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Showing page 1 of 6 (52 total posts)
  • 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
  • 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
  • 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
  • I Am On Your Side

    Dear ''not so nice'' Mommy, I am sorry that you feel the need to be so pushy with me. I do have just as much experience as your last therapist or at the very least I am open to continue to learn. Bringing up your previous therapist and comparing us is just not nice. I am sure she was a wonderful therapist. But no, unfortunately, I am not her ...
    Posted to The Ins and Outs of Early Intervention (Weblog) on February 17, 2016
  • Dear Future Leader

    Last week you told me about a recent leadership meeting: participants, proposed initiatives, attempted negotiations, and post-meeting allegiances. I didn’t hear what you needed, but I should have. I tried to dissuade you from higher-level politics. I don’t know if I felt jaded, or if I was trying to protect you. I care about you a lot. I don’t ...
    Posted to Speech in the Schools (Weblog) on November 6, 2015
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