For those who are wondering. Dysgraphia can absolutely be in our scope of practice. Dysgraphia can occurs in part due to Language processing deficits as well as visual spatial.
For the OP.
Dysgraphia is not always manifest as spelling errors.
Pay attention to things like :
Legibility
Saying words out loud as the write
Concentrating so hard on one word that they miss content
Trouble thinking of words to write.
Also things unassociated with writing like buttoning a shirt.
All can be signs of dysgraphia in school age children.
Here is a link to a slide show produced by a SLP student that I found easy to understand. https://www.slideshare.net/mobile/hawraaalromani/dysgraphia-speech-therapy
What I wish most parents knew is that Class room teacher can be invaluable resources and a first line defense to identifying things like Dysgraphia. But It should be taken as recommendation to possible pursue professional evaluation. I hope everything works out for you and your little girl.
(From a practicing CCC-SLP)
Since you're not in a communication disorders program, it will be hard for you to find any opportunities to observe SLPs providing treatment - unless you know somebody who can help arrange it for you. Most people are in a similar situation as you when they begin their training and, based on the survey's we have, they complete their training and are satisfied with their job choice (even though while reading this subreddit you might think no one is happy being an SLP).
There are a number of different career paths you can take as an SLP but, overall, it is worth remembering that the disabilities we are in charge of diagnosing and treating are amongst the most complex human behaviors (much more so than what other rehab professionals are faced with). As a consequence, the job is intellectually demanding. If you are the type of person who wants to engage in a lifelong path of learning and enjoys such challenges then that's one indicator that you will like the job. The more you know in this profession the more interesting and satisfying it becomes but, realistically, it takes years to develop the kind of knowledge where the job becomes truly creative. Until then, we work to keep our head above water...
You might try purchasing a intro text to communication disorders. This will give you a broad overview of the types of work SLPs do. Here's one example of a text https://www.amazon.com/INTRO-Guide-Communication-Sciences-Disorders/dp/1597565423/ref=sr_1_1?ie=UTF8&qid=1537463622&sr=8-1&keywords=robb+intro+to+communication+disorders
Debt-free here! Check out r/personalfinance for some great tips on paying down debt. Here's a link to their wiki on the topic: https://www.reddit.com/r/personalfinance/wiki/debt
I really (REALLY) recommend checking out Dave Ramsey's Total Money Makeover for some basics on how to reduce spending, debt, and stress. It was literally a life-changer for me.
Can they do ʒ or tʃ?
If they can say ʒ, I'd try to get them to say [ʒump] with a prolonged ʒ, then add lots of visual/tactile cues to shorten the ʒ more and more and really emphasize the initial "hit" of the sound with a physical jump (fully bodied or hand) to get closer and closer to articulating "jump." That's worked for me.
One of my favorite resources is this book -- I highly recommend it as part of your toolkit. It has multiple techniques for each sound. In fact, if you look at the "look inside" preview on Amazon, the last visible page shows several elicitation techniques for tʃ, which might help you figure out a technique for *ʤ [edited] that works for you/this kid.
It would be incredibly wise to talk to autistic adults with ODD and get their insight about what worker for them growing up.
Many see their ODD as a set of trauma responses, but this is rarely taken into account.
Have you studied declarative language? https://www.amazon.co.uk/Declarative-Language-Handbook-Thoughtful-Challenges/dp/1734516208
Also low arousal approaches may be suitable
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This one is waterproof, easy to clean & has a ton of colors. I think I’ve gone through 2-3 over the years - I love it.
I highly recommend the Laura Mize podcast and/or her play manual. I also recommend the It Takes Two to Talk manual. Try that out. It is written for parents and it explains how to play with your child to encourage language.
https://www.amazon.com/Takes-Two-Talk-Practical-Children/dp/0921145527#ace-g6796040015
I’ve struggled with this too. Here’s what I’ve been doing:
-any plastic toys/games you have that can be sprayed or wiped clean will be good.
-If you have papers or those shiny cardboard-type cards, they can be still be used in clear plastic protector sheets/folders that can be cleaned like these or laminate pages.
-If you use technology, iPads can be used by themselves and cleaned, or in a large ziplock or placed in the clear plastic cover of a binder like this
-a small whiteboard and whiteboard markers can be easily cleaned as well.
It is difficult but not impossible. I learned Spanish through middle school, high school, and a bit of studying abroad and consider myself competent in Spanish although not a native speaker. I'd recommend using the free language-learning apps Duolingo or Memrise to supplement your studies. I also attend a local biweekly Spanish conversation meetup (from meetup.com) for Spanish language learners, so you can see if there is something similar in your area. It is so exciting to hear that you want to pursue learning languages to help your students! We need more bilingual SLP's. Or at the very least, those who are willing to learn another language!
I'm not a certified SLP, but I was upset about the salary too. I always thought that SLPs made at least 40-50K starting in the schools, but not always. (Name blacked out for confidentiality purposes).
I am in California.
I did work on accent modification in grad school with a doctoral graduate student from India who was quite intelligible to me, who said that he was at a conference in the Midwest and that there were people who had a hard time understanding him.
Keep working on it. Find the specific things that differentiate you accent and work on those. I know people who have put in the time and now sound almost perfectly native. There are people in grad school clinics who will work on these things without charging. Also you could try Preply.com for a relativley inexpensive option. Just put American English accent in the search bar.
I’m in grad school now and this clipboard has been a lifesaver for my medical placement!
Speech Language Pathology Clipboard with Storage https://www.amazon.com/dp/B0844VMYXF/ref=cm_sw_r_cp_api_glt_fabc_QKCVX1M4H479YZ4F6V7F
I've had success with portable voice amplifiers like this one for a couple clients. Compensatory tech works great if the individual is interested in using it! https://www.amazon.ca/Amplifier-Microphone-Rechargeable-Classroom-Instructors/dp/B07FLZPVG4/ref=sr_1_8?dchild=1&keywords=Voice+Amplifier&qid=1619737328&sr=8-8
Have you tried the Carla technique? I haven't been working with arctic kids for a few years (thank God!), but that was a trick I used sometimes. Also, Wayne Secord has a wonderful book, called Eliciting Sounds that has a whole chapter on /r/. I would recommend looking into purchasing it if you can. It is one of my most prized possessions (I also had him as a professor, which is part of the reason why). Below is the link on Amazon.
https://www.amazon.com/Eliciting-Sounds-Techniques-Strategies-Clinicians/dp/1401897258
What do you mean "you're explicitly not 'doing CBT'"? Is this the one you mean: https://www.amazon.com/Cognitive-Behavioural-Therapy-Dummies-Branch/dp/0470665416? There appear to be a lot of CBT for Dummies books haha
Medication was and is basically a miracle for me. I have pretty severe prior to treatment OCD, generalized anxiety disorder, and depression and daaaaang medication has saved me. It takes a while to figure out what meds are right for you, but once you do they will REALLY help you in your life and yes, your work.
Seriously, take the meds. Soooooooooo helpful once you find the right type. Helpful to the degree that they enable me to continue working despite my severe OCD.
But meds should really be paired with counseling. There's a treatment for Borderline Personality Disorder called "Dialectical Behavior Therapy". It's CBT tailored to people with BPD. I don't have BPD myself, but I'm actually completing a DBT self help workbook right now at my psychiatrist's recommendation to help deal with random floods of emotion I get sometimes. I really recommend. Find a therapist who does DBT, and in the meanwhile try the workbook! I'm actually just listening to the audio version and following along and the exercises are great!
The workbook I'm using is called "Calming the Emotional Storm" and it's great! https://www.amazon.com/Calming-Emotional-Storm-Dialectical-Behavior/dp/1608820874
The resources from XulaSLP07 below are spot on. I would add potentially buying this if there is any way you can: https://www.amazon.com/Adult-Dysphagia-Pocket-Guide-Neuroanatomy/dp/1635500915 (Yes, I know that's expensive.)
Also, I found it really helpful to develop checklists for myself as a CF. ASHA has HUGE dysphagia evaluation templates, just like they have big voice eval templates, etc. They are great, but in a SNF you might find that you often don't have time to go step by step through 10 pages of evaluation to make sure you did everything. But there ARE things you JUST CAN'T MISS for a patient. Make yourself checklists of THOSE things. Like "Every chart review I have to note x,x,x." "Every eval with a patient I have to find out x,x,x." I carried checklists like this on me for a while when I started my CF so that I didn't have to have it all in my head. This was SUPER important for trach evaluation! Also, just don't do any eval or treatment you aren't comfortable with without your mentor. They have to give you the mentoring you need. :)
You can google the pay of SLPs and teachers usually in any district. SLPs make more in my district. There are also many contract jobs in my area. Try searching on indeed or monster to see what opportunities there are. I’ve heard it varies by location.
I’m out of field and doing a second bachelors in comm disorders at USU. The below text has been used in a couple of my classes. Not sure that’s the right edition but I think that’s the text.
Communication Sciences and Disorders: From Science to Clinical Practice https://www.amazon.com/dp/128404307X/ref=cm_sw_r_cp_api_i_-IuEFb8PWY785
IEP Goal Writing for Speech-Language Pathologists: Utilizing State Standards
I love this book and used it all the time. Just be mindful to look a grade level or two below your students grade level to find appropriate goals.
The book Dual Language Development & Disorders by Paradis, et. al. is a fantastic resource. Can't recommend enough, I've read it for fun!
How nice of you! Piggy backing off of someone else, for stress, a peppermint oil roller (like this: https://www.amazon.com/Peppermint-Essential-Oil-Roll-Long-Lasting/dp/B07JDX322C). I'm not an essential oil nut, but it feels nice.
I had a pediatric feeding course and we used this text. My classmates that rented it for the semester ended up purchasing because they said it is useful even to use just for when you have children. It is pretty pricey though. I saw that the first edition is availble here for considerably less but may be outdated. I am not sure how much was changed/added since I haven't ever opened it before. Hope that helps!
Hands down the best articulation app on Android is Speech Essentials. Its a pediatric articulation app and your student can download just the sounds he needs for $1.99 each to ensure it's not too expensive. It will run on both phones and tablets and if you purchase it once you can load it on all the devices that share that same Googleplay account, so if the Dad wants he can also put it on his phone so he has it handy if they are waiting for a dentist or whatever. It has: - Word level flashcards with built in audio queues that are real recordings (not a robot voice like other Android apps) - Sentence level flashcards - Rotating sentence option - A matching game - A wordfind game (which may be a little basic for the age you are talking about) - A mirror function that allows the student to see their lip and tongue placement It looks really good and is easy to navigate. Good luck!
Speech Essentials is new, but it is definitely the best speech therapy app available on android. Watch the video or follow the links to check it out.
Download Speech Essentials from the Googleplay store by going here:
https://play.google.com/store/apps/details?id=com.speechessentials.speechessentials
SpeechEssentialsApp.com www.facebook.com/SpeechEssentials
Speech Essentials is great, although the artwork is probably geared towards kids, the functionality is great for adults. Here are a couple of links if you would like to try it out. You can download it for free: https://play.google.com/store/apps/details?id=com.speechessentials.speechessentials http://www.speechessentialsapp.com/
Jenni
This is the technology generation. Try using an App, kids love them. There are some good ones for iOS but the best on Android is Speech Essentials. It has a couple of games built in that are fun for any age group and a mirror function so they can see their own tongue and lip placement, the ability to save scores, and is very visually appealing to children. You can get it here: https://play.google.com/store/apps/details?id=com.speechessentials.speechessentials Here is some more info: http://www.speechessentialsapp.com/
Good luck with clinicals!
Jenni
This one is geared more towards children and articulation but it is for Android might be helpful. You can download it for free and see if it would work for what you need it to. https://play.google.com/store/apps/details?id=com.speechessentials.speechessentials http://www.speechessentialsapp.com/ Cheers! Jenni
That's pretty impressive. I should have know you were incredible tech savvy using a Linux. When I looked more into Linux options, /u/John2548 seems to have made really good suggestions.
For the apps, I like verbally+ which is free for apple product. I just saw there is an app for android that is free called Acapela TTS Voices. Acapela makes really naturalistic voices for other AAC applications.
Intro books are boring and I'd only read them if I had to - which you may in the future. If you are up for something more challenging, I've been giving away my copy of the following book and re-buying it for 20 years (its still relevant today)
(Assuming you're in the US...)
If you're in California you can still sign up for health insurance through Covered CA until the end of January, or by 12/22 for coverage starting 1/1. You just missed the window for most states/Healthcare.gov though (assuming you didn't sign up right after posting this), and I don't know if there are other states with extended deadlines like CA. I did find this article on Healthcare.gov about coverage options now that the open enrollment period is over, including Medicaid which you can sign up for whenever.
As for your situation and how you're feeling right now, I feel like humans are remarkable at adapting to new circumstances and adjusting to new "normals." There will be grieving, but with time it should get easier. It's not the same, but I got hit by some health issues in grad school leaving me without enough energy to do most of the things I love to do. I haven't worked as an SLP and I don't know if I ever will, so I can sort of relate in some ways to the feeling of the rug being pulled out from under you and like you have to start over in your mid-late 20s. It's hard, and it may always be hard, but you'll adapt and it'll at least get easier than it is now. You've gotten some great recommendations about your voice and communication needs, but I hope you're also considering a therapist to talk to about your situation and dealing with the trauma and its effects on your life. I think I've seen something where you can text a therapist which should be cheaper than traditional therapy and takes the voice issue out of the equation. I've personally found therapy very helpful while dealing with life-altering changes.
Best of luck to you!
I bought this book, it has good eval guidelines (non standardized), and overall good info. I would copy the eval pages and bring it with me, my hh was ok with non standardized Evals
https://www.amazon.com/Home-Health-SLP-Handbook-Everything/dp/1733863303
The book "Treating Explosive Kids" was really helpful for me in understanding it. You can get it used for like $5 on Amazon.
Here's a link! Reading through it a second time now actually (just started - currently on chapter 3).
But that's awesome! What university? In person or online? I really want to do it but most likely it would be a pay cut. I make decent money now and have a wide + kid. Family & financial goals will probably kick that can down the road decently far.
https://www.amazon.com/Radical-Behaviorism-Philosophy-Mecca-Chiesa/dp/0962331147
I got a pair of Kevlar sleeves (not as big a deal as the word Kevlar makes it sound - they're used in a bunch of professions and not that expensive) to have on hand for my biters.
I have found what's best is making environmental modifications so that the biting doesn't happen in the first place, though. Have a chew always available. Teach the kid other ways of getting attention, help, etc. Constantly be adapting what we're doing based on their emotional state. Etc. It's very effective
I remember buying my cohort year version of this book: https://www.amazon.com/Advanced-Review-Speech-C3-A2-E2-82-AC-Language-Pathology-dp-1416411666/dp/1416411666/ref=dp_ob_title_bk
My grad school study group and I would read like 2 chapters a week, take notes, and then meet up to study those chapters maybe 1x/week leading up to the praxis. We all passed the first time.
I seem to be in the minority, but since your friend has expressed interest in raising awareness about communication disorders, and perhaps feels a sense of solidarity with those who have similar struggles, I think a book on that topic is a very thoughtful gift. She would likely enjoy reading about that topic and would appreciate that you aren’t shying away from it. She opened the lines of communication here. A related gift shows that you support her and don’t view her communication difference as a taboo topic that must not be mentioned.
One recommendation is “My Stroke of Insight.” It’s written by a “brain scientist” who had a stroke. She spoke at our ASHA convention several years ago and was incredible. (ASHA is our national professional board.)
https://www.amazon.com/My-Stroke-Insight-Scientists-Personal/dp/0452295548
Another book that I really enjoyed is “My Stroke of Luck,” written by actor Kirk Douglas after a stroke.
https://www.amazon.com/My-Stroke-Luck-Kirk-Douglas/dp/0060014040
I would ask you to consider the staging of the dementia patient and reconsider the goal, even if it is something you inherited. You may want to consider changing the goal to appropriately address the patient need for function.
Sometimes asking opposites for some of my patients with dementia has worked a lot better than yes/no questions. For example, instead of asking "Do you want the light on?" which prompts a yes/no, I would change the question to "Would you like the light on (perform action) or off (perform action)?" - and there were times when I would get the target response "on" or "off" or the patient would actually spontaneously respond yes or no.
Point to tasks with field choice of 2-3 items might be helpful as well and I've also used yes/no buttons: example: https://www.amazon.com/Talking-Yes-No-Buzzer-Buttons/dp/B0739MSW1Y
You want to create goals that don't require such a cognitive load. Even yes/no questions can be overwhelming for a patient where they have to consider all the possibilities of a yes/no question: such as yes, no, maybe, I don't know, etc. as oppose to point-to tasks, which with options questions, opposites, and so forth. Just some thoughts. When you get a specific case reach out to us here as there are many amazing SNF SLPs in the thread who can be of assistance. PM me whenever as well.
I love Early Intervention! This sounds more like OP services with young children since EI is federally mandated under Part C of IDEA in occur in the natural environment. I highly recommend: https://www.amazon.com/Early-Childhood-Coaching-Handbook/dp/1681252562/ref=sr_1_1?crid=1GLOWLOAQWAJN&keywords=early+childhood+coaching+handbook&qid=1665747198&qu=eyJxc2MiOiIwLjk3IiwicXNhIjoiMC42MiIsInFzcCI6IjAuMzkifQ%3D%3D&sprefix=early+childhood+%2Caps%2C150&sr=8-1
This book really hits everything you need to know about the EI service delivery model. On caseload right now I can only think of one family I have where the family consistently overcues...
Consider using the blue light filter built into your operating system. For Win 10, that's nighttime mode, not sure for OSX. There is a 3rd party app called F.lux ( https://justgetflux.com/ ) that is both for OSX and Win
I work in acute rehab and use a couple formal and informal assessments for medication management.
For formal assessments, the ALFA which was already mentioned has some subtests for it. An iPad based assessment called the FSTAC (Functional Standardized Touchscreen Assessment of Cognition) has a subtest for filling a pillbox using simplified medication labels.
I also love doing it as an informal assessment using some medication bottles that a pharmacist made for me complete with varying levels of complexity and all the warning labels. I filled them with a mix of wooden beads that have distinct shapes and colors like these. I frequently try to find the patient's actual medication regimen and have them fill a pillbox that looks like their own, sometimes using a medication tracker that we created during an earlier session. There's no substitute for actually attempting what they need to manage!
if you are unfamiliar with the setting. It is a "textbook" but an easy read. Also second LauraMize!
They make masks that have clear windows. If you get one of those and put non fogging stuff on it, that should be helpful. A mini mouth puppet is also nice, although you'd have to add something to be the lips
Not sure about the funding. But I have always been annoyed by the price of the Big Mac switch. If anyone can explain, I'd really like to understand.
I've used game show buzzers instead. https://www.amazon.com/Learning-Resources-Recordable-Answer-Buzzers/dp/B00HT5HBMO/ref=sxin_19_pa_sp_phone_search_thematic_sspa?content-id=amzn1.sym.8ce8fa48-024e-4ed8-81a9-6b6922008e3d%3Aamzn1.sym.8ce8fa48-024e-4ed8-81a9-6b6922008e3d&crid=35YA...
That link looks terrible. But just go to Amazon and search for game buzzers. Just over $20 for four of them
Oh yea, I see what you mean! You could use the plastic worksheet sleeves to reuse worksheets. If not worksheets you can make graphic organizers or pictures on the paper, I just like that these sleeves are reusable. Can also be used for games like jeopardy etc.
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Here's an idea, instead of a new app to install on her computer, how about making her phone a slave to the computer. I've never done it but I think this app would allow her to control her phone with her PC giving her access to the app. Windows 10 and above also have settings for creating virtual desktops if she needed to do that so she'd have access to both her PC and phone
https://play.google.com/store/apps/details?id=com.microsoft.appmanager
This article says that tracheal rings begin to develop when an embryo is 22-30 mm. So it appears that this is predetermined by genetic factors. Someone else may know more about why some people develop more and some people develop fewer, but that's what I found. My guess would be that physical factors like height would have some correlation, but this is pure speculation.
On an interesting side note, it appears that those with DiGeorge Syndrome may have fewer tracheal rings than normal.
Again, I’m not sure the rubic for your assignment and not familiar with the HAPP-3 but after a simple search this seemed helpful! Again, go to your clinic and see if they have the manual to verify the accuracy of the information.
Maybe try L/W minimal pairs. I provide several visual prompts and draw attention to how different these sounds look during minimal pairs. I like using the Eliciting Sounds book, it’s a great resource and helps me brush up on phonetics for sounds I haven’t targeted in a while.
Here’s the link: https://www.amazon.com/Eliciting-Sounds-Techniques-Strategies-Clinicians/dp/1401897258
Right, but the post also says " but I feel like I would be more comfortable working in a nursing home or a hospital, a clinical environment." I was clarifying for op because you seem to paint the entire US SLP job market with pretty broad strokes based on your limited area. For someone willing to move, a hospital CF is not hard to find.
I wish I were fluent, but I'm not. I have a deaf brother, but he has CIs, and was raised with a completely oral-aural education. I started learning at about 16 when I volunteered at a camp for deaf kids, then took ASL in college at a couple different community colleges and at my four-year school once they finally started offering it. Community colleges are often a great option. You can often find a Deaf teacher or a CODA (Child Of Deaf Adult) teacher, and it's relatively affordable. You can also sometimes find community classes built for parents of deaf kids if you have a local deaf school or deaf ed program of some sort in the area. Maybe you can ask to sit in on something?
There are also usually deaf social events you can find where you can practice with others (just make sure you know how to fingerspell first). Are you in a big city? Where I live we have a lot going on, but I live next to a big Deaf school. It kind of depends on your area. I'd check meetup.com, Facebook, etc. It took me years to learn that we have a Deaf studies section at our main library, a Deaf community center in a nearby city, and a Deaf-owned and operated pizzeria nearby. You never know!
If you're set on self-study, I would recommend the book series Signing Naturally. I won't lie, it will be tough to follow without a teacher (the videos are fast) but it's a very credible book.
Also, personally, I would really urge you to take caution with online resources! A lot of the times you'll find SEE (Signed Exact English) or Pidgin Sign Language masquerading as ASL, and the grammar and even vocab will be off. If you see signs for things like "is", "am", "-ing", etc., be wary.
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I think your mileage varies depending on your district. I like the schools I have a manageable caseload with time to do paperwork. I make as much as if I was working in the medical side but I only work 180 days.
When I worked in a private clinic I saw kids back to back and it was very draining. I also felt a lot of moral issues treating kids for things that the parents wanted. Private clinics are for profit so you can feel pressure for productivity, etc.
this is a great resource if you are considering the salary for your area.
Hi! I know the question was not directed at me, but the third one has a purple cover. It is called Hegde's PocketGuide to Communication Disorders. Here is the link from amazon (not an affiliate link). Hope this is helpful:
She needs counseling not more/better speech therapy techniques. If you haven't spent time developing counseling skills and knowledge, taking a motivational interviewing course would be a good place to start. It also helps to understand a valid theory of motivation since these theories help us understand how people's beliefs and attributions influence how they interpret their performances in the world. The following book is both a good intro and practical manual for dealing with adults https://www.amazon.com/Self-Determination-Theory-Practice-Supportive-Environment-ebook/dp/B06W9P1XTY/ref=sr_1_1?keywords=la+guardia+self+determination+theory&qid=1639026074&sr=8-1
We used this book to prepare. It was very thorough and well worth it. I felt the exam was difficult considering that it covered EVERYTHING we'd learned in graduate school.
Second: we used the book "scissors glue and concepts too" with hand over hand kiddos like the one you're describing. PM me if you're interested in this option because I made some helpful labels you can use rather than have to cut out the images... Scissors, Glue, and Concepts, Too!: Interactive Activities for Practicing Basic Concepts https://www.amazon.com/dp/1559992379/ref=cm_sw_r_awdo_navT_a_H40XTAMT48BWWWT7DGNS
There's a really good book, called Treating Explosive Kids. It's a lot better for teaching providers how to use it
I explain that phonological processes are patterns of errors. I bring a handout of phonological processes that has examples and age of expected disappearance (I usually use this one )and highlight the ones that said child presents with. I tried to give examples of the actual child’s speech for each process Im identifying and the parent’s always like, “oh yeah, he/she does do that!”
I don’t think that’d be too much for a parent or a team.
You have good timing! This just came out today.
I'm a profoundly (very profoundly) deaf adult who had no auditory feedback due to my cochlear structure but my parents used cued English as my primary mode of communications so when I went to speech, we just worked on matching expressive speech with the phonemic awareness that I already had as a result of Cued Speech.
I wasn't part of it until I had an issue at work and I called and was like, "Hey, I have this issue at my workplace, can you tell me what the legal/ethical implications are?" And they were like, "Once you pay our membership fee, yes." So I joined but just only for that year. Seemed pretty extortionist to me. Also if you want to meet other SLPs you could start a group on meetup.com. I've been wanting to do that in my city.
Decorating foam pumpkins with stickers. Great for requesting in F02 (choice of sticker) or articulation (say the target X times, get sticker). Then I let them color on it while I write the note LOL (Heres the link: https://www.amazon.com/gp/product/B08BRT65LM/ref=ox_sc_act_title_1?smid=A3MMAYDDIZG0J3&th=1)
I also have a ton of /s/ kids this year so I've been printing out spider webs with their visual cues on the bottom to work on "spider" and putting spiders/bugs in the web.
Peekaboo apps has a halloween version that I've been using as a reinforcer at the end of sessions. UltimateSLP has some fun halloween themed games I've been using as well.
Keep playing with food without ANY pressure to eat it and consider something like this to practice mouthing a chewing food without pressure of swallowing. Munchkin Fresh Food Feeder, 2 Pack, Blue/Green https://www.amazon.com/dp/B000GK5XY2/ref=cm_sw_r_cp_api_glt_fabc_A00677YG4HMW2GBFF9CA
You wrote that book?! I found your book the other day: https://www.amazon.com/Home-Health-SLP-Handbook-Everything/dp/1733863303/ref=sr_1_1_sspa?dchild=1&keywords=home+health+slp&qid=1633528217&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUExT1RCS0M2TVlMRUlFJmVuY3J5cHRlZElkPUExM...
That is awesome of you.
Here's the link to the book on Amazon
I also have some free stuff on my blog: www.theadultspeechtherapyworkbook.com
Also feel free to message me if you have any questions.
Ooh yeah that's a challenge. I really love Amazon for getting scrubs and these have been my personal favorite. I'm 5'3" and 116lb and the XXS fits me perfectly. But I know you're needing an even shorter fit so I'd suggest getting them tailored. The pant leg bottoms aren't anything fancy and would be easy for someone to hem.
WonderWink Women's Wonderwork Straight Leg Cargo Scrub Pant https://smile.amazon.com/dp/B01DFJV1BY/ref=cm_sw_r_cp_api_glt_fabc_6GKQWCD7MQPKAHC6P32Z?_encoding=UTF8&psc=1
I got my CF supervisor a nice card, a gift card to Ulta (because she often complimented my lipstick haha), and the cooperative board game Race to the Treasure.
I think a combo of something useful for her job (tote, game, badge holder) plus something just fun/relaxing for outside of work is good! And definitely a card/nice note.
Cariboo and the Eye Found It card game (which is a $6 card game that you can adapt to basically any goal) are the two consistently requested games all of my kids absolutely love.
Link to Eye Found It, seriously can't recommend it more! It's great for mixed groups. You can work on reading (I cover up bits of the word and make them sound it out from end to beginning), artic (there are so many things on each card that you should be able to find a word with your target sound pretty easily), describing (I make the kids describe to me where the object is instead of pointing to it), making phrases and sentences for your AAC and early speech kids, etc. https://smile.amazon.com/World-Disney-Found-Card-Game/dp/B00QIIASSC/ref=mp_s_a_1_3?d
- My Peaceable Kingdom games, especially Race to the Treasure!
- The EET
- Not really applicable for a fire since most are digital, but all of my Speechy Musings products.
- This wooden car ramp
- PlayDoh (but that needs to be replaced on the reg anyway)
I ordered these from Amazon. They are not as firm as the real PECS ones. Honestly it's kind of good though because I can run them through the hole punch and the comb binder. They are more durable than paper/cardstock and I can use disinfectant on them. Those particular ones aren't available right now but if you look around that brand has others that are.
Self-determination theory (SDT) has been the most useful theory for me. Here's a link to a free online course starting 12/21 https://www.coursera.org/learn/self-determination-theory?
There's also a very good book by Ziviani that takes an SDT perspective. It's about kids but these principles are, essentially, universally applicable to all ages and disorders https://www.amazon.com/Art-Science-Motivation-Therapists-Children/dp/1849051259/ref=sr_1_1?dchild=1&keywords=ziviani+motivation&qid=1607810946&sr=8-1
Ziviani also has nice book on goal-setting.
Yep! I'm telling you, it works! That's what I got in my intensive outpatient program. Possibly the hardest thing that I have EVER done. But dang it seriously gave me my life back! I still independently do tiny exposures all the time, just to do upkeep, but I have come SOOOOO far since that program!
And even if you're one of those who is anti medication or your anxiety is keeping you away from meds, there are still evidence based supplements for anxiety. Obviously talk to your doc first, but my psychiatrist recommended Mood Boost, which is a blend of evidence based supplements, and it's extremely effective! https://smile.amazon.com/Labs-Supplement-Enhancer-Ashwagandha-Rhodiola/dp/B00A4OVLRS/
Rutger Wilhelm published a book last month on cluttering... https://www.amazon.com/Too-fast-words-discovering-stutter/dp/B08NDVKM3P/
I have cluttering, and the best technique for me is to try to match my rate with my conversation partner or listener.
If you're an SLP, your target should be a lot slower than your conversation partner, since everyone will be modeling your speech, and it's easier to model slower speech.
Maybe she could use the "Voice Trainer" app. It was developed for people with Parkinson's disease, to get feedback on the loudness and pitch of their voice. The feedback consists of a ball on the screen that gets larger or smaller with loudness and goes up or down with pitch (for her the loudness would be most important).
You can put the boundaries for loudness and pitch yourself so the feedback is right for her. And about remembering to activitate it: you can just turn the app on your phone and put it on the table and the feedback is continuously visible. She does need to remember to get her phone out and the app on though.
Little downside: the app costs €9.99 to download.
You can find it on the Google store, link here: https://play.google.com/store/apps/details?id=com.radboudumc.voicetrainer.android
The Gboard from the play store. Search for "International Phonetic Alphabet" in the "add keyboard" section of the app. It's not listed under English, it's a separate keyboard.
I also agree with ideas that have been posted. A clipboard with storage was a lifesaver - I STILL use mine. Some classmates had one per client. I've also seen storage clipboards with mini calculators attached on them - that might come in handy if she needs to quickly calculate her data (not completely necessary though).
I definitely benefited from a thermos and water bottle with "loops" - like a Nalgene bottle (I could hook my finger through the loop if my arms and hands were full).
If your SO is a hard copy planner kind of person, I suggest Emily Ley or Day Designer/Blue Sky. Personally, I like their simple designs - they were easier on the eyes for me than other brands.
If she's into meal prepping (saved me a TON of time in grad school), some meal prep containers might be helpful.
Edit: To add: A voice recorder with earphones for recording sessions is a must.
Yep, I used to have this and now I've mostly got it under control. I've always had anxiety and when I was a brand new SLP I struggled with constant rumination about work and tension in my body. For the past few years I've been using Cognitive Behavioral Therapy techniques to calm my body and mind. Over time it's become easier and I don't need to use the strategies as often. It got the point where on Sunday rather than specific thoughts/anxieties I'd feel a looming dread even though there was nothing at work I was consciously anxious about. All it takes to get rid of that feeling for me is progressive muscle relaxation for 5 minutes. There are lots of other CBT techniques, but this is one that's really effective for me because that feeling of dread was from body tension.
If anxiety is something you regularly deal with, I highly recommend CBT. It takes some time and commitment to retrain your brain, but it's changed my life so much. This book helped me so much: https://www.amazon.com/Best-Ever-Anxiety-Management-Techniques-Understanding/dp/0393705560 I highly recommend it to anyone with anxiety. It really helped me to understand myself and how to change my patterns.
I would recommend a book by Ziviani on motivating kids. Because the factors that influence motivation are, mostly, independent of age and disorder, this info can be used with any client. Understanding the motivational component of rehab will help you deal with the most difficult part of practice - which is helping people stay engaged and working hard enough, consistently enough, to benefit from our treatments. Practice is so much easier when our patients genuinely collaborate with us...
If you are seeing adults with cog issues, an excellent book is the Manual of Cog Rehab by Haskins. It's basically a book by the same authors that do the major systematic reviews every 5-8 years.
Black and white board books and picture cards for tummy time. This is one of my favorites https://www.amazon.com/Baby-Einstein-Contrast-Activity-Newborn/dp/B07N7HFJKF/ref=pb_allspark_session_sims_desktop_21_1/147-9777638-2660131?_encoding=UTF8&pd_rd_i=B07N7HFJKF&pd_rd_r=4dbbe2fe-039f-4344-b2e3-262e069c69f6&pd_rd_w=Qd0B6&pd_rd_wg=nK7VM&pf_rd_p=e500004d-dce5-4973-9afd-bba519c83f08&pf_rd_r=0BKTPDDXV0WFE0Y7FJ3P&psc=1&refRID=0BKTPDDXV0WFE0Y7FJ3P
I got a rolling bag made for groceries on Amazon that made such a difference! I am in CA though so I can't attest to how it holds up to your weather, but it's good on the occasional rainy day we get. Here's a link
I wear these all day long, the sole is rubber so very comfy and the fabric on the shoe is comfy. I like the slight heel as I'm short and most of my pants look better with a heel. I usually find mine at TJ maxx, and don't pay more than about 35.00. They last forever, and I have a few styles. Get lots of compliments on them too.
I think they look more professional than true flats, and I'm not a clog girl so none on the BOC or Danko's aren't for me.
It will depend on what else you are wearing.
Do you need to also have a lab coat? I found finding a nice fitting lab coat, that doesn't look sloppy is important. I have a short sleeved one, that I LOVE! And pockets are key for any lab coat.
https://www.amazon.com/gp/product/B016IFU69K/ref=oh_aui_detailpage_o06_s00?ie=UTF8&psc=1
I recently purchased this one and have been happy with it so far. I use this for toys/materials though and not files.
Nice pens are my go-to gift in this kind of situation. I collect and use fountain pens, but some people don't like the learning curve.
The Cross Classic Century model is one of my favorites.
I work often with children with CAS and they are some of my favorite students! The prognosis is good if it is the main area of difficulty but for children with other diagnoses (e.g. Autism, genetic syndromes, etc...) it depends on many other variables. Keeping that in mind, progress tends to be slow and takes a substantial amount of practice. I cannot tell parents enough that one of if not the most important components of therapy is regular practice. I also highly recommend supplemental therapy either outpatient or at a private practice if you are able in addition to what is being provided through the school district. Be sure to find a therapist who really understands motor speech disorders - the recommended approach for CAS is quite different than traditional articulation therapy. Be sure that your child is also getting help to get their message across and expand their language skills through use of communication boards/books or high-tech devices like iPads or Speech Generating Device (they will need an AAC evaluation for this). Speaking of Apraxia a wonderful and very comprehensive resource that is written by a mother with a child with CAS. Best of luck!
This is a book that my undergrad intro to communication disorders class required. I haven't seen the most recent edition but it does a nice job painting a broad overview of the field for an intro book.
https://www.amazon.com/Introduction-Communication-Disorders-Evidence-Based-Perspective/dp/0133756696
Talk with Me: The Big Book of Exclamations 2 ?
https://www.amazon.com/Talk-Me-Big-Book-Exclamations/dp/0692559957
I also saw this booth at ASHA and circled back to buy the book! I'll be shocked if this isn't it.
Neurotribes by Steve Silberman. The author goes through the history of autism and discusses not only how history impacted autism research but also talks about the controversial idea of neurodiversity and the idea that maybe autism is less of a 'thing to be fixed' but maybe more of a different way of thinking and analyzing the world. Fascinating read.
https://www.amazon.com/NeuroTribes-Legacy-Autism-Future-Neurodiversity-ebook/dp/B00L9AY254
They're a bit pricey, but check out the Hegde's PocketGuide series. I particularly like the Guide to Treatment. It really does have everything in one place and it's not overwhelming.
The basic approach tends to be:
1) Determine the underlying reason(s) for the difficulty (e.g. phonological, semantic processing or both problems) and whether written naming is better than spoken naming
2) Choose a naming treatment approach with evidence behind it (e.g. semantic feature analysis for pts with underlying semantic problems)
3) Understand that the effects of naming treatments are overwhelmingly item specific - i.e. people get better at the words they practice but not words they don't practice.
4) Because of #3, choose a goal that will give you a focus for which words to train. For example, focusing on the ability to talk about the presidential elections.
5) Plan to train for generalization - it's not guaranteed that patients will use words during real life
6) Include compensatory approaches to word finding difficulties - these tend to focus on circumlocution and self-cuing methods
7) Approaches focusing on severe anomia tend to focus more on errorless treatment approaches and to use other modalities of expression (e.g. writing/orthographic knowledge) to support verbal naming (e.g. Copy and Recall Treatment [CART]).
7) Be careful of the recommendations you get on Reddit, Facebook, etc for what to do with patients
Most aphasia naming treatments require an understanding of psycholinguistic models of language processing and the influence of non-linguistic cognitive impairments (attention, short term memory, working memory). A very good book to get started here is Anna Basso's book "Aphasia and it's therapy"
Of course, when persons have severe word finding difficulty we need to do partner training for communication strategies (e.g. Supported Conversation for persons with Aphasia [SCA]) and consider alternative methods of communication.
do you know if she is interested more in working with adults/in medical settings or kids in educational/clinic settings? that may help narrow it down because they're very different fields. If you want to just get her some general interest stuff, a few good novels related to the field are The Diving Bell & the Butterfly, Where is the Mango Princess?, Schuyler's Monster...search this sub for other suggestions of books. There's also a bunch of cute gifty junk on amazon that is SLP related (not sure if you can get it in the UK though) If you find out what setting or population she's into we can probably think of some more useful/specific suggestions.
This was a great start for me, but some may find it too general. http://www.amazon.com/Introduction-Communication-Disorders-Evidence-Based-Perspective/dp/013335203X/ref=sr_1_4?ie=UTF8&qid=1432104066&sr=8-4&keywords=robert+owens
Coming from linguistics background, getting more exposure to A&P would be good.
I would recommend buying an anatomy workbook. The workbook provides information that is a little more concise and more relevant than a textbook (which tells you WAY MORE than you will ever need to know). Also, workbooks usually have good diagrams to practice labeling. A good workbook for under $30 is: http://www.amazon.com/Workbook-Accompany-Hearing-Science-Physiology/dp/0875637302
You can find quite a few good anatomy videos on youtube just by typing in search terms like "anatomy of the larynx", or whatever else it is that you're studying. I did that all the time when I was having trouble picturing the muscles and stuff. Sometimes it works, sometimes it doesn't but it's worth a try.
Another good resource that I used a lot was the quizlet website. For example, type "quizlet anatomy of larynx" into google and it will give you some flashcards that other students (probably in similar programs as yours) have already made. You have to be able to filter out the quizlets to what you think will be relevant/what is on your syllabus.. but if you are able to do that then it is definitely a good resource!
If you're working in neurorehab then "The study of anosognosia" by Prigitano is worth having in your library. Also, the article below about awareness and engagement in rehab is a good read and might be helpful in terms of thinking about how to approach this patient. I'm partial to some of the concepts in motivational interviewing and self-determination theory. What I learned from this, and what changed my practice some, was understanding how some of my behaviors (even though they were well intentioned) were promoting resistance in my clients rather than causing them to become more engaged. PM me if you need assistance getting the article.
BTW, I don't think you need training in motivational interviewing to apply some of its ideas effectively. Medley focuses on the transtheoretical model of change as a framework for implementing motivational interviewing. I think there's more evidence for us adopting self-determination theory as a base. (www.selfdeterminationtheory.org)
Medley, A. R., & Powell, T. (2010). Motivational interviewing to promote self-awareness and engagement in rehabilitation following acquired brain injury: A conceptual review. Neuropsychological Rehabilitation, 20(4), 481-508. doi:10.1080/09602010903529610
Extremely sad, but an excellent portrayal of Alzheimer's disease. Still Alice, by Lisa Genova.
Maybe not the best for a birthday gift, now that I think of it... I cried HARD after reading that.
EDIT: Would be good for counseling families.