Showing posts with label Language Delays. Show all posts
Showing posts with label Language Delays. Show all posts

Monday, 11 July 2016

5 essential pre-verbal skills parents and professionals need to know about for early communication

The learning of a young child’s first word is an exciting moment for both parents and professionals, and especially so for those with communication difficulties. There are many skills which precede the acquisition of language, and for those with special needs, it may take a little longer to get there. 



Image by Prawny at Morguefile.com


It can be disheartening for parents waiting for the first words, but a little knowledge of pre-verbal skills and their importance in laying the foundations for later speech and language can help to set small learning goals and recognise progress in communication before language takes off.

Photo by 502artistb at Morguefile.com

1. Eye contact is needed to maintain social interaction between two people, and communication can break down if eye contact is only fleeting . It can be encouraged through everyday interactions such as waiting for eye contact before giving children something they want, or setting up motivating activities such as blowing bubbles or peep-po games.



Photo by hotblack at Morguefile.com

2. Attention is needed to understand language and concentrate on one activity. Children with communication difficulties may have a short attention span but this can be developed through playing with the same toy in a variety of ways such as building towers with bricks, lining them up to make trains, playing peep-po games, hiding bricks, making animals or people, making shapes and patterns.


Photo by jdurham at Morguefile.com



3. Breath control is needed to control the use of breath combined with mouth movements in producing speech, and those with speech and communication difficulties may have poor control of the muscles used for speech. Breath control can be improved through blowing games such as blowing on the hair or the skin, blowing bubbles in the water or on the hair.


Photo by anitapeppers at Morguefile.com



4. Copying is needed to observe or imitate speech or signs, but some children with communication difficulties may be engrossed in their own world. Copying can be encouraged by playing alongside children and joining in everyday routines, as well as fun and easy activities such as copying funny faces and sounds in the mirror.





Photo by ladyheart at Morguefile.com

5. Turn taking is needed for understanding of the rules of conversational turn taking. If two people talk at once, communication can break down. Games such as rolling balls and wind up toys to and fro can help encourage turn taking as well as everyday turn taking and sharing with siblings.


Photo by gleangenie at Morguefile.com

Over 100 fun and practical activities to encourage pre-verbal skills and early communication can be found in the third edition of the popular resource ‘early Communication Skills’ by Charlotte Lynch and Julia Kidd.


- Charlotte Lynch 
Speechmark author early Communication Skills 3e


Thursday, 31 March 2016

Planning your intervention with Alex Kelly


Here are a few of my top tips for making your intervention work..

I like to put any intervention into the following four-step plan before I start my group or one-to-one sessions. This will help you to work out how best to work with someone on their social skills difficulties.

Step 1: The behaviour … what is it?
Make sure that you choose the right behaviour or skill to work on first. So, having assessed the person, you need to consider the hierarchy and the complexity of the skill you want to work on with them. Ask yourself: are you setting up the person to succeed? Is the behaviour too complex?

Now consider whether the behaviour has a function or a reason. Maybe the person is behaving in this way because of an underlying problem that has not been addressed, eg a sensory need. Or they may be getting something out of the behaviour: for example, people leave them alone and they like this.

Finally, try to really describe what the person is doing – the more detailed you can describe the behaviour, the more likely you are to be able to help the person understand what they are doing wrong. You may need to add how it might make other people feel or what they may think to give them insight, although I would do this jointly with the person.


Step 2: The rules … what are they?
We need to help people to understand what they should be doing instead – what are the rules?
What should be happening? So many adults I have worked with have asked me why they were never taught the rules as a child. Of course, before we can do that, we do need to know them ourselves, so that is where I hope the Talkabout resources will help you out!

Step 3: The motivation … what is it?
Every person you work with will need to be motivated at some level to come to your group, change their behaviour, and become more socially skilled. Often the key to success is to work out what the motivation is going to be for the person to want to change.

We cannot assume that all people are motivated by ‘being friendly’ or ‘friendly behaviour’ or ‘people will like me’ or ‘mum will be pleased’. It may be better to reward them with something: for example, an activity, a smiley-face chart or just saying ‘This is the polite thing to do’ or ‘This is the grown-up thing to do’. If we don’t consider the motivation, the intervention may fail.
Step 4: The strategy … which one is best?
There are many different ways of helping people to improve their social skills and usually the best intervention is the one that includes a number of them. There are eight main ways in which we can help someone.

1 The environment – in the school or at home. It is essential that the environment backs up what is being taught as much as possible. Think about getting all of the teaching staff on board with what you are working on. Making sure that everyone is encouraging and discouraging in the same way can go a long way to helping someone transfer those skills out of a group and into their everyday life. This doesn’t mean I wouldn’t work with someone if I can’t get the environment to back us up, but it may explain a slower progress. You may see people beginning to get the behaviour in certain situations but not all of them. This is OK. It shows you that the person has the ability to get it right when the environment is conducive.

2 Talk it through with them or use comic strip conversations. With many skills and behaviours, it is very helpful to talk it through with the person or to draw it using stick figures and speech bubbles. You will gain an insight into how they may describe what is happening and why it happens, which will help with your intervention.

3 Social storyTM. Carol Gray developed this approach in the early 1990s and I often use stories to help teach social skills. A social story gives someone insight into  their difficulties and helps them to know what they can do instead. It also contains perspective sentences about what other people may be feeling or thinking which can be very useful for people with ASD.

4 A visual cue or schedule. It is important to remember that many people are helped by working visually, so the worksheets and activities in this book will help, but people may also be helped by a prompt card or a poster displayed in the classroom. At our Day Service, ‘Speaking Space’, in the UK, we use a lot of ‘now and next’ symbolised strips which can work well to cue people in to what is expected of them in certain situations.

5 A reward system. Rewards can help if the motivation is very tangible: for example, stickers to get a financial reward or do an activity, or a certificate of achievement. Other rewards can include a special time with someone to talk about something specific – for example, 20 minutes at the end of the day to talk to their mum about dinosaurs. Any reward needs to work for the person, so you need to refer to their motivation.

6 Use of other media. Using DVDs and clips of cartoons or television programmes, or even video clips of you modelling behaviour, can really help to teach social skills. Many people find visual methods of learning much easier and showing a video will usually motivate most people. I often use this method in groups as well as in one-to-one sessions. The Talkabout DVD includes video clips of actors modelling inappropriate and appropriate behaviours for all of the key skills covered in Talkabout (Kelly, 2006).

7 Role play and modelling. In this book I often suggest using role play and modelling to help teach skills. Modelling is when the facilitators model a behaviour, both inappropriate and appropriate, and role play is when the group members practise the behaviour themselves.

Here are a few important points to remember when modelling:

• Keep it short and simple.
• Model one behaviour at a time.
• Start with bad behaviour and end with good.
• Never use the group members to help you model behaviours.
• Keep the situation as ‘real’ as possible – it is better to model a normal conversation between two group facilitators than to pretend that one is a child, shopkeeper or teacher.
• Ask the group what they thought was bad about the behaviour. What should have happened?

Here are a few important points to remember when role playing:

• The group members are asked to act a scenario or to practise a skill.
• It is a stressful experience for some people.
• Try a ‘getting into role’ exercise such as the magic carpet or twisting into a role like ‘Superman’.
• Remember to de-role, especially if the group members have played the part of someone else.
• Consider using puppets.

8 Social skills group. This is my favourite way to teach social skills and the Talkabout programme should give you all the resources you need to run a successful social skills group.
The advantages of group work over one-to-one work are as follows.
• It is a more natural and comfortable environment in which to learn.
• We learn from each other.
• It is easier to problem solve, play games and to set up role plays.
• It gives the opportunity to try out new skills in a safe environment.
• There is an opportunity to transfer skills to other staff, improving the chance of carry-over into the environment.

Alex Kelly 
Speechmark author of TALKABOUT

Get 20% off when you pre-order today! Hurry though this offer ends on the 30th April, enter code TA20

Friday, 19 February 2016

Preparation is all important


The Pre-verbal Skills of Language


Whether we are baking a cake or building a house, we all know that good preparation is critical to the desired outcome of the project. For a cake to be delicious, the ingredients need to be measured correctly and strong, solid foundations are essential to ensure the stability of a house.
 
The same applies to language development. For a child to develop language that is functional and communicative, they firstly need to acquire the pre-verbal skills, the skills that provide the foundations on which language is built. 

It is easy to assume that if a child is able to speak, they have already acquired the pre-verbal skills but this is not necessarily the case. A child can often use words but not use these words to communicate effectively with others. Being aware of the pre-verbal skills and assisting their development is very important for the development of a child’s language. This can be done by;

  • Encouraging the child to look at you or in your direction, even briefly, when they speak to you or want to show you something.
  • Gradually developing the child’s ability to focus and concentrate on a range of activities; those he enjoys as well as activities chosen by other people, such as a parent or teacher.
  • Drawing the child’s attention to objects around them and showing them how to look at things both inside and outside, rather then just looking at objects directly in front of them.
  • Teaching the child to listen to the sounds in their environment such as planes, printers, dogs barking.
  • Encouraging the child to copy actions and sounds made which is done most effectively through play and action songs.
  • Assisting the child to wait and take turns, which is a skill that can be taught at the playground or at home, waiting for a favourite activity or at school or pre-school during group activities with other children.
  • Developing the child’s awareness and control of their face and mouth muscles by playing games in front of the mirror, encouraging them to copy different facial expressions and tongue and lip movements.

Have fun with these activities and remember it is always better to spend a short amount of time doing these activities regularly rather than hours every now and again.



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Francesca Bierens Speechmark author of Assisting Students with Language Delays in the Classroom