schedules, feedback, and retention of skills. This effective method for children with apraxia of speech will be shared in a functional manner, with many tips and suggestions clinicians and parents can use immediately.

Children who may have an adequate repertoire of consonants and vowels in isolation may not be able to coordinate the oral motor movements necessary to produce and combine these phonemes to form syllables, words, phrases, and sentences on volitional control. These children may be unable to speak or may be unintelligible speakers. They may even have difficulty executing the oral motor movements necessary to produce isolated phonemes. These are the children who can benefit from the techniques taught in this course.

This clinical presentation will focus on evaluation and treatment strategies for CAS with the K-SLP methods. It will include defining CAS, establishing motivation, using reinforcement, implementing and fading cues, and scripting functional expressive language. It will also include implementing the principles of motor learning for practice schedules, and how to move from the acquisition stage to the retention stage of learning to be an effective vocal communicator.

The methods, strategies, and techniques presented in this program follow the most current research in CAS and will provide clinicians with the information they need to help children with CAS progress from a simple core vocabulary to phrases and eventually to sentences and conversational speech. In addition, treatment videos will be used to enhance the learning experience. The main focus will be children ages 2-6 years.

By the end of the course, participants should be able to:

  • Understand and analyze a norm-referenced, standardized test which relates directly to the K-SLP approach, to identify this unique population of children.
  • Use evaluation information to establish goals for single words and phrases.
  • Implement a specific treatment approach using phonological processes to simplify the motor plans for CAS.
  • Provide five lists of single words to target in therapy.
  • List principles of motor learning for the acquisition vs the retention stages of learning.
  • Explain the importance of mixing and varying tasks/blocked vs random practice.

Please email Cyndi Davis with any questions or to schedule a course.

CONTACT

Email Cyndi Davis with
questions or to schedule

Planning Your Trip to the KCC


We are excited to welcome you to West Bloomfield! Our clinic is in the southeastern area of the Michigan mitten, about a half hour from Detroit.

Where to Stay While You're Here

Local hotels are listed below in order of their proximity to the KCC. Our area is always growing, so if you find another hotel and have a good experience, please let us know and we'll add it to our list. Another option is a home rental through Airbnb or Vrbo, if you'd like your family to have more room.

Scroll down for some fun things to do and see with your kids while you're in town!

33096 Northwestern Highway
West Bloomfield, MI
248-671-6500

WEBSITE

Amenities: Free hot breakfast, fitness center, business center, indoor pool, pet-friendly rooms

33098 Northwestern Highway
West Bloomfield Michigan 48322
248-940-1000

WEBSITE

Amenities: Free hot breakfast; fitness center; business center; indoor pool; pet-friendly rooms; spacious suites with refrigerators, microwaves, dishwashers and HDTVs

32769 Northwestern Highway
Farmington Hills, MI 48334
248-538-9100

WEBSITE

Amenities: Free breakfast, indoor pool, fitness center

28555 Northwestern Highway
Southfield, MI 48034
248-352-6100

WEBSITE

Amenities: Indoor heated pool and hot tub, fitness center, business center, on-site laundry and dry-cleaning service, free breakfast, market

169 Loop Road
Commerce Township, MI 48390
248-624-8100

WEBSITE

Amenities: Free hot breakfast, indoor pool, fitness center, concierge, pet-friendly

199 Loop Road
Commerce Township, MI 48390
248-669-3200

WEBSITE

Amenities: Free hot breakfast, indoor pool, fitness center, laundry and dry-cleaning service, market, pet friendly

39675 12 Mile Road
Novi, MI 48377
248-344-8204

WEBSITE

Amenities: Free hot breakfast, indoor pool, fitness center, executive club level, business center

3333 Centerpoint Parkway
Pontiac, MI 48341
248-858-8664

WEBSITE

Amenities: Extended-stay suites with full kitchens, nearby restaurants, free hot breakfast, indoor pool, activities for kids, fitness center, laundry and dry-cleaning service, gift shop, market, pet friendly

2700 Providence Parkway
Novi, MI 48374
248-349-4600

WEBSITE

Amenities: Indoor pool and hot tub, fitness center, basketball counts, outdoor grills, fitness center, free hot breakfast, social hour, business center, laundry facilities, pet friendly

Family Activities in the Metro Detroit Area

Our area offers fantastic activities for kids that both educate and entertain. We hope you’ll be able to see the sights and have some fun while you’re in town! Here are some suggestions if you want a head start on planning.

Metro Parent is a fantastic resource for parents and their interactive calendar is full of fun area activities for families.

WEBSITE

An overview of many attractions, including insider tips for parents.

WEBSITE

A long list of kid-friendly activities, all within about an hour’s drive.

WEBSITE

Tons of information on our great state! Search under kids for lots of fun activities.

WEBSITE

SPEAK Program

Intensive speech and language visits with Nancy Kaufman

Video Consultation

How to submit a video of your child (required before scheduling)

Questions

Please contact Cyndi Davis,
Community Outreach Coordinator