A Speech Pathologist Mother and Her Daughter Diagnosed with Childhood Apraxia of Speech
Monday, May 14, 2012
Easy Customized Speech Homework Practice Sheet
One of Ava's therapists sent home a homework sheet that showed pictures of some words she was working on. She let Ava color all over it during the therapy session and then she wrote in some sentences because Ava was ready to practice at the sentence level. The idea is quick, easy, and efficient. You teach the activity during the session and then simply send the page home as homework.
I instantly realized that if you leave my articulation cards in whole sheet format without cutting them out (and print in low quality black and white to save ink) you can do the same thing. Work with the sheet during the session letting the children color the pictures as they say each word. Write x3, a carrier phrase, or a sentence on each card and then send it home to be practiced.
Sunday, May 13, 2012
Maintaining Home Therapy Momentum
Ava's speech has improved so much in the past 15 months. A little over a year ago my 24 month old daughter had only a couple of "words", a handful of phonemes in her repertoire, and was beginning to give up trying - turning instead to gesture. I spent a huge amount of time worrying about her speech, scheduling evaluations, setting up private therapy and early intervention, and working with her at home. I designed my own therapy materials. I worked with her daily. I monitored every tiny bit of measurable progress. Not an hour went by without me being engaged with her speech delay on some level.
Almost 15 months later, Ava's made so much progress. She's gone from a place with no words to a place with sentences and conversation. She's moved from a speech sound inventory where it was easier to list the few sounds she did have to a place where it is now easier to list the ones she's missing. She moved from early intervention and IFSPs to school age services and IEPs. I no longer worry about her speech on an hourly basis. It no longer is the major focus of my life.
All of that is wonderful and it is difficult to express the profound sense of relief that comes from letting go of the level of worry I had at the beginning. The progress has, however, had a direct impact on my sense of urgency and our home therapy momentum. When I was profoundly concerned, it was easy to remember to sneak in speech practice daily - sometimes multiple times daily. Now I'll find that a few days have slipped by without a structured therapy session.
Spring has contributed to the problem. Our habitual therapy session was after dinner and before the play, bath, and bedtime stories that make up our bedtime routine. The beautiful weather and late sunlight have drawn our family outdoors for evening picnics and play in local parks and I won't realize until after I've put them to bed that speech got lost in all the business and enjoyment of the season.
I need to refocus a little and find a new routine that works. I have been trying to shift our therapy sessions to the mornings when I know we'll be out in the evening. I make an effort each night to plan the activity, time, and therapy focus for the next day. Time slips away so easily and her speech will not continue to improve without intervention. And so I need to find a new sense of momentum even though the urgency isn't as intense and the weather is beautiful.
________________________
Happy Mother's Day everyone!
Almost 15 months later, Ava's made so much progress. She's gone from a place with no words to a place with sentences and conversation. She's moved from a speech sound inventory where it was easier to list the few sounds she did have to a place where it is now easier to list the ones she's missing. She moved from early intervention and IFSPs to school age services and IEPs. I no longer worry about her speech on an hourly basis. It no longer is the major focus of my life.
All of that is wonderful and it is difficult to express the profound sense of relief that comes from letting go of the level of worry I had at the beginning. The progress has, however, had a direct impact on my sense of urgency and our home therapy momentum. When I was profoundly concerned, it was easy to remember to sneak in speech practice daily - sometimes multiple times daily. Now I'll find that a few days have slipped by without a structured therapy session.
Spring has contributed to the problem. Our habitual therapy session was after dinner and before the play, bath, and bedtime stories that make up our bedtime routine. The beautiful weather and late sunlight have drawn our family outdoors for evening picnics and play in local parks and I won't realize until after I've put them to bed that speech got lost in all the business and enjoyment of the season.
I need to refocus a little and find a new routine that works. I have been trying to shift our therapy sessions to the mornings when I know we'll be out in the evening. I make an effort each night to plan the activity, time, and therapy focus for the next day. Time slips away so easily and her speech will not continue to improve without intervention. And so I need to find a new sense of momentum even though the urgency isn't as intense and the weather is beautiful.
________________________
Happy Mother's Day everyone!
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Saturday, May 12, 2012
The Beginning
Imagine a beautiful sunny evening in a crowded park. My husband and I are pushing the children on side by side swings surrounded by other small children and their parents. Michael calls back to me but I can't quite hear him and I ask him to speak up. And this is what he asked.
"Mama, how were the first people borned when there weren't any other people yet to born babies?"
Umm. Well, that question was a bit deeper than I had anticipated. And it didn't really seem like the best place to be discussing it. And, to be honest, I hadn't quite thought through how to answer that question with my preschooler.
After fumbling around a bit and not managing to answer the question at all I simply explained that it was a very smart question to ask and the answer was complicated and that we'd discuss it at home. He hasn't brought it up again yet, but I really do need to figure out what I'm going to say.
"Mama, how were the first people borned when there weren't any other people yet to born babies?"
Umm. Well, that question was a bit deeper than I had anticipated. And it didn't really seem like the best place to be discussing it. And, to be honest, I hadn't quite thought through how to answer that question with my preschooler.
After fumbling around a bit and not managing to answer the question at all I simply explained that it was a very smart question to ask and the answer was complicated and that we'd discuss it at home. He hasn't brought it up again yet, but I really do need to figure out what I'm going to say.
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