• April

    SLP

    Verified

    Master of Science, CCC - Speech-Language Pathologist

    "AAC" (augmentative and alternative communication) and/or “SGD” (speech-generating devices) Recommendations and Justifying Medical Need for Speech Friends

    The routine practice of exposing speech friends you deem “total communicators” to the 4 different methods of communication would include the following:
    -verbal word production
    -American Sign Language (ASL) or Makaton
    -low tech core board
    -high-tech augmentative and alternative communication (high-tech AAC) also known as speech-generating device (SGD) for short

    For the sake of short-hand communication I refer to these as "The Big Four". As we fully embrace culturally competent approaches as a society, exposing speech friends to all 4 methods of communication provide communication experts with the evidence needed to prove, without a doubt, that AAC is truly a medical need for the beautiful friends we serve.

    Valuable Insights
    During the initial evaluations, I expose friends to The Big Four (always using simultaneous ASL with core words I verbally express. If the child does not respond/imitate my model of ASL/verbal utterance then I model with core board use then apply the same approach to SGD).

    You may say to yourself, "but my friends are already positively responding to SGD!" And I completely understand this perspective but, as scientific experts, we need to add evidence to SGD being the child’s preferred choice and their power/right to choose, not ours.

    This is why, when seeking to obtain SGD funding, ethical SGD/AAC funding support providers require SLPs to indicate if a child has been exposed to “The Big Four” as a means of determining true insurance coverage (if we haven't trialed all methods of communication then we technically have no subjective evidence to prove SGD is a medical need; no evidence = subjective or assumed need).

    We don't want to assume a child's preferred method of communication without first exposing them to “The Big Four”. This is the evidenced based reasoning behind commonly used "total communication" goals- when we model The Big Four (which includes acceptance of sounds and word approximations), it allows the child a safe/encouraging space to show us which one is his/her/their preferred means of communication through observed evidence.

    I realize some friends may not have "total communication" listed within their goals (at the time of assessment, maybe these friends appeared to prefer verbal communication) but, if your observed evidence is proving that a friend behaviorally and/or emotionally benefits from a total communication approach, careful consideration to update this accommodation to his/her/their treatment plan (so as to fully capture this technique as a documentable and evidenced reminder) is best professional practice.

    Expert Expressions that Improve Parent's Understanding of SGD:
    -Replace “tablet/iPad” with the specific use of “high-tech AAC” (augmentative and alternative communication), "AAC" for short, and/or “SGD” (speech-generating devices) for most precise naming
    -Remind parents that AAC can be low tech or high tech
    -Repeated use/exposure of these labels to help channel the message that it is actually the access to the words on the SGD/high-tech AAC device that supports the child’s ability to communicate not the tablet use alone.

    For a professional consults related to this topic please reach out to schedule a client consultation session with me on Liricare as I am happy to discuss more❣️

  • Jana

    OT

    Verified

    Occupational therapist

    Hello therapists ,here's a citation for a scholarly article about sensory integration and autism:

    Title: "Sensory integration therapy for autism spectrum disorders: A systematic review"
    Authors: Iva Čeponienė, Donna C. Davidson, Vilija Klaimienė
    Journal: Journal of Autism and Developmental Disorders/2020
    DOI: 10.1007/s10803-019-04297-2

    This systematic review explores the effectiveness of sensory integration therapy for individuals with autism spectrum disorders, providing valuable evidence and insights into the topic.

  • Teaching asl to grad students

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Which books would you recommend for teaching graduate students ASL? I'm seeing books for baby sign language and adult sign language. If there's an author you'd like to support please let me know!

  • Black history month treatment ideas

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Black History Month starts this Thursday! I'm curious to know how you incorporate Black History into your treatment plans?

  • Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Black History Month begins next week! Here are some things to keep in mind for therapy materials:

    1. Do your research! Make sure the information you are educating your students/clients on is accurate and based on historical facts.

    2. Keep your intentions in mind - consider WHY it's important to teach students about Black history.

    3. Release the struggle - not all Black history is about slavery or the Civil Rights Movement. There's a lot to celebrate! Remind students about the celebratory aspects of Black culture.

    4. Support Black businesses! There's plenty of Black businesses on TPT and Boom Cards (such as myself) who sell treatment materials. Support them this month and year round.

  • Login | teachers pay teachers

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    If you work with African-American kiddos, Kwanzaa-themed activities are great ways to help them feel included during the holiday season. You can check out affordable resources on the Pediatric Speech Sister TPT store! HERE: https://www.teacherspayteachers.com/Sellers-Im-Following/Add/Pediatric-Speech-Sister-Tpt-Store

    www.teacherspayteachers.com
    Login | Teachers Pay Teachers
  • Chat gpt and speech therapy

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    What have been some of your favorite speech therapy goals to target with the help of AI? I've been using Chat GPT to help me define vocabulary in layman's terms!

  • Check out this article: "how to tell kids the r...

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Check out this article: "How to Tell Kids the Real Story Behind Thanksgiving" by Today (2020) - https://www.today.com/parents/how-tell-thanksgiving-story-your-kids-t200911

    www.today.com
    Check out this article: "How to Tell Kids the Real Story Behind Thanksgiving" by Today (2020) - https://www.today.com/parents/how-tell-thanksgiving...
  • Gestalt processing

    Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Hello! What are your favorite resources and techniques to learn about gestalt processor students?

  • Melanie

    SLP

    Verified

    Bilingual Speech Pathologist

    Have you heard of the Expanding Expressive Tool (EET)?

    The Expanding Expressive Tool is a great resource for achieving various language goals! As EET Resources explain, can help students with the following language skills:

    Verbal expression
    Written expression
    Comprehension of vocabulary
    Defining and depicting
    Establishing connections
    Describing the functions of objects
    Sorting into categories
    Identifying similarities and disparities

    I encourage you to use EET with your language kiddos!

    Learn more about EET here:
    ARTICLE: What is EET (Columbus Speech Center, 2023)
    RESEARCH ARTICLE: The Expanding Expression Tool's Impact on Expressive Language in Preschool (Owens, 2022)