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.

 

Better Speech and Hearing Month

May starts Better Speech and Hearing Month.  It’s that time of year to raise awareness about communication disorders and the role of Speech-Language Pathologists.  The Speech-Language Pathologists at Lakeshore Speech Therapy, LLC. are in incredible group of dedicated professionals. Collectively we share over 200 years experience treating individuals with speech-language deficits.  We, at Lakeshore Speech Therapy, share a passion for our profession, compassion for our clients and families, and dedication to do what it takes to make a difference in the lives of those we treat.

This week’s blog is short and sweet with a very big message.  As we begin the month of May, the month of Better Speech and Hearing, we thank YOU for entrusting your care and the care of your loved one to us.

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

 

Changing Like the Weather

The weather in this area is notorious for fluctuating between winter and spring on almost an hourly basis.  One moment it’s a balmy 61 degrees and the next it’s a frosty 33. The constant up and down can be frustrating and not to mention confusing.  What does the weather have to do with speech therapy? Much like the weather at this time of the year, progress in speech therapy (or any therapy for that matter) can be just as frustrating and confusing.

It is not uncommon for a child to be progressing along on her/his therapy goals and suddenly stop progress and/or seemingly lose skills.  These fluctuations can be the natural progression of the brain changing as it processes and learns new skills. These fluctuations may also be a sign that your child has been practicing using new skills and needs a break.  Changes in progress should be short lived and not interpreted as a loss in skills. If you feel the changes in progress are more significant or are lasting too long, do not hesitate to talk to your clinician and review their data.  Your clinician will be able to address these concerns and provide a more clear picture of what you might expect.

Learning a new skill or changing a habit/behavior can take time and progress at time may be slow moving and seemingly nonexistent.  Keep looking for the small changes. These small changes add up over time in creating large life long changes.

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Start the Spring Clean-Up!

The days are getting longer and the temperature is rising – slowly. Spring is almost here.  As the cold of winter begins to leave, our attention begins to turn to the warmth and work on Spring.  The work of Spring? Those chores and jobs we promise to complete every Spring. This year try to incorporate all family members in completing jobs

Everyone can participate in giving the house, yard, and dreaded garage a little Spring pick-me-up.  Simple parts of a more complex task provide your loved one the sense of accomplishment and participation.  

Laundry, of which there is a never ending supply, is a wonderful task for have your loved one to help. Matching socks and separating clothes into different piles (ie: shirts, pants, towels, etc) or folding simple items like towels are great ways to incorporate everyone in this task.  Think of the language involved as well – naming the clothes, learning back and front, naming the fasteners on the clothes; language is truly everywhere!

Sweeping or vacuuming, tasks that surprisingly are exciting for some of our loved ones.  Adapted the handle on the broom so it is not too long and have your loved one help clean up the floors.  Practice ‘dancing’ with the vacuum cleaner and before long these tasks will become old hat. Remember all that language – floors versus ceilings, back and forth, clean, dirty – all language concepts that build your loved ones language foundation.

Let’s not forget the work outdoors.  When the sun is shining and even when it’s cloudy, work seems less “work” when your outside. Pulling weeds or raking are wonderful tasks your loved ones might enjoy. Picking up twigs or rocks and putting them in buckets are tasks that may seem uneventful, however you never know what your loved one might really enjoy. And talk about language!

Cleaning out the garage.  It sounds crazy but given a very specific job, your loved one can participate in getting it ready for the Spring and Summer.  Stacking flower pots or moving lawn bags or practicing using the broom outside are all ways your loved one can participate (and yes, use and learn language).

Working as a team, you and your loved ones can accomplish great things!

Yours in Speech,

Lakeshore Speech Therapy, LLC.

Things are Looking Green!

Green is the color of the week. Shamrocks and leprechauns; rainbows and pots of gold. Everyone is Irish if not for just one day this week! So many ways to incorporate the fun of St. Patrick’s day into building language and communication.

Vocabulary abounds! Focus your loved ones attention on colors (especially green and gold), holiday specific vocabulary (leprechauns, shamrock, rainbows) and describing words (big/little and bright). Review these vocabulary words and give your loved a better understanding of the words they will hear more of this week.

Concepts of the season! Help your loved one pay more attention to under and over (as in rainbow), start and finish (think parades) and big and little (as in leprechauns). Building understanding of concepts will help your loved on not only follow directions this week but for the weeks to come.

Preview of what is to come! Remember to prepare your loved one for any changes or festivities that you and your family might be part of as part of St. Patrick’s day. Parades and crowds can be difficult to manage without proper warning. Anticipating and sharing the schedule of the day or celebration may prove to be the needed support to ensure everyone enjoys the day.

Enjoy your week of green fun!

Yours in speech,
Lakeshore Speech Therapy, LLC.