Common Core Suggestions from One Speechie to Another

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As classroom teachers change their teaching to base objectives around Common Core State Standards, we, as speech-language pathologists, must consider the standards as well. It affects us in our identification of language disorders, goal writing, and session objectives.
It is important to consider the CCSS when identifying students through the Response to Intervention (RTI) process. It is important to collaborate with classroom teachers to understand where the students are struggling and which standards they are unable to achieve. Regardless of the RTI tier or level of support the student in question is receiving, we must  determine strategies to help these students acquire these standards necessary for age and grade.
There are a variety of speech and language difficulties that can affect a student’s ability to acquire the CCSS. Some examples of these include:

  • If they cannot use or respond to questions, it will impact their ability to “Understand and use question words (interrogatives) (e.g., who, what, where, when, why, how).”
  • If they have weaknesses in vocabulary, it will impact their ability to “Describe people, places, things, and events with relevant details, expressing ideas and feelings clearly.”
  • If they display difficulties comprehending grammatical concepts, it will impact their ability to “Demonstrate command of the conventions of standard English grammar and usage when writing or speaking.”

You should consider what standards are expected for the grade of the student in question and where the student is functioning when developing goals.

So how can you incorporate CCSS philosophies during speech and language sessions? First get a handle on what students are expected to know and understand. This will assist with carryover of skills from the speech room into the classroom and beyond. Here are some ideas to consider:

  • You can have students go on scavenger hunts to help them learn to identify text features of nonfiction texts.
  • Have students practice using higher level thinking: predict, question, visualize, analyze, and make connections.
  • Model for students what to do/think before, during, and after reading by using thought bubbles on a Popsicle stick to help illustrate what one should think and say at each of those phases.
  • Use a KWL chart (know, want to know, learned) when teaching new vocabulary/concepts. Use carrier phrases to teach students how to express key story elements:
  1. “The main characters are…”
  2. “The important events are…”
  3. “The author is…”
  4. “One fact I learned is…”
  • Use thinking notes on Post-Its while reading a story to teach students to generate their own questions while reading.
  • Use a variety of genres when incorporating literacy activities (fables, short stories, poems, plays, biographies, articles, etc.).

For the most part, the CCSS correlate with our typical speech and language goals and objectives. One difference is the expectations for students per grade. Another difference is the language students are expected to recognize, comprehend, and use in the classroom. If classroom teachers are expected to use the vocabulary in the classroom, it is important for our students to hear that same vocabulary in the speech room as well. For students with vocabulary weaknesses, they may need extra assistance in learning this vocabulary and terminology. Some important vocabulary words and concepts that we, as Speech-Language Pathologists should incorporate into our sessions and make sure our students understand include:

  • Evidence
  • Central idea
  • Point of view
  • Plot
  • Audience
  • Analyze
  • Dialogue
  • Theme

Whether you are identifying students that could benefit from speech and language services, developing goals, or creating treatment plans,you as an SLP working with school-aged students need to consider the CCSS. It will help advocate how a student will benefit from speech and language services as well as justify for those that are ready to graduate. It also will help make speech and language sessions more academically relevant and easier to promote generalization into the classroom.

“Miss Speechie” is a licensed speech-language pathologist working in a public elementary school in New York State. She is the author of the blog, Speech Time Fun. She enjoys creating and sharing materials, resources, ideas for speech-language pathologists. 

What Has ASHA Done for Us Audiologists Lately?

hearing aid shutterstockRecently, I was asked by a friend (another audiologist) why I belong to ASHA and what do they do for me? After all, they were the organization for speech-language pathology and really didn’t care about audiology except for the CCC-A, as believed by some. This led me to reflect on why I feel ASHA’s membership benefits me as an audiologist, focusing on the past few years.

Just in the last year, ASHA has provided me with a wealth of information related to reimbursement issues, which was developed in collaboration with the Academy of Doctors of Audiology, the Directors of Speech and Hearing Programs in State, Health and Welfare Agencies, Academy of Rehabilitative Audiology, the Educational Audiology Association, and the American Academy of Audiology.

For me, the guidance for audiologists on reviewing third party payer provider contracts was a very timely and helpful reminder because—at that time—my practice was being approached by a number of entities to provide hearing aid services.

Another helpful resource was the question and answer document about the new Otoacoustic CPT Codes that gave me information on how to bill these codes appropriately. There was also information on new requirements for the Physician Quality Reporting System, which helped me too. Aside from these useful and helpful resources, I appreciate that the information was developed jointly and shared within the audiology community.

When I think about advocacy being a member benefit, I’m thankful for quite a few things that ASHA’s advocacy team has pushed for, including:

  • A comprehensive audiology benefit. This will allow me to provide the necessary rehabilitative/habilitative services to the people I serve. This proposal will recognize that audiologists are the best providers of these services. As health care moves toward prevention of health problems and a new payment system, this will allow me to provide therapy services as part of a team!
  • Legislation related to early detection of hearing loss. The outcome of that work has benefited so many of the children and families we serve.
  • Legislation that averted the proposed 20 percent cut in Medicare payments. These have been scheduled to take place every year for the last several years, but keep getting extended. I can’t help but think that ASHA’s lobbyists have been instrumental in helping in that effort.

ASHA’s ongoing advocacy for the profession of audiology has benefited me in so many ways. Recently, ASHA was very helpful working out the “kinks” in the federal employee health benefits hearing aid plan. ASHA is also developing and implementing plans to help us navigate through the new accountable care organizations.  And, they are working diligently to see that we have a voice in the implementation of the Affordable Care Act.

As I continued to think of all of the benefits from ASHA membership—as an audiologist—I realized there has been great value in continuing to be a member of ASHA!  I want to thank my friend for asking me why I still belong.


Stuart Trembath, MA, CCC-A, is chair of ASHA’s Health Care Economics Committee and co-owner of Hearing Associates in Mason City, Iowa.

Best New Games for Speech Intervention

May23

I’m lucky to have enjoyed the unique opportunity to attend the International Toy Fair in New York City as a member of the press, viewing the exciting new products being introduced. After seeing hundreds of new games, toys and books, I shared my first impressions of what stood out, delivering language learning potential. Now that I have had a chance to catch my breath, the boxes are arriving with Ninja Turtle games and fuzzy chick puppets to review for my PAL Award (Play Advances Language). As speech language pathologists, we are a busy crew, spinning many plates at once–serving our clients, keeping data, attending meetings, planning therapy and keeping up with what’s new. Many of you have told me how much you appreciate my selection process and the products I recommend, saving you time, so here are my newest recommendations with descriptions on how I have found them to be helpful. As always, I love your comments on how YOU use them in new and creative ways too!

Animal Soup The Mixed-Up Animal Board Game! by The Haywire Group

Just setting up this game gets lots of giggles going as kids look at the pictured math showing the sum of a tiger plus a rhinoceros equals, of course, a “tigeroceros!” Preschoolers request that I read through each zany combination of animals before starting the game. Players make their way around the forest game board, which cleverly uses the box, as they land on different animals, collecting the corresponding picture card. Kids continually check the large reference chart of combined animals to see what they need to complete their “croctopus,” “birdle” or “squale”–(crocodile+octopus, bird+turtle, or squirrel+whale). Thankfully they have a “trade” option to land on so they can negotiate with a peer for the animal to complete their creature. Flip the two matching cards over, and you are rewarded with a hilarious animal soup combination. Two completed mixed-up animals wins the game. This game, based on the best selling book by Todd S. Doodler, can be used to further speech and language skills:

  • Articulation: repeat the goofy combined animal names, which I’ve found helpful in making preschoolers aware of moving their mouths and listening to include all the sounds in a word.
  • Practice negotiating skills as they realize cards needed for a trade and anticipate where their needed card is coming up on the board.
  • Follow directions.
  • Comparisons between the game and the book it is based on.

Suggested age: 3 and up. This is so popular with my preschoolers, they consistently request to play.

Teenage Mutant Ninja Turtles Clash Alley Strategy Board Game by Wonder Forge

Start your social language lesson as kids set up the 3-D game board, stacking boxes at different levels for the Teenage Mutant Ninja Turtles to traverse through the maze-like warehouse. A collaborative effort, players help each other to customize the board. An excellent introduction to strategy games, Clash Alley has many options to enhance the turtle’s success as they run, climb and leap to race to complete their mission, uncovering the card to rescue April, retrieve the AI chip, grab the Mutagen or even pick up a pizza! Earning and playing action cards are the key to successful travel across the board as your turtle can team up to battle villains–Kraag, powerful mutants and even Shredder–to collect spy cards to peak under a mission disk, swipe card to steal from another player, or Team Up, which allows two turtles to combine attack points to overcome a villain. The directions take a little time to understand but once kids got them, they couldn’t get enough of this game. Speech and language goals to address:

  • Description: I use this multi-leveled game of strategy in my group with higher-level kids on the autism spectrum and their typical peer play partner. I have my client explain the directions (which have many options for beating the villains) which can be challenging. The visual prompts of action cards and triple option dice help.
  • Social language: Learning to take turns and a group attack option to join forces with another player.
  • Academic language: Language of math as kids help each other add up attack points and have to determine what number is greater or less than another to win the battle.
  • Pretend play: Kids surprised me as they got into the game because even though they were competing against each other, there was a feeling of camaraderie against the villains.

Suggested age: The manufacturer says 6 years and up but I found the directions are more suited to 7 or 8 and up although you certainly can adapt this game to younger kids, since Teenage Ninja Turtles are so hot right now.

On the Farm Who’s In the Barnyard by Ravensburger

This farm set with characters, vehicles and animals is a puzzle, pretend play set and first game all in one. Open the barn like a book, identifying all the animals and objects from pigs, chicks and bunnies to tools and bales of hay. Talk through the illustrations on the outside of the barn with the fruit stand, conveyor with bales of hay and parked tractor. Kids love to snap out the windows and door as a puzzle experience so they can peer inside, or even play a game of peek-a-boo. Add the base and roof and you have a perfect house for your barnyard friends to practice your animal sounds as kids match and place your cut-out figures next to corresponding pictures on the barn. Take the play up a notch with a matching game as you switch game figures and others have to guess who moved! This set is so open-ended, I used it for several activities with 2 year-olds. Here are some speech and language skills to build:

  • Teach animal sounds, as you play with the corresponding figures.
  • Articulation. I had plenty of /p/ and /h/ words to model with this set.
  • Pretend play as the barn is built and animals can move in and out of the play scheme.
  • Verbs, and prepositions can be modeled as you play with this set.

Suggested age: 2 years and up. I’d say this is best for the toddler set. Excellent educational suggestions are included in the box so this is also a good product to suggest to parents who would like some assistance in how to encourage language learning with this toy.

WordARound by Thinkfun

I never knew reading in circles could be so much fun! Each round card has blue, red and black concentric circles, with a single word written in each ring. Players race to unravel the word and shout it out to win a card. Flip the card over and you will see what color ring to examine on the next round, searching for a word. With no beginning or end to the word, players look for patterns, prefixes and suffixes like “ant,” in “hesitant” and ” er,” in “finger.” I found myself looking for consonants to start a word, until other players beat me at “uneven” and “almost,” leading me to factor in initial vowels too. Some cards flipped over to present the word so I could read it easily like “porcupine,” which made for an easy turn. Starting anywhere on the ring and sounding out the string of sounds also brought results as players recognized parts of words like “typical.” WordARound is addictive, and watch out because little clients can beat you at this! I use it for:

  • Vocabulary: Discuss meanings and practice using new words.
  • Reading: Develop strategies to find words in the circle.
  • Articulation carryover for older kids.

Suggested age: 10 years and up

What’s It? by Peaceable Kingdom

What’s It? is a cooperative game where players interpret doodle cards and score points for thinking alike. Roll the dice with category options such as you love it, use it, wear it, don’t want it, or make up your own category. Flip over a doodle card, start the 30-second timer and play begins. Players record at least three guesses based on the drawing and category but try to think like their fellow players. This is where I was at a bit of a disadvantage, playing with 8 year-olds. They saw buttons when I saw a pearl necklace and they saw shark teeth when I saw a zipper! Players earn points when their answers match. I’ve used this game with higher functioning kids on the autism spectrum, encouraging more abstract thinking.

  • Calling up words in categories
  • Word-finding
  • Description

Suggested age: 8 and up

Qualities by SimplyFun

SimplyFun’s game, Qualities, is a natural language catalyst and a creative way to get to know and be known by friends. Up to seven players take turns identifying and rating certain qualities in themselves, while game-mates offer up their own perceptions. “Qualities” runs off of a Preference Board as players accumulate points as they match their assessment of player’s personalities to their own judgement. What gives you the most energy… going to the park, going to a museum or organizing? Lots of conversation follows as players defend their answers with examples of that behavior. Players rate the extent to which a player is “tolerant,” “cautious,””empathic” or “sympathetic,” to name a few. The trait and value cards were a vocabulary lesson in themselves.

  • Vocabulary
  • Language of persuasion
  • Explanation of how traits are manifested in a person’s actions or activities
  • Abstract thinking

Suggested age: 12 years and up. This game is great with adults too.

Disclosure: The above games were provided for review by their companies.

Sherry Y. Artemenko MA, CCC-SLP, has worked with children for more than 35 years to improve their speech and language, serving as a speech language pathologist in both the public and private school systems and private practice.

The Top 10 Take-aways for CSD Work With Families

familyportraitAccording to my dusty hardcover Webster’s dictionary, a family is defined as: All the people living in the same house; household, 2) a social unit consisting of parents and the children they rear…” (Neufeldt, V, 1988). Since this was dated, I thought I should go to The Free Encyclopedia – Wikipedia. They define family as: “In human context, a family is a group of people affiliated by consanguinity, affinity, or co-residence. In most societies it is the principal institution of the socialization of children…”

In our profession, we have had to make a mind shift from client-based services to the child to family-centered services focused on collaborating with and supporting the family. In this partnership, all people involved acknowledge that each possesses unique skills and knowledge, and they demonstrate trust and respect for one another. Professionals recognize the decision making power of the parent.

Why is family-centered care important? Outcomes! For a child to reach his or her fullest potential, it is essential to have appropriate resources, qualified professionals and family involvement. In family partnerships, families receive support not only from professionals, but from other families with similar circumstances and from the community at large.

Here are the top 10 take-aways for the next time you work with a family:

10) Time. As a professional everything is fast paced. After all time is money — and you serve a lot of people. For a parent, however, time is very slow; they are constantly waiting.

9) Don’t make assumptions or generalizations. Every family is unique with very specific needs. Present all options…don’t be biased in what you say.

8) Don’t label families—or each other.

7) Don’t make inappropriate comments about your profession. Talking negatively about your workplace or another professional reflects poorly on you. The average “wronged” customer will tell 25 others about the bad experience. Don’t reinforce negative experiences.

6) Be confident but not arrogant.

5) Communicate! Communicate! And communicate some more! You cannot overstate anything. Monitor your tone of voice, body language, rate of speech, and be mindful of professional jargon.

4) Listen! Listen! And listen some more! Show the family you are listening (body language). Provide feedback, defer judgment, and don’t try to rescue—empathize.

3) Acknowledge the parent’s efforts and strengths. No matter how small it is — acknowledge something positive.

2) Keep in mind the lack of consistency in our field. Families will see a variety of specialists, and each will provide an opinion about what the parents should do. “This method is better because”…or “You should try this.” The various opinions can be confusing and overwhelming for the family. Be respectful of one another.

1) Respect and patience. Remember parents are people too!

To learn more about family support and family-centered practices, check out the transcript of an “Ask the Expert” online chat about these services, held April 30 by ASHA Special Interest Group  9, Hearing and Hearing Disorders in Childhood.

Tamala Selke Bradham, PhD, CCC-A, is coordinator of ASHA Special Interest Group 9, Hearing and Hearing Disorders in Childhood. She is also associate director of quality, protocols, and risk management in the Department of Hearing and Speech Sciences at Vanderbilt University. She and Joni Alberg, PhD, executive director of BEGINNINGS for Parents of Children Who Are Deaf or Hard of Hearing, Inc., in Raleigh, N.C., answered questions during the SIG 9 online chat.

Collaboration Corner: Time to Reflect and Give Thanks

 

 

blog may 16“Though our experience of knowing is individual, knowledge is not.”

(Wenger, E., McDermott, R., & Snyder, W. [2002]. Cultivating communities of practice. Boston, MA: Harvard Business School Press. p. 10)

This time of year is frenzied; closing up the school year, planning for next year. I have students moving up to middle school, and little ones coming up from preschool. When my brain and emotions start to wonder, I make a conscience effort to slow down. Stop. Reflect.

I thought this would be the perfect venue to pay thanks to the professionals whose collaborative efforts made my days a little lighter this year.

So here it goes (in no particular order):

Thanks to my colleagues, the inclusion facilitators,and  special educators who made sure communication goals were an integral part of each student’s IEP, and owned by all staff. Thanks for making me feel a part of your teams, even if I was traveling between buildings.

Thanks to my colleagues, the general education teachers who shared materials gave me curriculum to reinforce key concepts, and implemented language-based strategies that helped not just one child, but an entire classroom with narrative language development. There are many more examples that I could give, but suffice it to say, the art of teaching is alive and well.

Thanks to my BCBA colleagues, who understood how our disciplines can (and should) overlap in all areas of behavior, communication, academics, and even eating.

Thanks to my colleague, an English Language Learner teacher. She helped me support a language-impaired child who moved in late in the year and didn’t speak a word of English. We tag-teamed and figured out the difference between fundamental language skill deficits (word retrieval, vocabulary), and the typical obstacles expected for acquiring English. She outlined a plan and approach sensitive to the family unit and culture, which was invaluable in my decisions around goal-writing and intervention.

Thanks to my colleagues, the paraprofessionals, who sat in on all of their students’ speech and language sessions, translated my words into Spanish,  asked questions, made visuals and PECS books, programmed devices, and worked hard to make sure generalization could happen.

Thanks to my colleagues, the social workers and psychologists, who helped me understand keenly the role of emotional stability, learning readiness, and effects upon communication.

Thanks to my colleagues, the teachers for the visually impaired, who helped me set up a communication book made completely of tactile symbols, and engaged in healthy dialogue on cognition, cortical vision impairment and communication.

Thanks to my OT and PT friends, kindred spirits of the related services world who understand the value of co-treatments and interdisciplinary input for kids with complex medical and physical needs.

Thanks to my SLP colleagues who helped me keep a sense of humor in a way that only another SLP working in a public school can understand.

Finally, thanks to the administrators who continue to believe in inclusion, and supported my time this year in each of their buildings. Leadership doesn’t happen in a bubble, and has transformative affects upon the school culture and inclusion.

So thanks. Happy spring…..fewer than 40 days to go!

 

 

Kerry Davis, Ed.D, CCC-SLP, is a city-wide speech-language pathologist west of Boston. Her areas of interest include working with children with multiple disabilities, inclusion in education and professional development. The views on this blog are my own and do not represent those of my employer. Dr. Davis can be followed on Twitter at @DrKDavisslp.