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.

Holiday Prep – Part II

In a few days we will gather with family and friends to be thankful for all we have our lives. The days leading up to Thanksgiving (or any holiday) can be exciting, yet filled with anxiety, which could result in unexpected behaviors and reactions for some of our loved ones.

We talked about making changes in the actual celebration to better support your loved ones.  We need to focus on preparing them for what they might experience – the different smells, sounds and expectations – during the Thanksgiving celebration.

Social Stories:  These tools help by creating a simple straightforward explanation of what will happen during or leading up to an event, as well as behavior expectations.  Ideally social stories should be reviewed multiple times prior to an event and directly before. Bring the social story to the event and reread it in a quiet place. This may help to decrease the stress and refocus behaviors.  Please feel free to print and use these social stories or you may find some free by searching the web.

Visual Schedule:  Enjoying a relaxed unscheduled day may sound perfect, however your loved one may need to ‘see’ his/her day to decrease anxiety and unexpected behaviors.  A visual schedule may prove to be the needed tool. Visual schedules are helpful for all family members. You can use actual photos, simple stick-figure drawings or icons to depict your daily events.  You may choose to split the day by listing the AM schedule first and then changing it to the PM schedule at a natural break. You may choose to list the entire day and have your loved one remove the icon/picture as each part of the day is completed. Please feel free to print and use these icons to create a visual schedule of your loved one’s day.

First-Then cards: First-Then cards may be a new tool in your toolbox.  These cards use the same icons or pictures as a visual schedule, however are presented two at a time.  This tools gives your loved one a focused message of the immediate expected event or behavior and what will directly follow.  You may consider following a non-preferred activity with a ‘break’ or ‘leisure choice’ to increase his/her attention to the non-preferred activity.  For example, First: eating dinner – Then: going outside to swing. Please feel free to print and used these materials to create a First-Then card for your loved one.

Remember to take a moment to step back and truly see all the beauty that surrounds you.  Cherish your time with family and friends. We at Lakeshore Speech Therapy are thankful for our Lakeshore families.  We wish you and your family a wonderful Thanksgiving day filled with laughter and happiness.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Friday Night Lights

Friday night lights! High school traditions!  Go Team!

Fall is the time of year to grab your favorite sweatshirt and enjoy an evening of high school football.  “Enjoy” – that’s the difficult part especially for some. The many sounds and smells as well as the number of people all in one place can cause loved ones with integration issues difficulty in large  crowds. There are a number of proactive steps families can take to help loved ones adjust to these situations.

Paint a picture of what the individual will experience during their time at the game.  For example:

  • We are going to park the car in the parking lot (or, in some instances, the – field, street, etc.)
  • We will walk to the gate or entrance of the field.
  • We will have to stand in line to get our tickets.
    • Note: if available, please consider purchasing tickets ahead of time.  Less time anxiously waiting, the better.
  • There will be a lot of people around us; you will hear them talking and shouting.
  • We will walk to our seats
  • We will walk up or down the stadium steps
    • Note: if the stadium steps are open (meaning you can see the ground below) you may want to consider sitting in an area closer to the ground or where the steps are solid.
  • We will sit in our seats
    • Note: if the individual is sensitive to pressure – consider bringing a blanket or stadium chair to decrease the sensation of the ‘hard’ stadium bleachers.
  • Etcetera
    • Don’t forget to include what will be
      • heard (band, horns, cheering, etc.)
      • seen
      • smelled

Carry an ‘important tools’ bag.  This bag should contain items that calm the individual, items that may distract attention from an unpleasant sensation and items that will help to diminish non-preferred sensations. The bag may include noise canceling headphones, headphones and a music source,ear plugs, fidget toys, extra blankets, weighted blankets, etc.

Plan your arrival and departure around preferred events.  If the individual loves watching the marching band, but is bothered by all the whistles during the game, arrive at the game 15-25 minutes late. If the individual does not appreciate the marching band, make arrangements for an activity or get special permission to leave and re-enter the the stadium during halftime.  If the individual does or does not like the mascot, plan your seats in the location accordingly.

Give your loved one a voice during the game.  Pre-record a cheer or a special message on a voice recorded switch.  No need to get too high tech, this is a high energy exciting time, it’s more important to get the message out! If a device is not an option, make a sign that shares the message or use a horn or bell for the individual to be part of the roaring crowd.  If you need more information or ideas, please do not hesitate to ask any speech therapist at Lakeshore Speech.

Friday night lights shine brighter when everyone is involved.  Go Team!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Getting out the door in one piece

A new school year, a new therapy schedule, just the time to create some new habits for a smooth transition.  Being pulled in a million different directions is enough to make anyone harried . You and your family’s stress levels do not need to be off the charts.  Help yourself and those you love create a game plan that is sure to score big this Fall.

Organizing tasks, managing time and executing a plan are all executive functioning skills.  Skills we all (no matter the age) continue to polish and refine throughout our lives. Executive functioning skills are not innate to some, butare skills that need to be taught and practiced.  When executive functioning skills begin to mature and become second nature, the stress decreases significantly.

Your game plan to create an environment that supports and teaches executive functioning skills does not have to be elaborate.  Try a few of these suggestions and see the difference for yourself. .

  • Under 5 years old
    • Specific area or tub or bin where favorite toys are kept
    • Diaper bag filled and ready to go – this bag should be kept in the same location (ie: hook, shelf) at all times so it is easy to find and grab while you are running out of the door.
    • Keep an emergency bag/bin in the car at all times – stock with snacks, diapers, change of clothes (for your child and yourself), wipes, etc.
  • School Age
    • Backpack, coat, boots, etc. all have a specific location.  This does not have to be elaborate. Grab a few empty cardboard boxes, have each child (and adult) decorate the box, arrange boxes near the entrance door. Elminiates the “trail” of belongs going through the house when your children return from school.
    • In/Out Boxes/bins for school papers.  Inevitably, your child will have a ‘home’ folder and/or school papers that need your attention.  Make a simple In/Out box system using gift boxes (reinforced with tape) to ensure these important papers do not get lost in a pile. Work with your child in getting the home folder out of the backpack and into the In/Out box.  You won’t have to worry about losing the papers and can get to them when you have time to focus your attention.
    • “Everything has a place and every place as a thing.” Words to live by!  
      • Key hooks
      • Shoe mats
      • Lunch box baskets
      • Home information Centers
      • School clothes dresser drawers vs play clothes dresser drawers
    • Simple after school “To Do” list :
      • Put folder in IN/OUTBox
      • Change clothes
      • Get a snack
      • Start homework

Your family’s unique style will dictate the creative ways in which you discover to better manage executive functioning skills.  Do not hesitate to consult with a Speech-Language Therapist for specific techniques not only for the entire family, but for specific members who could use individual attention in this area.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Summer, don’t leave us!

There’s still plenty of Summer left, but it’s getting to be that time of the year when our attention must turn back to the hustle and bustle of the school year.  For those not at that point or past that point, it’s that time of year that there seems to be some sort of switch from the lazy hazy days of Summer to the fast and furious time of Fall.

The types of clothes you are wearing will change, the leaves will change, and your schedule will change.  Much like our blog in June, it’s time to ask a few questions about these changes. Will you focus on a few activities or many? When is your child her/his best – morning? Late afternoon? Early evening? When do you have the most support? From whom? Spouse? Friend? Parent? In-law? How can the change to the Fall be less dramatic? Crock-pot meals? Pre-frozen meals? Assigning chores to everyone? Only you have the answers. However do yourself a favor, ask those questions and give yourself some REAL answers, you’ll be the better and so will everyone around you!

Lakeshore Speech has a number of amazing programs available for children this Fall season.  Ranging in areas of focus from Reading Tutor Groups to Social Skills Groups to Fluency Groups, we have something that your child might need or want to make a smooth start to the school year and the Fall.  Please check-out www.lakeshorespeech.com/events  for a full listing and explanation of our programs.

Lakeshore is also beginning to set up Fall schedules for private therapy.  Please contact Kelly (krigo@lakeshorespeech.com or (440) 471-7190) to arrange a therapy day and time that works best for your family’s schedule.

Yours in Speech,

Lakeshore Speech Therapy, LLC

Summer is HERE!!!

School’s OUT …….Summer’s HERE……and within two  seconds, the kids are bored! Nothing says Summer like the sweets sounds of “There’s nothing to do” and “I’m bored” seeming on loop from most children’s mouths.  AND if they are not outright saying it, you know they are thinking it by the glazed look in their eyes when they are offered a suggestion of how to fill the ‘endless’ hours of a day.  

Believe it or not, most children crave schedules and structure.  Seems completely against all that the lazy days of Summer imply, but on the whole, children (and most adults) are more productive and have fewer meltdowns when a schedule is in place.  I have no empirical data to offer on the previous statement, just years of experience at home, in school and in the clinic watching the change in those around when even the simplest schedule is laid out.

Toddlers to Teens to Twenties and older benefit from knowing what’s happening, what is expected and how long it will last. This is not to say every minute of every day of every activity needs to be spelled out, but here are 2 techniques that might be worth a try in mapping out the days of Summer.

The Verbal Set-up: Simple, easy and always with you.  This schedule techniques is used by millions, yet has never been given the credence  it deserves. At breakfast (no tv on, no digital devices, just their little eyes focused on Y.O.U), lay out how the day is going to roll. Chunk the day up because that’s a lot to think about and chances are you will not have had all the necessary cups of coffee yet for maximum functioning ability!

“Good morning, here’s our morning: We are going to finish breakfast. Then change – don’t forget to brush your teeth. We have 2  places we need to go to – the store and the library. First we’re headed to the library – this will be a SHORT visit. We need to run in and get the books I have on hold.  We will not be going to the children’s section, THIS TIME. I will need someone to help carry my library card going in and someone to carry the books – volunteers? Then we are headed to the grocery store.  I will have a list of what we need. This isn’t a LONG visit, we should be able to get what we need and get out quickly. I will need help finding some of the stuff and I know I can count on you all. After the grocery store, we are coming right home.  We will all put the groceries away. Once the groceries are put away you can go outside (or play or whatever they can do at that time).

Pictures Speak Louder than Words: A little more involved, but might be just what is needed. You know the type of pictures your child tunes into most (photos, your artistic renderings, clipart, etc.).  Spend some time gathering these pictures (ie: get the old 35mm camera out use your phone and take pictures of your car, the stores/locations you visit most), print and laminate (easiests cheapest lamination is clear contact paper or packing tape). Start the same way as the ‘Verbal Set-up’, in a calm undistracted situation (typically when eating 😉) and lay out the schedule, again chunking it.

“Good morning, here’s our morning: We are going to finish breakfast. [photo of empty plate (can stand for finishing any meal)] Then change – don’t forget to brush your teeth. [photo of closet or draw with clothes (can stand for change clothes anytime)] We have 2  places we need to go to – the store and the library. [photo of car and specific buildings]. First we’re headed to the library – this will be a SHORT visit.  We need to run in and get the books I have on hold. We will not be going to the children’s section, THIS TIME. I will need someone to help carry my library card going in and someone to carry the books – volunteers? Then we are headed to the grocery store.  I will have a list of what we need. This isn’t a LONG visit, we should be able to get what we need and get out quick. I will need help finding some of the stuff and I know I can count on you all. After the grocery store, we are coming right home. [photo of home] We will all put the groceries away.  Once the groceries are put away you can go outside (or play or whatever they can do at that time). [photo of playroom/outside, etc.].

If you would like more information or need help in getting started using these techniques, ask your Speech Therapist.  If you don’t have one to ask, give Kelly a call at Lakeshore Speech (1-440-471-7190).

Yours in Speech,

Lakeshore Speech Therapy