Teletherapy Tips for Families

drawing of therapist performing teletherapy

As we are all beginning to adjust to teletherapy as well as online or elearning, we thought it best to share some tips to make you and your loved ones time in therapy, albeit significantly different than ever before, more successful. 

  1. Count on some sort of technology failure – if you count on the fact that the mic won’t turn on or your wifi will be running slow, you won’t panic when it does happen.  If there is a technology failure (on your side or on the therapist’s side), the first thing to do is breathe. Next calmly begin to troubleshoot. Prior to the appointment, you may want to trial the mic and speakers on the device you intend to use for therapy.  If your bandwidth on your wifi is slow, as those in your home to stay off the network or not engage in activities (streaming videos) that use a lot of bandwidth. If the session can’t happen, you can reschedule. Flexibility is key.
  2. Create a “Therapy Space” or designate a “Therapy Space” for the duration of the session.  You may want to create a ‘Therapy in Session’ sign with your loved one and hang it on the door of the room you are in for the session.  If you will be in a shared living area, you may want to consider the use of a headphone and mic combination. This will decrease the amount of background noise your loved one will hear as well as the therapist. Consider scheduling therapy at a time when others in your family would be napping or engaged in more quiet activities as well.  Creativity is key. 
  3. Count on staying with your loved one for the onset of the therapy session. For individuals that may need support to pay attention, consider this time extra snuggle time.  Have your loved one sit on your lap or very close to you during the session to help guide her/his attention to the therapist. This is time for your loved one to receive the critical therapy services needed as well as a time for YOU to better understand the techniques used to elicit specific behaviors, actions, and sounds from your child.  Teamwork is key. 
  4. Listen to the therapist and therapy session.  Remember, this is your loved one’s therapy time, not necessarily yours.  While it may be hard, refrain from answering the therapist’s questions for talking for your loved one. You may consider the situation/task that the therapist is asking your loved one to do is too difficult, but creating these situations to ‘push’ your loved one to the next level is necessary in progress towards mastery of goals. Trust is key. 
  5. Carryover of all the new skills learned during the therapy session (both for you and your loved one) is extremely important for everyone! You will have new skills to support your loved one as he/she works on speech-language skills.  Share what you have learned with others in your family. Help everyone realize the necessary supports to help your loved one succeed. Practice is key. 

Keeping in mind the importance of flexibility, creativity, teamwork, trust and practice will ensure your loved ones success with this different approach to speech-language therapy.  

More information about the telepractice services offered at Lakeshore Speech can be found at www.lakeshorespeech.com/telepractice or by calling 1-440-417-4190.

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Learning to be Social

The calendar doesn’t lie.  How is it we are only 10 days away from Valentine’s Day!? With all the attention on sharing love and kindness on that day (as well as every day), we need to take a moment to pause and take into account the skills that bring people closer are really hard to learn.

Some loved ones pick up on social cues and nuances without issue and others require a very clear explanation.  As parents, taking the time to frame acceptable and unacceptable  behaviors for your family’s values is crucial.  Society dictates a number of ‘unwritten’ rules, which makes learning these skills even more difficult for some. Providing a safe environment to discuss and process these ‘unwritten’ rules is important at every age of development. The American Speech-Language Hearing Association (ASHA) provide a nice resource for families focused on this area of speech and language.

Your friendly speech-language pathologist would be happy to help you and your family with any questions or concerns you may have related to social communication, social skills, or social pragmatics.  Please feel free to give Kelly a call at 440-471-7190 to set up an appointment.

Yours in Speech,
Lakeshore Speech Therapy, LLC.

 

Special Gifts

This message is short and sweet.  First and foremost an open apology for seemingly abandoning my post writing these blog message this month.  While I wish there was a great explanation, but all I really can say is life definitely gets in the way of the best of intentions!

Second, we at Lakeshore would be remiss if we didn’t take a moment to thank each and everyone of our amazing clients and families.  You appreciate your trust in us to provide your loved one’s therapeutic services.  We are thrilled to have  you all as part of our Lakeshore Family.

Lastly, please take a moment to look around to see all the amazing gifts in your world this holiday season.  These gifts aren’t wrapped in festive paper with a bow.  These gifts are wrapped with your arms and love.  Enjoy these gifts this holiday as we will enjoy ours.

Happy Holidays!

Lakeshore Speech Therapy, LLC

Sensory Sensitive Holiday Fun!

December has arrived and as with every year, it seems as if the calendar speeds up during this festive time.  Packing in all the shopping, decorating and taking in the holiday fun can seem overwhelming. The elves at Lakeshore Speech Therapy took a little time to compile a one stop list of events in the Northeast Ohio area that are sensory friendly.   These events are not only sensitive to the amount of unnecessary smells, sounds and sights, but often the pace of the event is slowed as well as those ‘working’ the event have been given some information on how to best engage with individuals with special needs.

We hope you are able to take a few moments and enjoy these events with your loved ones. 

Yours in Speech, 
Lakeshore Speech Therapy, LLC

Making a Self-Care Plan

All of the clocks have finally all been changed  (except for one, there is always ONE clock in the house that just never quite makes the cut and is never changed), the Halloween decorations have been put away and what is that sound? Silence. The calm before the Holiday Season frenzy.

Take a few seconds of this ‘down time’ to focus on realizing the importance of self-care.  Parents and caregivers of individuals with special needs typically do not stop to worry about themselves. Not only is this pattern unfair to your loved ones, but more importantly, it is not fair to Y.O.U.

Consider the five minutes it takes you to read this blog post as the start of your self-care routine.  Consider taking this time to make a plan for yourself. Give yourself the opportunity to refill your tank so you can cruise into the Holiday Season ready and rejuvenated.  

Yours in Speech,

Lakeshore Speech Therapy, LLC

A Candy Plan!

Orange plastic pumpkin basket spilled over with candy pouring out

You’ve planned the costume, you’ve walked the route, you’ve practiced knocking on doors… a few more thoughts to help make your family’s trick or treat evening sweet.  

What will you do with all that candy?  Once your loved one sees her/his bounty of sweetness, she/he may not want to part with a single piece. Create a plan and share that plan well before that candy is in your house.

Will your family spend the last minutes of Halloween counting and sorting candy?  Will there be a huge candy trading event in the middle of your living room? Providing a plan for the evening can make a difference in ending the evening on a sweet note. 

Create a ‘buy back’ program if you would prefer your loved ones not have free access to that much candy.  Make your program work in a way in which your loved one will receive a certain number of dollars, stars, tokens, etc. when they ‘trade in’ a certain number of pieces of candy.  Check with your dentist to see if they are offering a buy back program. 

Create a ‘decorate a gingerbread house’ program.  Decorate a box with pictures of gingerbread houses.  Put candy that could be used to decorate a gingerbread house in the box.  You now have everything you need to decorate your holiday gingerbread house. 

Create a ‘week long candy plan’.  Divide a shoe box into 7 sections. Place one or two pieces of candy in each section.  Give your loved one the opportunity to choose the candy in one section every day. 

Whatever your plan, share it with your loved ones well before the candy starts pouring in the house.  Make it very clear where the candy will be stored and what the plan will be once it is collected. It may feel like you’re taking the fun out of the candy collection, rather you are providing the framework for a fun and enjoyable evening from start to finish!

Yours in Speech, 
Lakeshore Speech Therapy, LLC.

Fall into Fall!

How it is that September is just about over?  While we continue to enjoy the final days of warm weather, living in Northeast Ohio, we all know what will be knocking on our door much sooner than later.  It always seems like there are so many outdoor activities in the summer months and as soon as the mercury drops below 60, everyone retreats into hibernation mode. 

Enjoying the area’s many Fall activities and festivals gives not only the opportunity to spend valuable time together, but the time to practice and experience a variety of language rich activities.  These language rich activities are the foundation and play an extremely important role in a child’s language development and maintenance. As a parent/caregiver, you naturally provide these opportunities to practice language skills naturally.  This article provides information to not only validate your hard work, but provides information for more or different techniques that can be added to your repertoire.  

Speaking of Fall activities, please take a moment to research the many different and wonderful opportunities in your area for you and your loved ones to enjoy together.  If you are in the Northeast Ohio area here are a few activities to fill your calendar:

Northeast Ohio Family Fun article #1
Northeast Ohio Family Fun article #2

Yours in Speech, 
Lakeshore Speech Therapy, LLC. 

Friday Night Lights, Coming Soon!

It’s almost impossible to believe that August has come and will be leaving in a few days!  Time flies when you’re running at land speed records in a million different directions. First day of school pictures have been taken and posted, ‘normal’ routine has started, and “Friday Night Lights” will soon be starting! Those “Friday Night Lights” can help build language as well as social skills more than you have thought. 

“Friday Night Lights” harkens memories of high school football, marching band, and hanging out on the bleachers with your friends.  Add adulthood and a family and “Friday Night Lights” might not conjure up the same warm feelings as it once had. Running to the restrooms, purchasing way too much from the concession stand and  listening to complaints of being bored or the seats are too hard…..ah yes, “Friday Night Lights”. Preparing your family for these evenings can only make those “Lights” shine brighter.  

Just like the football team, cheerleaders and marching band, your family ‘team’ needs to practice for the big night as well.  How do spectators practice? Read on.

Go to practice games and rehearsals.  Chances are the local middle and high school teams and marching bands are practicing daily.  Take advantage of these less formal settings to PRACTICE sitting on the bleachers. Take note of any  issues related to the bleachers (seats are too hard, sitting up high is scary, being able to see through to the ground is scary) to find the areas that are most comfortable for you and your family. Visit the restrooms. Locate the changing area if needed.  Bring your family members in to the restrooms to become familiar with these surrounds so there won’t be any issues when there are larger crowds. Experience the sounds of the practices to decrease being alarmed during a game. The whistles on the field, the marching band playing the fight song, the cheerleaders cheers, all of these sounds are new and can be very upsetting.  Help your family anticipate these sounds. 

Learn the lingo. If a family member is non-verbal, create signs that have simple messages – Go Team – to get them to be part of the fun.  Practice simple messages for family members with limited language – Go! – Fight! – Win! A football game is language rich.  Choose one or two words that will have the most meaning and practice at home and at practice games. 

Recognizance. Get the low down on your local “Friday Night Lights” game by making it a date night or going alone.  Take note of how crowded certain sections of the bleachers become. When the marching band plays (typically there’s a pre-game and of course the half-time show). Where the cheerleaders stand. If there is a mascot. And maybe the most important piece, what is offered at the concession stand. These pieces of information will help you to better plan and anticipate your family’s needs during the game. 

Concession stand mania.  So much of the game is about the food and rightfully so. Make a plan for how your family will make purchases. Make that plan very clear to everyone to avoid melt-downs at the stadium.  Create a snack board of the items at the concession stand (You have this information because you went to the game alone before.). Not only does a snack board provide a visual cue for everyone, put gives non-verbal members of the family a way to communicate their choice without play the ‘yes/no’ or ‘point and cry’ game. 

Set a time limit, initially. At the onset of the season, you may need to make it very clear when or how long your family ‘team’ will be attending the event.  You want to leave the game on a high note. Setting this parameter may avoid a melt-down when it is time to leave. Give a concrete time that may or may not necessarily be associated with the clock.  Because of your recognizance trip, you have the information you need. Give warnings prior to departure time (“After this song, we are leaving.” “When the cheerleaders finish we are walking to the car.”). Expand the amount of time you spend at each game you attend, if only by 10 minutes. 

Don’t forget, this is fun! Time together is the biggest victory of all!  Enjoy!

Yours in Speech, 

Lakeshore Speech Therapy, LLC

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.

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