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October 30, 2009 10:50 AM by Stephanie Bruno of Early Intervention Speech Therapy

Hello, Early Intervention Speech Therapy readers!

Stephanie is taking a brief hiatus. She'll return with a new post next Friday. In the meantime, consider this post an open thread to initiate discussion with colleagues about issues pertinent to early intervention. Or, feel free to leave suggestions for Stephanie regarding topics you'd like to see covered in this blog.

Please take care to keep comments ...


1 comments  
October 22, 2009 5:36 PM by Stephanie Bruno of Early Intervention Speech Therapy

Every few days or so, I read through recent comments posted throughout the blog and attempt to address the questions that have been raised by our readers. One of the most pressing issues that is frequently raised by parents reading the blog is apraxia.

When I review the questions and concerns asked by parents, I can hear the intense concern and worry in their messages. It seems as though most of these parents ...


2 comments  
October 19, 2009 3:56 PM by Stephanie Bruno of Early Intervention Speech Therapy

Recently, a reader inquired on the blog about the specific requirements needed to qualify for services. Her question reads as follows:

"...I need an explanation of what qualifies as a "25%" delay. I typically am not involved in the eligibility process but was recently put in the position.  How is the 25% delay determined?  Does the child have to score below a certain percentile or be a certain number ...


6 comments  
October 16, 2009 9:48 AM by Stephanie Bruno of Early Intervention Speech Therapy

On September 29th 2009 we published a post entitled: Autism and Early Intervention Speech Goals. The post discussed a local case of a speech therapist working with 3-5 years olds who prefers and recommends only using sign language with children diagnosed ...


1 comments  
October 12, 2009 2:19 PM by Stephanie Bruno of Early Intervention Speech Therapy

Halloween is just a few short weeks away and those who read my blog often know how much I love the holidays and festive therapy sessions!

Last October I wrote a post filled with simple ways to add a little Halloween fun to your therapy sessions. The post was called Halloween ...


3 comments  
October 9, 2009 10:53 AM by Stephanie Bruno of Early Intervention Speech Therapy

Earlier this week I shared a story regarding a little girl I work with in Early Intervention. If you've had a chance to read over the post, you'll see that at our previous appointment I asked the mom if it would be ok for us to venture a block away to the neighborhood playground. ...

2 comments  
October 5, 2009 6:08 PM by Stephanie Bruno of Early Intervention Speech Therapy

There is a family I have been working with for about six months now. The little girl, although not officially diagnosed, displays many red flags for autism. In addition, she has an older sibling who also displays many similar signs although at a slightly less intense level. The little girl I see is also receiving therapy from an occupational therapist and a special education teacher or Special Instructor, as we ...

3 comments  
October 2, 2009 10:52 AM by Stephanie Bruno of Early Intervention Speech Therapy

Tuesday's post discussed the various ways speech therapists can treat young children in early intervention who have been diagnosed with autism. The question posed to the public was the following: when you are teaching these children to communicate, do you use sign language, ...

4 comments  
September 29, 2009 10:30 AM by Stephanie Bruno of Early Intervention Speech Therapy

Today's post poses a question for all the speech-language pathologists out there who work with children in early intervention who have already been diagnosed as having autism. My question is this: when you are teaching these children to communicate, do you use sign language, pictures, words or a combination of either two or all three of them?

The reason for my question is because I recently spoke with a ...

20 comments  
September 25, 2009 10:23 AM by Stephanie Bruno of Early Intervention Speech Therapy

Over the past year this blog has addressed a variety of syndromes, disorders and conditions that affect the many children we treat in early intervention. Due to my lack of time (but not lack of interest!), I do not always have a chance to research all the suggestions that people post and share on the blog. I always find this frustrating because I enjoy hearing what other therapists are doing to enhance their sessions. ...


2 comments  
September 22, 2009 9:49 AM by Stephanie Bruno of Early Intervention Speech Therapy

Last October when I first began writing this blog, I wrote a post entitled: Fall Fun: Using Seasonal Themes to Enhance Therapy, which featured a variety of fall activities that therapists could do with young children during an EI session. I always find seasonal activities ...


8 comments  
September 18, 2009 8:30 AM by Stephanie Bruno of Early Intervention Speech Therapy

Last December I was assigned a new child to my caseload. She was already being seen by several of my co-workers who each informed me of their grave concerns regarding her development. At the time, she had not yet been diagnosed with anything other than a developmental delay; however two of my seasoned staff members confided that they were concerned it was Rett syndrome due to the symptoms she was exhibiting.

When ...


3 comments  
September 14, 2009 2:24 PM by Stephanie Bruno of Early Intervention Speech Therapy

Last week I wrote a post entitled Parents and the Five Stages of Acceptance. Today's post is a continuation and will provide more information about what Elizabeth Kübler-Ross taught us and how we can utilize it in early intervention.

Based on my research of her ...


 
September 10, 2009 5:20 PM by Stephanie Bruno of Early Intervention Speech Therapy

Recently I received the following email from a fellow therapist:

"I have a little boy who just turned 2 and is not talking, babbling, or vocalizing in any way shape or form.  I have educated the mother repeatedly regarding having his hearing checked and the possibility of other diagnoses and need for evaluation at our Children's Hospital.  She is in denial over the whole thing and says her brother did ...


3 comments  
September 8, 2009 10:34 AM by Stephanie Bruno of Early Intervention Speech Therapy

Thank you to everyone who wrote into the "Surviving the Financial Crunch" post and for sharing your personal experiences regarding the financial hardships we are facing not only as an industry, but also as a nation. Therapists wrote in from across the country: Pennsylvania, New Jersey, South Carolina, and Illinois, voicing individual stories, concerns and frustrations.

For some of you, your unfaltering ...


2 comments  
September 4, 2009 10:32 AM by Stephanie Bruno of Early Intervention Speech Therapy

Earlier this week, I wrote a post entitled, Surviving the Financial Crunch to address the increasing financial woes that are plaguing not only our country, but now our industry as well. I am facing it first hand in the county where I live and work. In addition to my own personal and professional ...

5 comments  
September 1, 2009 11:50 AM by Stephanie Bruno of Early Intervention Speech Therapy

There was once a time when I naively thought my job was immune from the financial struggles and strain that plague many other industries. Speech therapists are always in high demand, right? I can pursue any speech job I want because there is a shortage of therapists, right? There are more and more children entering the Early Intervention and Special Education systems and therefore the NEED for therapists is significant, ...

14 comments  
August 25, 2009 11:47 AM by Stephanie Bruno of Early Intervention Speech Therapy

About eight months ago I began working with a little girl, who at the time had just turned 2 years old, and had also recently been diagnosed with Rhett Syndrome (RS). This was not a syndrome that I was very familiar with so I depended a great deal on the expertise of my colleagues, as well as my own independent research, to create a therapy plan that was appropriate. I must admit that in the very beginning I was quite ...

9 comments  
August 13, 2009 10:51 AM by Stephanie Bruno of Early Intervention Speech Therapy

For today's post I would like to reflect on some of the beautiful relationships that can emerge when you devote yourself to early intervention therapy and working with families with young children.

There is a family I have worked with for the past two years. The little girl I see will be turning 3 next month and has a diagnosis of Down syndrome. She has a little sister and two wonderful parents. I have had the amazing ...


 
August 10, 2009 11:05 AM by Stephanie Bruno of Early Intervention Speech Therapy

Thank you all so much for sharing your comments and research in our oral motor debate! As Lisa, CCC-SLP from VT stated, I "certainly stirred the pot" with last week's post. I did want to get us talking, but I didn't mean to create such a firestorm! This debate reminded me that I am part of a very devoted and passionate profession of women and men who believe in and stand by the work they do everyday which is definitely ...

5 comments  
August 3, 2009 12:16 PM by Stephanie Bruno of Early Intervention Speech Therapy

I must admit, I love a good controversy every once in awhile! Recently I have been both fascinated and flabbergasted by some of the comments posted on the blog related to oral-motor therapy and its effectiveness. I myself am a huge supporter of oral-motor therapy and use it almost everyday with the majority of the children I treat in EI. I was shocked to read some of the recent comments announcing that oral-motor therapy ...

33 comments  

A Message to Readers:

Recently, more and more readers have been commenting on the blog and have also been sending me personal emails asking for advice and guidance regarding various populations and disabilities. I absolutely love the feedback and I think the networking that has occurred is invaluable. What I am attempting to do in order to answer as many emails/comments as possible, as well as continue ...


11 comments  
July 21, 2009 11:57 AM by Stephanie Bruno of Early Intervention Speech Therapy

I recently received an email from a speech pathology graduate student inquiring about strategies I could recommend regarding how to stimulate speech and language with a child with Down syndrome. Reading her email reminded me that I have not yet written a post about children diagnosed with Down syndrome, despite the fact that this population of children is often a significant portion of my EI caseload.

One of the ...


15 comments  

For today's post I wanted to reflect a bit on some of the different aspects of EI home care that are often a part of the job; however may not be within our scope of practice as a speech language pathologist. For example, this past week alone, I listened to a distraught mom share the devastating news regarding a close family friend who was recently in a very serious car accident. I helped another family write social work ...

10 comments  

Happy July and I hope everyone had a wonderful July 4th Weekend!!

Today's entry will serve as the spirit post for the month of July and will continue to focus on the importance of the initial visit, which is where trust is built and the relationship between therapists and the families we work with begins.

In ...


 

ABOUT OUR BLOGS

Stephanie Bruno Dowling, M.S. CCC-SLP, discusses her experiences in early intervention and offers tips to clinicians and families.