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  • 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
  • Our Time Matters

    Every day is a chance to make a positive difference in the lives of clients, families, and colleagues. Our daily activities are important and have immediate effects. When days are hectic, it becomes easy to feel rushed and overwhelmed. Reflecting on the primary motivation of our work can guide us. We can see how our time matters. Speech-language ...
    Posted to Speech in the Schools (Weblog) on October 10, 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
  • 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
  • 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
  • We Do Care

    A few years ago, I attended a restorative listening community event, which brought together parents/caregivers, general education teachers, special education service providers, and administrators. I wasn’t sure what to expect as I entered a large hall filled with round tables. Seating was organized so that each table contained members of the ...
    Posted to Speech in the Schools (Weblog) on February 29, 2016
  • Deconstructing Sounds

    I was working with a bright student who has difficulty producing /r/ and consonant clusters. He was explaining about writing computer code in Java script. The word “script” was challenging for him. We stopped the conversation to practice it.“Did you know that script is ‘crypt’ with an ‘s’ at the beginning?” I asked, while writing ‘script’ and ...
    Posted to Speech in the Schools (Weblog) on January 11, 2016
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