Tag Archives: speech and language therapy

The speech therapy process is like a long walk

Rhiannan on the coast path

I spent last week hiking 50 miles along the Pembrokeshire coast path. It was beautiful, stinking hot and a trip I’ll remember for years. The hours of walking gave me time to think, and I realised a long distance walk is a good metaphor for the therapy process.

A long journey

50 miles over five days sounded straightforward when I was planning the route. Factor in a heavy backpack, rough terrain and a freak heatwave and those miles were long. The therapy process can be long too. Children may need to develop skills in several areas, they may learn quickly and then take time to generalise, or it may take time to find a therapy approach that works.

It’s challenging and there’ll be tough parts

The walk seemed hardest when it was steep and hot, then suddenly easier when the path flattened off and the sea breeze began to blow. Therapy has easier and tougher parts too. At times something clicks and children suddenly get it, at other times no one is in the mood. There may be frustrations and times when we want to give up. We need to keep going and wait for the sea breeze.

Repetition makes it easier

We bought a new tent for this trip: the first time we put it up, it took about 40 minutes! The second time was faster and by the sixth night we had it down to an art. Therapy get easier too. Families get used to practising at home and find creative ways of integrating activities into each day. Children get used to how therapy sessions work, they get to know the therapist and what to expect.

Celebrate all progress

When we got to the top of a steep climb, we’d take our backpacks off and celebrate with snacks and water! It’s important to notice and celebrate progress in therapy too, however small. Remember how far we’ve come.

People may not understand

Some people we passed on the trail looked at us like we were crazy, one man even suggested we take the bus! When I was struggling, the strange looks people gave me made me feel lonely and the walking seem harder. I ignored people’s judgements and kept going. Sometimes friends and family may not understand why a child needs therapy or how the process works. Families tell me this lack of support can seem hurtful, and is one more thing to worry about. Tell friends and family how they can help you, and then keep doing what you need to do.

If you commit it’s worthwhile

I was determined to finish the walk. I had to be flexible and adapt my plan. Due to the extreme heat we took a shortcut one day, but we made it! When families can commit to therapy, and work with a therapist they trust, children make progress. All the hard work pays off when a child is able to express themselves, make relationships and blossom!

Redesigning Service Delivery for a Changing World: Therapy Ideas Live Debate

We’ve now had four sold-out Therapy Ideas Live lightning talk events since July 2011. It’s been great getting to meet and share ideas with such a range of therapists. We’re building a bank of 5 minute videos covering a huge range of topics. Need a quick dose of inspiration? Check them out!

We’re changing the format for the next event, so therapists can discuss their ideas and share their experiences. I’m excited to announce the next Therapy Ideas Live event will be a debate – Redesigning Service Delivery for a Changing World: Taking Responsibility for the Future of Speech & Language Therapy.

The debate will feature Kate Malcomess, Sally Shaw, and Kim Lewis, and is taking place as part of the RCSLT’s Giving Voice Campaign. It’s on 26 June 2012, at The Mermaid Conference Centre, London, 6.00 – 9.30 pm.

Changing Landscape

New commissioning regimes, reduced budgets, and growing caseloads: like it or not, Speech and Language Therapy is changing, and there’s no going back. Let’s tackle this challenge together, by learning from each other, listening to contrasting expert perspectives, and taking an active role in redesigning service delivery for the future of our profession.

We’ll hear from three featured speakers, debate what we’ve heard, and discuss experiences and challenges in small groups. Come along, and meet other therapists who are trying to make positive changes.

Get Your Ticket Now

Tickets are £10 and limited so get yours now. Check out all the details and buy your ticket!

An Englishwoman in New York

We present a guest article from Kerry Bray, a Speech and Language Therapist (SLT) colleague and friend from Hackney, East London. Last year Kerry moved to New York City, to marry a lucky American. When her visa allowed it, she started working as a Speech and Language Pathologist (SLP). Here are some of Kerry’s observations on the similarities and differences between working as a SLT in the UK versus a SLP in the USA. Thanks Kerry!

Kerry Bray

Kerry Bray

I have been working here in New York for the last three months, and finally feel like I am getting to grips with the major similarities and differences in the professional structures and roles. It is pretty different in practice here, because the organisation of health and education is structured and funded so differently. I wouldn’t say that children receive a better or worse service in either country—there are major pros and cons to both systems.

Twice-weekly therapy sessions

Here most SLPs have a full day of pure therapy, carrying out about 10 sessions a day, mainly seeing individuals and small groups in schools or pre-schools. On average, children receive therapy two or three times per week, for half an hour. Speech and language difficulties are almost exclusively addressed at the impairment level, and there is no expectation of carry-over into the classroom or the home. Although there is lots of literature encouraging work at the activity and participation level, many therapists are paid per session—since paperwork, liaison, and training cannot be billed, it seems like there is no incentive or time to work at this level.

Seeing children so frequently, on an ongoing basis, means they make lots of progress, and you have a chance to really get to grips with each child’s strengths and needs. There’s also a surprisingly small amount of paperwork here, compared to the UK. We write just one line of progress notes per session per child, plus statistics. Each child is then evaluated once per year, and a short report and targets are written.

I arrive at 8:30 am, leave at 3 pm, and I’m paid a liveable wage (I haven’t compared salaries, as I am paid per session here.) A lot of people also do extra work in the evenings, and even at weekends.

Buying your own resources

A major downside here is that in some settings you are expected to buy your own resources.  I work in a special school one day a week, and a pre-school for the other four days. At the special school, the SLP had to buy her own colour printer and laminator. At the pre-school, these things are supplied, but there are few shared toys, or other therapy materials. As you can imagine, it takes a lot of time and money to build up resources for a huge range of abilities—I need resources for children with Profound and Multiple Learning Difficulties (PMLD), Autistic Spectrum Disorders (ASD), Oro-motor needs, or five-year-olds with language delay.

Trying not to generalise

I need to be careful not to make too many generalisations—I’ve only done volunteer work for a private practice, and paid work in three different settings, through an agency. However, I have talked to a lot of therapists, and I am always trying to find out whether my experience is typical, or not.

Are any of my British friends interested in working here? I’d be happy to answer any questions about working in the USA, versus the UK.

We’d love to hear views from SLTs and SLPs in the USA, the UK, and around the world—what are the similarities and differences between your experiences and Kerry’s? Please add a comment!

Therapy Ideas is live!

Hello, welcome to Therapy Ideas!

I’m so excited that we’ve finally reached ‘soft launch’ day. I first started thinking about a website for SLT resources about two years ago and here it is, one of the first projects from Jonathan’s new web agency, Together London.

Please have a look around. At the moment there are about 25 ideas contributed by me and a small number of very special therapist friends, thanks girls! I hope the number of ideas will grow as therapists discover the site; making it an expanding and relevant resource.

Talking of resources, some ideas have resources attached, check out Same and Different. Print these out and you’re good to go, while you’re at it you could print out a set for school or parents too. There is a simple way to add photos, so you might want to use the site as a way of organizing your therapy photos- go on, upload that picture of pop up frog!

You’ll notice that the site is currently a bit focussed towards therapy for children, that’s because I’m a paediatric therapist. But all the infrastructure for adult ideas is there (at least I think it is, I’d really appreciate your constructive criticism) if you’re a therapist working with adults, why not add an idea?

So, what do you think? All comments, questions, feedback (and chocolate cakes) gratefully received.

Right, I think that’s about enough excitement for me, for one day. Thanks to Jonathan and David, you did a great job.

Rhiannan