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Treating Severe Treating Severe Articulation Problems in Articulation Problems in
Children with AutismChildren with AutismPresented ByPresented By
Tracy Vail,MS,CCC/SLPTracy Vail,MS,CCC/SLP
Why Can’t He/She Talk?Why Can’t He/She Talk?
• Impossible to tell until the child talks!
• Does the child “hear” sounds/words?
• Does the child have adequate musculature?
• Can the child produce required movements?
• Can the child combine required movements?
Increasing VocalizationsIncreasing Vocalizations
• Pair with established reinforcers
• Reinforce all vocal attempts
Initial Sound/Vocal AttemptsInitial Sound/Vocal Attempts
Vocal ApproximationsVocal Approximations
Give a Communicative BehaviorGive a Communicative Behavior
• Teach “I talk, I get.”
• Increases EO for Speaking
• Increases child’s control over environment
• Decreases need for negative behaviors
Sign LanguageSign Language
Picture Exchange Communication Picture Exchange Communication System (PECS)System (PECS)
Pairing Signs with VocalsPairing Signs with Vocals
Teaching Signs to ClarifyTeaching Signs to Clarify
Passive Oral MotorPassive Oral Motor
Active Oral MotorActive Oral Motor
Finger Prompts/Sound SongFinger Prompts/Sound Song
Combining SoundsCombining Sounds
Shaping Vocal MandsShaping Vocal Mands
Fade PromptsFade Prompts
Receptive, NVI mixed with MandsReceptive, NVI mixed with Mands
Teach Receptive &Tact from Mand Teach Receptive &Tact from Mand RepertoireRepertoire
Build SyllablesBuild Syllables
Fill in Songs Fill in Songs
Fill ins/Mands with StoriesFill ins/Mands with Stories
VB ModulesVB Modules
Increasing Length of UtteranceIncreasing Length of Utterance
Fade Prompts for IV CategoryFade Prompts for IV Category
Teach Features Functions ClassesTeach Features Functions Classes
Mands for InfoMands for Info
Multiple NET OpportunitiesMultiple NET Opportunities