Tag: speech therapy

Announcements

Summer Speech-Language Therapy with Live Speak Love, LLC

Lisa Geary

It’s that time of year! Time to start making plans for summer, if you have not done so already. Live Speak Love, LLC is happy to announce that we are now scheduling appointments for summer speech-language services in the Hampton Roads, Virginia area. Do you want your child to continue speech-language therapy, but they did not qualify for Extended School Year services? Or maybe you are concerned with your child’s speech-language skills and do not want to wait an additional 60-90 days for an assessment after school starts in September. Why not schedule a comprehensive speech-language assessment this summer? Are you looking for a second opinion or consultation? Whatever your speech-language needs, Live Speak Love, LLC is happy to work with you to create an arrangement that suits you, your child and your family. Call today for information and/or to schedule an appointment!

Free Downloads, Language, Thoughts and Inspirations

Making the Most of Summer Fun: Language-Based Activities for Children & Their Families

Lisa Geary

With summer just around the corner, many parents and teachers are already making plans for summer fun. Do you need ideas for speech-language activities during the summer break? Read on!  Here are my top suggestions for fun, language-based activities that target communication skills in memorable ways.

Take a walk – A walk that incorporates language skills can be as simple as a stroll around the block, or as complex as an afternoon hike to a scenic destination. As you walk, encourage conversation by asking open-ended questions or observations like, “I wonder what this is!”  Take note (out loud) of things that you see, hear, discover and enjoy, encouraging your child to do the same. You could also create a game or scavenger hunt for your walk, prompting your child to search for and label objects using a picture checklist:

Plan Day Trips – Take trips to local beaches, parks, museums or amusement parks. These excursions are not only fun, but they give your child the gift of developing background knowledge, or schema – an important database of personal experiences that become essential for reading comprehension. Providing your child with a variety of life experiences gives them a broader vocabulary base and fosters personal connections to text and stories. These connections will prepare children for higher level skills as they are introduced to new reading material and participate in group discussions. Day trips are also good practice for language formulation, planning and organization skills, and they offer many opportunities to reinforce conversational behaviors, language use and comprehension. Here are some select visuals that target these skills:

Take a Road Trip – If you are planning a vacation this summer, take advantage of the many built-in opportunities to develop communication skills. Trapped in the car for hours? Resist the urge to “autoplay” your ride with DVDs or handheld electronic devices. Why not target speech-language skills with games that kids love and will very likely remember for years? “I Spy,” license plate games or find-the-alphabet contests all target verbal skills and a variety of language concepts. You could also create a Seek-and-Find activity for your trip, like this downloadable version: 

 Make a Treat – What activity is more rewarding than one that ends in a fun treat to eat? Simple recipes can target a variety of language skills and are a favorite with kids. Practice following directions, using descriptive concepts, sequential vocabulary and more with real tools and materials.  Here is a super easy treat I’ve made with my own children and students, with visual directions that allow for review after you are done:Go to the Movies – ‘The movies’ are not exactly the first thing that comes to mind when one thinks about fostering communication skills. How can sitting passively in a dark theater target speech-language goals? But let’s face it – many parents can become desperate to find an enjoyable activity for the kids on those stifling hot, lazy days of summer. Enjoying an air-conditioned theater for a two hour respite can be just what you and your child need. (For children with sensory issues that make trips to movie theaters a challenge, look for sensory-friendly movie times, like those offered in AMC theaters.) In addition to creating motivating content for future discussions and activities, movies also generate opportunities for language before and after your excursion. Decide with your child what you will see; where and when you will see it. After the show, review with your child the movie plot, characters and sequential events. Ask questions like, “What was your favorite part? Why?” to help your child formulate and support their opinions. Offer your own opinion, too! Encourage critical thinking skills by asking “why”  “how” and “what if” questions. Some families I know even keep a log of movies they see throughout the year, giving each movie a rating after a family movie discussion.

Schedule Playdates – Effective speech-language therapy often includes group sessions to promote socials skills and to create opportunities that reinforce generalization of skills. Foster peer interaction, interactive play, functional communication and other skills by arranging a short playdate. Around two hours is a good length of time for a get-together, allowing ample opportunities for play, exploration and a small snack. Offer a few summer activities (bubbles, balls, sand toys, etc) and encourage conversation/interaction, but do resist the urge to organize their activities. Children need time to develop play with each other and discover what is motivating or fun in the moment.

 Read, Read, Read – Reading with your child is one of the best activities you can do to promote language and literacy skills. Studies show that time spent reading with your child is the best predictor of overall academic success. The AmericanAssociation of School Librarians reported a study, (Wells, 1988) where researchers found that “the amount of experience that five-year-old children had with books was directly related to their reading comprehension at seven and eleven years old. Wells stated that of all the activities considered possibly helpful for the acquisition of literacy, only one—listening to stories—was significantly associated with later test scores.” Read more.

 Not sure how to incorporate language into reading? The U.S. Department of Education outlines things you can do to help your child develop language and literacy skills. Read more.

Whatever your plans this summer, do take time to engage with your child in real ways using everyday activities. For more ideas/activities that target communication skills, please visit my speech-language blog at LiveSpeakLove.

Articulation, Resources, Therapy Tools

Tricky Sounds: Correcting For Lateralized Airflow

Lisa Geary

I was recently asked to offer some advice about correcting for those tricky sound errors — lisps and lateralized productions of  the sibilants /s/, /z/, /sh/ and /ch/. If you are an SLP, you can probably detect a lisp or a lateralized /s/ on every affected public speaker, casual acquaintance or celebrity you have ever had the pleasure to encounter. My husband makes fun of me for the way my ears perk up and how the expression on my face clearly changes whenever we are listening to someone with an /s/ distortion. I suddenly have the urge to offer these speakers nonverbal feedback as we interact. Sadly, I can’t help it; it’s an affliction. Even if you are not an SLP and have no desire to cure the world of lateralized airflow patterns, you may be able to detect that something is not quite right in the way a person says their /s/ and /z/ sounds— the words come out sounding “slushy,” “sloppy” or even “garbled.” I once had a teacher tell me that their student with a lateralized /s/ sounded like he was “pretending to be a ventriloquist.”  This statement was actually not an off-target description. 

Lateralized airflow sound distortions are unfortunately some of the hardest to correct. While I am an SLP, and therefore, an “expert,” I do not profess to have any secret knowledge or special talent in correcting these tricky sounds. I have struggled along with the rest of you in finding ways to train for correct sound production.  I am happy, however, to share what has worked for me more often than not in the past fifteen years.

In my opinion, the issue of lateralized airflow distortions is two-fold, and requires training on both factors:

  1. Students do not have a correct tongue position for these sounds (and often the tongue position at rest is incorrect as well.) These sounds must be produced with the tongue elevated to meet at the alveolar ridge or surrounding area.
  2. Students do not have a correct frontal airflow stream (probably secondary to incorrect tongue position) . When the tongue is elevated at the alveolar ridge area, a slight groove is formed in which airflow is then directed in a stream out the front of the mouth. When the tongue remains low and flat, no slight groove in the center of the tongue is formed to direct the airflow out the front. The air escapes out the sides of the tongue and the distortion is produced.

Unfortunately, the tongue and airflow patterns are habitual and must be entirely retrained for correct sound production. Therapy on these sounds begins with ongoing student education for tongue position and airflow. I often begin with pure discussion and education using mouth diagrams, puppets, mirrors, and visuals. I then begin training with some oral motor tools or tricks like dots of icing on the alveolar ridge or other tactile feedback to elicit correct tongue placement. I have students practice in front of mirrors and watch me as well. My school  recently purchased these mirrors for my therapy room so that each student has their own for practice (great for preventing “downtime” while I give individualized feedback to other students in the group):

Once the initial training and tactile feedback has been provided, I quickly move into practicing target sounds in isolation and then in syllables or words. I use a variety of methods including verbal, visual and tactile strategies to help students train for correct placement and airflow. I have visuals for each target sound that offer descriptions so students can more easily remember the placement and manner of the sounds. I usually start by targeting /s/ in isolation, though I do not believe that this sound is scientifically proven easier to produce than any of the others. I just personally find it easiest to elicit, especially when introduced as “the sneaky snake sound” and paired with different snake games/activities. Every therapy session I conduct is structured to include education, discrimination, direct training, and then practice (often using  games or other motivating activities) to target sounds in isolation, syllables and words. These activities all include the following visuals (or similar.)

Below is a visual that introduces each sound and gives them all a “name” to represent sound attributes in some way. At the bottom of this visual is a three-step process chart that helps to elicit correct placement and airflow. I have had very good success using the cue “Teeth Together.”  This cue is something much more concrete and outwardly visible than the more elusive “tongue elevation to the ‘bumpy spot’ behind the teeth.” For some reason, tongue placement seems to greatly improve and inhibit lateral airflow when the upper and lower central incisors meet in front (not in a smile, though, which tends to drop the tongue and foster lateral airflow. Think “show your teeth” in a Lady Gaga kind of way.) Students can see their teeth together; they can replicate it easily, and for whatever reason, it often works when it is done correctly. Students are also trained to hold their hand or finger in front of their lips and feel the airflow as they speak. Sometimes this trick is enough to elicit the frontal airflow pattern and progress is made quickly as the student has built-in cues and biofeedback wherever they go!

Another visual I like to use is this discrimination tool that can be used both with the student listening to modeled productions or when producing on their own. The clinician can provide the feedback using the visual, or the student can self-evaluate their own productions:

 Students are encouraged to practice their sounds on their own using their hand as a self-cueing strategy for frontal airflow detection:

As we move into practice using syllables and words, I select the syllable or word targets to specifically shape and elicit correct tongue placement. I choose syllables and words using vowels that are produced higher in the mouth (usually /i/ and /u/) to move away from the low, flat tongue patterns used in /a/ or with a schwa. I also vary the position of the sound in the word or syllable:

Another way I elicit correct tongue position is to shape sounds across word boundaries using alveolar sounds that the student has already mastered. Here is a visual I use with students to shape the /s/ from /n/ across preceding and subsequent word boundaries:

As a student becomes more independent, the same pictures can be used to create sentences for practice at a higher level. My go-to games are often open-ended game boards, commercial games or interactive activities that can be paired with specific stimuli or picture cards using the currently targeted sound or sounds. I also use barrier games or student-led activities with a focus on peer feedback to encourage generalization to other settings. I often have peer partners that will develop their own nonverbal signal to prompt for correct placement or airflow.

Above all, a student needs to “buy in” to the training and practice their skills in other settings. This is why all of my speech therapy sessions incorporate the pieces of education, discrimination, targeted training and practice. If students are reluctant  to practice or do not self-cue or self-monitor, then progress will likely be much slower. Systematic training in tongue placement, frontal airflow stream,  how to self-cue and monitor, and how to practice are essential components of a treatment program for lateralized airflow sounds. The treatment program may seem endless some days as you train and educate, but eventually, most students “get it.” I consider my work with these students just as important as my work with nonverbal or language-delayed students and I applaud those of you who work tirelessly to improve communication skills on any level. Good luck with using these techniques, and I’d love to hear if there is something else that has worked for you. Please share — it’s exactly what I love about the internet!

Articulation, Holiday Theme, Language, Open-ended, Resources, Seasonal, Technology, Therapy Tools

Valentine’s Day Activities

Lisa Geary

I stopped at the store today to buy goodies and cards for my own kids to give their friends on Valentine’s Day. Our home is now equipped with pre-made cards and card-making supplies (for one child with a bit of artistic ambition,) treat bags and several kinds of candy doused with liberal amounts of pink and red. We are just days away from the holiday, and almost all of my kids are getting pretty excited. (Did you know that middle schoolers are now “too cool” for Valentine exchanges, even casual ones under the pretense of spontaneous candy-sharing?? Hmmmph.)

I am not necessarily a huge Valentine’s Day fan, but I do enjoy the chance to mark the swiftly passing days with entertaining, theme-related activities and the chance to celebrate with the people around me. I have popular, favorite Valentine’s Day activity set to share.

Valentine Bingo Boards – The term “Bingo” is used loosely, due to the fact that I use games like this to target almost every speech or language skill possible before we actually get to any of the “Bingo.” During a typical game, each student’s goals are addressed through differentiated activities involving speech production, identifying vocabulary given verbal descriptions, sentence formulation to respond to wh questions about vocabulary, or following simple and multi-step directions using unique ways to mark the square (no Bingo chips or dotters in my groups…we usually mark our squares by following directions like, “Draw a blue square next to the valentine card.”) We also use related vocabulary to highlight critical attributes and identify similarities and differences. Children often spontaneously share background experiences with the theme-related vocabulary and we take a few minutes to “turn and talk” to relate a past event or experience to a peer or peer group. What might look like a simple “game” to the casual observer is unquestionably a language-rich, engaging experience with opportunities for differentiated instruction tailored to meet multiple learning styles. Made with Boardmaker software, Bingo Boards are cinch to replicate for multiple versions using the “shuffle” tool. This 14 page set includes six unique Bingo Boards (all containing the same words, but in different positions). The set also includes 6 black and white Bingo Boards for students to color themselves, as well as a page of colored calling cards (I live to print two sets of the calling cards and then I also have an instant matching/memory game!). Enjoy this activity set, and feel free to let me know how you used them!

https://www.teacherspayteachers.com/Product/Valentines-Day-Bingo-Activity-Set-7703306
Articulation, Free Downloads, Language, Resources, Therapy Tools, Thoughts and Inspirations

The Power of Paint Chips

Lisa Geary

Most teachers, SLPs and parents know that the internet is packed with creative ideas for turning regular, ordinary items into useful tools and treasures. If you have spent any time on Pinterest, you may have a sense for just how crafty people can be in their DIY endeavors. Something I recently discovered. more than just clever or cute in its purpose–with aesthetically pleasing qualities, combining with elements of function and organization to create an invaluable visual aid– paint chips. The power of paint chips is pretty exciting to a visually programmed SLP like myself, with a love for all things crafty and colorful.

Using paint chips to create treasures is apparently as basic as scribing a single character with a magic marker, or as complex as combining mixed-media techniques to fashion an abstract expressionistic design. Etsy is filled with ideas for creating home decor, gifts and other designs using…yes, paint chips. Here are some of one crafter‘s clever projects:

PediaStaff explains the word family game that can be used in a variety of educational or therapeutic activities. Extending the idea they describe,articulation therapy tools could be created by changing the “word family” unit to target sounds in the initial or final positions of words (e.g., words that end in /k/ or words that start with /b/.)

Inspired by finds like these and others I’ve come across on the Internet, I decided to adapt helloliteracy‘s idea of using paint chips to increase vocabulary and word knowledge skills:

Teachers in my school have been reading and discussing a book, Donavan’s Word Jar, with students daily as part of a school-wide initiative to increase vocabulary use and comprehension. I have been working with many of the teachers by recommending developmentally appropriate words on which to focus, as they expose and incorporate higher-level synonyms into everyday classroom vocabulary. The paint chip idea clearly became the perfect tool to jump in on this initiative and reinforce word knowledge, word relationships, and synonym usage. I soon trekked eagerly to my nearest hardware store and made a slow, casual approach down their paint chip aisle. Seeing the spread before me, I wanted to grab handfuls of every luscious, vivid color. Unfortunately, frequent glances from the staff member at the paint counter, combined with the guilt I felt at the idea of taking items meant for customers actually buying paint…I chose only twelve strips and silently vowed to shop at that very store the next time I found myself in the market for paint.

Using the coveted, colorful strips and PECS symbols created with Boardmaker software, I created a visual display, a Synonym Word Wall which I titled, “Color Your Words With Shades of Meaning.” I hung the display outside my therapy room where students  frequently pass while traveling through the building. I’ve seen and heard many students already reading the word wall and commenting on how the colors and words “match” as they “change a little.” Students who come to me for therapy are excited to arrive and label the pictures they see, identify colors, or list synonyms for basic words.

Reflections on paint chips and their many applications randomly appear in my mind throughout the day and, admittedly, the night (isn’t that what all busy moms do — lie awake at night and make mental lists of everything that deserves more attention?) I envisioned paint chips used as pacing board activities, phoneme segmentation , multi-syllabic word production, formulation of 3-4 word utterances, topic boards, visual process charts, graphic organizers for sequencing and story retell….can you SEE why I am so excited about rows of gradient, colored squares??? I also wondered (possibly out loud) if there are ways to obtain paint chips without feeling like a shoplifter. Obviously, asking the stores for old paint chip samples could work, or possibly scouring yard sales and second-hand stores in hopes of finding old paint chip books. With neither option really fulfilling my desire to use these paint chips -RIGHT NOW- I decided to make my own. You could easily make your own too, in whatever shades you desire using one of the many graphic programs available. I quickly made a sample using Boardmaker software tools, and converted the file to a PDF.  You may download the sample for free and enjoy the technological advantage of digital paint chips. Add your own text, clipart, visual prompts, etc. to create the exact activity or tool you need:

Digital Paint Chips - FREE Download

 
Feel free to share your ideas for other ways to use this tool in your classroom, therapy room or home. I would love to hear how others are using re-purposed goods like paint chips. Thanks for checking out LiveSpeakLove!
 
Lisa, SLP obsessed with colorful, pretty things 🙂
Assistive Technology, Free Downloads, Language, Resources, Technology, Therapy Tools

Communication Temptations

Lisa Geary

Here it is…the NUMBER ONE question I get asked as a speech-language pathologist….

“What can I do at home to help my child learn to communicate?”

A perfect question to ask! Speech-language therapy is important, but often people underestimate the importance of what occurs after little ones have left my room, when the speech supplies are packed away and I am at home resting (righhhhtt!) What occurs outside of the speech room that can help kids learn to communicate?  TEMPTATION.

Temptation is a pretty incredible motivator. Have you ever been tempted by a piece of chocolate cake? Or another few minutes of snoozing after the alarm yanks you out of a perfect, deep sleep? Maybe a more-than-accidental look at that reality t.v. show that adds nothing to your intellect but is so mindlessly enjoyable? Ok, clearly I am bringing my own background experience into play to illustrate a point, but nonetheless…temptation causes you to think. To act…to react. Temptation is motivating and at times pretty powerful (I admit, visions of that chocolate cake are lurking in my brain as I highlight this concept.)

For a child, communication temptations often bridge the gap between “I’m getting by ok with things the way they are” and “I need to let someone know I really mean business here!” Parents are often surprised and a bit embarrassed when they realize how many opportunities they miss to “tempt” their language-delayed youngster to communicate. As a mom, I recognize how easy it is to let these opportunities slip by us. We know our children better than any other people on the planet. We are in tune to their every need, mood, curiosity and disappointment. It’s only natural to anticipate what our child wants or needs, and help them get it. But communication temptations can provide gentle motivators to express those wants and needs, and have a huge impact on a child’s functional communication.

As an SLP, I regularly build communication temptations into therapy sessions, starting right at the door to my therapy room. The door stays locked, and “opens the door,” if you will, to allow some natural communication to occur. Requests for “open” and “help” can be elicited, or for higher-level students, answers to questions like, “What do we need to unlock the door?” or “Look through the window, at the table…what do you see inside?”

Once inside, I often employ a few favorite “tools” to tempt students to communicate. I love presenting therapy activities encased in a closed bag or box (I’ve even been dubbed, “Bag Lady” before, due to the bags I often use in therapy…usually accompanied by piggy-backed tunes with lyrics I “write” as we discover items and reinforce language concepts. Music, by the way, is also a great therapy tool and does not need to be sung well to be effective…I will save that topic for a different blog entry!)

Anyway, hidden materials invite children to make guesses, to make requests, to watch closely as items are revealed. My favorite items to create further temptations include containers with tight lids, wind-up toys, building-block toys and cause-effect toys.

Wind up toys are a great way of getting students to direct action and make requests. More, stop, go, my turn, and help are functional words that go hand-in-hand with wind up toys (that can be difficult for a child to wind on their own.) I even have a broken wind-up toy that is great for eliciting language in developing communicators (Uh oh! What’s wrong??  Oh no! It’s broken. The toy is broken!  Need help!) If we get the toy working, we can excitedly shout things like, “Yay! Go, Go, Go! Here we go! The toy can go!”) Simple? Yes. Effective? Definitely.

Containers are another great therapy tool. Clear, acrylic containers filled with colorful objects are very motivating when presented to a curious child. They can’t wait to reach inside and…oh, wait — the lid is stuck. They need help. They want you to open. They want the lid off.  Containers are very motivating when students can see what is inside but they have a hard time accessing it. Here is a fun container I recently discovered. It’s a Michael Graves container from Target that opens by squeezing a butterfly clip on the top of the canister (read: difficult for kids to do on their own!):

Other favorite therapy tools are things like bubbles (with lids tightly closed,) toys that produce sound or light when activated, and toys that have pieces that build/go together (e.g., train tracks, housed in tightly-sealed containers!) Throughout a play session, students get repetitive practice making verbal requests (help, more, turn,etc.,) directing other people’s actions, labeling actions (stop, go, pop, open, etc.) and communicating their ideas as they explore and play. Language modeling, expansion and stimulation is built into the play, with instant reinforcers for any communication attempts.

To support verbal language or for use with nonverbal students, I often use communication boards (made with Boardmaker)  using core vocabulary words that convey a variety of language functions. These same words are a focus when used on a voice-output device. The word combinations that can be modeled using these few words are quite numerous:

Functional Communication Board - Download

Helping students acquire functional communication skills is very rewarding. Progress can be made quite quickly with the right set of motivators and expectations. I may be the “Bag Lady” who plays with toys for a large part of my day 🙂 but what is more tempting or motivating than a bag of fun? And what is more fulfilling than helping a child learn to communicate their basic wants, needs and desires? Not even a piece of chocolate cake can top that experience!