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

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

What It Takes

The American Speech-Language-Hearing Association (ASHA)  is “the national professional, scientific, and credentialing association for 204,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology support personnel; and students.”

What does this mean?  What does it take to get ASHA certified? How do  speech-language therapist maintain this certification?  How do I know if my therapist is ASHA certified? These questions are not only a great way to start the search for a speech-language pathologist, but realize the work and expertise your very own speech-language pathologist has to maintain to serve you and your loved one.

Being ASHA “certified” means the speech-language pathologist holds a Certificate of Clinical Competence (CCC), a nationally recognized professional credential that represents a level of excellence in the field of Speech-Language Pathology (CCC-SLP). Therapists who hold an ASHA certified Certificate of Clinical Competence have met rigorous academic and professional standards, going beyond the minimum requirements for state licensure. A Certificate of Clinical Competence is only issued to those professionals who have completed a master’s degree (or doctorate degree) from a graduate level Speech-Language Pathology program at an ASHA accredited institution of higher learning,  passed the national exam adopted by ASHA and completed a 9 month ASHA clinical fellowship under the supervision of a speech-language pathologist that has their CCC. This is in addition to any requirements set forth by the state board of licensure. Needless to say, the work does not end once a speech-language pathologist has fulfilled all of the requirements indicated above. To maintain this certification, in 3 year intervals, a speech-language pathologist must completed 30 hours of ASHA approved professional development. This is separate from the necessary requirements to maintain the state board licensure. For a more in depth explanation of ASHA and the process to acquire the certificate of clinical competence, please visit the ASHA website.

You can be confident that a speech-language pathologist who holds their CCCs is a professional who is dedicated to being informed and studying the most recent developments in the field, provides the highest level of care, and is being held to a higher standard of professional growth.  We at Lakeshore Speech Therapy, LLC are proud to share that all of our speech-language therapists are ASHA certified.

 

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.

Egg-citing Time of the Year

Easter week -so many preparations, so many family traditions, so much to do. Not to mention, prepping for the egg hunts and the visit from the big bunny.

Practice and review are the best ways to help your loved one be part of any celebration.  The chances of you having a lot of extra plastic eggs in probably pretty high. Use these eggs not only to practice participating in an egg hunt, but sneaking in a little speech-language therapy practice as well.

Fill plastic eggs with small objects or pictures that have your loved one’s ‘target’ sound (if you are working on articulation) or are items in different categories (food, toys, animals, etc.). Hide the eggs throughout your home or backyard and work with your loved on to find them.  Once the eggs are found, crack them open and practice saying the words and/or separate them into category groups.

Another idea egg-cellent idea is to fill the eggs with items or pictures as shared about, but instead of having your loved one find them freely, give directions as to where the eggs are located.  For example, “Find the pink egg under the chair.” or “Find a purple egg and a blue egg behind the couch.” This egg hunt is not working on following directions as well as practicing understanding locational concepts AND everyone is having fun.

Consider practicing the start of the egg hunt.  Place 1-4 plastic eggs in full sight – filled or unfilled – and create a ‘starting line’. Instruct your loved one to wait at the start line until you say “Go!”. This will help him/her when wait and anticipate when they are placed in the real high stakes egg hunt.  Once they have collected the eggs, repeat the activity adding more eggs each time.

Easter baskets cannot be forgotten either! Help your loved on hold and fill their basket independently.  “Pick up” and “put in” are seemingly easy directions, however in the excitement of the egg hunt, a little practice ahead of time may result in less frustration for everyone.  Give your loved one a basket to pick up and put toys in when cleaning up for the day. Use socks or books or plastic eggs to practice this skill as well. You may find all along, an Easter basket was all that was needed to get your loved one to clean up those toys without argument!

Enjoy your egg hunts, celebrations and family time together.

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