Here’s the first post in a new series, Real Life Language Ideas. Therapy targets need to be worked on frequently between therapy sessions, this is easiest for the family and most functional for the child, if it can be incorporated into activities they do anyway. In this series, each post will explain how a child can practise various language and speech skills during a particular activity. First up: blackberry picking!

My 3 year old inspired this post, he loves picking blackberries. It’s an activity we can do as a family (the baby is more of an eater, than a picker) and fits with my intentions for the year of moving more and getting outside. Locals in our new home town have been keen to direct us to the best bushes, I encourage you to go forth and get picking!

Here’s some ideas for how you can support your child’s speech or language development at the same time as having fun as a family.

Waiting for face watching

This is more a practise area for the adult! As part of parent child interaction therapy I often work with adults on waiting for their child to indicate he or she is ready to hear language, by waiting for the child to watch the adult’s face. So get down to your child’s level at the blackberry bushes and wait for them to look at you, no picking, tasting or talking until your child watches your face.

Vocabulary

Working on verbs in therapy? You could model, emphasise, and then repeat, repeat, repeat: picking, eating, tasting, squashing, pulling, throwing.

If your child is practising concepts, you can incorporate those too. Use different size pots, to practise size concepts, or talk about:

• empty and full
• high and low
• tasty and disgusting
• healthy and ill (my 3 yr old and I discuss this a lot, in relation to how many we eat whilst picking!)

Questions

Model relevant questions for your child and give them plenty of time to practise asking you back.

• “Who should pick this blackberry?”
• “Where shall we look for more blackberries?”
• “How many shall I pick?”
• “Can I taste one?”

Sequencing and Narratives

Today we came home and my son helped his dad make a pie with our blackberries. Cooking is a great opportunity for practising: first, next, and last.

Speech sounds

If your child is working at single sound level, you could ask them to say the target sound 3 times each time they pick a berry, eat a berry, put one in the pot, or spot a juicy one. Do the same with vowel consonant, or consonant vowel combinations. If your child is working at word level, try and find a word or two that work for blackberry picking, for example: for /k/ in word final position: you could work on ‘pick’ or ‘sick’.

Let me know if you go out picking, or think of other targets that lend themselves to blackberry picking! And now for more pie pictures.

I took my first Hanen eSeminar a couple of months ago, and I’ve been able to apply what I learnt, straight away. I think this is the first eSeminar or online training, that I’ve paid for. It was easy to log in and I could watch the 2 hour video whenever I wanted with 30 days of unlimited access. There was also a handout to download. It was recorded live, so there were some parts when the presenter asked the people watching live to answer questions or vote. It looked like fun! I used this time to make notes and jot down questions.

Definitions of Late Talkers

The eSeminar was titled: Choosing Initial Vocabulary Targets for Children Who Are Late Talkers. I was interested in the topic because I’ve been seeing more and more children under 2 years old, a good proportion of whom are Late Talkers. Some of the information presented was from Hanen’s Target Word program. Cindy Earle who presented the eSeminar began by describing Hanen’s clinical definition of Late Talkers (as opposed to the research definition.) She said that children with less than 24 words at between 18 and 20 months, 40 words at between 21 and 24 months, and 100 words, with no or limited word combinations at between 24 and 30 months, (and no other major concerns in other areas), require therapy.

Communication Goals and Vocabulary Targets

The eSeminar covered risk factors and predictors of change, and then we started thinking about communication goals. I had previously worked on imitation as a goal, but never being noisy! Cindy talked about the importance of learning to vocalise with every communicative turn or “being noisy” and it’s something I’ve incorporated into my work. Cindy moved on to discussing vocabulary targets, providing a useful checklist, including: target words should be motivating for the child to say and starts with a sound in the child’s repertoire. There was also some interesting information about gestures and a discussion about having the word ‘more’ as a target. I hadn’t really considered before that ‘more’ isn’t useful for initiation. I’ve been focussing on verbs and motivating items since watching the eSeminar.

The eSeminar concluded with some video case studies so we could apply what we’d learnt. I really enjoyed the format, the information presented was relevant to my work, and Cindy easily kept my attention for the 2 hours.

Discount on Hanen’s eSeminars about Autism

April is Autism Awareness Month. Or as the folks over at Thinking Person’s Guide to Autism prefer: Autism Acceptance Month. And Hanen are offering 40% off their Autism eSeminars with the code: AAMSEM16. Check out the eSeminars available and remember the offer expires on 30th April.

Win a free eSeminar

The team at Hanen have kindly offered me a free Autism eSeminar to give away! Leave a comment on this post telling me the vocabulary targets you’ve had most success with (“Thomas?” “Up?” “Cake?”) and I’ll randomly select a winner in a weeks time.

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.

My five year (and ten year!) plan doesn’t involve employing other therapists, working lots more hours or making lots more money. So what other metrics do we have for measuring progress with our businesses?

When I try and visualise a successful outcome for my business, I’m interested to notice that my mind is drawn first to how I will be feeling, when I’ve reached my business goals. I will be calm, not frazzled, I will enjoy my client work which will be challenging and rewarding, not frustrating and overwelming. I will be supported by, and support, a group of like minded colleagues.

So if someone were to record a documentary film, a day in the life of my therapy business when I’d reached my goals, what would the camera show? Me smiling and relaxed – my shoulders would be low. I’d have breakfast, and coffee, with my family, before I left for work. High energy sessions with happy children, and me feeding back to parents the progress their child was making. On my computer screen my caseload would show throughput, there would be no waiting list, as soon as I finished up with one child, a new family (who I was excited to work with) would enquire. I’d eat a healthy lunch, while reading a relevant research paper, and get home with energy to spare to play with my son before bed time.

Not quite what you tend to see written in a business plan! (Although I also have financial targets that I need to meet.) I’m interested in other ways (besides money) that we measure success, and other goals that we strive for.

Let me know how you measure your own success, what does it look like for you?