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Tips Corner: Creating Opportunities for Spontaneous and Functional Communication

In today’s guest post,  Natalie Romanchukevich advises readers on how to create opportunities to expand children’s spontaneous communication skills.

Helping young children build speech- language skills is an exciting job that both caregivers and educators try to do every second of the day.  We spend so much time giving our children directions to follow, asking them a ton of questions, and modeling words and phrases to shape them into eloquent communicators.

What I find we do NOT do enough, sometimes, is hold back on our never ending “models” of what or how to say things, questions, and directions, instead of allowing our children initiate and engage with us.  Greenspan refers to these initiations as opening circles of communication (Weirder & Greenspan “Engaging Autism”, 2006).

Speech- language development can be thought of as having three interacting and equally important domains- Form ,Content, and Use (Lahey, 1988).

Form refers to the grammatical correctness of our words and sentences (eat vs. eat+ ing).

Content is what the we are essentially communicating- the meaning of our words and sentences.

Use (also known as pragmatics) refers to the function of our words or for what purpose we are using them.

The communicative functions that slowly emerge and characterize communication over the course of language acquisition in vary in typically developing young children.  Children communicate to greet others, comment on objects/actions, request desired objects, request assistance, protest, deny (a statement), ask questions, regulate others (e.g. “blow!”, “open!”), entertain, and narrate events.

In order for children to be able to express these functions, aside from the intent to communicate, there must also be opportunities to express ideas, wants, needs.  For example, why would Timmy request for an object (nonverbally or verbally) if the caregiver hands everything to the child at the slightest sign of a tantrum.  Why ask a “where?” question if every toy or beloved object is comfortably in sight?  Why ask for help if the caregiver readily assists the child with all activities.  The educators describe it as assuming the child’s needs.

Of course we do it out of love and care for the child, and, let’s be honest, sometimes, to save time.  However, it is important with both typical and delayed children to be mindful of what (form, content, use) we model, when (timing is crucial in teaching) we model it, how (facial expression, tone of voice, etc) we model it, and why (is it developmentally important to teach it now?) we model it at this very moment.

Just as it is important for kids to comprehend concepts, follow directions, and understand the different wh- questions, it is also paramount that your child is able to initiate communication.  After all, communication is the ability to express ideas, thoughts, and wants, not just understand those expressed by others.  Answering questions and following commands is not initiating.  Language that is elicited by us- is not spontaneous.

To use language spontaneously, effortlessly and creatively, children need opportunities to practice the skill, to experience taking the lead.  In order for our children to get there, we must first offer models of how to initiate communication and do so appropriately.  We can then create opportunities for the child to speak up.

The most basic strategies you can use to encourage spontaneous initiations (whether nonverbal or verbal) may seem seem initially as counterintuitive.  I mean what is the point to introducing attractive new toys or displaying a yummy snack and then putting it away? Yet it is exactly that action which may very much encourage your child to run after you with gestures or words.  Even then, you may still choose to play “dumb” and be “unsure” as to what it is your child wants.  Does s/he want that bag with new toy or snack “opened?” and “out?”

If the child is nonverbal, his use of gestures to regulate your actions to get the desired item out and open may be the child’s initial step toward sound imitation.  If you are working on getting the child to request help (not just objects), here is your opportunity to model “help” if the child can’t open the item independently.  On a side note, I often hear educators model “help me please!” when the child is clearly at a single word level.  This is not a developmental way of teaching.   Yes, it is nice to hear a full sentence but your child may not be ready for it.

While playing with your child and actively commenting on your joint play, you may find it productive to suddenly become quiet and cease all attempts to ask questions.   This often works beautifully in my therapy sessions; usually, after I have engaged the child into some sort of cooperative and enjoyable play! But it takes a conscious effort and self-control on the part of the adult, since we are so used to engaging in this adult- directed (telling the child what to do as opposed to letting him/her lead and you follow) approach to teaching.

However, once you are able to contain your speech and actions (I promise you it is possible), you may be surprised to hear some immediate or delayed imitations of words/ phrases as well as spontaneous meaningful language.  The language produced, to me, is an indication that the child wants more of the experience- more language enriched play.  Use this opportunity to expand on what s/he is already saying.

Here, timing is really important as you want to imitate back everything your child is doing.  This is another way to communicate with your child.  Build on your child’s language to further describe the objects or people in play without using long sentences.  So, allowing nothing to happen for a few minutes at a time may just be the push to help your child come out with some form of communication.

In addition, stopping a novel activity or toy exploration at the very height of your child’s excitement also works well with many children.  You don’t have to be  confrontational about it, “if you don’t imitate my word/ phrase I just won’t give it back to  you”.  make sure to create these “obstructions”, as Greenspan refers to them, in a friendly, playful and positive manner.  Obstructions or fabricated “problems” are also a big part of social-cognitive and constructivist theories of language learning.

The idea behind these “obstructions” is that the children are forced to problem solve and use resources (language being one of them!) so they can get what they want.  Allowing your child to problem solve is critical to overall cognitive development that affects and shapes speech and language. Presenting your child with developmentally appropriate activities that involve thinking and figuring out of how to get X is an invaluable strategy that I always use with all of my children.

In sum, stop access to items that are already loved, tape up containers, close boxes and jars with favorite snack and toys, give your child all but ONE important item that is needed to complete an activity (glue, scissors), give your child the “wrong” item, or offer the “wrong” solution to the problem.  All of these “problems” will push the kid to think and figure out what to do next.  This, in turn, facilitates spontaneous language use.

Letting go of control and just allowing for things to spill, break, or simply not follow the predictable comfortable routine, too, elicits a ton of speech- language and fun communication.  These are the most teachable moments as our children experience all the new words and concepts first hand.  Perhaps, this is why many children learn “dirty” or “wet” attributes before they learn their colors.  These concepts are more easily learned because they are experiential and bring about relevant words to describe these personally relevant and emotional experiences.  Cleaning up and taking turns arranging things back in place is super educational too as our children need to learn responsibility and helping others.

Moreover, exposing children to objects that are completely novel and foreign (but safe!) may help elicit an attempt to ask a question “what this?” because the child wants to know.  The motivation is there.  Now s/he needs language to get the answer from you.  Some children may use a word with a rising intonation, which too is a question form, just not grammatically mature one.  For example, “Hat?” is as much of a question as “Is that a hat?!”.  If all your child is capable of verbalizing is “wow”, then you can go ahead and model “what IS that?” question a few times.  Of course, you want to pair it up with an exaggerated expression of surprise and excitement in your voice.

To sum up, do not be afraid to experiment, get “messy”, stay silent, entice, intrigue and just wait for a few minutes to see what your child will do.  Yes, we want to teach our children to attend, sit down for a structured activity, and identify objects, shapes, colors, and actions; but these adult- directed activities do not allow for self- expression or spontaneous language use.  You also want to follow your child’s natural interests and inclinations as this is frequently a way into their world.  If you show interest in your friend’s ideas and you let him/her speak, will they not want to bond with you even more? Will they not want to communicate with you?

Creative and talented teachers are those who can use unconventional materials presented in unexpected ways while targeting all the skills that must be learned!  Learning to manipulate the environment to get the most out of your child’s skills can be difficult but indescribably rewarding.

References:

  1. Lahey, M. (1988). Language disorders and Language Development.
  2. Greenspan, S. & Weider, S. (2006). Engaging Autism: Using the Floortime approach to help children related, communicate, and think.
  3. Wetherby, A. & Prizant, B. (1990). Communication and Symbolic Behavior Scales. ChicagoIL: Applied Symblix. 

nrslp

Natalie Romanchukevich has a MS in Communication Sciences and Disorders from Long Island University (LIU) as well as Bilingual (Russian/English) Certification, which allows her to practice speech- language pathology in both Russian and English. Following graduation, Natalie has been working with both monolingual and bilingual 0- 5 population in New York City, and has been an active advocate for preschoolers with disabilities in her present setting.  Natalie’s clinical interests and experience have been focused on  early childhood speech- language delays and disorders including speech disorders (e.g., Articulation, Childhood Apraxia of Speech (CAS), Pervasive Developmental Disorders, Autistic Spectrum Disorders,  Auditory Processing Disorders, Specific Language Impairment (SLI), as well as Feeding Disorders. Presently she is working on developing her private practice in Brooklyn, NY.

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Birthday Extravaganza Day Twenty Seven: Elementary My Dear, Analogies

It’s DAY 27 of my Birthday Month Giveaways and I am raffling off a giveaway by Straight Up Speech, which is Elementary, My Dear Analogies

This adorable 12-page critical thinking packet targets early analogies and uses child-friendly graphics to engage students in filling-in-the missing answers.

Packet Contents: Continue reading Birthday Extravaganza Day Twenty Seven: Elementary My Dear, Analogies

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Birthday Giveaway Day Twenty: If You Give a Mouse a Cookie – Language Activities for Preschool

It’s DAY 20 of my Birthday Month Giveaways and I am raffling off a giveaway by Rock Chalk Speech Talk, which is  If You Give a Mouse a Cookie: Language Activities for Preschool.

  This cute 57 page packet of course goes along with Laura Numeroff’s book, “If You Give A Mouse A Cookie.” The activities in this packet target common language goals for preschoolers and include categories, vocabulary, basic concepts, sequencing, functions, WH questions, and associations. The packet is loaded with adorable pictures and cute games all preschoolers are sure to enjoy!

You can find this product in  Rock Chalk Speech Talk TPT store by clicking HERE or you can enter my giveaway for a chance to win.

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Birthday Giveaway Day Eighteen: Grocery Theractivity

It’s DAY 18 of my Birthday Month Giveaways and I am raffling off a giveaway by Speech2U, which is a Grocery Theractivity.  This is an awesome 48 page packet which contains 72 different food pictures and 9 different activities. It can be used with ages ranging from preschoolers through middle school and is great for goals targeting life skills.

Packet Activities:

  • Dramatic play centers
  • Inferencing
  • Categorization
  • What does not belong
  • Healthy Eating

Additional Contents:

  • Healthy Eating resource list
  • Food Plate teaching Sheets
  • Food plate mat
  • Illustrated food pictures in 2 different sizes
  • Grocery lists for Categorization and Inferencing
  • Signs for Dramatic Play Centers

You can find this product in  Speech2U TPT store by clicking HERE or you can enter my giveaway for a chance to win.
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Birthday Giveaway Day Seventeen: Halloween Language Activity Pack

It’s DAY 17 of my Birthday Month Giveaways and I am raffling off a giveaway by Kids Games for Speech Therapy which is a Halloween: Language Activity Pack for preschool children. This adorable Halloween themed packet targets the following skills:

  • Pronouns (he / she / they / his / hers / theirs / him / her / them)
  • Prepositions (on / under / next to / behind / in front)
  • Following Multistep Directions
  • New Vocabulary Introduction

The pack contains baseboards, picture prompt cards, cutouts, and written cue cards. Detailed SLP and parent instruction sheets are included. The pictures are adorable and very engaging.

You can find this product in Kids Games for Speech Therapy TPT store by clicking HERE or you can enter my one day giveaway for a chance to win.
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What parents need to know about speech-language assessment of older internationally adopted children

This post is based on Elleseff, T (2013) Changing Trends in International Adoption: Implications for Speech-Language Pathologists. Perspectives on Global Issues in Communication Sciences and Related Disorders, 3: 45-53

Changing Trends in International Adoption:

In recent years the changing trends in international adoption revealed a shift in international adoption demographics which includes more preschool and school-aged children being sent for adoption vs. infants and toddlers (Selman, 2012a; 2010) as well as a significant increase in special needs adoptions from Eastern European countries as well as from China (Selman, 2010; 2012a). Continue reading What parents need to know about speech-language assessment of older internationally adopted children

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New Giveaway: Speech Therapy for Apraxia – Words

A little while ago I reviewed “Speech Therapy for Apraxia-WORDS” by Blue Whale Apps. You can Find this post HERE. Similarly to Speech Therapy for Apraxia, the Words version is designed for working on motor planning with children and adults presenting with developmental or acquired apraxia of speech. However, this app focuses on the child producing monosyllabic words vs. individual syllables.

There are 9 different word groups to chose from and the words are categorized according to place of articulation of the phonemes and pattern of articulation within the word.  Similar to the Speech Therapy for Apraxia app,  the goal of WORDS is to gradually increase the levels  of difficulty to improve motor planning for speech.

To recap from the previous post what I like about this app:

  • The word groups are arranged in a hierarchical order of complexitywhich is hugely important.
  • Great for drills of CVC  monosyllabic words with very involved children.
  • Great for introducing new words into the child’s repertoire.
  • Pictures are provided (great for teaching vocabulary)
  • Audio models are provided, which is great for all clients but particularly for very young children.
  • This app is perfect for drills so you can use it in the initial stages of working with children with a variety of speech sound deficits including articulation and phonological disorders.
  • Parents can use this app to practice at home what was taught in therapy.

Please note that the app works on iPad, Android devices and the Nook

The app developer was kind enough to provide me with 3 copies of this app AGAIN to give away to a few lucky contestants so enter my Rafflecopter giveaway for a chance to check out this awesome app for yourself for free.

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Guest Post: Simple Activities to Help Your Child with Language Impairment

If your child has been identified as having a language impairment, there are simple activities you can do at home that facilitate language development. These activities work in conjunction with your child’s formal therapy sessions and the activities he or she may participate in at school, either in the classroom or in an adjunct therapy session.

Such activities have three characteristics:

  • They are fun.

Therapy is almost always more effective for small children if it’s fun. Observe the therapist and note that almost all of the activities during the session are based around something that your child already likes to do.

  • They are part of “ordinary” interactions.

While formal therapy sessions are important, the activities at home don’t need to resemble therapy. Instead, they should be built into the normal course of everyday interactions to facilitate language skills naturally.

  • They build receptive language and vocabulary.

As you help your child develop language at home, the process becomes a natural part of your day together. Instead of being singled out as “language impaired,” your child is a loved and “normal” part of your family, and building his or her language skills becomes something that you do with your child just as you would with anyone. In addition, the interaction as you work together to strengthens your bond as you communicate.

Some simple activities to help your child include:

  • Reading aloud

Every child loves to be read a bedtime story; it’s a special time to snuggle with Mom or Dad and to hear a favorite story, again and again. Children find this repetition comforting; it also helps build both receptive and communicative language because as they learn the familiar words – both what they mean and how to say them – they can repeat them as you read the story together. This is perhaps the most perfect activity to help your child because you can do it every day. In fact, your child will look forward to it and probably even demand that it be done.

  • Telling stories, repeating rhymes, and asking your child to “complete the sentence”

Nursery rhymes and familiar stories are additional fun ways to expose your child to both communicative and receptive language. These activities develop language skills in a playful and non-stressful manner. For example, as your child develops familiarity with a rhyme, story, etc., simply pause at the end of a phrase and have him or her complete it.

  • Singing and listening to songs

Music is a wonderful facilitator of language too, and great to include in activities to help your child with language impairment issues. Spend some time each day singing together or listening to songs while driving, for example.

  • Playing the game, “What comes next?”

The “alphabet song” is a good example of how to play the game, “What comes next?” with your child. Since this song helps most children learn the alphabet, begin by singing the song together, and then as your child learns the alphabet, drop out so he or she sings the next letters alone.

“What comes next?” can also be played with days of the week, months of the year, counting, and more. The beauty of “What comes next?” is its applicability to anything language-based. Customize it to suit your child’s likes and dislikes, and it never gets boring.

  • Providing appropriate language modeling

Among the best activities to help your child is modeling correct language during conversations. Your child will watch, learn, and ultimately respond correctly, with gentle prompting at first.

About the author:

Erica L. Fener, Ph.D., is Vice President, Strategic Growth at Progressus Therapy, a leading provider of school-based therapy and early intervention services.

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App Review and Giveaway: Speech Therapy for Apraxia – NACD Home Speech Therapist

Recently I got the opportunity to take a look at the “Speech Therapy for Apraxia – NACD Home Speech Therapist” by Blue Whale Apps.

According to the developer the app is applicable to

• SLPs with individuals with apraxia (both children and adults)
• Parents working with children with apraxia
• Traditional articulation practice (drills)

Developed by the National Association for Child Development (NACD) by an SLP, the Apraxia app provides choices of different phonemes to target and gradually increases the levels  of difficulty to improve motor planning for speech. Continue reading App Review and Giveaway: Speech Therapy for Apraxia – NACD Home Speech Therapist

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Guest Post: 10 Common Causes of Pediatric Speech and Language Problems

Many young children develop speech skills within a wide range of time and with different capabilities. However, by a certain point, most children have begun to learn how to speak and communicate effectively. Of course, when parents notice that their child isn’t keeping up with other children, they worry. While most children develop appropriately given enough time, some children do experience issues with speech-language development.

Delays in speech development are caused by a variety of reasons, so it is important to understand what these potential causes are, as well as why a thorough, professional evaluation may be needed for some children. Too often parents, relatives, neighbors, and school officials believe they know for sure that something is off, but in fact, their guesses may be dead wrong. Instead, accurate diagnosis of speech-language problems requires a thorough evaluation by trained professionals and includes testing of both speech-language and hearing to determine the root cause of any potential problems. Continue reading Guest Post: 10 Common Causes of Pediatric Speech and Language Problems