Wednesday, August 31, 2011

Apraxia Therapy Materials: Kaufman Speech to Language Protocol Workout Book

Therapy Materials Review: Kaufman Speech to Language Protocol Workout Book

This is a review of the Kaufman Speech to Language Protocol Workout Book. The book was developed by Nancy Kaufman, MA, CCC-SLP. Nancy Kaufman is a nationally acclaimed expert in apraxia who has developed assessment and treatment materials in the area of apraxia. The book is 127 pages and is a 9" x 13" spiral-bound hardcover book. This book contains 16 different motor-speech "workouts" and some great resource pages in the beginning of the book on a variety of useful topics. Just like with the Kaufman Kit Level 1, the Workout Book focuses primarily on the consonants /m, p, b, t, d, n, and h/.


Target Audience

The target audience for the Kaufman Speech to Language Protocol Workout Book will usually be children between the ages of two and six. The pictures in the book were designed with those ages in mind. The book will be most useful for children who are struggling with producing simple syllable shapes and need to focus on the early emerging consonants /p, b, m, t, d, n, h/.

Description of the Kaufman Speech to Language Protocol Workout Book

This is a 9" by 13" spiral-bound hard back book with 127 pages. The book begins with resource pages on a variety of topics followed by 16 different types of activity pages. An SLP could pick up this book and use it with clients with very little advance preparation. I believe this book would also be useful to parents for home practice.
  • Introductory Pages and Resources
    The book begins with some great explanations and resources:
    • Description of the Kaufman Speech to Language Protocol
    • Treatment Tips for Establishing First Words
    • Introduction to the Mutt Family (characters used both in the workout book and the treatment kit)
    • Explanation of Word Approximations
    • Discussion of Vowels
    • Pictorial Guide to Hand Signal Cues for Vowels
    • Vowel Workout
    • Pictorial Guide to Hand Signal Cues for Consonants
    • Discussion of Other Cueing Techniques
    These resource pages are very well done and are written in a way that is easy to understand and very useful. These first 26 pages add significant value to the person trying to use this book to help children with severe speech delays.

    Here is an example of one of the resource pages:

  • Workouts
    The next section of the book consists of 16 "workouts". These workouts are exercises designed to easily elicit many practice productions of specific motor-speech combinations. Each workout begins with an explanation of the targeted skill (for the SLP) and is followed by activity pages that are well designed and engaging even for very young children. The workouts address the following topics:
    • Reduplication (CVCV)
    • Consonant Vowel (CV)
    • Same Initial Consonant Pivot Phrases with CV
    • Pivot Phrase "Open"
    • Naming Function: Noun-Verb-Object
    • "I Want" Pivot Phrases to Request Objects
    • "I Want To (Verb)" to Request Actions
    • Final Consonant Inclusion of /p, t, k/
    • Simple Bisyllabics (C1V1C2V2) plus CVC
    • Naming Action: Noun-Verb-Object
    • Sequence Stories: Noun-Verb-Object
    • Present Progressive Structure
    • Short Stories
    • Scripting Functional Language
    • Click here to see sample pages. (You may have to reload page after it opens.)

How to Use the Kaufman Speech to Language Protocol Workout Book

This book is a wonderful resource for any SLP. The early workouts are perfect for beginning work with children with severe speech delays. The later workouts are great for generalization of speech skills and are also great for working on expressive language skills as well. The book is compact, portable, and reproducible. It is a great investment.

Pros and Cons of the Kaufman Speech to Language Protocol Workout Book

  • Pros:
    This book is sturdy, has great reference information, and has 16+ ready-to-go activities that are appealing and useful for a wide variety of speech and language students. The book takes you from eliciting single consonants and vowels to generalizing early emerging sounds in phrases and short sentences.
  • Cons: The book is expensive. It only addresses early emerging consonants.

Bottom Line:

This is a great investment. The cost is high, but not completely inaccessible and worth every penny. You get a product that is educational for you, includes ready-to-go activities, is appealing to children, and is useful for a fairly wide variety of clients. It is also accessible and useful for parents that want to do extra practice at home for children with severe speech delays or expressive language delays.

You might also be interested in the following articles:

Tuesday, August 30, 2011

OT and Pudding

Our occupational therapist showed up yesterday morning with a box of pudding. I'm not a huge fan of pudding myself, so I'm pretty sure my children have never made pudding before. They might have been served some at school or at my parent's house. Perhaps they've tried some at a buffet. We've never had any here at home though.

Our goals for the day were to work on feeding (she came at breakfast time) and to continue to work on sensory exploration. While I made breakfast (eggs, sausage, and dry cheerios) the OT made vanilla pudding with the children. The children enjoyed tasting the dry mix, measuring and pouring in the milk, and stirring the pudding. Then we let the pudding set while we ate breakfast.

Ava likes dry cheerios, tolerates a little egg, and traditionally won't touch sausage. That was exactly the mix that the OT requested. First we got Ava to touch the sausage in exchange for some extra cheerios. Then we persuaded her to kiss a piece of sausage in exchange for more cheerios. Finally, we did manage to get her to lick it in exchange for some cheerios. She did not eat any. However, a month ago, I couldn't even get her to touch something she refused to eat so getting her to lick something is significant progress.

After breakfast, our OT wanted the children to fingerpaint with the vanilla pudding on construction paper. We got all set up. Everyone chose their favorite color construction paper (orange for Michael and pink for Ava). Then the OT put a dollop of pudding on each piece of construction paper. Both kids took one look and absolutely refused to touch it.

The OT modeled making a sun on her piece of paper. The kids were still not tempted. She used some cheerios to give her sun a smiley face. Still no takers on the activity. She offered them a paper towel to help keep their hands clean. Nope. Then I remembered a comment from one of my readers about how her son would only play with shaving cream if there was a bowl of water nearby (Thanks Gentle Blue!). I went and got two bowls of water and finally we were able to get started. Michael went first and Ava started tentatively with one finger. We made dots and lines. We tried unsuccessfully to get handprints. Ava washed her finger off in that bowl of water after every single dot or line.

I got Ava to play a game where I would draw something with the pudding and then she'd "erase" it with her finger. She always enjoys that game. I tried to continue the playful atmosphere by dabbing some pudding on the back of her hand. It was a big mistake. She had a meltdown. We had to clean her hands off instantly and she refused to participate or even stay at the table after that. I felt terrible. Instead of the experience ending on a slightly positive or neutral note, I pushed her too far and it ended really negatively. Lesson learned I suppose.

It is fascinating to see the variety of rather common household substances (shaving cream, cornstarch and water, instant pudding) that the OT is using in therapy. It's been good. I've been very pleased with how things are going so far.

Monday, August 29, 2011

Preparing Early

I've been slow to hop on board the Halloween excitement train. The very first year Michael was about to turn one and I was pregnant with Ava. My parents did Halloween with Michael and I stayed home and rested.

The second year my children were old enough to really participate. Michael was about to turn two and Ava was not yet one. We bought costumes at the last minute at Old Navy choosing from the few costumes that were still available in the appropriate sizes. Michael was a tiger and Ava was a kitty. It was fine, but they wore the costumes for about 45 minutes total.

Last year they were a little more excited. We waited too long again (about a month before Halloween) and chose from limited options at Old Navy a second time. Michael was a dragon and Ava was a bee. They were baby costumes. The ones that are sort of like sticking your children into a stuffed animal.

This year Michael is old enough to remember the last Halloween and to be excited about the coming Halloween. I actually remembered that waiting until the end of September was going to result in poor selection. Last night we made an outing of going to look at costumes. We went to Cracker Barrel which often has cute costumes. We found a couple of cute costumes in appropriate sizes. Then we went next door and treated the children to half of a chocolate Krispy Creme doughnut with sprinkles each. They were so excited. All in all a successful night.

Michael's fireman costume will need some sort of pants and a warm shirt underneath the jacket. Ava's costume will need some method of keeping her warm. Perhaps a long-sleeve leotard and heavy tights? So, we're not completely done preparing yet. But it is nice to be a little ahead of schedule this year.



Web Analytics