Teletherapy Tips for Families

drawing of therapist performing teletherapy

As we are all beginning to adjust to teletherapy as well as online or elearning, we thought it best to share some tips to make you and your loved ones time in therapy, albeit significantly different than ever before, more successful. 

  1. Count on some sort of technology failure – if you count on the fact that the mic won’t turn on or your wifi will be running slow, you won’t panic when it does happen.  If there is a technology failure (on your side or on the therapist’s side), the first thing to do is breathe. Next calmly begin to troubleshoot. Prior to the appointment, you may want to trial the mic and speakers on the device you intend to use for therapy.  If your bandwidth on your wifi is slow, as those in your home to stay off the network or not engage in activities (streaming videos) that use a lot of bandwidth. If the session can’t happen, you can reschedule. Flexibility is key.
  2. Create a “Therapy Space” or designate a “Therapy Space” for the duration of the session.  You may want to create a ‘Therapy in Session’ sign with your loved one and hang it on the door of the room you are in for the session.  If you will be in a shared living area, you may want to consider the use of a headphone and mic combination. This will decrease the amount of background noise your loved one will hear as well as the therapist. Consider scheduling therapy at a time when others in your family would be napping or engaged in more quiet activities as well.  Creativity is key. 
  3. Count on staying with your loved one for the onset of the therapy session. For individuals that may need support to pay attention, consider this time extra snuggle time.  Have your loved one sit on your lap or very close to you during the session to help guide her/his attention to the therapist. This is time for your loved one to receive the critical therapy services needed as well as a time for YOU to better understand the techniques used to elicit specific behaviors, actions, and sounds from your child.  Teamwork is key. 
  4. Listen to the therapist and therapy session.  Remember, this is your loved one’s therapy time, not necessarily yours.  While it may be hard, refrain from answering the therapist’s questions for talking for your loved one. You may consider the situation/task that the therapist is asking your loved one to do is too difficult, but creating these situations to ‘push’ your loved one to the next level is necessary in progress towards mastery of goals. Trust is key. 
  5. Carryover of all the new skills learned during the therapy session (both for you and your loved one) is extremely important for everyone! You will have new skills to support your loved one as he/she works on speech-language skills.  Share what you have learned with others in your family. Help everyone realize the necessary supports to help your loved one succeed. Practice is key. 

Keeping in mind the importance of flexibility, creativity, teamwork, trust and practice will ensure your loved ones success with this different approach to speech-language therapy.  

More information about the telepractice services offered at Lakeshore Speech can be found at www.lakeshorespeech.com/telepractice or by calling 1-440-417-4190.

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Hope in the New Year

Happy New Year!  It’s a new decade filled with hope! Hope for a year filled with much health and happiness! Hope that the closets will organize themselves!  Hope that somehow, someway tiny building blocks will no longer find themselves in the path of an adult walking barefoot. Hope that dinner will be made and eaten without issue.  Hope, hope, hope! 

Hope is what keeps us all moving forward.  Setting goals or evening having ideas of what hope can bring to the New Year is expected at this time of year; so long as this hope isn’t a disguise for bringing the feeling of failure to the New Year as well. 

Sessions with a Speech-Language Pathologist is filled with the promise of hope and belief in your loved one.  Your therapist believes in your loved one and his/her language potential all the while continually promoting your good work at home and navigating the developmental process to guide you all towards mastery and success.  Walking out of a therapy session, you and your loved one should have a renewed feeling of strength to continue working on the specific skills, techniques, etc. until you see your therapist again. 

Cheers to the New Year filled with much hope, happiness and health!

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Sensory Sensitive Holiday Fun!

December has arrived and as with every year, it seems as if the calendar speeds up during this festive time.  Packing in all the shopping, decorating and taking in the holiday fun can seem overwhelming. The elves at Lakeshore Speech Therapy took a little time to compile a one stop list of events in the Northeast Ohio area that are sensory friendly.   These events are not only sensitive to the amount of unnecessary smells, sounds and sights, but often the pace of the event is slowed as well as those ‘working’ the event have been given some information on how to best engage with individuals with special needs.

We hope you are able to take a few moments and enjoy these events with your loved ones. 

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Revving up the holiday season!

The holiday season is revving up to get ready to roll.  While we acknowledge there are significant stressors for you and your loved ones at this time of year, we could also consider the stress and comfort of extended families and friends. It is not your job to do everyone else’s job, however, taking a few moments to realize the impact you and your loved ones have on others could make family and friend gatherings more enjoyable for everyone. 

Providing information about characteristics that are unique to your loved one, may create a more tolerant and understanding environment.  A simple phone call, text or email to the host or hostess the explain those ‘quirks’ that you and your immediate family may not even notice.  For example, let the homeowner know if your loved one needs to see all the bathrooms upon entering a new location or if your loved one may go around the home and close all the doors.  

Help your extended family and friends better understand your loved one’s form of communication.  Share his/her successes and any ‘triggers’ that may exist (ie: asking more than 3 times to clarify a phrase or word).  Provide a few simple tips for the best way to engage your loved one (ie: asking yes/no questions or asking questions about the here/now vs past/ future).

Anticipate situations that may prove to be very stressful not only for you and your loved one, but the host/hostess.  Communicate that you may be bringing a different meal for your loved one to enjoy vs eating the traditional meal. Share that your loved one may take a ‘break’ during the meal and what that can be expected (ie: your loved one may need to take a  break in a room where you can guide your loved one to quiet area).

Open and host communication and preparation can create a setting where everyone enjoys their time together creating memories!

Yours in Speech,

Lakeshore Therapy Speech, LLC. 

Making a Self-Care Plan

All of the clocks have finally all been changed  (except for one, there is always ONE clock in the house that just never quite makes the cut and is never changed), the Halloween decorations have been put away and what is that sound? Silence. The calm before the Holiday Season frenzy.

Take a few seconds of this ‘down time’ to focus on realizing the importance of self-care.  Parents and caregivers of individuals with special needs typically do not stop to worry about themselves. Not only is this pattern unfair to your loved ones, but more importantly, it is not fair to Y.O.U.

Consider the five minutes it takes you to read this blog post as the start of your self-care routine.  Consider taking this time to make a plan for yourself. Give yourself the opportunity to refill your tank so you can cruise into the Holiday Season ready and rejuvenated.  

Yours in Speech,

Lakeshore Speech Therapy, LLC

Take Time To Celebrate!

School is officially in full swing across the country!  This too is the time of year where you may be receiving a lot of information related to your child’s development and skills in comparison to same age peers. Too often we lose sight of typical development, especially if our child is developing on their own time.  The information is shared in this blog not to make anyone feel bad about their child’s development or skill set, rather to celebrate those skills and provide clear information of what would be expected related to language development at the END of their specific school year. 

Your Child’s Communication Development: Kindergarten Through Fifth Grade

Ultimately, if your child’s skills are moving forward, regardless of the pace, he/she is making progress and there is much to celebrate!  Take the time to celebrate every small step forward!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Friday Night Lights, Coming Soon!

It’s almost impossible to believe that August has come and will be leaving in a few days!  Time flies when you’re running at land speed records in a million different directions. First day of school pictures have been taken and posted, ‘normal’ routine has started, and “Friday Night Lights” will soon be starting! Those “Friday Night Lights” can help build language as well as social skills more than you have thought. 

“Friday Night Lights” harkens memories of high school football, marching band, and hanging out on the bleachers with your friends.  Add adulthood and a family and “Friday Night Lights” might not conjure up the same warm feelings as it once had. Running to the restrooms, purchasing way too much from the concession stand and  listening to complaints of being bored or the seats are too hard…..ah yes, “Friday Night Lights”. Preparing your family for these evenings can only make those “Lights” shine brighter.  

Just like the football team, cheerleaders and marching band, your family ‘team’ needs to practice for the big night as well.  How do spectators practice? Read on.

Go to practice games and rehearsals.  Chances are the local middle and high school teams and marching bands are practicing daily.  Take advantage of these less formal settings to PRACTICE sitting on the bleachers. Take note of any  issues related to the bleachers (seats are too hard, sitting up high is scary, being able to see through to the ground is scary) to find the areas that are most comfortable for you and your family. Visit the restrooms. Locate the changing area if needed.  Bring your family members in to the restrooms to become familiar with these surrounds so there won’t be any issues when there are larger crowds. Experience the sounds of the practices to decrease being alarmed during a game. The whistles on the field, the marching band playing the fight song, the cheerleaders cheers, all of these sounds are new and can be very upsetting.  Help your family anticipate these sounds. 

Learn the lingo. If a family member is non-verbal, create signs that have simple messages – Go Team – to get them to be part of the fun.  Practice simple messages for family members with limited language – Go! – Fight! – Win! A football game is language rich.  Choose one or two words that will have the most meaning and practice at home and at practice games. 

Recognizance. Get the low down on your local “Friday Night Lights” game by making it a date night or going alone.  Take note of how crowded certain sections of the bleachers become. When the marching band plays (typically there’s a pre-game and of course the half-time show). Where the cheerleaders stand. If there is a mascot. And maybe the most important piece, what is offered at the concession stand. These pieces of information will help you to better plan and anticipate your family’s needs during the game. 

Concession stand mania.  So much of the game is about the food and rightfully so. Make a plan for how your family will make purchases. Make that plan very clear to everyone to avoid melt-downs at the stadium.  Create a snack board of the items at the concession stand (You have this information because you went to the game alone before.). Not only does a snack board provide a visual cue for everyone, put gives non-verbal members of the family a way to communicate their choice without play the ‘yes/no’ or ‘point and cry’ game. 

Set a time limit, initially. At the onset of the season, you may need to make it very clear when or how long your family ‘team’ will be attending the event.  You want to leave the game on a high note. Setting this parameter may avoid a melt-down when it is time to leave. Give a concrete time that may or may not necessarily be associated with the clock.  Because of your recognizance trip, you have the information you need. Give warnings prior to departure time (“After this song, we are leaving.” “When the cheerleaders finish we are walking to the car.”). Expand the amount of time you spend at each game you attend, if only by 10 minutes. 

Don’t forget, this is fun! Time together is the biggest victory of all!  Enjoy!

Yours in Speech, 

Lakeshore Speech Therapy, LLC

Sweet Dreams

Preparation for the start of a new school year is well under way for many.  As you may have noticed, the sun is setting a little earlier as we inch our way from summer into fall.  Late nights chasing fireflies and roasting s’mores gives way to sports practices, music lessons, and therapy sessions. There are many ways to begin to prepare you and your family for the inevitable change of schedule, none as important as remembering the critical role SLEEP plays in our lives.  Young and old, sleep is one of the more overlooked aspects of healthy living.  

Please take a moment and read through these two articles not only to understand the role sleep plays for children learning, but some techniques that make help increase your loved ones sleep (as well as your own). 

Children and Sleep

12 Sleep Tips for Kids with Special Needs

Sweet dreams!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Prior Planning Goes the Distance!

Changes in schedules and routines are completely expected if not expected.  As we approach the July 4th holiday, evaluating the changes in schedules and routines – PROACTIVELY – will provide for a much more enjoyable holiday experience for everyone! 

Last year, one of the blog posts was dedicated specifically to preparing for the July 4th holiday.  We invite you to revisits that post as the information continues to be ever important.  These proactive steps do not end with just the holiday. As you are devising your summer plans, it is helpful to be aware of the resources within different venues and activities that are designed to meet the needs of individuals with special needs.  

If you are visiting the Cleveland MetroParks Zoo, you should be aware of these services available to you and your loved ones.

Going to an Indian’s game at Progressive Field? Check out these resources and these and these. 

Headed to the Rocket Mortgage Fieldhouse?  You are going to want to be aware of this information.

And if your summer plans take you to Cedar Point, you definitely are going to want to read this information. 

In general, before you head off to any vacation or stay-cation destination, check with the facility to inquire of what materials and resources are available onsite to address the needs of individuals with special needs. 

Yours in Speech, 

Lakeshore Speech Therapy, LLC.

It’s All Routine

This month we’ve focused on schedules and free activities to fill those schedules. This week we are discussing routines and the importance of routines related to speech-language development.  Personal, familial, classroom, or therapy routines provide a framework of certainty. Within these routines are the skills and expectations that help to introduce and maintain speech-language skills, social pragmatic skills and increased independence with executive functioning skills.

Take a moment and replay your morning routine back in your head.  Do you brush your teeth before you wash your face? Do you take a medication right away or do you take it with your first cup of coffee? It’s easy to picture yourself completing your morning routine and if something is off, you know it immediately.

Routines for infants and toddlers provide a number of opportunities to practice important speech-language and social skills. Anticipating the steps, sequencing steps, learning the vocabulary associated with the steps are all skills infants and toddlers need to develop meaningful associations with language and action. Daily routines provide the repetition of vocabulary and actions leading to independent participation in these routines.

Routine for school aged children can provide a calming environment for anticipating activities as well as expectations throughout the day.  Similar to infants and toddlers, sequencing steps, learning vocabulary and making associations provides the foundation for increasing successful independence throughout the day.  Routines also give the child the opportunity to learn the expected behaviors and unwritten social rules in a repeat practice setting. Daily routines facilitate conversations between child and adult to specifically explain and model appropriate social and behavioral expectations.

Routines for older children and young adults create a setting where focus can be more on new skills and independence versus the actual steps.  These routines are not only part of the day, but provide the opportunity to increase independence and demonstrate expected behaviors and social skills which should be the focus of mastery for young adults.  Routines at this age also provide opportunities for increased independence imperative for vocational and secondary education settings.

Individuals who have tendencies to become rigid regarding implementation and execution of routines, such that any variation creates adverse behaviors need to have their routines continuously changed.   This does not mean the target task or activity needs to change, however change when the task or activity occurs. For example, night time routine might go tv time -change in pjs – brush teeth – book time – lights out. Consider changing to book time – brush teeth – change in pjs – tv time – lights out or some variation.  You know your loved one best and will be able to determine how often the change needs to occur.

If you have any questions or need a sounding board regarding routines, please reach out to your speech-language pathologist.

Yours in Speech,

Lakeshore Speech Therapy, LLC