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Showing page 1 of 13 (128 total posts)
  • Opening a Closed System

    We like to think that client improvement is due to our therapy and that there is a single direct line between intervention and remediation. Maybe there is, but maybe there isn't. Maybe something else besides our therapy is having a great effect on our client's communication development. We have belief systems about therapy. Belief systems help us ...
    Posted to Speech in the Schools (Weblog) on January 16, 2017
  • Articulation Therapy: Inner Voice Recordings

    I've had orthodontia for most of my life and still wear a retainer at night. When I was in grade school, I had a palate expander to change the shape of my mouth. A strong wire was connected to the back molars that exerted pressure on the hard palate. This was some time ago, when only an orthodontist could adjust a palate expander. I had periodic ...
    Posted to Speech in the Schools (Weblog) on January 12, 2017
  • 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
  • Starting in a New School

    Are you new to a school building this year? There are, of course, the obvious tasks:•    Make friends with the secretaries and custodial staff•    Connect with administration and share how happy you are to be at the school•    Complete a monthly calendar for annual IEP and re-evaluation due ...
    Posted to Speech in the Schools (Weblog) on August 29, 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
  • Find the Smile

    Everyone enjoys something. It might take us a while to find out just what will make another person smile, but if we watch closely, we can find it.Some years ago I was working with a student who had significant cognitive delays and behavioral challenges. He attended his neighborhood elementary school, however, the staff was not sufficiently ...
    Posted to Speech in the Schools (Weblog) on August 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
  • 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
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