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  • 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
  • Deconstructing Describing

    Let’s start with a virtual field trip to the zoo to watch the hippos eating watermelon, using multimedia. With YouTube, we can bring entertaining videos of zoo animals to therapy sessions. The hippos, with their mouths wide open awaiting a large, whole watermelon, give us a way to build our describing skills.We can start with a basic noun phrase ...
    Posted to Speech in the Schools (Weblog) on May 24, 2016
  • Articulation: Social Belonging and Safety

    How do you decide if a child needs articulation therapy? My colleague and I discussed different factors.Does it sound like the child has an accent?A mother shared with me that everyone thinks they’re from another part of the country.Their son’s articulation disorder sounds like an accent. Whenever they meet people who have met their son first, ...
    Posted to Speech in the Schools (Weblog) on May 17, 2016
  • Steps of Communication

    Did you ever catch your friend’s eye from across the room at a crowded event and let her know that you were ready to leave? Briefly tilting your head to the side and a quick glance toward the door can represent an entire sentence.We exchange thoughts and ideas through gestures, facial expressions, body postures, and physical ...
    Posted to Speech in the Schools (Weblog) on April 29, 2016
  • Politics of Mastery Charts

    Do you have an emotional response to consonant mastery charts for age of acquisition for speech sounds? I do. Just the mere mention of late mastery of sounds makes me bristle. Do you use the Poole study from 1934 or the Templin study from 1957[1] as a means to determine whether or not a child is demonstrating an articulation delay? The ...
    Posted to Speech in the Schools (Weblog) on April 19, 2016
  • Benefits of Insecurity

    Confidence is widely regarded as an important trait for success, and insecurity is often considered a liability. Recently, a colleague who is transitioning to a new team shared her fears with me about her position change. She will soon be working alongside Occupational Therapists and Physical Therapists to serve children who use Augmentative and ...
    Posted to Speech in the Schools (Weblog) on April 12, 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
  • 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
  • Remain Calm. He's Only a Child

    Therapists often ask me what they should do with kiddos that are just ''out of control.''  I ask the therapist, ''Do you have your game face on?'' They might ask what that means. Allow me to explain.Children feel and react immediately to an adult's fear or uncertainty in their skills, you see. So, when the question about what to do when the ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on January 25, 2016
  • PECS With Toddlers?

    Alternative and Augmentative Communication is no doubt helpful and can aide children to communicate. But too often these days I work with young children with autism where behavior therapists immediately recommend A Picture Exchange Communication System (PECS) as the primary means of communication. I have seen hundreds of young children that ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on December 18, 2015
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