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Showing page 1 of 11 (110 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
  • Observing the Complexity of Fun

    We know that we make positive changes in the lives of our clients, but our work can also make a meaningful difference to the next generation of speech-language pathologists. Many years ago, when I was learning to be a clinician, I observed Dr. Bob, a speech-language pathologist in private practice. Dr. Bob specialized in working with children ...
    Posted to Speech in the Schools (Weblog) on September 6, 2016
  • A Harsh Lesson in Access to Care

    Every once in a while you meet a family and are forever changed. That is how I am feeling right now.  I called a mother to coordinate a Spanish-speaking speech evaluation in the family's home in San Francisco. Mother indicated over the phone that she worked five days a week, sometimes more, and her hours varied, but she could never be home ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on September 1, 2016
  • Are You Ready to Order?

    A good waitress communicates, well, tells you the specials and maybe how long something will take to make. A good waitress knows her customer so well that they can remember what kinds of foods you like and maybe recommend something else around your taste buds. She remembers your name and asks how you've been and demonstrates a genuine ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on July 11, 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
  • 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
  • Degree of Professionalism

    I would like to award you an honorary degree in professionalism. You worked hard for this degree. You studied and learned every day of your career, gaining insight from daily clinical, family, and staff interactions. You have specialized skills specific to clinical practice that you acquired through hard work and dedication. As practitioners, we ...
    Posted to Speech in the Schools (Weblog) on March 22, 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
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