Carryover Activities for Speech Therapy

5 Nov

No matter what goals you are working on with a student, there comes a time to move those newly developed skills outside your therapy setting. This is referred to as carry over.  For some students we know it can be a real struggle.  We all have experience with the student who does a perfect /s/ during therapy and then you see them  in the hallway and they turn to you to ask “Is it my peech day?”  All of  that work does little good if it does not  transfer to the real world.  Therefore carryover skills are important to address. It is important to have this in mind from the very beginning.   

There are things to keep in mind when planning tasks for carry over.  It is important that the student is able to do the required task correctly in a controlled setting and hear the difference between his correct and incorrect productions before doing homework assignments on his own.  If he doesn’t self correct errors he is likely to practice homework wrong which only reinforces errors.  Homework  should be given at the level where student is successful.

It is important to reinforce the correct behavior to get it established but after that don’t give immediate feedback every time.  Instead, teach self monitoring by asking the student what they think about their production and then give feedback.  This makes them responsible for their behavior and not as dependent on your approval.  Children often work for approval and do not see the big picture.  We want them to be self-disciplined and responsible for their actions.  I often tell them they need to become their own therapist because they certainly don’t want me following them around all day correcting them.

As soon as students are at a spontaneous sentence level I encourage them to self monitor by using  a  hand counter  or tally counter. They self monitor by  making a click each time they observe themselves doing an assigned task correctly during therapy.  This could be monitoring a correct speech sound, using correct grammatical structures, or using fluency techniques. All those things we tend to work on. 

Hand counter

It is easiest to do this in an hierarchy.  Train the student how to use the clicker when reading a word list or reading sentences that have the words they are working on. Then bring it up to the next level by working on  more spontaneous productions.   The Silly Sentences in the  “Expressive”  section are great for a reading task.  It goes to the next level of spontaneous speech when student explain what is wrong with the sentence that was read.  The Association cards in the “Vocabulary” section are also a way of getting more spontaneous output as the student explains how words are similar  in meaning. I often have students working on vocabulary skills as well as sound production in the same group.  With the clicker almost any task that requires a spontaneous response can work and meet a variety of needs. 

There are a few bonuses for having the student use the tally counters.   You can keep track with a second counter or paper and pencil, and compare accuracy of the self monitoring as well number of attempts with the student’s tally.  The students finds it motivating to hit a target number of correct productions and you have data for your records.

The clicker can add natural controls at the  level of conversational speech.
 Often students get carried away with a conversation, and forget to monitor or allow others to talk.  The flow is stopped if you need to remind them.  The tally counter in their hand is a good reminder there is a goal in mind. When working with multiple students you can give an assigned number to tally before passing it to another student.   The group can earn a chosen activity when they reach a certain number.  For some reason the clicker by itself can be motivating to some students.

The “Social”  section at the top has quite a few activities to encourage spontaneous speech in social situations.  There are ideas for role playing in this section.  Role playing is a good activity for practicing   real life situations.  Ideally you will be providing tasks that reflect real life speaking  situations so students practice what they will actually be saying and then carry it over.

The Forms and Letters section has a “Home Work Rating Scale” I have used to get feedback from parents, teachers, and caregivers. The student becomes aware he is being listened to by others and parents know what can be expected from the student.  I often use this sheet as an exit requirement.   When parents have been part of the process, they are more likely to know and agree when it is time for the student to discontinue speech services.

I hope you find something you can use in this blog post.  I enjoy hearing what works for you or any other feedback.  You are always welcome to leave comments.   In addition, let me know if you run into links that do not work.  I found some recently and deleted or fixed them.  It is a hard thing to keep track of some of these things.  

For those of you interested in buying Teachers Pay Teachers products there is a sale you might want to  take advantage of.








 

 

The Virtues of a Grab Bag and Grab Bag Hack

1 Nov

Have you ever wished for extra arms while conducting speech therapy?  Who can forget those early days of  SLP training and starting of clinical hours.   At the time, it seemed impossible to manage everything. I wished for more hands to manage materials, data taking tools, and especially the young clients.   If you turned  your back, your clients had control of the materials and you became an octopus trying to get them back.  This was not a good start to the session.

I got  to thinking about the hacks I discovered along the way that made a difference.  A grab bag was one of my real life savers. If you haven’t discovered the virtues of a grab bag  you have really missed out.

There are lots of advantages to using a grab bag.  A bag allows for control of the materials and prevents students from helping themselves to  items before you are ready to use them.  It allows for controlled  turn taking.  Only the person with the bag has access to the items. They  take items one by one before handing it on to the next person.

It creates  intrigue for some  students who would not otherwise be interested. Who doesn’t like discovering what is hidden in the mystery bag?   And finally, when you find yourself switching locations and working from room to room, you can keep better tabs of those small pieces if they are contained in a  bag that is portable.

I used grab bags frequently with my  early language learners, especially in small groups.  It creates a natural context for communication boards when training core vocabulary such as “I have, I see, I want,” and that mportant question for vocabulary development,  “What is it?”.   I have used grab bags with a activities such as potato head, the car races, and windup toys.  You can use a clear freezer for students who need  to see the parts and request them.

Here is an example of a communication board I used with  mechanical toys and a grab bag. The board is made from Picto-Selector graph which is a free download.  It can be found at https://www.pictoselector.eu/  

A bag can also be used with older students seated around a large table.  The bag can be passed so items can always be reached.  You have one less thing in your hands which really helps when taking data.  You can even have different  bags and different cards in each so students can work on different objectives by pulling from their bag. I have a lot less trouble with a stack of cards being scattered across the table and floor.

I imagine you are saying, “I want one of those. Give me the directions for that grab bag already.”   Well here they are:

Find an old sweater or sweatshirt that has long sleeves and cuffs.  Simply cut the sleeve off, turn it inside out and sew across the flat bottom.  You can glue the bottom opening closed with a glue gun if you can’t sew or don’t have a sewing machine.  Turn it back to the right side and you should have a bag with a cuff opening for the top. Now tell me that isn’t simple.

 

 

Using stories to teach social concepts

21 Jun

If you have worked with students with autism or other disabilities,  it doesn’t take long before you find out the value of a good story to teach social situations.  “Social Stories” is actually a trademark of  Carol Gray who first developed the idea and gives conferences and trainings on how to write and use  them.  In her words,  “The goal of a Social Story™ is to share accurate social information in a patient and reassuring manner that is easily understood by its audience.”     She has developed a site that has more information then what I can possibly put here and I wouldn’t want to violate her trademark.   So go to Carol’s site to find out more information  on how to actually write one.

I have used stories  to help students correct challenging behaviors or deal with  new situations.  They can be written for all levels of development.  They can be made as a picture book or in just written form.  You can even use technology with program like ‘Power Point”.  If you  add a switch  a child with physical limitations can turn pages independently. Sometimes real pictures are helpful.  We’ve taken pictures of staff and the building to prepare a student for transition to a new school.  They’ve been useful for getting children to line up and return from the playground,  and wait their turn.  An important thing to remember is to focus on the positive.   Let the child know what  behavior you want them to do  and what to expect.  Don’t emphasize the bad behavior.  A child that is hitting for attention may actually need a story on how to ask someone for a turn or to play with them rather than “We don’t hit”.

There are many sites with already made stories.  They can be a resource for downloading or writing your own stories.  I have found stories on “Speaking of Speech“,”Boardmaker share“,and One Place for Special Needs. I’ve added a comic strip maker to the tool section.  This would be a great tool for  older elementary or middle school students who might like writing their own stories.