Talking Temptations- Strategies and a few apps that promote the urge to speak

June 7, 2012

During speech therapy sessions with children and adults with severely impaired communication skills, one of my primary challenges is setting up situations that promote the urge to talk. As parents, therapists and educators, when helping individuals who have significant communication challenges, we need to set up an environment that gives the individual a reason to talk and make sure to give individuals enough wait time so that they can initiate speech.  Most of us often know what a person is trying to say and help meet their needs to avoid conflict or make life easier, but there are times that it is more appropriate and therapeutic to actively intervene so that there is more of a reason for the person to initiate a communicate attempt.

There are quite a few methods for doing this. We can sabotage the situation- place something in full view but out of reach that we know the person wants, give them something broken that they need to have fixed or engage them in a pleasurable activity such as swinging on a swing, listening to music or playing a fun game- then suddenly stop the activity. Lots of praise for communicative attempts is critical to promote communication- as is providing frequent opportunities for communication during enjoyable activities. If communication does break down- we try to give just enough help for success. It’s important once the communication is repaired- to then review what happened and practice what the individual could have done or said to communicate the desired message.

I use these techniques with a wide range of individuals- young and not so young individuals with autism spectrum disorder ( ASD), adults with aphasia and individuals with dementia or other cognitive challenges. The initiation of communication is critical for quality of life- and often quite a challenge to establish.

I encourage families, teachers and therapists to create situations throughout the day during everyday activities such as morning rituals, mealtimes, work/school and leisure activities.

When using the iPad- I have recently been using quite a wide variety of apps to create these temptations. Of course- the selection depends on the interests and motivations of the client. For individuals with more advanced communication abilities- these same apps can be used to give each other directions or describe what has happened in the app or what they are about to do.

Here are a few of the apps I have recently been using to generate or improve communicative interactions:

YouTube-    on my iPad I have saved many great videos in the “favorites” section for easy viewing. At times I might pause them engage in comments about what we see. I may offer written word choices using paper/pencil, include targeted vocabulary in an AAC app or provide hands on prompting to facilitate accurate verbal productions. Older clients often like “Dancing with the Stars” , while younger ones often respond to amusing Disney clips or favorite singers. Whenever possible I try to find funny clips to promote enjoyment.

    

Cut the Rope or Where’s My Water– These two apps are very popular with just about all clients. I hold the iPad and encourage clients to say words such as “dig” , “cut” etc prior to interacting with the app. Hand over hand guidance may be needed for individuals with limb apraxia- but many people young and old love these apps.

  My PlayHome and Cookie Doodle- These apps are not “drill and practice” , but offer motivating ways to engage clients with motivating fun activies. I try hard not to have individuals repeat what I say- but facilitate their production of utterances to make things happen. An example might be “Dad on swing” , “Baby bounce” or “eat cookie.”

Below I have listed a a few websites, blogs and videos that do a great job of presenting ideas about how to create communication temptations and facilitate communicative interactions. I am sure there are many more.

Top 5 Ways to Encourage Spontaneous Language

Communication Temptations: How Use Your Environment to Get Your Child Talking

8 Ways to get your Child to Speak

Communication Temptations

How to make communication temptations really work

Activities to Encourage Speech and Language Development

If you know of other sites or videos that illustrate the use of communication temptations to encourage verbal initiative- please email me at Joan@innovativespeech.com.

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Introductory Interactive iPad Workshop with Joan L. Green, M.A.CCC-SLP

June 6, 2012


 iPad Insights and Implementation Strategies to Improve Communication, Cognition, Literacy and Learning

Thursday October 25, 2012

Rockville, MD 10:30 AM- 2:30 PM ( 45 min.  break for lunch)

$125.00

Click Here to Reserve a Seat

The morning will begin with an introduction to the many helpful features of the iPad and an overview of how the iPad and iPhone can be used to help children and adults with communication and learning challenges.  During the workshop, Joan  will demonstrate  many helpful features of iDevices and her top app picks for helping others to have fun while maximizing learning and quality of life.  A wide variety of Innovative Technology Treatment Solutions will be presented.

Participants are encouraged to bring their iPads and iPhones and to use them  as Joan presents an overview of her most recent cutting-edge motivating approach for using the iPad to help individuals of all ages with and without special needs including:

  • autism spectrum disorders
  • learning disabilities
  • speech and language delays and disorders
  • twice exceptional learning challenges
  • executive functioning weaknesses
  • aphasia
  • apraxia
  • dyslexia
  • dysgraphia
  • dementia
  • traumatic brain injury

The day will include strategies and suggestions for approaches to improve speaking, understanding, reading, writing, thinking, remembering, socializing, organizing and learning. Participants will be encouraged to actively collaborate throughout the day.

A limited number of professional, graduate student and family scholarships are available. Contact Joan@innovativespeech.com for  for scholarship application information.

MD SLP CEUs approved for 3.25 hours


Using Free Online Humorous Videos to Enhance Speech Therapy

February 20, 2012


          

Golden Loves Guitar

Mr. Bean Goes to the Swimming Pool( small ad first)

Mr Bean Goes to the Dentist

Two Dogs in a Restaurant

In past newsletters I mentioned quite a few drill and practice programs and apps that I frequently use to improve speech, language and cognition as well as more open-ended/creative products to work on goals such as initiation, turn taking, novel sentence formulation, asking questions, following directions and play.

I realize that not everyone has an iDevice. Today I want to share wtih you some free online videos I have been using in therapy. They can be accessed with an iDevice or just about any computer, tablet or Smartphone that has Internet access. I have selected them because they are generally just a few minutes long and involve humor. I generally watch the entire video once then pause it frequently to interact with my client on a wide variety of goals as we view it again.

Some goals I may have for this session may include:

  • Improving joint attention to a task
  • Naming items pictured or pointing to appropriate pictures on an AAC device or printed out
  • Formulating sentences to describe what they saw
  • Remembering details shown
  • Asking and answering questions about what happened on the video
  • Discussing displayed emotions and practice analyzing the perspective of others
  • Reflecting on other situations/scenarios peopel have encountered similar to the one pictured.
I’d love to hear from you if you have favorite humorous videos that you use as part of your therapy or just enjoy watching. I find that these videos keep sessions fun and interactive:) They provide a great source of material to stimulate conversation and progress toward goals:)

Reviews sites to learn more about iDevice Apps

January 15, 2012

I have been speaking quite a bit to private therapy practices, SLP associations, schools, hospitals and families about the iPad. I have added it to my frequently used collection of “technology tools” and bring it out with just about all of my clients in addition to a laptop computer and online interactive sites.

Once you take the plunge and shell out a considerable amount of money to purchase an iPad- the challenge becomes how to use it. What is all the hype about? Was it worth the investment? There are currently hundreds of thousands of apps. Which are best for you and your situation? How should you configure you iPad and what is the best way to do it? I help individuals and organizations, in person as well as online, learn about strategies and apps that are most appropriate for their situation- but I also strive to teach people how to continue this learning process since new apps and features are coming out every day. There are also many ways to use the iPad to help individuals who have communication, cognitive and learning challenges. The calendar, cameras, online access and features such as the contact list can be very helpful.

In my newsletters (which are free and you can sign up to receive them at www.innovativespeech.com), I write about some of my top picks for apps which are the best value for a wide range of people as well as my top picks for  individuals with specific challenges . I have only skimmed the surface with regard to helpful ways the iDevices can help people. Many people ask me what I do to learn about the apps. How do I keep up with it all? I subscribe to many listserves, blogs, and newsletters. I also connect online with Facebook and LinkedIn Groups. I probably spend at least 5-10 hours a week trying out new technologies/apps. As I prepare for new clients or to give a presentation- I make sure I am up to date on the latest technologies.To me it is fun- I really enjoy it. Finding tools to help others improve their lives is one of the activities I most enjoy about being a speech- language pathologist. I want to empower people to help themselves.

Here are a few of my favorite online resources which review apps that are helpful for individuals with communication, cognitive and literacy challenges. Check them out and let me know what you think…. these sites tend to be well organized and updated. They each have a different focus and are written by individuals or organizations with different sets of experiences, strengths and professions. Some are produced by parents, some by SLPs or teachers and some by organizations.

I’d love to hear from you at Joan@innovativespeech.com which sites you find most helpful. I will try my best to add to this list as appropriate.

Although the lists and blogs mentioned below are extremely helpful, it can  be overwhelming. If you would like a personalized in-person session in the Washington, DC area, an online coaching sessions anywhere on the globe or to find out about upcoming workshops and webinars- please send an email to jgreenslp@gmail.com, make a reservation at ist.ticketleap.com or go to www.innovativespeech.com for more information.

Once you select one of the above sites and find a few you think might be helpful- keep the following tips in mind…

Reviews- On the iTunes store there are often helpful reviews and ratings shared by users of the app that can shed unique insights on how they use the app. I also often do a Google search for reviews of the app.

Company Website-Most app pages include a link to the developer’s website. Check it out. Some have reviews on their site and provide instructions and videos on their site or linke to You Tube demo or instructional videos.

Free and Lite Version– Many of the more expensive apps offer limited versions of their product which are a great way to find out if the app is a good match for your situation. Sometimes the difference is that here are no advertisements or requests for in app purchases.

Intended Use- Some apps are produced solely for entertainment and reinforcement, some to improve specific behaviors and some to compensate for areas of weakness. There are apps that are more appropriate for children and others for adults. Some apps are best used by professionals and others are fine for the individuals with the impairments to use on their own. I have found that how I use the app with a client is often at least as important as the quality of the app itself.


Two New App Goldmines by Tactus Therapy

September 15, 2011

I spend a great deal of time trying out new Apple apps- and currently have over 900.  It’s hard to believe that iTunes currently features over 425,000 apps. There are very few apps which are created specifically to help adults who have aphasia. Tactus Therapy Solutions has recently released two which are wonderful! I find myself using them daily in therapy with adults as well as children who have a wide variety of language and learning challenges. They are a great extension to traditional speech therapy techniques and make it much easier for families to practice at home with guidance about the most appropriate way to configure the apps. They each cost $24.99 and are well worth it!

   

 Naming TherAppy     

This app is very helpful for children and adults who have word retrieval challenges.

  • The home screen presents four modes: Naming Practice, Describe, Naming Test, and Flashcards.
  • In the upper right corner is the Settings button which will allow you to choose your desired number of trials, the email address to which you want results to be sent, and the Child-Friendly toggle button which takes out pictures that contain alcohol, violence, and adult themes.
  • The upper left corner holds the Info button and contains the basic instructions the user needs in order to use the app. So far I find myself using the “naming practice” mode the most.
  • This app includes over 400 high quality pictured nouns with a flexible cueing hierarchy and optional scoring.
  • The nouns are divided into 10 categories and one or more can be selected for targeted practice.
  • The voice output is a high quality male voice with a neutral accent in slow natural speech to facilitate comprehension.
  • Scoring allows a therapist or partner to indicate when the word is correct or incorrect. The app records which cue was used to get the correct answers and produces a score report for email.

Naming Practice Cueing Hierarchy:

Description: plays a short definition and works as a semantic cue
First Letter: shows the first letter of the target word
Whole Word/Written Word cue: shows the complete written word above the picture
Phrase completion: plays a phrase that the client can complete by supplying the target word
First Sound/Phonemic cue: plays the first sound of the target word
Repetition: plays the entire spoke word for the client to repeat

Describe Cueing Hierarchy
This activity includes over 460 pictures with 4-6 question prompts, with each prompt programmed to be appropriate to the picture currently being shown. The Describe Mode offers questions based on semantic properties such as location, function, smell, color, texture, appearance, shape, size, person, time, sound, taste, sound, category, and association.

Comprehension

TherAppy

I find that I am using Comprehension TherAppy daily with adults and children who have aphasia, auditory processing issues and a variety of attention and cognitive challenges. The pictures and voice are very high quality and there are many ways that this app can be configured to work toward goals. Many nouns are initially includes and expansion packs can be purchased with verbs and adjectives.
There are 3 modes:

  • Listen“: match an auditory stimulus (spoken word) to a picture
  • Read“: match a written stimulus (printed word) to a picture
  • Listen & Read“: match an auditory stimulus (spoken word) to a written word
  • 10 categories of nouns are available  including animals, foods, objects, concepts, places, people, body parts and more. Specific categories can be selected.
  • Users are able to determine the number of photos on the screen (2-6) or the “Auto” feature can be selected to automatically adjust the field size based on performance
  • There are 3 levels of difficulty which adjust the relatedness of foils (semantic and phonemic) to move from Easy to Hard
  • Automatic scoring tracks success and progress on-screen

I look forward to new releases in the near future for Tactus Therapy Solutions. Writing TherAppy will soon be available.

To learn about other ways technology can be used to help adults or children who have a wide range of communication, cognitive, literacy and learning challenges – check out my website at  www.innovativespeech.com, contact me at Joan@innovativespeech.com or buy my newest book titled The Ultimate Guide to Assistive Technology in Special Education which is full of info about computer software, iPad apps and other tools and strategies which are helpful for improving speaking, understanding, reading, writing and thinking  for adults as well as children.


Splashtop Apple App

December 14, 2010

I work with quite a few children and adults who have cognitive challenges or limb apraxia and have difficulty using a mouse. It’s very helpful for me if I can provide them with direct access using a touch screen , but a touch screen computer is not always available. The touch screen on the iDevices such as the iPad is wonderful, but sometimes I want to be working on software that only can be used on a Windows computer.

The Splashtop Apple app which sells in the iTunes store for $1.99 can turn the iPad ( or iPhone of iPod Touch) into a touchscreen device for programs that run on a Windows based computer. It turns into a remote desktop.
I can then have my clients touch the screen on my iPad while working on software to help with language and cognition.

With the help of the Splashtop Apple app I can also watch Flash based videos and access my entire PC from my iPad or iTouch.

http://www.splashtopremote.com/


Literactive.com – Free online site for early readers

December 14, 2010

I’d like to share with you information about this free online website I have been using with early readers. It’s a great way for parents to help their young children at home!

Literactive is a comprehensive phonics based reading program for early readers that provides a library of carefully graded interactive storybooks. To use the site it is necessary to register, then log in- but there is no fee. Parents, therapists and teachers can then decide to work online with guided reading or download activities and worksheets. Many of the activities are available in Spanish.

Guided reading activities start with nursery rhymes, proceed with levels 1-5 and then offer a spelling bee, poetry and traditional tales. I love the bright, colorful graphics and children respond favorably to the cartoon characters in the stories. The stories are entertaining as well as repetitive to facilitate learning. I have seen the successful quick learning create incredible enthusiasm for kids who had not before shown an interest in reading. Children can try to read the text on their own or listen to the story first. If the child needs help on a work, they click on it and the computer then highlights the word and says it then breaks it down into the phonemes visually and auditorally.

The worksheets can be downloaded in a PDF format and contain activities for working on ABCs and pre-writing skills. The Activities section includes ideas for engaging in a number of interactive games.