Tag: Carryover for Childhood apraxia of speech

  • Speech/language with simple Christmas chains

    Speech/language with simple Christmas chains

    We’re in the Christmas spirit around here and we started with a classic Christmas chain.

    * I first had Ashlynn sort the strips into their respective color piles. Great for developing early sorting and categorizing skills.

    * I then instructed her to put glue on the “end” of the strip.  Many kids with language delays have difficulty with positional words and she is no exception.  She kept wanting to glue in the middle, so I had to keep reminding her “no, not the middle, put the glue on the end. (Also great for O/T practice)

    * We then put the strip “through” the other strip.  During this, I made sure to emphasize “through” because again, this is another word that kids have difficulty with.

    * Once the chain had three links, we repeated, “white, green, red”  and then each time, I would stop and ask her what comes “next” or “after” emphasizing those two concepts.

    *Also, having her identify what comes next is the beginning of early patterning and sequencing skills.

    * Finally, at the end of the activity, we counted the links!

    * For a bonus, write words or tape pictures of target words to practice!

    Easy and fun!

    Skills addressed:
    Colors
    Sorting
    Sequencing/Patterns
    Concept vocabulary (next to, after, through, end, middle)
    Following directions
    Counting
    Speech goals

  • Sound Box books idea from: Trust me, I’m a Mom blog

    I recently met via the Facebook support group, a mom who has dedicated her blog to ideas parents can do at home for speech carryover. I had never heard of these “Sound Box Books” but they sound great, and apparently, may even be at your local library. Read about here!

    Trust Me, I’m a Mom: Let’s Talk Tuesday – Sound Box Books, Activity & a…: ‘Let’s Talk Tuesday’ is a bi-weekly post series with ideas on how you can help your child of any ability, but especially tho…

  • Pete the Cat home speech/language activities

    Pete the Cat home speech/language activities

    I was introduced to Pete the Cat, by Eric Litwin last year when my daughter went to preschool. Not only does it have a catchy song the kids can sing and listen to online here:( http://www.thelearninggroove.com/song-index-contents/pete-the-cat—i-love-my-white-shoes#!pete-the-cat-i-love-my-white-shoes/c164e), but it is great for teaching a variety of things in speech/language.  I’ll start with it’s benefit for apraxia.

    Research has shown that books encourage speech and language development.  My mentor taught me to use a literacy based approach to therapy whenever possible.  Not only do the kids enjoy it, but books provide vocabulary in context, which is more meaningful to children than just an artic card.  The use of repetitive story books are generally advocated for apraxia.  If you want to read more, you can find a great article here: http://www.apraxia-kids.org/library/repetitive-books-an-effective-therapeutic-tool-for-children-diagnosed-with-apraxia-of-speech/

    Pete the Cat is highly predictable and very repetitive, offering the perfect platform for intense practice needed for apraxia.  The carrier phrase in this book is, “I love my……”  The predictable sentence is “I love my ___ shoes.”  The shoes start out as white, but change colors depending on various items Pete steps in.

    Depending on your child’s verbal output, you could have them say the entire carrier phrase giving them the appropriate prompts and cues as needed, or just have them say one word.  Ashlynn is able to say the entire carrier phrase independently, but needed cueing to complete the rest of the sentence.  It’s fascinating to watch the motor plan during these activities, because once it has the plan, it doesn’t want to give it up easily. For example, after repeating “I love my white shoes” multiple times, she required a lot of modeling and cueing to change the motor plan to say, “I love my blue shoes.”

    I also created a book companion pack available in my store if you’re interested!

     

     

  • Superhero Brave

    Superhero Brave

    For those of you familiar with my blog, I’ve spoke of “Ben” before. A little boy on my school caseload from a Spanish speaking family who has CAS and is nonverbal. However, IQ testing shows him in the 75th percentile! He’s sooo smart. I met him last year in Kindergarten, and we formed an instant bond.

    His Kindergarten teacher was frustrated that he wouldn’t talk; and I’m not sure if she felt it was a reflection on her, but she really wasn’t that supportive of him.
    This year is different! He has a new teacher and she sees what I see, what I saw. She’s sees a smart, friendly, lovable little boy who wants to talk, but just needs people to believe in him and boost his confidence. Every time I see her she starts a sentence with, “you won’t believe this” or “I LOVE him.” Yesterday she told me she believes this year is going to be HIS year. Starting from the first day when she was going around having kids do introductions, she frowned upon getting to Ben and having the other children speak up and say, “Oh he doesn’t talk.” She immediately stuck up for him, telling the other children yes he did talk and that people talk in different ways. Some use Spanish, some English, some use their hands, some use gestures, and some use devices.
    Ben’s corners of his mouth got just a little bit wider.
    Another day, one of the kids noticed that Ben appeared to be talking to the class frog and remarked, “Look! I think Ben is talking!”
    Her reply?
    “Of course he’s talking! Didn’t I tell you Ben talks?”
    Ben’s chest puffed out just a little bit further.
    And then there was today. The icing on the cake.  I picked him up and she calls me over to brag about an assignment he finished first and attempted to share with the class. Picking up on her hint, I praised him loudly in front of the other children. As we leave the too, a little classmate returning from the bathroom enthusiastically called, “Bye Ben!” Now Ben knows how to say bye with perfect clarity. In fact, he says it to me everyday. He pressed his lips together, but the anxiety was too much and the boy left before Ben uttered a sound. I decided to scratch the lesson plan for that day, and instead I asked him if he knew what brave meant.
    I had him draw a picture of someone he thought was brave and I told him I would do the same. We sat at different tables, and I told him not to peek.
    When he was finished, he drew a picture of Hulk and Captain America. I asked him why they were brave and with a smile he pantomined strength and then pantomined a sword motion. I verified he thought they were brave because they were strong and had swords to which he eagerly nodded his affirmation. I then wrote on the back that Hulk and Captain America are brave because they are strong, have swords, and I added they fight bad guys. He tapped my arm and held up three fingers. I said, “three bad guys?” to which he nodded apparently satisfied.
    He then pointed to my picture. I asked him if he wanted to see mine and he again nodded yes. As he looked at a picture of a little boy with a blue school uniform, he looked at me puzzled. I asked him, “Don’t you know who this is?” Ironically, I had also just happened to also draw him holding a sword fighting a word bubble in his head! What luck!
    “It’s you Ben.”
    His eyes lit up and he pointed to himself incredulously.
    “Yes” I said. “You are my superhero because even though talking is so scary, you still try, and that’s what makes you brave.”
    Now that smile was a full blown grin.
    I went onto tell him I needed him to be even more brave than he already was though. I needed him to be superhero brave when it’s time to talk. We then stapled the pages and walked back to class.

    At the end of the day, the Facebook support group had convinced me to tell his parents about the lesson; and since they only spoke Spanish, I decided to go out with the teacher at dismissal and have her translate. When I walked in the classroom, all the kids were sitting on the carpet with their backpacks on their backs in preparation to go home.  In the middle was Ben, with his backpack on, but our book in his lap. It did mean something to him!  As luck would have it, BOTH parents came to pick him up that day.  As the teacher translated, his mother choked up and gave him a big hug as they left to go home.

    Now his chest was puffed out just about as far as it go!  That’s what superhero brave is all about!

     

  • Switching private SLP’s

    There is no easy way to “break-up” with an SLP, but  I made the decision to discontinue private services through the SLP that was seeing Ashlynn.  A lot of parents wonder what is the best way, and I don’t think there is a right or wrong way.  I personally just wrote an email and said I was switching her to my mentor.

    I am very appreciative of all that she did; however, I feel like we had hit a wall with her therapy style.  Her style was to have my 3 1/2 year old daughter sit in a chair across from her for the entire 30 minutes.  The first 15 minutes she would do Kaufman cards, and the last 15 minutes she would play with a fun toy and have my daughter request and comment on it.  However, it was very controlled and my daughter couldn’t hold the toy or play with at all.  It had to be done all her way.  If Ashlynn threw a temper tantrum, she would look at me and tell me that when she has kids they are going to hate her because she won’t put up with that.

    Ya, well, good luck lady.  Kids throw them whether you “put up with them” or not.  It’s called being a toddler.

    After a couple months of this, my daughter was pretty over it.  The first 15 minutes turned into more like 20-25 just trying to get her to say the cards.  Apraxia therapy can be boring, but my goodness, I needed her to get creative!  I did bring up that maybe we could put it in a more naturalistic setting, having them play etc.  In her defense, she did try; but she still had Ashlynn sitting in a chair.  If she didn’t get something accomplished, she just told me to do it at home.  I remember thinking to myself that Ashlynn is one of the most compliant toddlers I have seen.  I wondered how “typical” toddlers who need to MOVE do in therapy with her?

    I tried to be polite, but I informed her that as a school based SLP, I don’t have the luxury of having my carryover plan include parents doing homework.  I have to get creative!  Kids need to be having fun, and besides, that’s how they learn the best!

    I had a great mentor whose therapy plans usually included 3-4 different activities in one thirty minute session. They were multi-sensory in nature, which are methods that involve using any sensory and motor input available to enhance verbal skills.  This usually involves some type of play activity that might have them throwing a bean bag, walking like a crab, or even using felt and velcro boards just to do something different with those same old picture cards.

    David Hammer, a well known CAS expert out of Pittsburgh does this as well.  I’ve been to a couple of his presentations now and he shows a lot of video.  I rarely see a child required to sit in a chair across from him. He has them doing puppet shows, hitting the cards with a nerf gun after they say their sound, or tossing bean bags in and out of a huge dinosaur’s mouth aiming at the artic cards.  He has them banging on drums to represent each sound or syllable etc.  This is the way to promote carryover, and I could see this SLP wasn’t going to do that.  She may have known the Kaufman method, but her therapy style wasn’t what I was looking for.

    That’s the thing.  There are always going to be reading programs, math programs, and speech programs out there, but teaching style or therapy style plays a big if not bigger part in facilitating change.

    When I was an SLPA (assistant SLP), I worked under a lot of supervisors and was able to see a lot of different styles.  All therapists are qualified and trained professionals that will most likely get the job done, it’s just some got the job done a lot faster.  That’s the kind of SLP I strive to be, and that’s who my mentor is.

    Since it’s summer and my mentor is off, I”m switching Ashlynn to her.  I know Ashlynn would have progressed, but I need her to progress faster, which means I need someone more multi-sensory. This is where I have seen my mentor shine and I’m excited for Ashlynn to start with her.

     

  • December book of the month

    December book of the month

    Product Details

    December book of the month is The Gingerbread Man.  This classic book has so many repetitive opportunites jam packed in the pages, and the kids absolutely love it!

    Tonight, Ashlynn’s word was “man” which combines a bilabial sound ‘m’ with a final consonant ‘n.’  On almost every other page the Gingerbread man shouts,

    “Run, run, fast as you can.  You can’t catch me I’m the Gingerbread man!”  Then, various characters procede to try and catch him while calling “come back, come back!”  It didn’t take long before Ashlynn was shouting “come back” along with me.

    As usual, depending on your child and their needs, you can have them repeat the word, a phrase, or an entire sentence with the target sounds embedded in it.  For older kids, it’s another great sequencing/retell activity to do after you read the book.  My school aged kids really like cutting out felt characters and placing them on a felt board while retelling the story. 

    Happy reading!!