Author: Wee Speech PC

The Pitfalls of 30-Minute Group Therapy at School

According to the ASHA Leader, a shift in the typical school paradigm of providing 30-minute group therapy sessions is increasingly being recommended to be adjusted to a more individualized and intensive frequency of service. In a school setting, because children are theoretically accessible for seven or more hours in a day, over five consecutive days in a week, the traditional, “one size fits all” therapy recommendation for providing 30 minutes a week to a group of 2-5 students at once is said to be limiting to a child’s overall progress and their individualized attention. It is said that 30-minute group therapy sessions do not fit with the guidance and philosophies from the Individuals with Disabilities Education Act (IDEA) nor the

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Influx of Speech Language Evaluations Following COVID

According to the ASHA Leader, one of the many devastations of the COVID-19 pandemic has involved the number of children in traditional school settings who have under-identified speech-language needs. As students have increasingly returned to “brick and mortar” school settings, outpatient clinics around the country have reportedly observed an influx of parents seeking out speech-language evaluations for their children by private entities. Part of this influx is reported to be due to school-based evaluations not being as readily available during the remote learning phase. It has been reported that in outpatient clinic settings, therapy providers often have the time and resources necessary for assessing a child’s communication needs in quick turn around from when parents initially pursue services. It has

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Generalizing outside the Therapy Room

One question that is often asked is, ‘How can we work on our child’s speech goals outside of therapy?’. While doing worksheets for homework can be helpful, another way to target speech goals outside of therapy is incorporating activities into the child’s everyday life. In the article, ‘We left the Therapy Room, Now What?’, Coaching Families on Carryover Skills for Children in their environment’, by Jestina Bunch, Autumn Sanderson, and Ashley Irick,  different activities and strategies one can incorporate into their everyday lives to aid in goal progress are discussed. Some fun and easy ideas from the article are listed below. -Auditory Skills: Say before you show: make appropriate sounds before showing the associated item(i.e. vroom vroom; I hear a

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Regulation for success!

Levels of Arousal play a large role in a child’s state of regulation. In an article written by Jessie Ginsburg, she discusses ways to adjust ones actions in order encourage the optimal level of arousal during sessions. Children with high levels of arousal appear to have high energy and can move quickly around the room. Children with low levels of arousal seem passive and have decreased energy. In order to achieve the optimal level of arousal, ask yourself several questions to help find the most accurate path. The first question  is ‘what arousal level is the child coming in with?’. We need to gauge their current level of arousal (i.e. high to low) to determine if we need to decrease

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Goal Area: Articulation Carryover

  Materials needed: Song Lyrics, jar with marbles, balls, etc.  Activity directions: Find song lyrics or look up a Youtube Karaoke version of one of your child’s favorite songs.  Have your child sing their favorite song. Every time you hear an accurate target sound production, you can place a marble or another small item in the jar. At the end, you and your child can count up the marbles and see how many sounds they made.  Disclosure statement: These activities have been designed for children who are currently receiving services and should not act as a substitute to weekly speech and language therapy.Please contact Wee Speech, P.C. for more information about this or other activities that may benefit  your child at 847-329-8226 or office@weespeech.com.

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Responsive Feeding

Introducing your baby to solids can be an exciting yet nerve-wracking experience. You may be thinking: What is the best way to introduce new foods and make my child a happy, healthy eater? Responsive Feeding is an approach that helps foster your child’s awareness of his or her hunger or fullness and assists in developing a healthy eater. Responsive feeding requires the parent to watch and monitor their child for hunger cues and offer their child food when those cues occur. Likewise, the parent will monitor their child for fullness cues and stop feeding. The first step to responsive feeding is learning about the various cues that babies may provide. Hunger cues for babies may include fussing or crying, moving

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Thirty Million Words

Over the holiday break, I had a chance to read a book called Thirty Million Words: Building a Child’s Brain by Dr. Dana Suskind, a pediatric otolaryngologist specializing in hearing loss and cochlear implantation with the University of Chicago Medicine. She is also the founder and director of the Thirty Million Words project. In the book, Dr. Suskind shares her research findings and provides a framework for how parents can provide a language-rich environment in the birth-to-three years. I found this book to be very interesting and thought it would be helpful to share some of Dr. Suskind’s findings in a blog post.  Firstly, why the name Thirty Million Words? Dr. Suskind discusses the relationship between the amount of language

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“Just Right” Books

  According to Scholastic, shared book reading is one way to build a child’s vocabulary and object recognition skills, spark their curiosity in different experiences, and create wonderful moments of engagement from birth. Selecting books can be challenging given the vast array of choices and styles of children’s books.  Research suggests that one of the best means for selecting books relates to the age appropriateness. Babies and toddlers are reported to do best with high contrast board books that are simplistic, repetitive, and durable with their design. Bath and sensory books which are made of vinyl or cloth are engaging for young infants and can be incorporated in different environments such as when taking a bath or playing at the

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READING FLUENCY

  For children who benefit from reading support, this support may fall into one of three categories (reading comprehension, the ability to decode at the phonological level, and the ability to read fluently.) Reading Fluency refers to the ability to read accurately, at an appropriate rate, with naturalistic expression similarly to how people would converse. In short, Reading Fluency refers to the ability to recognize and produce written text with automaticity and ease. Reading Fluency Challenges may look like: *getting stuck when reading aloud *requiring extended time to read a passage aloud (reading slowly) *losing one’s place when reading aloud *having monotone/choppy expression when reading aloud *reading words inaccurately in a given sentence/passage *using frequent start/stop/correct patterns when reading aloud 

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Prioritizing the Vocabulary at Home

When working with your child on increasing your child’s ability to functionally communicate at home, it is important to focus on words that are going to be most effective across a variety of environments and activities.  While nouns (e.g., cookie, star) and politeness terms (e.g., please, thank you) are important, the most effective and research-based words to focus on for early talkers are pronouns, verbs, and prepositions, otherwise known as “core vocabulary.” Studies have shown that these words make up 89% of a typically developing preschoolers vocabulary.  Let’s think about why these words are so effective.  Imagine you are playing cars with your child and your child says “car.” You are likely to interpret that to mean that your child

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