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Showing page 1 of 15 (149 total posts)
  • Kicked Out of Preschool & Day Care?

    I’m not sure when and why this started happening, but these days it seems to be happening more often than ever, that is, toddlers being kicked out of preschools and day care. My mother was a day care provider, so I can really understand that sometimes children can be ultra-challenging and maybe the day care does not have the training to address ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on October 25, 2016
  • Faith in Your Clients

    I remember many years ago when I worked for a public school district and I was touching base with the teacher about one of her students. I asked her if she had any insight about the child's motivators — things I could use to motivate him in therapy. The next few words out of her mouth really made an impact on me forever. She said, ''Johnny? ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on June 21, 2016
  • 'Dear Tongue...'

    “We need to write a letter to your tongue so that it will know what to do. What directions do we need to give your tongue?” The students generate directions and tips that we write on a card. A “Dear Tongue” letter for /r/ might be:“Dear Tongue,•    Remember to go to the back of the mouth•    Lift up the sides a little ...
    Posted to Speech in the Schools (Weblog) on May 31, 2016
  • 'When Will My Child Talk'

    ''When will my child talk?''I get asked this question often. Speech therapy is not a miracle pill nor magic, things don't just happen overnight. We get involved as speech-language pathologists to consult with the families. We work together to determine what small changes and habits can be incorporated everyday into the family's lives to create ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on May 6, 2016
  • Hearing Two Phonemes

    A child who is substituting /w/ for /r/ makes progress producing /r/. He is now using /r/ in initial position in words. Surprisingly, he is also now substituting /r/ for /w/. He is producing “right” correctly, but now he is no longer saying “white”. My colleague shared this story with me and explained how she needed to provide specific ...
    Posted to Speech in the Schools (Weblog) on April 5, 2016
  • Evaluating Attention vs. Hearing

    Over the past few years, I have come up with a few techniques to evaluate whether a child who does not respond to their name may be having hearing issues or whether the lack of response could be due to attention. When doing an evaluation, rather than asking the parents whether their child responds to their name, I actually have the parent call ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on March 29, 2016
  • What is Speech Worth?

    Speech sound production and articulation are often treated casually in comparison to their fancy partner, language. The complexity of language and the mysterious relationship between language and cognition tend to overshadow the finely timed coordination of motor movements for speech clarity. Speech, however, isn’t an unimportant subdomain of ...
    Posted to Speech in the Schools (Weblog) on March 29, 2016
  • Saying the A-Word

    As a young therapist I felt it was my duty my mission to mention autism the second I saw it. Over the years I think I have changed or evolved to another train of thought. Yes, early identification is important. And yes, parents deserve to know if we have concerns as a professional. The problem is, if I am the treating therapist and mention ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on March 1, 2016
  • Recognizing Superpowers

    Toddler work is serious business. I have worked with many therapists including early interventionists, speech pathologists, occupational therapists, and behavior therapists. The providers who really stood out to me had extraordinary qualities about them—almost like they had superpowers.I worked side by side with an early interventionist and ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on February 3, 2016
  • Naturalistic Repetition

    Clinicians typically rely heavily on the phrases “say it again” and the mind-numbing “one more time” in articulation therapy. Intervention for speech sound disorders generally includes repeated trials of target words to facilitate auditory discrimination of correct/incorrect productions, self-monitoring of accuracy, and the formation of a new ...
    Posted to Speech in the Schools (Weblog) on January 31, 2016
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