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

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

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

Practice makes permanent!

Practice – 8 little letters that require discipline and dedication.  Practice – 8 little letters that can enrage and irritate the most patient of souls. Practice – 8 little letters that have a profound effect on a life.  

Whether you yourself are learning a new skill or are helping a loved one learn a new skill, the time and dedication required can feel overwhelming and insurmountable. Practice provides the opportunity to try and fail and start again. Practice is part of the journey NOT the end goal.

Practicing speech and language skills may seem unnatural as these skills, for some, come naturally when communicating and engaging with the world.  Without knowing it, children who are developing language are ‘practicing’ these skills every time they engage with a person, a friend, or a toy. Sometimes loved ones require practice on a very specific element of language, one that may easily be taken for granted.  Be it eye contact, sharing, anticipating, or requesting, these skills may need practice toward mastery of communication.

Practicing communication skills should become a natural part of the day. Incorporating the practice of specific skills throughout the day may require a little planning, but eventually will become second nature. Clearly identify where and when the ‘practice’ could occur helps to create a less stressful and meaningful event. Start with a very manageable expectation, not only for your loved one, but yourself and eventually increase the expectation in small increments.  You will amaze yourself at how quickly these skills improve.

While the saying goes, “Practice makes perfect.”, a preferred saying is “Practice makes permanent.”

Yours in Speech,

Lakeshore Speech Therapy, LLC

Play Time!

2019 is underway….OK – 2 weeks into the New Year.  The rest of the holiday decorations are put away and celebrations are at an end.  Although there are 256,894 new toys in the house, the children are ‘bored’. The question of the day is, are the children really bored and do they need to be taught how to play?  For some of our loved ones, play is NOT as innate as it is for others. Play is definitely a skill that needs and should be taught from a very young age. Parents need to ‘teach’ and be part of the art of play.

Play is the ‘work’ of childhood.  Play is the official format of therapy for the majority of children as well.  The reasons are many but here are a few examples of how teaching to how play benefits a child’s language and overall development.

Play increases a child’s ability to process and practice emotions. Through imaginative play children can act out emotions of fear, anger, etc. as well as practice empathy and understanding.  Play also provides children with a sense of accomplishment and self-satisfaction, which help to build confidence and self-esteem.

Play increases a child’s social skills.  Through the art of play, a child learns to navigate turn-taking, sharing, and overall group dynamics.  Play provides the opportunity to develop friendships and practice compromise.

Play increases a child’s cognitive ability and brain development.  Through play a child gains reasoning, attention, and memory skills as well as problem solving skills – all important and crucial for success academically and socially.

Play increases a child’s communication skills.  Plays provides a safe, unassuming venue to practice sentence structures, sound effects and overall listening skills.  Plays helps to facilitate initiating, maintain and concluding conversations – with real or imaginative friends. Play also provides children with the opportunity to work on recognizing non-verbal cues and body language.

So much goes into playing.  It can be exhausting for both child and adult, but worth every glorious moment.  Now stop reading and get out there and PLAY!

Yours in Speech,

Lakeshore Speech Therapy, LLC

One Size Does NOT Fit All

Baby New Year has arrived!  The season of parties and changed schedules is coming to its end.  Back to the ‘normal’ routine! But what about those resolutions? The promises you make to yourself that come with the fine print that reads, “I maintain the option to not follow through with these resolutions because while I mean well, life truly gets in the way.”

A close friend shared her New Year’s resolution; she was NOT going to ‘sweat the small stuff’. My response was true to the bestie code: ‘Great idea!  That’ll really make a difference! I support you!’ And when we parted ways, I got to thinking how as adults we want our children to know and recognize the difference between small, medium, and large problems however lose sight of those as we become adults.

Sometimes we need to step back and take an inventory of how we categorize problems or issues.  While the resources I am using are predominately for children, it may be worth the extra 3 minutes to read through the rest of this post to reset your personal inventory and help your loved one manage his/hers.

Small Problems:

  • Affects 1-2 people
  • No one was physically hurt
  • Feelings were minimally hurt
  • Takes 5 – 15 min to ‘fix’
  • Problem can be solved by the individual OR can be ignored completely

Medium Sized Problems:

  • Affects 3-5 people
  • May be a small physical injury
  • Feelings were hurt, person/people upset
  • May take 15 min to a couple of hours to ‘fix’
  • Problem may need another adult to be solved

Large Sized Problems:

  • Affects 6 or more people
  • May be a significant physical injury
  • No easy or quick solution to ‘fix’ hurt feelings
  • May take days to weeks to ‘fix’
  • Assistance of other adults is required to solve the issue.

While these are definitely oversimplified for some of life’s problems, they do provide a pause when thinking of day to day situations.  Food for thought to start the New Year.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Programs Available Starting January 2019

Lakeshore Speech Therapy is as busy as the North Pole this time of year! We are excited to share upcoming programs starting in January.

Teen Social Skills Group: This social skills group is designed specifically for teens. The purpose of our group is to practice expanding and building social skills in the areas of communication, problem solving, social media, friendship, fitting in, empathy and leadership skills.

And

Assistive Technology for Executive Functioning: High School students can drop in for an hour session on how to use assistive technology to increase organization, work completion, and ultimately independence. Skills necessary for college and the workplace.

Please click on the links above for more information about both of these great opportunities.

Yours in Speech,

Lakeshore Speech Therapy, LLC.