Celebrating the week with you!

birthday blog

Well it has been a crazy month so far and this week is no different with a milestone birthday for me (one of those “F” word decades).  It’s my party and I could cry if I want to, but nope, this girl is going to celebrate instead!  All of my SmartmouthSLP social language products in my TPT store are 10% off until 4/26, so go grab some fun and effective products to get you through the rest of the month and cheers to another year!

*click on the hyperlink or the picture to head to my store.

Better late than never.

3x3 blog pic better late than never

I had the opportunity to work with a young adult who was recently diagnosed as being on the autism spectrum.  Evaluation at this age is tricky, as some of the standardized tests that we use in the schools age out at 17-11.  It is not uncommon for my students who are on the autism spectrum to come to their diagnosis rather late, especially if they are higher functioning and doing well academically.  They are often diagnosed as having ADHD, sensory integration disorder, mood disorders, sleep disorders and/or learning disabilities first.  These can exist co-morbidly in some people with ASD and it is difficult to tease apart one from the other.  I ran across this great blog written by a woman diagnosed with ASD at age 36, that really spoke to me regarding the topic of later diagnosis.

After testing my student with a few standardized measures, the meat of the evaluation was done using a variety of non-standardized tools such as the Double Interview from Social Thinking ®,  direct observation, conversation with the parents, gaining feedback from the teachers, giving parts of the Informal Social Assessment from Super Power Speech and utilizing the Social Language Development Test-Adolescent for information only (as the student was older than 18 and norms end at 17-11).  A standardized test score from the supra-linguistic portion of the CASL or the social checklist and activities on the CELF 5 will yield some good information, however my higher functioning students can do these highly structured tasks well but still struggle socially in the fast, ever changing day to day applications.   I find that the non-standardized pieces truly give you a better picture of the person’s social skills and social competency, and the resulting narrative is much more descriptive than a standard score.

I came across a treasure trove of articles on the Social Thinking® website, including a three part series on transitioning into adulthood for people on the spectrum and another about including the young adult as part of their planning team when working on social language competencies.  Explaining what social language is and how having ASD impacts our social relationships with others is so important for the family as well as the person with ASD, especially when a diagnosis has come later in life after many challenges.  I also really like the website Wrong Planet , as it is created and hosted by 3 young adults on the spectrum.  It has great content that connects with many young adults, such as finding and keeping a job, dating, and post-secondary education options.  I also love the blog series by Autism Classroom News on teaching the Hidden Rules curriculum and how understanding these rules are crucial to keeping our students and young adults with ASD employed and even out of legal trouble.

We need to consider how to support our students exiting public school with later diagnosis of ASD and help them transition successfully into early adulthood.  What resources have you found to help with this transition?  Share here!

 

 

Egg-cellent Social Language Ideas!

egg blog cover pic

picture by Eric Britz

We are in the midst of Spring break (yay) and Easter is right around the corner.  I have been seeing lots of posts about targeting articulation and language using plastic eggs, so I thought I would add my two cents on ways to work on social language!   The colored eggs are perfect to work on Zones of Regulation ® with my students too.  The red(pink), yellow, blue and green eggs align to each zone, but just as there are no wrong emotions, there are no wrong colors either, so if you have a few orange, teal or white eggs, no worries. Ask your students to come up with what emotions they think might align with these colors. Don’t be surprised at how creative and insightful they can be!

We also prep by reviewing books or videos as a refresher to what each zone might look like.   I made an interactive book, Calm Down, that I use with my younger elementary friends as part of this prep.  We can then brainstorm ways to calm ourselves down when we are in the red, yellow or even blue zones.   My students can dictate or write down these strategies on pieces of paper and put them into the corresponding colored eggs.

egg blog pic 2

 

You can put different strategies in any colored egg and have your students choose one, read the strategy and then match it to the zone.   For your students who are comfortable and accurate with these concepts, you can extend this into a “good egg/bad egg” game and have the kids decide if the strategy in the egg is a good solution/expected one or an unexpected strategy.  For example, if you are in a red zone (angry, furious, out of control) and the strategy says to go take a walk and calm down, that’s an expected solution. However, if the strategy says to scream in someone’s face until you feel better, that’s definitely an unexpected solution.  How fun would it be to put the “good eggs” in a basket, and the “bad eggs” in a little trashcan? You can further tease out the social language concepts of consequences and how other people might feel or think about us when we have unexpected reactions.

Have you seen those cute emoji eggs in the dollar stores?  Me too, but if you can’t find them, just make your own with a sharpie!  You can draw different mouths on both sides of the bottom of the shell, different eye and eyebrows on the top of the shell and rotate to get more choices per egg.  You can give your students the chance to draw their own egg emojis and have their peers guess which emotion they drew and identify the clues they used to make those guesses.  Hello non-verbals!  If you give them an emotion, ask your students to identify scenarios that might elicit that emotion (write or draw a picture) and stuff them in the eggs.

You can also fill the eggs with tiny objects or picture clues that all relate to one concept or idea.  For example, a tiny cake, a candle, a ribbon, a deflated balloon=birthday party! This is a fun way to work on gestalt thinking and help our kids connect the details to the big picture ideas.  The quicker or the less clues they need to make a smart guess, the more “points” they earn (it doesn’t have to be a tangible reinforcer, my kids are competitive enough to just want to beat the previous number of guesses)!  I don’t deduct points for a wrong guess, but we do stop and talk about what made them make that guess, and it gives me insight to where the breakdown might be.

Lastly, you can use the eggs and a basket to work on conversation skills.  Each person gets two of the same colored eggs (one gets blue, one gets green, etc..).  I write a CC (connecting comment) or a ? (ask a question) on all of the eggs indicating what the student needs to add, and I tape a picture of the topic on a basket.  We go around the table until all the eggs are in the basket and we have maintained the topic so that everyone has asked a related question and made a connecting comment.  I’ll play too and throw in an off topic comment or ask a totally unrelated question to see if my kids catch me!

I hope you found some egg-cellent ideas to work on social language concepts with your students this Spring!  What are some other ways you use plastic eggs?

Puzzle it out.

3x3 blog pic puzzles

This time of year is the perfect storm.  IEP season is in full swing, Spring break is just around the corner (woohoo) and everyone is feeling a bit squirmy and squirrelly (including the SLP).  I like to have a variety of therapy options to keep my kids engaged, but my budget is tight right now.  I looked in my magic cabinet of therapy materials to see what I could add to my bag of tricks that wouldn’t elicit groans of “no, not that.”   I spotted a shiny metal box that contained a 30 piece Star Wars themed puzzle and knew I hit the jackpot!

Really, a puzzle?  You put it together and it’s done, boring.  Well, yes, it can be if you use it exactly like that.  How about using the puzzle pieces as a therapy activity to work on gestalt thinking with your social learners?   Show a piece at a time (without showing a picture of the final product) and have them make smart guesses as to what the puzzle might be. Have any friends that focus on the unimportant details and miss the big picture?  Me too, and this is harder for them than you would think!  Add in a little group work razzle dazzle and your students will be working together to problem solve putting the picture together (without a model).  You are embedding the Social Thinking® concepts of turn taking, sharing personal space, regulating emotions (when the pieces don’t fit quite right), thinking with your eyes and sticking with a group plan!

Working on non-verbal skills? Have your students put the puzzle together without talking. They have to watch each other, use gestures and pay attention to cues that it’s their turn to put their puzzle piece in.  For our students with impulsivity or difficulty with emotional regulation, this might be challenging!  Start with short, easy puzzles to help them feel successful and build resilience in these skills.

With younger students or students working at an early social cognitive level,  you can use wooden puzzles with several pieces.  I use the puzzle pieces as a template to cut out pictures from magazines or google images that fit a theme. For example, I might cut out pictures of candy, pumpkins, costumes, October on a calendar and a bat.  Then I ask the students to take turns removing the puzzle pieces to reveal the clues and  make a guess as to what all these pictures are talking about (Halloween).  You can scaffold the picture clues from easy to more difficult as they develop this skill.

Reinforce conversational turn taking by giving each student a few puzzle pieces, with you providing a topic of discussion.  As each student adds a comment or connected question to the conversation, they get to add a piece of the puzzle.  Start with large piece puzzles at first (8-10 pieces) and as your students get the hang of this, add more pieces and change topics within the conversation. You could also choose puzzles that are areas of high interest for your students (Star Wars, Super Mario Brothers, Legos, Dinosaurs) and use the puzzle pieces as reinforcers for maintaining topic during therapy. They earn a piece of the puzzle each time you catch them keeping their brain in the group (or whatever social concept you are working on that day).  If you can’t find a puzzle that matches an area of interest (guinea pigs, for example) just find a google image of said interest, print, laminate and cut into puzzle pieces, voila’!  Make sure you leave a few minutes at the end of the session for the student to put the puzzle together.

Do you use puzzles in social language therapy?  Share your ideas here!

 

 

 

Calm, there’s an app for that!

3x3 blog pic calm

We had our Best Practices GOSSLP conference for school based SLPs in Georgia last week. It is a conference I look forward to for many reasons, including meeting new friends like the great OTs who created Lucy the Lap Dog , catching up with old speechie friends that I don’t get to see very often and the great speakers the conference brings.   I went to hear Terri Rossman speak on Zones of Regulation, Sarah Ward talk about executive function skills and Julie Weatherly discuss special education law (that will keep you up late at night!!). These courses offered great table discussions during lunch among my fellow SLPs!

One of my takeaways was the seemingly increasing need of our students, particularly the students that I see with social language impairments, for self-regulation and calming strategies.  One of my colleagues in our county is establishing mindfulness classes for both the students and the staff at her middle school!  She has done a lot of training on her own and like me, sees an increase in the stress and anxiety levels in our students and our peers. I think it’s the teach to the mandated test culture, social media pressure and the message to “do more/be more” that we are inundated with in our world today. I feel it as an adult, do you?

So with this in mind, I stumbled across an app called Calm (it’s available on iPhone and Android).  While the app is free, there are paid options within the app that you can choose as well.  Some of the free features include a visual breathing circle, seven days of calm meditation program, soothing visuals and sounds of nature,  and sleep stories for bedtime (for adults and children) that are read in a calm voice.  The app is easy to navigate and has good explanations of each feature. It is packed full of great options that are useful in a variety of settings, to help provide an external cue for self calming.

I had the opportunity to try the app with one of my little after-school friends. He was in the “yellow zone” during our session and was a giggly, wiggly mess last week!  We have been working on whole body listening but those cues and visuals were not enough. So, I popped up the app on my phone, showed him the breathing circle and we did this together for a few minutes.  He did calm down enough to attend to our activities and regulate back to the green zone for a little while before we needed to get up and MOVE to get the wiggles out. There isn’t a one size fits all therapy tool that works all the time with all of my kids, but this app is a nice addition to my skill set.  I may just use it myself the next time I am stuck in two hours of Atlanta gridlock!

What other apps do you use to target calming, reducing anxiety or self-regulation skills? Share here!

It’s just behavior…

3x3 blog its just behavior

I follow several Facebook speech language pathology groups and have seen over the past few weeks many threads of discussion debating how we discern social language impairments from “just” behavior in our students.  It’s a question I get often from my SLP peers during my social language trainings and from my CFs too.  I will say right up front that I don’t have a magic checklist or one determining factor that will help answer this question quickly and definitively (sorry).  But don’t give up hope just yet as there are tools we can use to help better understand this chicken vs. egg process!

When students are referred to the RTI process in my school system, often the reason is that something has happened (usually multiple somethings), making the student stand out from their peers.  The teacher is usually quite frustrated and concerned that their usual bag of tricks isn’t working with this particular student.  The first step is to collect information and observe the child not only in the classroom, but less structured environments such as recess, lunch and transition times during their day.  Often our kids with behavior issues AND social language impairments  hold it together better in highly structured environments and have more difficulty in free range settings, like the hallway or playground.

Talk to the teachers who see this child on a daily basis.  Next, ask questions about what the concerns are and what is happening both before and after the situations they are concerned about with the student.   It is basically doing a bit of ABC (antecedent,behavior, consequence) analysis, which is very helpful in teasing apart this issue.  We also ask our teachers and parents to fill out a social language checklist AND a behavior checklist as part of our RTI process.  It is not unusual for the parents to report a very different child at home.  There are far fewer structured social expectations at home than during the school day, and families naturally adjust their behaviors, supports and reinforcements to keep the peace in the home.

It’s always interesting to me to look at the information and see if the student is consistent in their behaviors or inconsistent.  If the student is cursing at only one teacher who constantly sets them off but not anyone else, then it may be a setting (or person) specific behavior.  Can they pick and choose where and when they are using the spoken and hidden rules of school?  That is another clue that it may be a behavior and not necessarily a social language impairment.  Our students with social language impairments are fairly consistent in not understanding or being able to apply social rules, especially the hidden ones!!

The occupational therapist (OT), counselor,teachers and parents need to all be part of solving this equation as well.  We need to tease out the underlying pieces that may also be contributing to what we are seeing in the classroom.  Is it difficulty with sensory or emotional regulation?  Is it significant anxiety? Is it a mood disorder or attention/impulse control weakness? Is the child getting any positive behavior rewards?  It’s easy to get caught in the “No David” cycle with tough kids, so we need to really try hard to catch them being good and reinforce the heck out of those moments!  Are we reinforcing negative behaviors by giving them attention? Both positive and negative attention from an adult can inadvertently feed the attention monster! Are the behaviors working to help the student escape a non-preferred activity?  We once had a student that was a runner. The administrators decided that having the student hang out with the principal and play on her ipad after he ran away was a good calming tool for him. Ummmmm, nope.  It was totally a POSITIVE reinforcer to chat with adults and play before heading back to class. Needless to say, it was not an effective deterrent.

Chaos in the classroom is not the friend of any student, but especially our students with social language impairments or emotional-behavioral challenges! Is there a clearly defined, positive reinforcement behavior system set up for the class and does the student understand it? What works for one doesn’t always work for all.  As I tell families that I work with, when we start to put a plan in place to address a behavior, that behavior often gets worse before it gets better.  Teachers and parents will throw up their hands and say it’s not working about two weeks in when this happens, but really the plan just needs a little more time. The kids are trying to figure out how far they can push things before the boundary or rule changes, so they up their game before understanding that it won’t change (it’s called an extinction burst in ABA terms).

Are there visual supports in the classroom for transition and work stations?  Less language and clear, consistent directives work for both social language impairments and behaviors.  Truly, this is best practice and works well with most kids.  Do the adults try to reason and talk to the student in the midst of a meltdown?  This often just makes our kids even more overwhelmed and upset, so wait until a calm moment after the event to talk it through.  As students get older, we need to help them integrate calming and regulating strategies from external sources (parents, teachers, environments) to internal strategies (deep breathing, taking a walk, journaling). Implementing The Incredible Five Point Scale and The Zones of Regulation curriculums in general education classrooms are genius tools to teach these life skills to all students (and it aligns with PBIS beautifully).

Ultimately, we need to remember that identifying the label isn’t really the goal of this process. Behavior and social language are often tightly intertwined. The goal is figuring out how we serve the student with the appropriate level of support to be successful academically AND emotionally in school (and in life). This can be in the special education setting and/or the general education setting. Many of my students who are served through an EBD classroom also have social language impairments and many of my students with social language impairments also have behaviors!  We don’t “fix” these students, we provide strategies and supports to help them figure out how to function in a social world more successfully.  This is not a quick process and in some circumstances, it is life long work. Lastly, it should NOT fall on just the SLP to be the only go to person in the building to figure out these friends or to provide services. It has to be a team approach to be successful and has to begin in the general education setting way before the student enters special education!

Share your thoughts here on how you discern behavior vs. social language impairment…