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

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

 

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

It’s Okay!

It’s Okay!  This week the message is short, but it comes with an assignment and that’s Okay.  

The book “It’s Okay to be Different” by Todd Parr is a favorite in some homes (the author of this blog to be exact).  The message is simple and speaks to everyone, young and old.

This week, go to your local library and take out a copy of “It’s Okay to be Different” and read it out loud every day.  It’s guaranteed to make you and your loved ones smile.

Some families (again the author of this blog) adopted a specific line as a reminder that it’s OK; especially when a loved ones difference cause frustration or hurt feelings.  “It’s Okay to eat macaroni and cheese in the bathtub.” was enough to calm those hurt feelings or frustration.

Go ahead, get the book. It’s Okay!

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

Practice Makes Permanent!

It’s the final countdown until the big day (cue Europe’s 1986 hit song). The lists have been checked twice, the stockings are hung by the chimney with care, and all that’s left is the wait……the long wait until we can rip open those gifts!

And when those gifts are torn into, we wait with baited breath willing and hoping our loved ones not only enjoy the gifts, but remember to say “Thank you” or at the very least acknowledge the others in the room.  Nothing says holiday fun like demanding your child say ‘Thank you’ to Auntie dear for the lovely footie pajamas and your child erupts into a stream of whining crying excuses while he/she will never wear them and how hot those PJs make their feet.

Give yourself an early gift this year, take a few moments and share with your loved ones your expected behaviors during the holidays.  Sometimes it just needs to be laid out there for everyone to realize it IS expected and no one, big or small, is exempt.

Greetings – for the most part, this one is pretty easy, HOWEVER, given the excitement of the day, simple reminders are good.  Practice walking into a room or through the front door and saying ‘Hi’ with your loved ones. If eye contact isn’t the best, coach your loved one to look at the person’s chin or hair.   If your loved one is non-verbal, practice waving or the sign for ‘Hi’ or a simple smile may be just as effective. Hiding behind you is NOT an expected behavior. Running in the door and hiding under the table is NOT an expected behavior. Spell out these unexpected behaviors very clearly.

Hugs, handshakes and the like – for some this is nothing short of a fingernails down a chalkboard moment. Give your loved one alternatives to hugging if that’s NOT the preferred choice of interaction.  Fist bumps, high fives, and waving are all expected behaviors everyone can live with. If there are  relatives that would be offended if they didn’t get a hug, take a few seconds before the holiday and explain to them why this is difficult.  Tell THEM what to expect and WHY you need their support.

Disappointment when opening gifts – this is something not foreign to most of us.  Practice expected reactions by opening ‘gifts’ of spoons or rocks or paper towels.  Smile and say ‘Thank you’. Smile and say ‘Thank you’. Make a game plan for when a gift is opened that your loved one already owns.  Make-up a simple gesture (channel your inner baseball coach) that tells your loved one, “I know you already have that. We will exchange this one and you can get something else. Smile and say Thank you.” . Once you have the gesture established, practice.  Wrap up current belongings and practice

In all of these cases, practice does not make perfect. Practice makes permanent….something that is more applicable for everyone.

And please, through it all, expected or unexpected find the joy. Find something to laugh about. Find those moments that fill your heart.

Happiest of Holidays!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Press Pause

The clock is beginning to tick….loudly!  Time to pack up the Halloween decorations and get ready for the mad dash of the Holiday season!  There is no escaping the hustle and bustle of the Seasons.

Typically, we share information to help to improve a loved ones communication or self-regulation; this week we are focused on Y.O.U. – the caregiver, the superperson, the parent, the great juggler of all! Why would we spend a week thinking about YOU?  The answer is simple….YOU are just as important and need to be cared for as much as everyone else in your world.

Take 5 more minutes after you read this blog to focus on the person that keeps all the gears of your family’s life running smoothly – YOU!  We realize this is easier said than done. Let’s get to work before your 5 minutes is up!

Where do/can you find a quiet moment? At the grocery store? At line at the bank? On break at work? Sitting in the waiting room at Lakeshore Speech? When we say a moment, we mean it.  We aren’t talking about a 2 hour massage (while that is a great thing in itself) or a 1 hour meditation session. We are talking 5-10 minutes. Don’t brush this step off, think about it, really think about it.

What helps calm you? What re-centers you? What makes you smile? Does listening to a certain song bring a smile to your face? Does looking at pictures of vacation lower your blood pressure? You know immediately what brings you calm. Keep those items close at hand, especially during the busy days ahead.

Now put it all together on your schedule – DAILY.  Reserve those moments for yourself. Make an appointment with yourself every day….. every day! Use your time not to plan for what will happen later or what you have to purchase or what you need to wrap, but to calm and rejuvenate yourself.  

Those few moments may make the difference in creating a less stressful, more joyous Holiday Season.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Love of Learning

Labor Day, the holiday of the working women and men in our country, a holiday honoring us for what we do day in and day out. When what you do everyday is something you love and are passionate about, it’s hard to consider it ‘work’.

The anonymous quote, “Find something you love to do, and you’ll never have to work a day in your life” holds more true today than ever before.  In this fast paced world, with the use of computers and smartphone technology, getting ‘away’ from work is almost impossible. Finding the balance between work and the rest of one’s life at times can seem impossible, but is definitely made easier when the ‘job’ doesn’t feel like a job at all.

It’s equally important to ensure our children’s’ ‘jobs’ are loved as well.  Children’s jobs? You might be asking yourself what jobs can a 2 year old, 6 year old, 10 year old possibly have.  The job children have day in and day out is learning….learning is the job every child holds. Loving the job of learning will take children to places we have yet to  imagine.

Helping a child to love learning can be trying, but knowing when to push a little more or step back can really alter the how a child perceives learning. Challenges are adventures that need careful navigation.  Becoming a partner in discovery of these adventures helps a child realize challenges can be overcome and are not insurmountable. Those easy “lessons” are opportunities for the adult to step back and follow the child’s lead.  These opportunities help to build independence and practice leadership skills. Those lessons that keep reappearing can be looked at as steps and with every time the child get to practice her/his skills building confidence and positive self-esteem. And let’s not forget the lessons that do not result in the intended or anticipated outcome.  These lessons provide the opportunity for child and adult to reevaluate the strategy and prove that we are all human. The less than perfect lessons help a child realize it is okay to not be perfect and in that imperfection is beauty. These are the lessons that are sometimes most important.

The love of learning will span a child’s lifetime and influence every decision.

Yours in Speech,

Lakeshore Speech Therapy, LLC