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Spotlight on Syndromes: An SLPs Perspective on CHARGE Syndrome

Today’s guest post on genetic syndromes comes from Rebecca Freeh Thornburg, who is contributing on CHARGE Syndrome.

Overview:

CHARGE Syndrome is an extremely complex genetic condition encompassing anomalies of multiple systems. CHARGE affects approximately 1 in every 9 to 10,000 live births, worldwide. Respiratory issues and complex cardiac defects often require early and frequent hospitalization and surgical intervention. Characteristic hearing and vision impairments also contribute to delays in development.  Early and ongoing intervention by speech-language pathologists and other members of a multi-disciplinary care team is critical in achieving best outcomes for children affected by CHARGE. Continue reading Spotlight on Syndromes: An SLPs Perspective on CHARGE Syndrome

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Birthday Extravaganza Day Twenty Seven: Elementary My Dear, Analogies

It’s DAY 27 of my Birthday Month Giveaways and I am raffling off a giveaway by Straight Up Speech, which is Elementary, My Dear Analogies

This adorable 12-page critical thinking packet targets early analogies and uses child-friendly graphics to engage students in filling-in-the missing answers.

Packet Contents: Continue reading Birthday Extravaganza Day Twenty Seven: Elementary My Dear, Analogies

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Addressing Critical Thinking Skills via Picture Books in Therapy

Critical thinking are a set of skills children need to make good independent decisions.  Critical thinking abilities involve children analyzing, synthesizing and evaluating information in order to recognize patterns, distinguish right from wrong, offer opinions, anticipate reactions to their actions, compare scenarios to choose favorable outcomes, as well as consider a variety of solutions to the same problem.

Even for typically developing children critical thinking can at times be a bit of a challenge and needs to be nurtured and encouraged through a variety of ways. However, for language impaired children, critical thinking skills hierarchy needs to be explicitly addressed in therapy sessions in order to improve these children’s independent decision-making abilities.

Teaching critical thinking skills to language impaired students is no easy feat especially considering the “seriousness” of the subject matter.  One fun way I like to address critical thinking skills is through picture books utilizing the framework outlined in Bloom’s Taxonomy: Cognitive  Domain which encompasses the following categories: knowledge, comprehension, application, analysis, synthesis, and evaluation.

Prior to story reading ask the children to flip through the pictures and ask them questions regarding what the story might be about and what could be some potential story problems based on provided pictures.

During story reading actively question the child to ensure that they are not just passive story listeners (e.g., “Why do you think…?). Begin with basic story recall of characters, events, and outcomes (knowledge). Here asking simple -wh- questions will do the trick. Then move on to checking on what the child has done with the knowledge by asking him/her to identify main ideas of the stories as well as associate, compare, contrast and classify information (comprehension).

As you are reading the story as students to compare and contrast different characters as well as different story situations.  Children can also critically compare different (satirical) story versions of popular tales like Cinderella, Little Red Riding Hood, Jack and the Beanstalk, etc.

Involve children in active story discussion and analysis by asking questions the answers to which are not directly found in the story (e.g., Who else do you know who also…?; Why do you think the ___did that?) Ask the student to identify each characters motives.  When looking at a particular problem in the story ask the student how they would solve a similar real-life problem (application).

Have them weigh in pros and cons of the characters choices. Make a ridiculous statement about a story or character and have the students argue with you and explain constructively why they disagree with it. It will teach them how to find weaknesses in someone else’s reasoning. Ask the children to synthesize the presented story by generalizing it to relate to another story or an episode from their daily life.

Consider covering up story ending to have the students create their own creative alternate story conclusions. Do a shared story reading in group therapy sessions and then have a debate (e.g, Who is your favorite character and why?) in which each child has to provide appropriate rationale in order to successfully defend their point of view.

Teaching children critical thinking skills is an integral part of therapy since children need to use their language skills effectively in order to make informed decisions and function appropriately in social and academic settings.

Looking for suggestions on the hierarchy of addressing analogical problem skills then grab this one page FREEBIE I created entitled “Teaching Hierarchy of Problem Solving Skills to Children with Learning Disabilities” from my online store HERE.

So how are you teaching critical thinking skills in therapy?

Helpful Resources:

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Guest Post: Forming and Cultivating Positive Relationships with Middle School Students

Today’s guest post on working with middle school students comes from  Zoya Tsirulnikov, MS CCC-SLP, TSSLD , an SLP from the NYC’s Department of Education. 

The middle school population is fun and exciting to work with, however  it may prove to be quite challenging for some SLPs. This is my fifth year working for the New York City Department of Education at the Middle School level. I started out working with high school and elementary school students and quickly realized that this particular age group is different from its younger and older counterparts. Whereas at the elementary grades, students are learning new skills and concepts and building the foundation for expository text, the middle school students are expected to have bridged over to more rigorous text. Therefore, the achievement gap is very noticeable since students are tackling more de-contextualized discourse. Continue reading Guest Post: Forming and Cultivating Positive Relationships with Middle School Students

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If you give a mouse a cookie, it will want some phonemic awareness to go with it

I love book companion packs! Honestly I can’t get enough of them!

One of the reasons I particularly enjoy using them is because they nicely supplement thematic language therapy activities (see Twin Sister’s Post HERE on thematic therapy).  This is why I jumped at the opportunity to review Speech Universe’s  If You Give A Mouse A Cooke Phonemic Awareness Packet.

Phonemic Awareness activities are incredibly important for young (Pre-K-1st grade) language impaired learners.  They are especially important for children from low SES households as well as young  limited English proficiency learners.

Jen’s packet is terrific at addressing a number of phonemic awareness skills including:

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Spotlight on Syndromes: An SLPs Perspective on Spinal Muscle Atrophy

The following is an informational post on the disease SMA (spinal muscle atrophy) by Rose Ann Kesting M.A. CCC-SLP. After reading, please visit her blog post “My Wednesday Morning Wake Up Call,” for a personal account of her experience with a very special boy with Type 1 SMA and his amazingly dedicated family. Continue reading Spotlight on Syndromes: An SLPs Perspective on Spinal Muscle Atrophy

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Creating A Learning Rich Environment for Language Delayed Preschoolers

Today I’m excited to introduce a new product: “Creating A Learning Rich Environment for Language Delayed Preschoolers“.  —This 40 page presentation provides suggestions to parents regarding how to facilitate further language development in language delayed/impaired preschoolers at home in conjunction with existing outpatient, school, or private practice based speech language services. It details implementation strategies as well as lists useful materials, books, and websites of interest.

It is intended to be of interest to both parents and speech language professionals (especially clinical fellows and graduates speech pathology students or any other SLPs switching populations) and not just during the summer months. SLPs can provide it to the parents of their cleints instead of creating their own materials. This will not only save a significant amount of time but also provide a concrete step-by-step outline which explains to the parents how to engage children in particular activities from bedtime book reading to story formulation with magnetic puzzles.

Product Content:

  • The importance of daily routines
  • The importance of following the child’s lead
  • Strategies for expanding the child’s language
    • —Self-Talk
    • —Parallel Talk
    • —Expansions
    • —Extensions
    • —Questioning
    • —Use of Praise
  • A Word About Rewards
  • How to Begin
  • How to Arrange the environment
  • Who is directing the show?
  • Strategies for facilitating attention
  • Providing Reinforcement
  • Core vocabulary for listening and expression
  • A word on teaching vocabulary order
  • Teaching Basic Concepts
  • Let’s Sing and Dance
  • Popular toys for young language impaired preschoolers (3-4 years old)
  • Playsets
  • The Versatility of Bingo (older preschoolers)
  • Books, Books, Books
  • Book reading can be an art form
  • Using Specific Story Prompts
  • Focus on Story Characters and Setting
  • Story Sequencing
  • More Complex Book Interactions
  • Teaching vocabulary of feelings and emotions
  • Select favorite authors perfect for Pre-K
  • Finding Intervention Materials Online The Easy Way
  • Free Arts and Crafts Activities Anyone?
  • Helpful Resources

Are you a caregiver, an SLP or a related professional? DOES THIS SOUND LIKE SOMETHING YOU CAN USE? if so you can find it HERE in my online store.

Useful Smart Speech Therapy Resources:

References:
Heath, S. B (1982) What no bedtime story means: Narrative skills at home and school. Language in Society, vol. 11 pp. 49-76.

Useful Websites:
http://www.beyondplay.com
http://www.superdairyboy.com/Toys/magnetic_playsets.html
http://www.educationaltoysplanet.com/
http://www.melissaanddoug.com/shop.phtml
http://www.dltk-cards.com/bingo/
http://bogglesworldesl.com/
http://www.childrensbooksforever.com/index.html

 

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Birthday Giveaway Day Fourteen: Vocabulary (Tier 2) Building for Older Students

ap1I am wrapping up the second week of my birthday giveaways by raffling off Vocabulary Building for Older Students Packet by Rose of Speech Snacks. This apple-themed product focuses on developing rich vocabulary through the use of specific strategies and is inspired by the book ”Bringing Words to Life” Isabelle L. Beck, Margaret G. McKeown, and Linda Kucan.

Packet Contents:

  • Vocabulary strategy cards
  • Apple-themed reading passages with tier -2 words and vocabulary-building strategy cards  
  • Comprehension questions related to each story 
  • Reinforcement game

You can find this product in Speech Snacks’ TPT store by clicking HERE or you can enter my one day giveaway for a chance to win.

a Rafflecopter giveaway

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Multicultural Considerations in Assessment of Play

As speech language pathologist part of my job is to play! Since play assessment is a routine part of speech language evaluations for preschool and early school-aged children, I often find myself on the carpet in my office racing cars, making sure that all the “Little People” get their turn on the toy Ferris Wheel, and “cooking” elaborate  meals in complete absence of electrical appliances.  In fact, I’ve heard the phrase “I want toy” so many times that I actually began to worry that I might accidentally use it in polite company myself.

The benefits of play are well known and cataloged. Play allows children to use creativity and develop imagination. It facilitates cognition, physical and emotional development, language, and literacy.  Play is great!  However, not every culture values play as much as the Westerners do.

Cultural values affect how children play. Thus play interactions vary significantly across cultures. For instance, many Asian cultures prize education over play, so in these cultures children may engage in educational play activities vs. pretend play activities. To illustrate, Farver and colleagues have found that Korean preschool children engaged in greater parallel play (vs. pretend play), initiated play less frequently, as well as had less frequent social play episodes in contrast to Anglo-American peers. (Farver, Kim & Lee, 1995; Farver and Shinn 1997)

To continue, cultures focused on individualism stress independence and self-reliance.  In such cultures, babies and toddlers are taught to be self sufficient when it comes to sleeping, feeding, dressing, grooming and playing from a very early age. (Schulze, Harwood, and Schoelmerich, 2001) Consequently, in these cultures parents would generally support and encourage child initiated and directed play. However, in many Latin American cultures, parents expect their children to master self-care abilities and function independently at later ages.  Play in these cultures may be more parent directed vs. child directed.   These children may receive more explicit directives from their caregivers with respect to how to act and speak and be more physically positioned or restrained during play. (Harwood, Schoelmerich, & Schulze, 2000)

In Western culture, early choice making is praised and encouraged.  In contrast, traditional collective cultures encourage child obedience and respect over independence (Johnston & Wong, 2002).  Choice making may not be as encouraged since it might seem like it’s giving the child too much power.  It would not be uncommon for a child to be given a toy to play with which is deemed suitable for him/her, instead of being asked to choose.   The children in these cultures may not be encouraged to narrate on their actions during play but expected to play quietly with their toy.  Furthermore, if the parents do not consider play as an activity beneficial to their child’s cognitive and emotional development, but treat it as a leisure activity that helps pass the time, they may not ask the child questions regarding what he/she are doing and will not expect the child to narrate on their actions during play.

Consequently, in our assessments, it is very important to keep in mind that children’s play is affected by a number of variables including: cultural values, family relationships, child rearing practices, toy familiarity as well as developmental expectations (Hwa-Froelich, 2004).  As such, in order to conduct balanced and objective play assessments, we as clinicians need to find a few moments in our busy schedules to interview the caregivers regarding their views on child rearing practices and play interactions, so we could objectively interpret our assessment findings (e.g.,  is it delay/disorder or lack of  exposure and task unfamiliarity).

References:

  •  Farver, J. M., Kim, Y. K., & Lee, Y. (1995). Cultural differences in Korean- and Anglo-American preschoolers’ social interaction and play behaviors. Child Development, 66, 1088- 1099.
  • Farver, J. M., & Shinn, Y. L. (1997). Social pretend play in Korean- and Anglo- American pre-schoolers. Child Development,68 (3), 544-556.
  • Johnston, J.R., & Wong, M.-Y. A. (2002). Cultural differences in beliefs and practices concerning talk to children . Journal of Speech, Language, and Hearing Research, 45 (5), 916-926
  • Harwood, R. L., & Schoelmerich, A and Schulze, P. A. (2000) Homogeneity and heterogeneity in cultural belief systems. New Directions for Child and Adolescent Development 87,  41-57
  • Hwa-Froelich, D. A. (2004). Play Assessment for Children from Culturally and Linguistically Diverse Backgrounds. Perspectives on Language, Learning and Education and on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations, 11(2), 6-10.
  • Hwa-Froelich, D. A., & Vigil, D. C. (2004). Three aspects of cultural influence on communication: A literature review. Communication Disorders Quarterly, 25(3),110-118.
  • Schulze, P. A., Harwood, R. L., & Schoelmerich, A. (2001). Feeding practices and expectations among middle-class Anglo and Puerto Rican mothers of 12-month-old infants. Journal of Cross-Cultural Psychology, 32(4), 397–406.
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Smart Speech Therapy LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition

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Smart Speech Therapy (SST) LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition

ASHA Approved CE Provider Status Demonstrates Commitment to High-Quality CE Programming for Audiologists and Speech-Language Pathologists Continue reading Smart Speech Therapy LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition