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

It’s Fun and It’s Free!

Last week the blog focused on creating schedules (If you didn’t get a chance to read it, feel free to do so now, we’ll wait.).  This week we will mention some of the fun and FREE opportunities in the Greater Cleveland Area you might consider adding to your schedules.

Our area libraries are a treasure trove of fun, educational and for the most part FREE activities to fill the days of summer. Don’t forget for older children – most schools assign summer reading projects, inquire if the library is running a special group specific to your school’s summer reading.

Cleveland’s Metropark system is amazing and offers so many activities for young and young at heart. Besides the free concerts throughout the area, the Cleveland Zoo is FREE on Mondays!

Recess Cleveland is offering a free and fun event every Tuesday through the month of June!

Cleveland Public Square offers free events throughout the summer! Of particular interest is the Summer Splash. This free, family event in Cleveland Public Square is designed for children 2 to 10 years old. It takes place every day of the week from June 1-August 31 from 11am-4pm.

Great Lakes Science Center is offering FREE admission on June 23rd!

Let’s not forget the many FREE festivals throughout the area this time of year!

There are many adventures waiting for you and your loved ones! Pick one or twenty and prepare to share wonderful experiences together!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Plan for the Day

note book with daily routine

It’s finally here…. JUNE!  Days are longer…much longer. Weather it warmer…. much warmer. Everyone is home… school’s out…..everyone’s home…. all day.  Did we mention the days are longer?

While June ushers in a time a carefree days and weeks, pay attention to just how important a daily routine (dare we say schedule) is for your loved one’s success, ease of mind, and ability to manage behaviors.  

“But we just finished a school year worth of schedules!”

We hear you, but these summer routines and schedules are a lot less time specific.  Summer routines and schedules make the ‘unknown’ day more concrete. They also provide the adults with a reminder or recap of the day.

Resources for creating schedules are available online.  Use simple pictures of places and events or if your loved on is literate, use text.

There are many different types of set-ups for schedules or routines you might want to consider.  Ultimately, create a combination of different types that suits your family’s needs best.

Object schedule: Using objects that represent the events throughout the day may give your loved on the visual support needed to easily transition from one activity to the next.  This also provides a concrete explanation of the expectations throughout the day so there is no ‘arguing’. It’s so much easier to ‘blame’ the schedule for completing a non-preferred task. “I’m sorry, but the schedule says it’s time to clean-up. Check the schedule.”

Picture schedule: Simple clipart pictures or actual photos can serve as  visual reminders for the schedule or routine of the day.  Providing a method of indicating the event is complete provides a very concrete message for your loved one.  Some suggestions to show an event is complete include turning the picture over, removing the picture from the schedule, or placing a check-mark next to the picture.

Text Schedule: If your loved on is literate, consider a simple checklist for the day’s events or using a white boards to catalogue the schedule for the day. These types of schedules can include exact times as well as specific locations.

High Tech: If your loved one is more comfortable using a ‘smart’ device, consider using the calendar built in to the operating system or a daily planner app (free ones are the best when trialing this support). Work with your loved one to set up the calendar, make sure to include alarms or notifications for each event. Using a ‘shared’ calendar provides everyone the flexibility to add or change items accordingly.  

 

Providing visual supports and schedules to loved ones gives everyone the opportunity to enjoy the lazy days of summer more successfully and with much less stress.  The speech-language therapist at Lakeshore Speech Therapy, LLC will be happy to provide more ideas and assistance with developing visual supports specific to your loved one’s needs.

 

Yours in Speech,

Lakeshore Speech Therapy, LLC

In Anticipation of Summer

Last week of April – hard to believe how quickly this year is flying by. Many schools will be out for the summer in one month and the lazy hazy days of summer will be upon us.  There is still a good amount of time to get to those warm sunny days.

Anticipation …. so exciting … so nerve wracking …. so the cause of many behaviors.  Anticipating something good or something less pleasant can set a loved one down a path of unexpected behaviors.  Anticipating the end of the school year, the beginning of swim lessons or the change in schedule can really affect behaviors more than one might anticipate, especially if communicating is difficult for an individual.

Creating a plan, anticipating the anticipation, may result in a more positive transition for you and your loved one. Here are a few tips to consider.

  • Timing – be aware and truly plan out how much in advance you will mention or discuss a change.   Consider the end effect on your loved one when determining how far in advance to share information.  A trip to a major amusement park, while exciting, if shared too much in advance could result in your loved one being fixated on this information for weeks or months.  Springing summer camp on your loved one the morning of the first day, may result in a complete melt down or increase in negative behaviors.
  • Making everyone aware – Make sure everyone who is aware of the change knows when or if your loved one will be made told.  The people around your loved one need to also know your game plan for revealing the change or event. Well meaning family members and friends may ask your loved one direct questions about the change or event before you have had an opportunity to execute your plan. This is definitely a ‘surprise’ you and your loved one do not need to navigate.
  • Create a tangible ‘count down’ to the event or change – Your loved one may need the ‘count down’ to the change or event to be very visible and presented in such a way that they can access this information independently.  Sharing a specific date or time or simply saying “Later this summer.” may be too abstract and create more anticipation (and perhaps behaviors).
    • Use a calendar with the date of the event well identified (stickers, arrows, pictures) and have your loved one cross out each day to the event.
    • Create a count-down chain .  Each day, your loved one removes a link of the chain, visually getting one step closer to the big event or change.  You can use clothes pins or paper clips or any item you can link together to create the chain.
    • Create a simple social story that explains the event and when it will occur.
  • Give your loved one the language to communicate – make sure to include a way in which your loved one can make comments or ask questions about the change or event.  Make a simple communication board with pictures or photos.  Think about the phrases your loved one might want to express:  “I’m excited” (use a picture of excited), “I can’t wait.” (use of picture of a clock or watch), “Tell me again.” (use of picture of talking), “Who will be going?” (use a picture of a silhouette of a person), “How much longer.”(use of picture of a calendar), etc.

A little up front work on your behalf could really make a huge impact when helping your loved one adjust, plan and anticipate a change or up coming event.  Mention this to your speech-language therapist, she/he will be happy to help.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Beginning to Bloom

spring flowers blooming in the yard

Spring is springing and hopefully will be sprung sooner than later. Flowers are blooming and the dreary colors of Winter give way to the beauty of Spring.

Flowers are not the only thing blooming this time of year.  Everyone’s mood begins to bloom and change as the weather makes its way from cold and dreary to warm and beautiful.  Sometimes, loved ones (young and old) experiencing difficulty identifying these moods, let alone being able to talk about them. Being aware of and identifying one’s emotions is very complex and higher level language skill.  There are techniques and supports that can be put in place to help your loved one better comprehend and identify his/her moods and emotions.

Start by making emotions/moods more concrete.  Use simple terms to label and explain emotions/mood. This doesn’t mean limit the vocabulary used, rather choose the vocabulary based on your loved one.  Happy – sad – mad – tired – frustrated are good ones to start. When a loved one is experiencing a specific emotion, let them know what it looks like, feels like, and sounds like.  If your loved one is in a particularly happy mood, tell them. “You are smiling and laughing. You are in a happy mood!” “Your hands are balled up in a fist. Your face looks tight. I can tell you are frustrated.” You may want not want to do this every time a loved on is mad or angry as it may make the situation worse, however a simple “I know you are mad.” may be enough.  Your loved one will begin to realize and connect how their emotions are communicated and may begin to use the language versus the physical reaction to share their emotions.

Older children need to be made aware of their emotions and ways to better communicate those emotions.  Help your tween or teen focus in on the facial features associated with different emotions. This helps to not only make them more aware of their own emotions, but tune into the emotions of others.  A game of ‘Emotions Charades’ makes not only for a fun family game night, but a safe way to practice these skills. The Feelings Game and Matching Emotions are  free online resources that may also be of interest to you and your loved one.

Enjoy the blooming of the new season as well as watching your loved one bloom.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Lakeshore Speech Therapy Summer 2019 Programming

Every summer, we at Lakeshore Speech Therapy work to provide our clients and families with programming that meets everyone’s needs.  This year we are excited to offer programs for everyone from toddlers to teens. Please take a moment to see all that we have to offer.  Share this information with friends and family that may benefit from these amazing programs.  As always, please share your ideas for future programs.

Yours in Speech,

Lakeshore Speech Therapy, LLC

 

Testing..1, 2, 3….Testing

The end of March marks the start of the ‘testing’ season for student’s in the elementary, middle, and high schools. These high stakes tests are stressful for everyone, but imagine the stress your loved one might be experiencing knowing these tests are looming in the near future. Your loved one may appear more irritable or extremely giddy. Your loved one may want to sleep more or have more energy than you’ve ever seen. You may be eaten out of house and home or begging your loved one to eat just something. Stress looks different on everyone, but what is a parent or caregiver to do?

Breathe.

Helping your loved one cope with high stress situations is a life lesson that will span the ages. Helping your loved one not only cope with the stress, but providing much needed relief can make these days and weeks less ….. stressful.

You know your loved on the best and can probably tell their stress level just be the look in their eye. Unfortunately, being able to relieve that stress may take more convincing and patience on your part.

Create a ‘stress-less zone’. Make a special corner of a bedroom or living room the ‘stress-less zone’. A comfy pillow and cozy blanket may be the needed tools. Consider some music (some students prefer the louder the better rather than quiet music) and lighting (dim or bright) as the invisible walls of the ‘stress-less area’. Aromatherapy may be an option to add to the stress-less zone. Expensive oils may or may not be needed; consider an old t-shirt with familiar perfume or cologne on it or a stuffed animal with powder on it – any smell that is soothing to your loved one.

Create a ‘crash zone’ for your loved one. An old mattress or gym pads on the floor or a mini trampoline may provide just the place to for your loved one to ‘crash’ into at the end of the day. Old school blow up punching doll or an actual punching page may prove to be effective tools to de-stress. A few empty cardboard boxes that can be stomped and crushed may also be great additions to this area.

Create a ‘silent zone’ for your loved one. An area that is void of all stimuli. An area in the corner of a closet may be just the spot to recenter and decompress. Make the area as simple as possible with a mat or a single pillow. Remove as much visual and auditory clutter as possible. A place where silence is truly golden.

Create a ‘zone’ for your loved one that is combination of the few mentioned here and those that you know work best. Take the time to designate the space and materials to creating these ‘zones’. Your loved one may not be able to express how much it is appreciated or how they enjoy their special zone, but you will know by the look in their eye.

Yours in Speech,
Lakeshore Speech, LLC.

Imagine…Create….Language

We are a quarter of the way through 2019 already!  Hard to believe how fast time flies…..especially when you are having fun.  March ushers in a month of leprechauns and basketball and the strange time of year when it’s still not warm enough to go outside but staying inside isn’t the best option either. It’s that time of year when ideas and creativity to keep our loved ones engaged and busy don’t come as easy as they did a few weeks ago.

We have your back and hope our ideas spark new life into your family’s March schedule.

Introduce basic S.T.E.M. activities like making your own bubbles or making your own robot.  Spending time to create opens the door for imagination as well as language. You don’t need to be a computer programmer to build your collection of S.T.E.M. activities.

  • Idea #1: Build a Robot
    • Collect different boxes, toilet paper tubes, plastic containers, etc.
    • Grab a few rolls of tape and string or yarn
    • Create a ‘problem’ that requires your loved ones to have to make a robot to ‘fix’ the problem. Problems like too many socks are getting lost in the wash or nobody knows when the garbage is full.
    • This activity will work on helping your loved ones better understand directional and location concepts, follow directions, ask for help, name items, work with others, share, etc.
  • Idea #2: Practice Continuing Patterns
    • Collect different dried foods – pasta, beans, cereal, dried fruits
    • Create patterns (basic to complex) and have your child continue the pattern
    • Flip roles and see if you can continue the patterns
    • This activity will work on helping your loved one with sequencing tasks, vocabulary, patterning, following directions, etc. – skills needed to master math and language goals.
  • Idea #3: Build a Roller Coaster
    • Collect paper tubes from toilet paper, paper towels, and wrapping paper, tape, and marbles or small toy cars.
    • Explain to your love one you are going to create the next big roller coaster for the summer!
    • Tape together some tubes, cut other in half and create a roller coaster to go in your cardboard amusement park!
    • Use a marble or small toy car to test out your coaster!
    • This activity will work on helping your loved one with shared attention, vocabulary, directional concepts, following directions, listening, taking turns, etc.

Your S.T.E.M. activities do not have to be complex or expensive.  Play with some of these ideas and if you and your loved ones create a masterpiece, share it with us on Facebook!

Yours in Speech,

Lakeshore Speech Therapy, LLC

Communicate Love All Year Through

February – the month of love; loving and caring for our family, our friends, our significant other. Don’t keep the love only in the month of February. Life gets in the way of the best plans. Set a small goal for you and your loved ones to communicate how much you love and appreciate each other (and others) on a more regular basis.  

The suggestions made for wishing others a Happy Valentine’s day can be incorporated throughout the year.  Change the message (ie: Get well; Have a great day; etc) or just sending love, not only helps your loved one practice communication skills but strengthens the bond between the well wisher and the recipient.

Start the ‘Star of the Month’ in your house.  Choose one person – start with YOURSELF – and share some information your family may (or may not) know.  Pick a special time – after dinner, during dinner, before bed – for the ‘Star’ to communicate a special something.  The ‘Star’ can share favorite foods, places, colors, animals. The ‘Star’ can share a favorite memory or story. For loved ones that communicate using alternative means, use a basic communication board or basic signs to share this information.  Use a family picture to communicate a favorite story or memory. Use labels from favorites foods to communicate that information to the rest of the family. The ‘Star’ practices communicating effectively and everyone learns more reasons to love and appreciate the ‘Star’.

Communicate love and appreciation at lunch.  Put a ‘love note’ to your loved ones lunch boxes, backpacks, or briefcases. A little reminder mid-day that someone is thinking of them and wanting their day to be special.  These ‘love notes’ do not need to be complicated or even in written form for that matter. Search for and print out pictures of favorite cartoon characters or superheroes and just put them where your loved one will see them.  Blot lipstick on a piece of paper and send a ‘kiss’ to your loved one – no words necessary. Cut a napkin in a heart and/or buy special character napkins to include in lunches every once in a while.

No matter your age, communicating a simple ‘I’m thinking about you’ message makes the day better and brighter.  

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Express your love!

February – the month of love; loving and caring for our family, our friends, our significant other.  Everyone needs a little help now and then. Helping our loved ones express themselves is important in February and all year through. Expressing one’s self cannot be limited to talking.  Expressions of love come in variety of shapes, colors, and sounds. Give your loved ones the opportunity to express and communicate with the world.

Opportunities to communicate happen every minute of the day, knowing the best or most effective way to communicate may take some practice.  Give you and your loved the time to practice. This practice doesn’t have to take long or even have a lot of ‘moving parts’. Valentine’s day is only a few days away, what a wonderful reason to practice and share your loved one’s communication skills with the special people in their lives.  Here are a few ideas to get your creative communication juices flowing.

  • Teach your loved one the sign for “I love you”.  Remember to teach those in your lives the sign as well so when your love one signs “I love you”, the recipient will understand that wonderful message.
  • Use a speech bubble and write a Valentine’s message in the bubble or a simple heart cut from paper.  Have your loved one hold the speech bubble or heart and snap a picture. Whose day won’t be uplifted receiving that message via text or email?
  • Using pink or red lipstick/chapstick, have your loved one decorate a Valentine with lip prints by having them kiss the paper.  Not only is this just adorable, but it’s a GREAT oral motor exercise for speech.
  • Simple communication boards or pictures are also a great way of communicating. Making a video of your loved one creating a message and send it out via text or email will definitely brighten the day!

Let the world hear your loved ones message loud and clear this Valentine’s Day!

Yours in Speech,

Lakeshore Speech Therapy, LLC