I've been squeezing therapy with Ava in after her nap. She tends to wake up before her brother, so the time works fairly well. Yesterday, Michael woke up and came downstairs in the middle of our session and hung out nearby eavesdropping.
I have been working to get Ava to add in the "easy" final consonants (for Ava, /p, t/) at the end of the first word in a two word sequence or at the end of the second word in a three word sequence. So, we said, "wipe". Then, "wipe, wipe". Then, "wipe, wipe, wipe". That was fairly easy. So then we said, "Mama wipe". Also fairly easy. As soon as we add, "Mama wipe eye(s)" we lose the final /p/ sound in wipe. I was trying to get it back using visual, tactile, and gestural cues and she and I had gone back and forth several times.
Then, from behind me Michael piped up, "Mama! She SAID that!"
I love that his instinct is to defend his sister, but his timing wasn't the best. On the other hand, I did take a moment to explain to him what I was looking for demonstrating the difference and when I turned back to ask Ava to try one more time, she got it. Not a bad way to wrap the session up.
A Speech Pathologist Mother and Her Daughter Diagnosed with Childhood Apraxia of Speech
Wednesday, November 9, 2011
Tuesday, November 8, 2011
If You're Happy (Emotions Version)
I was first introduced to this idea several months ago by our Parents as Teachers home educator. I wanted to make our own version and couldn't remember the details so I did an online search for "if you're happy emotions" and found two helpful resources. This page shows the basic lyrics and some visual cue "faces" you can make. Another page gave me the brilliant idea to simplify the lyrics to make them more accessible to children with speech delays. Here's the project.
You sing the song to the tune of If You're Happy and You Know it Clap Your Hands. If you are a teacher, parent, or early childhood educator who has no need to simplify the lyrics, just use the original wording. I'll give the simplified version in a bit.
Here are the originals:
Here is how to simplify the lyrics:
If you are doing this activity with children who have speech delays, slow it way down and encourage them to sing along. (Or at least repeat "boo hoo," "oh my", and "oh no" when cued.) Once they have learned the song encourage singing by doing the activity where they get to hold the cue cards and lead the singing in turn.
If you're happy, happy, happy clap your hands.
If you're happy, happy, happy clap your hands.
If you're happy, happy, happy clap your hands, clap your hands.
If you're happy, happy, happy clap your hands.
If you're sad, sad, sad say "boo hoo".
If you're sad, sad, sad say "boo hoo".
If you're sad, sad, sad say "boo hoo", say "boo hoo".
If you're sad, sad, sad say "boo hoo".
And so on...
SLP Notes: This activity is great. You hit speech, language, vocabulary, and pragmatics all at once and can emphasize whichever is most important for your goals with a particular child. It can be adapted high (original version, fast pace, child led). It can also be adapted at a mid-level (modified version, medium pace, cued verbal participation). It can be adapted very low as well with modified version, slow pace, and only gestural participation or cued vocalizations (yawn, crying, snoring, exclamations of fear or surprise) to work on turn taking. Even using the activity to draw the child's attention to your facial expressions could help you work on eye contact if your goals are at that level. For vocabulary you get the emotions themselves, but also the parts of the face including eyebrows and terms like smile and frown.
If You're Happy Song - Emotions Version with Visual Cue Cards
Making the Cue Cards
Group Planning
I sat down with the kids and drew a happy face. I asked them how the person felt and they responded "happy." I asked them "How else can people feel?" They responded "sad" and I asked how the face would be different if the person were sad. They told me a frown (and demonstrated for me). I made a sad face with a frown. We then worked together to discuss, demonstrate, and draw the other four emotions (sleepy, surprised, scared, and mad). We also chose the color for each emotion. I let the kids choose and so our colors are a bit unorthodox.Make and assemble fronts and backs of Cue Cards
I then drew the faces on the circles and wrote the matching emotion and action on the back as a cue for myself when I was holding them up for the kids.Identify Emotions / Sing the Song
There are a wide variety of activities to do with these cue cards.- Adult hold up the cards and leads the song.
- Distribute the cards to the everyone (we had two each) and take turns holding one up and letting the person holding the card be the leader.
- Use the cards to help the children learn to identify emotions (without singing) in flash card mode.
- Have the children mimic the facial expression of the card you hold up.
- Let the children make an expression and you try to guess which one they're making by holding up the matching card. They get to tell you if you're right or wrong. Get it wrong on purpose sometimes so they can enjoy telling you no.
Song Lyrics
You sing the song to the tune of If You're Happy and You Know it Clap Your Hands. If you are a teacher, parent, or early childhood educator who has no need to simplify the lyrics, just use the original wording. I'll give the simplified version in a bit.
Here are the originals:
- If you're happy and you know it clap your hands...
- If you're sad and you know it say "boo hoo"...
- If you're mad and you know it stomp your feet...
- If you're scared and you know it say "oh no"...
- If you're sleepy and you know it take a nap (or close your eyes, or make a yawn)...
- If you're surprised and you know it say "oh my"...
Here is how to simplify the lyrics:
If you are doing this activity with children who have speech delays, slow it way down and encourage them to sing along. (Or at least repeat "boo hoo," "oh my", and "oh no" when cued.) Once they have learned the song encourage singing by doing the activity where they get to hold the cue cards and lead the singing in turn.
If you're happy, happy, happy clap your hands.
If you're happy, happy, happy clap your hands.
If you're happy, happy, happy clap your hands, clap your hands.
If you're happy, happy, happy clap your hands.
If you're sad, sad, sad say "boo hoo".
If you're sad, sad, sad say "boo hoo".
If you're sad, sad, sad say "boo hoo", say "boo hoo".
If you're sad, sad, sad say "boo hoo".
And so on...
SLP Notes: This activity is great. You hit speech, language, vocabulary, and pragmatics all at once and can emphasize whichever is most important for your goals with a particular child. It can be adapted high (original version, fast pace, child led). It can also be adapted at a mid-level (modified version, medium pace, cued verbal participation). It can be adapted very low as well with modified version, slow pace, and only gestural participation or cued vocalizations (yawn, crying, snoring, exclamations of fear or surprise) to work on turn taking. Even using the activity to draw the child's attention to your facial expressions could help you work on eye contact if your goals are at that level. For vocabulary you get the emotions themselves, but also the parts of the face including eyebrows and terms like smile and frown.
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Monday, November 7, 2011
I have NO IDEA!
The worry is so acute when they have no words and all the other children seem to be talking. Then, if you're lucky, you see progress when therapy begins and the feeling of relief is so profound. Sounds are better than silence. Single syllable words are even better than sounds. Two-syllable words or two-word utterances are even better than that. And then you get sentences, and lots of new words and you start to think it will all be okay.
Then there's a long plateau. Her immediate family understands her most of the time. I get a lot of practice, and at her age (2 1/2) she's almost always talking about something where I get some context clues. Being able to understand her most of the time gives me a false sense of security as well.
Lately, Ava is singing. It's adorable and a sign of great language development. Now, when I say singing, I don't mean the ABC song or Twinkle, Twinkle, Little Star. I mean just making up songs out of the blue.
She learned it from me. I make up songs about what we're doing all the time. If we're getting dressed I'll make up a silly song about putting on shirts and socks. If we're eating breakfast I'll make up a song about how our food tastes good to our mouth and then travels to our tummy to give us energy for the day. If the kids are running circles in the house I'll make up a song about how many laps they've managed to do. (I know, I'm a dork.)
A few days ago I noticed Ava starting to do the same thing. She made up a song about her baby and feeding her. Then she made up a song about going to the grocery store. I caught about one word in ten of those songs and only because I had some context to help with the guessing.
She's also making up songs about random thoughts in her mind. I can tell she's singing "words" and is super excited about whatever story she's telling. I can tell she wants an audience and wants to talk to me about her song. She's just bursting with pride at making up her own songs. I can see all of that clear as day.
And I have NO IDEA what the songs are about. None. It's killing me. It also makes me realize how unintelligible she is out of context and how very unintelligible she probably is to strangers. So sad. I must find more time for therapy.
Speaking of therapy, my new froot loop therapy reinforcer is working beautifully. She's bringing it over and asking to do speech just so she can have a froot loop snack. Whatever works! Being able to sit down with her regularly and get in sessions of a decent length is letting me get a better feel for her current skills and needs in terms of motor processing. Once I get things better sorted out I'll do a post on the topic.
Then there's a long plateau. Her immediate family understands her most of the time. I get a lot of practice, and at her age (2 1/2) she's almost always talking about something where I get some context clues. Being able to understand her most of the time gives me a false sense of security as well.
Lately, Ava is singing. It's adorable and a sign of great language development. Now, when I say singing, I don't mean the ABC song or Twinkle, Twinkle, Little Star. I mean just making up songs out of the blue.
She learned it from me. I make up songs about what we're doing all the time. If we're getting dressed I'll make up a silly song about putting on shirts and socks. If we're eating breakfast I'll make up a song about how our food tastes good to our mouth and then travels to our tummy to give us energy for the day. If the kids are running circles in the house I'll make up a song about how many laps they've managed to do. (I know, I'm a dork.)
A few days ago I noticed Ava starting to do the same thing. She made up a song about her baby and feeding her. Then she made up a song about going to the grocery store. I caught about one word in ten of those songs and only because I had some context to help with the guessing.
She's also making up songs about random thoughts in her mind. I can tell she's singing "words" and is super excited about whatever story she's telling. I can tell she wants an audience and wants to talk to me about her song. She's just bursting with pride at making up her own songs. I can see all of that clear as day.
And I have NO IDEA what the songs are about. None. It's killing me. It also makes me realize how unintelligible she is out of context and how very unintelligible she probably is to strangers. So sad. I must find more time for therapy.
Speaking of therapy, my new froot loop therapy reinforcer is working beautifully. She's bringing it over and asking to do speech just so she can have a froot loop snack. Whatever works! Being able to sit down with her regularly and get in sessions of a decent length is letting me get a better feel for her current skills and needs in terms of motor processing. Once I get things better sorted out I'll do a post on the topic.
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