Category Archives: Thoughts about Therapy

Thinking about time and my intentions for 2017; get moving and get outside

Movement Matters

My partner has taken the kids out for a walk, so I have time to sit down and write this blog post. I’m reflecting on time. What do I want to use my time for? How can I use my time in a way that serves my purpose?

I haven’t written anything here on the blog for 4 months. I enjoy using writing as a tool for reflection, and ‘blog regularly’ features on my Goals for 2017 list. I meant to write earlier in the year about my intentions for my practice in 2017, but I didn’t make the time. I have two children, the youngest just 6 months old: quiet time to concentrate is rare. But I don’t want to think about time with a scarcity mindset, and I don’t want to live my life that way, rushing from one thing to another, frantically trying to do everything. That’s not connecting with my power. Continue reading

Teaching Vocabulary in the Early Years: Word Aware 2 – Book Review

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Speechmark asked me if I’d like to have a look at the new Word Aware vocabulary resource, by Stephen Parsons and Anna Branagan. I was keen to check it out and said I’d write about it here, on the blog, if it was something I thought I’d use, and it is. So thanks Speechmark, for the complimentary copy.

The blurb on the back of the book says it’s: “a practical comprehensive resource designed to support…effective vocabulary development in pre-school children of all abilities.” The core audience is Early Years practioners, but it would also be useful for SLTs and parents. The approach is described clearly, with multiple examples and suggestions for how to implement it in the classroom. If a practioner was able to set aside the time needed to read the book, I think they’d be able to get started. However, if you wanted more support and ideas, Stephen and Anna regularly run workshops on how to set up and run the program.

This resource comes with access to a website, where you can print out supporting materials, which I much prefer to CD-ROMs.

An inclusive, whole class approach

The book starts with a detailed, interesting and clearly referenced introduction, which would be very useful for teaching staff and is a great refresher for SLTs. I like the fact that the approach is designed for the whole class, so it’s inclusive and that there is a strong emphasis on the importance of Adult Child Interaction. The reader is directed to Keena Cummins’ work for more information about this.  While reading the intro, I noted down the phrase: “enthralled rather than overwhelmed” (by new words) what a lovely reminder.

The book describes four strands to the teaching approach:

  • Make words count
  • Teach vocabulary
  • Fun with words
  • Word detective

Practioners are encouraged to provide an enriched word learning environment, teach vocabulary using the STAR method (see below), enjoy, celebrate and reinforce vocabulary, and finally teach children how to learn new words.

The STAR process teaches words in a structured and specific way, it is adapted from Blachowicz and Fisher, 2010. STAR stands for:

  • Select – the most useful vocabulary
  • Teach – the selected vocabulary in a meaningful way
  • Activate – the meaning by using the words in context
  • Review – the taught words to ensure they are retained.

The resource contains detailed directions with comprehensive examples for how to select vocabulary. In terms of how many words to teach, the authors suggest one topic word, one text based word (from a book), and one concept, per week. And just one word, per teaching session.

How do I teach a new word?

The book describes a teaching sequence, so adults can teach new words in the same (effective) way each time. The 6 step sequence includes selecting a picture or symbol to represent the word, and singing the Word Aware song!

To activate the word the child needs to hear it used in different ways, by different people, over a period of time. The book provides lots of suggestions for this stage, for example, treasure hunts are a great way to “activate” adjectives. Finally, we need to review words. This can be done with word bags, and there are several word bag activities described in the book.

Extra resources included in the book

The teaching concepts chapter includes plans for introducing and teaching over 80 concepts. These describe specific activities for each concept, and are a great time saver when planning.

The book also includes chapters about supporting children with higher needs, developing word learning strategies and involving families.

Ways of using the book

I plan to use the STAR process in my individual therapy sessions with children who are working on their vocabulary. I found the guidance about how to select target words, and the ideas for activating and reviewing them useful. I will share the practical activities with parents and teaching staff. I’ll definitely use the concept plans, I don’t think they’d need much adapting to use in a one to one session with a child. And I’ll also recommend this resource, and way of working, to Nursery and Reception class teachers.

This is quite a hefty book, there are 250 pages, and I think to get the most out of it, and the approach, people would need to set aside the time to read it through. Although you could skip over some of the concept plans, you’d still need 2 or 3 hours, if you’re new to the approach, as I was.

I’m excited to try these concrete ideas for teaching vocabulary, in my therapy sessions. Perhaps I can write a follow up blog post when I’ve had a go!

Summary of Research Paper: Using Full Language with a Child with Autism, Emerson and Dearden

A plate of red jelly

I was delighted to hear how well a little client of mine had done with a new activity (a large container of jelly!) at nursery this week, although I was disappointed that his teacher had predicted he wouldn’t be able to access it.

I then read this journal article: The effect of using ‘full’ language when working with a child with autism: Adopting the ‘least dangerous assumption’ by Anne Emerson and Jackie Dearden, Child Language Teaching and Therapy, 29 (2), 2013. This research paper resonated with me because it discussed the implications of underestimating a child’s ability. Continue reading

How do you measure the success of your therapy business?

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A discussion with a therapist friend prompted me to think about how we measure the success of our independent therapy practices. There seems to be a tacit assumption, here in the UK, that as independent therapists we’re aiming to grow our practices, hire a team of therapists, and that more (employees and clients) is best. Continue reading

Staying Motivated: progress, online CPD and books

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I’ve found it challenging to get back into work mode after the winter break. It’s dark when I leave the house and dark when I get home.

Here are three things that have inspired me:

  • Observing the progress my clients are making. I’ve reminded myself to slow down and notice the changes in each client. One is now able to produce s clusters, another can make a choice between two options, and a third has started asking questions. Their exciting progress keeps me motivated.
  • Doing a little CPD at a time that suits me, sitting at my own desk. I watched this Hanen eSeminar: Choosing Initial Vocabulary Targets for Children Who Are Late Talkers, which deserves a blog post of it’s own. It made me think about which of my children Hanen would classify as Late Talkers and gave practical ideas about the types of words to choose for targets.
  • Reading beautiful books which aren’t about speech therapy. I received Erin Boyle’s book Simple Matters in the post this week. The gorgeous photography and inspiring ideas were just what I needed to get out of my winter funk. And I’m sure there are principles I can apply to therapy, for example I’ll definitely think twice about buying more plastic toys, or resources. I also had another look through Joel Henriques’ book Made to Play. Another book with gorgeous photographs and the craft projects range for simple to pretty complicated. I’m going to pick a couple and have a go.

What do you do to stay motivated through winter?

Reflecting on past CPD to design a new conference

 

Therapy Ideas Live

I was selected for the HCPC Continuing Professional Development audit, so I’ve been reflecting on how we apply what we learn to our therapy. As I put together my CPD “portfolio” I noticed some common features of the CPD that I’d found most useful. I’ve used these common features to make my new conference an effective learning experience.  Continue reading

Speech and Language Therapy and Professional Identity

Cover of J Stokes book

In the conclusion to their book, Jane Stokes and Marian McCormick wrote that they hope it makes you think “Hmmm…” – it certainly does.

As Jane and Marion designed the curriculum for a new postgraduate course in speech and language therapy they collected stories, and then wrote this book to add to the conversation about issues that underlie the SLT profession. The book has 10 chapters, 5 written by Jane and Marian, and 5 contributed by other people. It raises challenging questions and explicitly invites the reader to examine their professional beliefs. Continue reading

Using music to engage children with Autism: tips, techniques and resources

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I recently attended a workshop at The Music House for Children on introducing musical learning to children with Autism. I was energised and inspired by the session and left with several practical ideas I’m keen to try out. The workshop was led by Kirsty Keogh, it was refreshing to hear from a professional outside of speech therapy. Kirsty is experienced at working with children and young people with Autism, I could see from the videos examples how well the children responded to her. Continue reading

Improvising when a haircut doesn’t go to plan

"Cutting" with Toca Hair Salon

Last week I had what I thought was a winning therapy idea, when it didn’t pan out I had to improvise.

Two of my kiddies are working on verbs and we’d been practising “cutting.” I’m targeting /sn/ clusters (“snip!”) with another child. I was inspired by some recycled packing materials to try a hair cutting activity.

I drew faces on paper and taped wavy, strings of cardboard packing stuff on for hair, it looked great. I handed a pair of children’s scissors to the girl working on “snip” and she gave it a good go. But the scissors were too small and not sharp enough to cut the “hair” – oh dear. We started snipping other bits of paper, and then rapidly moved on to sticking things on to a picture of a “snail.” For the two boys working on “cutting” it was Toca Hair Salon to the rescue – phew.

Therapy is all about improvising: therapy sessions rarely go exactly to plan. We can’t follow a recipe, instead we spontaneously make communication opportunities from whatever is available, and teach parents to do the same.

Webinar: Introduction to Speech and Language Therapy

Attend an Introduction to Speech and Language Therapy Webinar

Tuesday 12 August at 06:00 PM BST (view in your timezone), £45

Are you considering a career in speech and language therapy? Participate in this 90 minute webinar to learn about client needs, therapy techniques and skills. Find out if SLT suits you and complement any shadowing opportunities. This will help you to apply for SLT courses.

Through case studies you’ll learn:

  • what needs clients have and several therapy approaches that work
  • what core skills therapists need (and how to identify your existing skills that are relevant)
  • how to approach therapists to arrange observation sessions (and other ways to get practical experience)
  • how to find resources (books, blogs, videos) to learn more about speech and language therapy and prepare your application form.

You’ll also have a chance to ask questions and afterwards you’ll receive a video recording of the webinar.

Buy a ticket to the Introduction to Speech and Language Therapy webinar.