Reading To Your Kids #2: Try Avoiding the Text

Sometimes it's fun to deviate a little bit from the exact printed words on the page and tell a story your own way.  It's good for a child to hear the same story told in different ways.  They learn the skill of re-telling which is crucial for academic and social success.  Besides, when you read the same book OVER and OVER and OVER again, we parents sometimes require a little change of pace.  It's essential to our sanity!  My son is a little obsessed with Berenstain Bears books right now.  They are fun and they teach great morals - but sheesh - sometimes they seem way too long!  So sometimes I shorten it up.  I'm modeling how to summarize stories for him - so it's a win-win!

Did you know there is research that shows that wordless picture books help readers "understand the elements of story structure, develop visual literacy, think and write creatively, and cultivate language and narrative abilities"? (Masters Program in Library and Information Sciences).  This <----- about="" articles="" books.="" great="" has="" link="" other="" p="" picture="" related="" research="" some="" to="" wordless="">
There are lots of great wordless picture books out there.  My friend Lynn did a post about some of them last month.  Check it out here.

One of my favorite books isn't technically wordless per se, but it has very limited words and the pictures are so much fun!  It can create so much great discussion!  The book is Good Night Gorilla and it's a favorite among all the kids I work with.  It'll probably come up again in this series when we talk about inferencing.

Reading To Your Kids #1: Take Your Time

I have promised a few friends and a few parents that I would do this series and I think it's time!  Summer Break is approaching and that's a great time to establish a reading routine with your kids.  I'll just be posting a new concept each time and I don't know exactly how many posts I will end up doing....we shall see!  My first tip is a short and simple one, but a very powerful one at the same time.

Reading Tip #1: Take Your Time

We all have nights where we are home late from a baseball game or something, we just want the kids to go to bed so we read a quick book and get it over with.  That's OK!  But hopefully most of the time you are able to sit down, relax, and let your child take the lead.  Let them turn the pages, ask questions, talk about the pictures, etc.  There's no need to rush to get through it.  Many children need a long time to absorb what was just read and apply it to the pictures on the page.  Especially if it's a first-time read-through.  You might find that after you read the text and give your child a few minutes to let it sink in, they suddenly start asking questions.  Those are the times when you can catch a glimpse into your child's amazing mind.  Let me know how it goes!

Why Should I Spend the Money on Private Practice?

As a parent of a child with a speech or language delay, you probably have a lot of questions about what to do and where to go to receive help.  Here are some reasons why the parents who come to Speaking of Kids are especially pleased with their choice of private practice.
1.  The child is getting one-on-one attention once or twice a week.
Many times, especially for younger children, a school district will qualify a child for services, but only for 30 or 60 minutes a month.  In other cases, they are unable to serve a child because their needs aren't severe enough to meet their criteria.  Still, in other cases, the child is getting services 30 minutes a week, but they are being seen in a group of 3 or even more students, so the time spent in the SLP's room is not always super effective.  Please know, I'm not in any way trying to bash schools.  They have to set guidelines and procedures to help them accommodate such a wide variety of needs. Many speech therapists have anywhere from 70-100 kids on their caseload!!!  And I know MANY great things are done in schools to help students.  There are many amazing SLP's out there who make such a huge difference in the lives of the kids they serve. Frankly, I don't know how they do it sometimes!  But for the reasons listed above, some parents think private practice is an excellent supplement or replacement to the services in the school setting.  I always say - more is usually better!  And I am happy to collaborate with the student's speech therapist from the school so we can work on the same goals together.
2. They are "in the know". 
One of the main reasons why I have tried to hard to serve children in a private practice setting is because of my strong belief that parents need to be empowered and educated.  In a school setting it is much more difficult - almost impossible - to keep parents fully informed of their child's status and progress.  I love taking time to sit down with parents and explain their child's strengths and weaknesses, and brainstorm together ways we can help the child improve.
3.  They receive materials and support to continue the child's learning at home.
This goes along with number two, but in addition to receiving added information, I try to give parents ideas, materials, and resources so that they can continue helping their child fortify the skills they learn each week.  30 minutes/week isn't going to help a child progress as quickly as if a child also practices those skills at home with a parent who is confident enough to encourage and reinforce the progress.
4.  The child maintains progress because there are no breaks.
For some students, this isn't an issue.  But for many students out there, Christmas break, Spring break, and especially Summer break are times when a child completely forgets much of what they have learned and have to back up significantly to regain that previously-known knowledge.  In private practice, we don't take breaks.  Many parents find that private practice during the Summer only is a great addition to the services the child will receive in the school when it starts back up again.
5.  Parents are highly involved.
Depending on the child's needs and the family situation, I try to encourage the parents to be involved in the therapy, or at least to sit back and observe.  I often hand out notebooks to the parents so they can write down what we worked on that day, what strategies I give them on how to incorporate concepts at home, websites or other resources they can go to, or any questions they might have.  Then at the end of the session, I review what we did, how the child did, and answer any other questions they might have.

So there are some of the reasons why many parents find private speech therapy to be an excellent option for their children.  If you know anybody thinking about this possibility, please feel free to share this link!  If you live in northern Utah and would like to contact me about speech therapy, please see my personal website at speakingofkids.org.

Speaking of Kids is Growing Up!

There have been some very exciting changes going on with my private practice.  My husband and I have been busy finding an office, painting it, buying furniture, and moving in!  This space is so fantastic, I can't get over it!!!  You want to see it?  OK - wish granted!

On the opposite side of the room there are a couple of chairs for parents to sit back and observe.  There is also a nice waiting area outside of the room if that works better for the client and family.  I will be posting more about my adventures in private practice so stay tuned! Also - be sure to check out the facebook page and like it!

ASHA Leader Blurb

Imagine my surprise when I discovered that I was mentioned in this month's issue of the ASHA Leader! I've always wanted to be published - now maybe I can cross that off my bucket list. I guess the writers over at ASHA liked my post about the Story Champion Chart.  Thanks to Katie at Playing with Words 365 for hosting me on her popular and exceptional blog and allowing me to get a little recognition.

In my original post, I write all about how I make the chart, but I wasn't able to post the PDFs for it.  So I will go ahead and do that now - all the images were obtained from Microsoft Word and I'm pretty sure they are all on their website so I shouldn't be breaking any copyright laws.....Just click on the words and it will take you to a google doc where you can save or print!

1) Large Symbols (for teaching)
2) Small Symbols (print two - one for each flap on the book)
3) Trophy Image 

Check back soon for more ideas on how to teach narratives!

AD/HD

One of the reasons I love my job so much is that it is so broad.  Did you know that a speech-language pathologist works not only with speech sounds, but also with following directions, grammar, story-telling, voice disorders, hearing rehabilitation, stuttering, and cognitive skills, such as self-talk, initiation of goals, and attention?  To name a few.  With regards to the latter, my current caseload includes a lot of children with attention deficit disorders, and I have been trying to figure out how to serve them better.  Looking at the Linguisystems website, I found a course called "Attention Disorders" (Clare B Jones, Jill Fahey).  It was free and just what I needed to increase my knowledge with AD/HD and how it affects communication.  I particularly liked it because I could print out the notes, study it on my own time, and take the test whenever I was finished.  PERFECT! It was worth 2 CMH's, which is 1/15th of what I need to do every 3 years - not so bad! Haha!

Here are some highlights from the course:

1. AD/HD affects approximately 6-8% of school-age children.
2. 25% of children with AD/HD also have anxiety.  36-38% also have depression.
3. Individuals with AD/HD have about 5% smaller brain size.
4. AD/HD is not solely an attention disorder, but an executive functioning disorder.  This means it not only involves attention, but also other areas such as goal selection, planning, organization, persistence, self-regulation, inhibitory control, self-talk, and flexibility.
5. There are 3 core symptoms: inattention, hyperactivity, and impulsivity.  
6. Many children with AD/HD are poor at following directions.  As an SLP, it is critical to distinguish whether the child does not understand the directional concepts (such as left, right, before, next to, between, etc.) OR whether the child has poor language/auditory/working memory.  This will entirely affect how to write a goal and how to address it. If they do not understand the concepts, you need to spend time discussing them separately.  More than likely, if the child has AD/HD, the main problem lies in their ability to hold the information in their memory while they proceed to obey the command.  Thus, an appropriate goal would be to work on auditory memory - not necessarily understanding directional concepts. 
7. When working with a child with AD/HD, assess and treat the language of thinking, planning, and doing.  
8. Remember that inattention most frequently undermines spoken language comprehension, working memory, and organization of thoughts for oral expression. 
9. Common goal areas that could be appropriate include: repeating sentences, requesting confirmation, restating, using self-talk recognizing social cues, auditory scanning tasks, and visual scanning tasks.
10. Here's a great article published by the Huffington Post on AD/HD and its effects on communication.  

Encouraging Language in Toddlers: Part Six

Encouraging Language: Be Patient

My next tip is simple but sweet.  When you are trying to encourage language, whether it be their first word or whether you are trying to encourage them to put words together: Use wait time.  This means that after you ask your child a question and you want them to respond, give them LOTS of time to answer.  Wait there quietly for a good minute.  You will be able to tell if your child is thinking or formulating a reply.  Sometimes we think that lulls in a conversation are awkward or even incorrect - but they're not!  Especially with younger children.  Some children have slower processing speed and they just need MORE TIME.  Some children might have difficulty coordinating the movement required for speech (such as apraxia).  Some children take time to process what the actual question was.  For these reasons and many more - remember it's okay to wait.

Show them that it's okay for them to think about their answer and that they don't have to answer immediately.  Take off the pressure.  Smile.  Get down on their level.  And wait.  I'm not making any promises, but give it a try!  You might be surprised!