Building Language Supports Using Low-Tech AAC

Building Language Supports Using Low-Tech AAC

I’m still riding high from SLP Summit earlier this month. In case you missed it, my presentation was titled “Building Language supports through AAC”. I co-presented with Brian Whitmer from Coughdrop AAC. He handled high-tech while I spoke about low-tech AAC.
 The excitement, the connections, the information and the buzz was so uplifting and informative. I’m so thrilled to have been a presenter during this groundbreaking activity. The comments and questions, were so good, and I want to take the time to answer some of the really pertinent questions here. I’ll also provide many of the links and resources that I talked about.

No more FOUA (fear of using AAC).

So let’s jump right in…
As the year for me is gearing up, I was discussing some suggestions for low-tech AAC or no-tech communication opportunities with one of my colleagues.  I suggested to her that she might try some routines during sessions, and what came to my mind was the “magic wand” greeting and greeting song from the webinar you did during the Winter SLP summit.  I was just wondering if perhaps you had a list of suggestions for routines you might use that would have an expected or repetitive response, similar to those activities I mentioned above?”~Caitlyn
 
This is a great question from Caitlin. I agree that routines are amazing in the special needs classroom. Here are some of my favorites:
Use the magic wand to reinforce greetings when entering the room. A lot of our kiddos are not expected to greet anyone in any way. This is a really important social skill and a way for them to connect. Model waving and saying hi, hello. As soon as you get any type of response, give them some magic.
With the younger kids, integrate a Hello song and Goodbye song. The links to see them are here on my YouTube channel. (please excuse my bad singing, haha).
As the kids get older I like to use something more age appropriate such as Whole Brain teaching rules. We start each and every session with the “rules”. I use the posters for visual support,  hand movements, and consistency. We love them. Here’ a little video of us using them during our speech session.
I’ve had really good success with the use of a simple visual schedule, just three or four little picture cards to show what we’ll be doing during our speech time. It doesn’t have to be perfect or beautiful, just consistently used.
Incorporating songs and song choices into our group time has also been a big hit. I use a Go Talk (more low-tech AAC) with little recorded snippets of each song for each buttons. Some examples are: Wheels on the Bus, Looby Loo, Twinkle Twinkle and Head & Shoulders. Over time you get the advantage of the students learning the songs too  (especially if you incorporate hand movements and make it fun). Here is a link to my Pinterest board of transition songs.
Routine and predictably are your best friends. Last year, I followed the same basic routine in each of the three functional skills classrooms I work with. Here is my magic list.
Primary functional skills: Magic wand, hello song, criss cross applesauce, go talk song Choices, core vocabulary board activity, 3 – 4 minutes iPad time for the whole group as a reward, the Goodbye song.
Grade 4 5 6 functional skills: Say hello and shake hands as they enter the room, whole brain teaching rules all together, core vocabulary activity, 3 – 4 minutes iPad time for the whole group as a reward, age appropriate song on iTunes that we all chose together.
Grade 7 8 functional skills: Say what’s up and shake hands (or fistbump) as they enter the room, whole brain teaching rules all together with more age appropriate hand movements, therapy activity, 3 – 4 minutes iPad time for the whole group as a reward.
I hope this gives you some good ideas for your sessions.
“How do you print the Core Board so large?”
Great question.  You don’t need any oversize printer or Kinko’s.  Each page has four symbol squares, I have them in order, with really complete instructions. Just glue them to a poster board and then laminate. Easy peasy. Click here to learn more about the BIG Core board
Is there research to support the 10-second hold for pointing when modeling? Everyone loves research
to back up what they’re saying especially when trying to get ABA professionals on board. -Amanda

Another great question! I don’t have the answer yet. There are several references to the 10 second point, but as far as research for the exact time I’ll have to keep looking. I’d say it is a suggested time by some highly experienced AAC experts (see these references). 

“Can I get a handout of the slide presentation?”

So many people asked for a copy of the slide presentation, I apologize for not including it.  You can click here for the attachment. 

I’m also answering some of the questions on Facebook. Click here to see.   

Thank you so much to everyone who attended.  I’m working on another AAC presentation as we speak.

Remember feel the FOUA and do it anyway,

Beautiful Speech Life

A Quick, Inexpensive Way to Get Started with Core Vocabulary in the Classroom

A Quick, Inexpensive Way to Get Started with Core Vocabulary in the Classroom

Do you struggle with planning functional communication therapy?

Do you leave those sessions feeling frustrated and like it nothing is working?

I sure used to.  And then I discovered the power of Core Vocabulary.

You can add structure, consistency and fun to your sessions by using Core Vocabulary. You’ll be amazed at how you can do more with less!

 It’s not just for labeling. These words are used to comment, request and command.

Of course, you want students to learn many other words, these are fringe vocabulary. But by focusing on core words you are teaching them a vocabulary that is used most often throughout the day and that they can use throughout their daily lives from classroom to playground to cafeteria to home.

So what exactly is core vocabulary?

Core vocabulary is a small set of simple words, in any language, that are used frequently and across contexts (Cross, Baker, Klotz & Badman, 1997).  These words make up 75-80% of the words we use every day.

I love to use big core vocabulary boards with my students. You can choose your core words from many sources and create your own board using symbols.

I just created this core vocabulary board. I spent months tweaking the size, the positioning of the symbols and using it with my students. Here’s what I love about it:

  • Big squares are easy for little hands to grasp and large enough to see clearly.
  • Made for classroom and/or speech room use
  • Uses DLM Core Vocabulary words which are evidence based

 

It’s available in my Teachers Pay Teachers store now.  Included with the board are two different choices of backgrounds, one vibrant and one more subdued. There is also a smaller poster to put on the classroom door to help with carryover. And smaller squares to use for lanyards to encourage use of the core vocabulary words throughout the day.

If you’re sold on Core Vocabulary but wondering how to get started, I also included enough ideas to get you through a few sessions incorporating wind-up toys and movement.

Click on this link to see the Big Core Vocabulary Board.

Psssssst…April 7th only….This is at an Introductory Price of just $5.00 (I know are you kidding me? That’s  a whole lotta resource, that will last a lifetime) 

I hope this gives you a good start. I don’t teach core vocabulary for the whole session, but consistently work it in for 10 to 15 minutes of each 30 minute session.

Keep coming back, because I’ll be sharing more ideas on how to use core vocabulary to make communication gains. Also join me on Instagram, where I share lots of ideas in my Instastories.

I’d love to hear from you once you’ve tried this. How did it work for you? What new ideas did it generate?

Hugs and high-fives,

It Doesn’t Need to be Perfect: Eight Ways to Put the Fun in Functional Communication

Did you catch my “Putting the Fun in Functional Communication” presentation last week on SLP Summit? I hope so. I really enjoyed the interaction but to be honest it was really hard to talk and keep up with the chat feature of the platform. Luckily, I was able to review the entire chat to make sure I can answer everything for you.
Here’s where you can find the most asked about items:
SLP like a boss mug (coming soon)
In case you missed the session, you can still see the recorded version until January 31, 2017 at SLP Summit. Here is a quick review of how to use each item.
Magic wand
Use as a reinforcer, to teach greetings and farewells. PS don’t let the students hold it or the magic will disappear.
Penpal program
This amazing program is the brainchild of Kim from Activity Taylor and Gabby from middle school speech. This year, my junior high functional skills class in Arizona is paired with a similar group of students in Oregon. With so many opportunities to pair language with a daily living type of activity, this program is a big hit! Learn more by emailing Kim:  kim.lewis@activitytailor.com
DLM core words
You can find them here. Also here’s an article with more details on how are use them.
Products for middle school and junior high
I developed these because I was really having a lot of trouble teaching prepositions to my students. These books combine teaching one concept with errorless learning and lots of repetition.
Sign language
I like using sign to reinforce the core vocabulary words. Also it seems like I usually have a student transfer that uses sign language. My friend Adrienne who is an SLP has a wonderful online sign language course. Use my affiliate link to learn more.
Cough drop AAC
I’m just trying this with a student now and so far I’m really impressed. I’ll be interviewing the owner for an upcoming article very soon. In the meantime,  Coughdrop AAC offers a two month free subscription for users. They also let SLPs use this app for free to evaluate students. Contact Scott at Coughdrop AAC for more details.
Core vocabulary
Teachers pay teachers has many core vocabulary products. Susan Berkowitz, Jenna Raeburn and Felice Clark have resources that you can check out. I’m working on a core board that I’ll be listing soon.
Have you tried implementing any of these ideas yet?  I would love to hear about it! Let us know in the comments below or send me an email at beautifulspeechlife@gmail.com
You’ve got this,
Anne
How I Used Core Vocabulary to Get Results: A True Story

How I Used Core Vocabulary to Get Results: A True Story

Last week I shared 3 tips on how to AAC Like a Boss.  They were: 
  1. You don’t have to know everything
  2. Be Resourceful
  3. You don’t have to start high-tech.
Good stuff, right?!
To continue along this line, today I want to talk a little bit about how I used all three of these tips to make a breakthrough for one of my students.
I’ve been doing group therapy with students who are working on functional communication for the past nine years. I don’t know about you, but I get really discouraged when my students don’t make progress. However, I think I was setting the bar too high too soon.  Of course I want them to be able to communicate their wants and needs. There are just so many little steps to getting there; it can take a really long time! 
This year I started using The Dynamic Learning Map Core Vocabulary; a list of 40 words that have been proven to be most effective socially and academically for students with significant cognitive disabilities. Developed at the Center for Literacy and Disability Studies at The University of North Carolina at Chapel Hill, these 40 words are based on AAC research. 
My Core Vocabulary Board

My Core Vocabulary Board

This is both low tech and resourceful. Plus I really didn’t know everything about  it, but I did do my research and know that it’s backed by evidence. I made a core vocabulary board for my room and decided to see what happened.
Let me tell you a little story to illustrate my point.  I’ve been working with a little guy, let’s say his name is Benjamin (it’s not) for the last four years. Benjamin came to our school as a kindergartener with a diagnosis of Autism.  He was nonverbal.  His IEP from preschool had a following one step directions goal and an expressive language goal to “communicate his wants and needs using total communication”.
For the first two years, Benjamin had to learn to follow classroom routines and follow directions. His sensory integration needs were high and we were trying to figure out how to meet them.  I felt like a total failure as an SLP. He didn’t say words, he didn’t use signs, and he didn’t have joint attention. He stayed in his own little world. But, he did learn to follow simple directions with visual and verbal prompts.
We have a little farm at our school and Benjamin was really interested in the animals. It was motivating and calming to him to be able to watch them. Soon he started labeling them. His parents bought him little plastic animals and taught him the names of over 100 animals. Progress, sort of. He still didn’t greet, comment, request or command. There was no joint engagement or joint attention. No pointing. He was just naming the animals for his own benefit. Not looking to see if we were listening, not wanting to share his discovery. If he couldn’t physically go get what he wanted, he would guide an adult’s hand to the item. Benjamin demonstrated echolalia and a lot of screaming.
Then we he was in second grade we taught him to request by labeling. We used beads, which he loves to roll and toy animals, which he loved to line up. I was able to get some eye contact by holding the item he wanted by my eyes. He had to look at me and say what he wanted. After a while, we (me, the paraprofessionals, the teacher and his parents) got him to add “I want” but he needed a verbal prompt each time.
Benjamin got an iPad with TouchChat that he was able to use but he hasn’t been too interested in it.
This past school year, he changed classrooms and it took a good four months for him to settle into the new routine.  His communication progress was at a standstill.  Actually, he even regressed.
I was so sad. I had just told his mom that I wasn’t making any progress with him in group therapy sessions. He was falling asleep, or hanging off of his chair or screaming; sometimes all three in one session.  The other kids were so distracted.  I made arrangements to see him for individual therapy for a while.
The next day, Benjamin’s teacher forget to tell the aides about the new schedule and they brought him to my room with the group. I said, okay let’s just try one more time.
I was introducing the new core vocabulary board I made and planned to teach the command “go’ through the use of  the picture symbol.  I set up a little miniature bowling game on the table. I noticed I had Benjamin’s attention, so I let him go first. Big Therapy Win!  He participated with minimal prompts for the first time ever. He loved the Core Vocabulary Board with the bowling. In this picture, he’s waiting, holding the ball until we (his classmates and I) say “go”.  We had joint attention, joint engagement with PEERS, and smiling. I wish I would’ve filmed it.
Therapy Win!

Therapy Win!

That was in January.  Ever since then, he’s been participating.  I keep the sessions really active with pop-up toys, wind-up toys and balls.  So far he’s learned “go”, “stop”, “want”, “more”, and “I”.  In April, he was able to put together this sentence “I want more go” using the picture cards and verbalizing.  So exciting!
Core Vocabulary

Core Vocabulary

What is it that worked? I believe it was a combination of timing, high interest activity and the Core Vocabulary visuals.
I am really looking forward to seeing what is the next step for my friend Benjamin.
So my point is…Patience Grasshopper.
We have to keep trying new approaches. I knew Benjamin was really visual and had tried some pictures before with little success. The Core Vocabulary words are immediately applicable and they can be used for fun, functional communication. 
I really encourage you to try using DLM Core Vocabulary Words. As I learn more about this, I will definitely share the information with you all. I made a little cheat sheet and resource guide for you to help you get started. I know it can be a little overwhelming when you start out, so I streamlined it for you.
Until next time…SLP Like a Boss,
Anne
Click on the green box to get your FREE copy. 

Three Tips to AAC Like a Boss for Beginners

Three Tips to AAC Like a Boss for Beginners

Last day of school…ah! Such a great feeling.

That was a week and a half ago. I was end-of-the-year-marathon tired. But now I’m feeling refreshed and re-energized. I want to look back on the school year while it’s still fresh in my mind. 

Year End Review Calendar Page

Year End Review Calendar Page

One thing that was really new for me was being the lead for the newly formed  Assistive Technology Team for our district.  I learned a lot from that and had to push myself to try some things I really wasn’t sure about. Today, I’m sharing three tips for how to AAC Like a Boss, even when you’re a beginner

TIP #1 You don’t need to know EVERYTHING at first

I learned very quickly just because I’m the lead, it doesn’t mean I have to know everything. I think I had “Imposter Syndrome” for a little while. Have you heard of that? It’s when you think you’ll be exposed as a fraud because you’re just not good enough.  Harsh right? Sometimes I’m my own worst critic.

What I figured out is that I don’t have to know everything there is to know about AAC and assistive technology.  I don’t have to have all the answers right away, I just need to be willing to find them. Within the online SLP community there are some amazing resources. Dr. Carole Zangari’s award winning blog Praactical AAC is a gold mine of information. Susan Berkowitz at Kidz Learn Language is really helpful with her blog as well. Both of these SLPs truly AAC-like-a-boss and are so forthcoming in helping their fellow SLPs. Another great resource where you can ask specific questions is the Facebook group AAC for the SLP

TIP #2 Be Resourceful

Working at a Title I district with very limited materials, I have to be extremely resourceful.  This year I learned how to adapt toys to be switch activated. These are toys that move and/or sing when you squeeze their paw or hand. Some of our students don’t have the fine motor skills to be able to do this. It was really empowering to make such a fun item accessible  for them.  I even got to solder. The workshop was put on by our wonderful Arizona Technology Access Program. (You can google to see what programs your state might have.)

I was so happy with the dancing monkey I adapted.  Until I got to school the next day and realized we didn’t have any switches that fit him.  I figured I’d just buy one. But then I saw the price; $50 for one little switch! Back to the drawing board.

Adapted Switch Toy

Adapted Switch Toy

Sooooo I signed up for a Make Your Own Switch Workshop. There I was able to make two switches for just $10. We adapted answer buzzers ( 4 for $16.00 at Walmart). The time I spent to adapt two switches was about 90 minutes, the first one took the longest. 

Adapt a Switch

Adapt a Switch

The bonus was sitting next to two parents of children with autism.  They were making the switches for their kids. How cool is that? Talking to them in a casual setting about their experiences and expectations was so enlightening. I really got some insight into what they struggle with.

TIP #3 You Don’t Have to Start High Tech

The other thing I learned, in a really fundamental way, is that assistive technology does not need to be high tech at first.  It seems that many parents, teachers and staff immediately think “voice activated device” or “get them an iPad”. AND that this technology will magically and immediately give the student language skills the second they receive it. If only! Students need to learn to label, request, comment, command and greet. A machine can’t teach them these skills, but we can.  A voice generating device may be exactly what they need eventually. But sometimes we can’t get one right away. We can still teach them that using symbols(voice activated or pictures) gives them the power to express what they want, when they want.

With many of our students, we started with low tech Core Vocabulary Boards and Go Talk Pages. We could get started right away with these because they’re inexpensive to create and so accessible.  It was easier to get “buy-in” from  support staff because they saw it working.

Core Vocabulary

Core Vocabulary

We used The Dynamic Learning Map Core Vocabulary; a list of 40 words that have been proven to be most effective socially and academically for students with significant cognitive disabilities. Developed at the Center for Literacy and Disability Studies at The University of North Carolina at Chapel Hill, these 40 words are based on AAC research. I’ll provide a link  to more information below. Next week, I’ll talk more about core vocabulary boards and how I used them in group therapy with great success!

In summary,  you CAN AAC-Like-a-Boss.  Just remember these three tips:

1. You don’t need to know everything.

2. You can be resourceful.

3.  It doesn’t have to start out high tech.

I know it can seem scary but we SLPs know language. Remember AAC is just another way to facilitate language.

Whether you are reviewing your year or you’ll be working this summer, I hope you found something helpful here. If you would like a FREE Summer SLP Like a Boss planner to help you with your reflection and planning, click here.

 

If you are interested in a FREE video tutorial on how to make a switch, let me know in the comments below.

SLP-Like-a-Boss,

 

Anne

Links:  Praactical AAC

KidzLearnLanguage

Dynamic Learning Map Core Vocabulary

How Facebook Can Make You a Better SLP

 

 

 

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