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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
  • Learning from Clinical Mistakes

    I hate making clinical mistakes. They make me feel bad about my skills and myself. Mistakes may often be based on lack of information, which affects the development of a relationship. Sometimes the desire to make a difference as quickly as possible negatively affects the collection of comprehensive background information and prolonged ...
    Posted to Speech in the Schools (Weblog) on August 8, 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
  • 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
  • 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
  • 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
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