OT Mommy...Needs her Coffee

Orientation: Finding your Peeps

2018-08-27T06:30:00.000-04:00

One of the most important things I have ever done was to find MY PEOPLE. You know, the ones who get me. The way I sing everything, all of the time, much to their chagrin. My introverted nature. My longshoreman mouth. My sarcastic humor. Because these people have been my rock of stability during the storms that happen during the school year.

So how does one locate a peep?
1. Put on a "Hi My Name Is" and replace your name with Inigo Montoyo or Slim Shady
2. Look for people who get the joke.
3. Smile, because they are probably your peep

Ok, Ok. This may not work in all situations and with all types of personalities. But finding common ground with at least one person in your work environment during orientation can help set the mood for the year. I personally am not an icebreaker person but the concept makes sense; force the group to split and speak to one another outside the normal clique. Forced connections. Meh. I like to connect organically when I have the time and energy to pop into rooms and speak in a less chaotic environment. Or maybe for the first few weeks, try to eat lunch in the staff lounge.

Often, I find that therapeeps (OT, PT, and Speech) will sit together because we typically understand each other's backgrounds. We are healthcare providers who happen to be in the education setting. We are using our super powers to help children access their school lives. But that doesn't mean we cannot look beyond our scope of practice for connection.

Branch out. Find a teacher of visual impairment, or teacher for the deaf and hard of hearing, or social worker, or special educator, or regular educator, or secretary, or teaching assistant, or nursing assistant. In fact, FIND ALL OF THESE PEOPLE because you will need their expertise to get through your school year. There will be questions, and these people may have the answer. It is vital to daily survival to identify with whom you can connect and consult.

Will they necessarily be the people to which I vent and shed a tear? Probably not. That is only reserved for the sacred circle of peeps. But these individuals will collectively help you navigate the school year. And maybe, just maybe you'll find a peep or two that make going to work a little more sugar-coated.

The Grind: EBP Systematic Review of the strength of sensory techniques and modifications

2018-08-21T16:41:00.000-04:00

In my day to day practice, I am constantly integrating sensory-based interventions. Many of the students with whom I directly work are preschoolers on the autism spectrum. I am lucky enough to have an actual treatment room with a ball pit, a doorway platform swing (linear only), a trampoline, tunnels, stairs, balance beams, and a steamroller. I even purchased light covers to soften fluorescent lighting. And I use the heck out of this space. I love watching my students' motor planning evolve so that they freely move and engage through the obstacle courses, vocalize, socialize, and participate in later tasks. My practiced-based evidence, the results of my sessions and its impact on my students' functioning, supported the continued use of these sensory-based techniques. But I wanted to know more: What does the research say?

Back to the Grind

Well, Bodison and Parham (2018) published a systematic review that reviewed over 11,000 studies from 2007 to 2015. Only 8 (out of 11,000!!!!!!!!!) met the inclusion criteria of studies that were peer reviewed, in English, had pre and post-testing related to sensory functioning, and the outcome measures of the impact of sensory techniques and environmental modification on a child's function and participation in daily activities, not just physiological changes noted in a lab. The included studies focused on the following intervention:

Qigong Massage
Weighted Vests
Slow Linear Swinging
Sensory Enriched Preschool
Sensory Environment Modifications

Nitty Gritty

Qigong Massage has been effective in infant and preschool-aged development and behavior, ***when the occupational therapist has extensive training
There is limited evidence for use weighted vests with kiddos ADHD; using weighted vests for children with ASD was not recommended due to the lack of evidence
Slow linear swinging may or may not improve on-task behaviors for children on the spectrum; it is dependent on arousal level
There is insufficient evidence that embedding sensory rich activities into the preschool classroom improves development over a typical preschool setting
Other techniques like Wilbarger Brushing Protocols, therapy ball, sensory diets, and sensory listening systems were excluded because the quality of the studies out there were low on the evidence totem pole
Reducing lighting and sound, paired with a weighted blanket helped children participate in dental cleanings

What do the findings mean to me?

If I were an early intervention or hospital based therapist, I would consider going for training in Qigong Massage. But it would be at least 50 hours of training, which is a huge commitment.
Weighted vests. How many of us have weighted vests in our closets? Evidence is limited. Though it is in my tool box, I would try other interventions first before implementing one of these.
Linear swinging. Know the reason for using the swing before using. Is it for play and language, reward, balance and strength, or regulation?
Preschool. Definitely need more thought and research here. I have seen a lot, working public preschool for nearly 12 years. Each teacher sets up his or her room differently. They use different materials, different approaches. The children, usually between 3-5 years old, are mixed in skill and developmental level. Collaboration levels and comfort with service providers are all cogs in the multifaceted machine of the the day. I work with the kids in and out of the classroom to see what may work and how it could be incorporated into the daily routine with the goal that the child can learn to self regulate in his or her natural environment. And with the push for push-in services, consultation, and modifications, more experience and studies are needed to figure out what is best practice.
Read up on the other techniques before using them!
Yes, more research is needed to generalize to a classroom, but it is worth educating teachers and staff to environmental modifications that can help students with ASD.

During my EBP courses I had coincidentally gone through quite a few, if not most of the studies highlighted by Bodison and Parham. For me, I will continue to use sensory-based interventions as part of treatment for children with sensory dysfunction, but I plan on making more of an effort of keeping better data to see if my practice-based evidence is improving function and on-task behaviors.

Bodison, S. C. & Parham, L. D. (2018). Specific sensory techniques and sensory environmental modification for children and your thaw sensory integration difficulties. A systematic review. American Journal of Occupational Therapy, 72, 7201190040. https://doi.org/10.5014/ajot.2018.029413

The Grind: EBP Review - A Systematic Review of the Efficacy of Handwriting Programs

2018-08-13T17:33:00.000-04:00

Last year, I completed two courses in Evidenced Based Practice (EBP). Prior to them, I thought I was doing my due diligence in reading and applying knowledge learned through continuing education courses and reading articles both peer reviewed and not. But I was completely missing the ball on being an effective consumer of research. It's not just about reading the content, but also analyzing it. Basically, how efficiently did the authors answer the WH questions of who? what? when? where? why? how? Therefore, in an effort to keep my brain percolating with the evidence to make informed decisions in treatment and evaluation, I will share my interpretations of current studies and how they might apply to school-based services.

Welcome to The Grind.

I was intrigued when I came across the systematic review by Engel, Lillie, Zurawski, and Travers (2018). Engel et al. searched through 455 sources to get to 13 studies that met the extensive criteria of peer-reviewed journal articles within 2006 and 2015 that examined if, which, and by how much handwriting curricula were effective in improving legibility, speed, and fluency. Ultimately, the studies that were robust enough to be included in the analysis focused on the following handwriting curriculum-based interventions:

The Write Start
Peterson Directed Handwriting Curriculum
Handwriting Without Tears (PreK and Elementary)
Fine Motor and Early Writing Pre-K curriculum (which seems to be a part of the Pathways to Learning by Mead)
Size Matters
Write Direction (only found a reference to it on YouTube)
handwriting clubs
Explicit Handwriting Program

Nitty Gritty

Curriculum-based handwriting programs (CBHP) do have a positive effect on legibility/letter formation. Size Matters, Write Start, and Explicit Handwriting Program had the biggest effect sizes on legibility
There is mixed evidence that supports CBHPs improving speed of handwriting, in fact it may slow some children down
There isn't enough evidence that CBHP improves fluency of writing
There were not significant relations between age of instruction or amount of time spent on instructing and outcome on legibility or speed

So what did this mean to me?

I have been a user of Handwriting Without Tears for years. I can say that I may not use every piece of the curriculum with the fidelity to the extent that I would like, but I believed that the curriculum was based in research. But clearly, there are many other handwriting curricula available on and off the market that can have an impact.
I am going to have to do some professional development on the Write Start and Size Matters. It might be worth it for me to expand my repertoire of interventions to see if either would be relevant for my caseload. Heck, I am pretty confident I have a manual somewhere in my office at work for at least one of them.
I could not find anything about what exactly the Explicit Handwriting Program was or how it was implemented, so it's not high on my radar.
And if the curriculum do not impact speed of handwriting, what does? Guess I'll have to do more searching.

The nice thing about systematic reviews is that the authors are taking on the brunt of the work. Are there limitations? Of course! As a consumer of research, you are dependent on the authors to include what you are looking for in population, intervention, and outcome. However, systematic reviews typically give you the most bang for the buck. You can always dive further into specifics by weeding through the references. If you don't have NBCOT or AOTA membership, I highly recommend that you get it. They provide you with access to research relevant to practice. It really is worth every penny. If not, there are other avenues to try, that I will address in later posts.

Let me know what you thoughts are.

Engel, C., Lille, K., Zurawski, S. & Travers, B. G. (2018). Curriculum-based handwriting programs: A systematic review with effects sizes. American Journal of Occupational Therapy, 72, https://doi.org/10.5014/ajot.2018.027110

Michael Myers in a Mat Man shirt, holding a box of crayons

2018-08-09T09:58:00.002-04:00

It’s coming. The end of summer. The end of lazidacial mornings of drinking coffee on the porch in my pajamas with the dog at my feet. Orientation is around the corner.

Whether you are entering the school doors for the first time or the 12th time, first day anxiety is creeping its way into your head like a bad 80s horror character.

I like to picture my first day anxiety anthropomorphically, like Michael Myers with a Mat Man shirt on holding a box of crayons. Chi chi chi, wah wah wah. He sits on my shoulder, like DeadPool on the overpass, coloring an IEP calendar. I ask, he answers.

Wonder what the caseload is going to be like this year?

Comparable to planning a trip to the hairy edge of Saturn

From under what hellish mountain of paperwork will I be shoveling this year?

Somewhere in height between K-2 and Everest

How will I get everything done?

By medicating

How many times will my schedule change?

If a train is traveling at 80 mph and 30 people are walking in the opposite direction, how many cats would it take to fill the Lake Eerie?

Do I need a swear jar at work?

Probably

When will I have lunch?

Whenever you damn well please, as long as you can eat it under 3.2 seconds

Don’t get me wrong. I love what I do. I love my students. I love my co-workers. But I still struggle with making each year manageable. So now that I have completed my masters, I want to get back to writing. It helps me process the day to day quirkiness that is school-based therapy.

The work-wife (I’ll get into that in a later post) and I thought we would do a podcast about topics, trials, and tribulation of how to survive school-based service provision. But for now, I think I will start here. Any maybe, just maybe you will come for the ride. Check out the scenery, share your experiences, or just nod your head in solidarity.

A letter to my students transitioning to middle school

2016-06-17T18:21:00.000-04:00

Because sometimes, I don't think we prepare our students with disabilities enough during that elementary to middle school transition, I was inspired to write them a little letter based on a variety of posts by people with disabilities talking about their experiences during this oh-so-fun-time. I wanted to let them know some "things to look for" to help prepare them and to begin to self advocate. Self advocacy needs to start early. I don't know if anyone ever sits down with these kids to share these ideas, but someone should. So I decided I needed to be that person.

Dear __________________________,

I just wanted to take the time to tell you to have an awesome summer and give you some tips to dealing with middle school!!! I am really proud of all you have accomplished and you will be great! The biggest thing is to advocate for yourself. And if/when you need help, please don’t be afraid to ask. School can be a challenging place for a student who uses a wheelchair or walker. There are all kinds of unexpected barriers such changes to the cafeteria set up, tables and desks that suddenly appear that won't allow a wheelchair in between. It's important to use these challenges as learning experiences in becoming an independent adult. Wishing you the best!!!

Sincerely,

Ms. Becca, OT

Managing School Supplies

strapping a large backpack onto the front of you using the seatbelt to hold it can work for carrying bulky items
a sling under the seat between the wheels and a smaller backpack behind you to carry big items
Ask for an extra set of school textbooks to keep at home.
If you have a locker, make sure you can get into it easily

Navigating the Classroom and School Building

Make sure there is enough room to get around all of the furniture and that you can reach everything
Request an orientation before school starts to figure out how to get from one class to another.
Get access to an elevator key to go from one floor to another if needed
Talk with your teachers to see if you need to leave class a few minutes early and have a few minutes' grace period to arrive at your next class

Emergency and Safety

Find out what the plan is in a fire or emergency drill - Like if you are on the second floor and can't use the elevator for evacuation

Restroom Accommodations

Find all the bathrooms that are accessible for you.
Carry bathroom supplies in your backpack.

Support Staff

Have the physical therapist or occupational therapist make sure that whatever desk you have is the appropriate height for you
And that you have reasonable space to enter and exit the classroom.
Check in with your teachers or therapist with any issues that arise

SOS Skills of Studying 2 Minute Tutorial

2016-04-22T10:45:00.000-04:00

So I am trying something new since I've been out of the loop for a while. I enjoy watching those white board videos on You Tube. They incorporate visual and auditory components so that I can retrieve that information a little better- since I made a multi sensory connection.

I wanted to try my hand at making one. I discovered VideoScribe which is a web based program you can download- free for 7 days and then purchase. It is very intuitive and easy to use.

I can really see this an effective tool to tap into for both students and teachers to create meaningful projects and presentations.

Check out my new VideoScribe that I hope to make into a series: SOS Skills of Studying 2 Minute Tutorials on the SQ3R Method which is an organized approach reading text and articles and studying to get the most out of the material.

Let me know what you think or leave a comment about topics you would like to see in this format!

Fun Tools in Google Docs

2015-12-03T16:19:00.000-05:00

When you open a new document in Google Drive, you will see it is set up similarly to a Microsoft Word document. It will have most of the same bells and whistles you are used to, and some that you will wonder how you completed your work before.

Tools
The Research tool allows you to open a search bar with the Drive workspace. Then you can search for relevant research topics and copy and paste links into your document.

If you would like a more readable link to these
Research tips, click HERE!

Voice Typing

For a more readable version of these
Voice Typing tips, click HERE!

Voice recognition used to be an add-on in docs, but now it is a built-in function. Note, if you are planning to use it in a noisy setting like a classroom, then using a noise cancelling headset microphone will improve access to the tool.

Google Docs Editor Help provides a few quick reference tips and voice commands.

Add-Ons
Add-ons are features in Google Docs that can help you perform task in the document on which you are working. They will not carryover into a web program like extensions, but can support the reading and writing process.

An Add-On I recently learned about has been available for quite a while: Easy Bib. Had I known about this a few weeks prior, I would have had a much easier time completing my research project.

So now that you have a few more tools for your digital tool box, try them out and let me know what you think. Up next, more apps and extensions as educational and/or assistive technology.

Let's Go Take a [Google] Drive....

2015-11-27T06:00:00.000-05:00

I have found a great beginners Google Drive Tutorial posted by Anson Alexander. Rather than recreate the wheel, I embedded the video. It is close captioned as well. What I really like is how he goes step by step introducing each part of Drive.

Some organizational highlights I would reiterate:
1. Name your documents as soon as you start. Getting into this great organizational habit will help you not end up with a variety of Untitled documents in your Drive.

2. Create folders. Something he doesn't show you is that you can change the color of the folders. Though he says he generally doesn't use folders personally, creating folders helps provide a visual sorting system that you can customize to match the colors of a student's color coding system that he or she already uses. But note, the color features do not carryover to mobile device. Just right click on the folder icon and select Change Color.

3. Star your frequently used or important documents. Like favoriting a website, starring a file will allow you to quickly locate a document.

4. Delete things you no longer use or need. If you Trash an item, it will only stay in the trash for 30 days. So be sure that you no longer need or want it.

Up next, Add Ons, Extensions and Apps- How to customize your experience and differentiate for learners of different abilities.

Why Chrome Might Add Bling To Your Educational Experience...

2015-11-24T19:30:00.001-05:00

For over the past year now, I have heard so much hype about incorporating Google Chrome into the educational process. Now that I have gathered a ton of information, completed some trials and tribulations, I wanted to share what I have learned so you can decide for yourself if Chrome will be your new accessory.

Google Chrome is a web browser. Just like Safari. You can download it for free onto your Mac or PC; you can have it automatically as your internet platform on a Chromebook. You can even download it onto your iOS devices (but I’ll get into usability on a later post). But the magic occurs when you activate a gmail account. Once you do that (whether it be a personal account or a google-based education account from a school), it opens up a plethora of supports.

So, I’ll wait while you do that….

Are you done downloading and installing your Chrome Web browser? If you see a Red, Green, and Yellow donut encircling a blue dot, then you should be good.

Did you create your gmail account?

Good, now you can play.

First thing’s first. I am going to describe a few basics.

Gmail.

This is your email account. This is your user account. This is what is attached to everything you do in Drive, the Chrome Store, Google Classroom and Google Sites.

Drive.

Google Drive is a web based documentation forum that has a word processing section (Docs), an excel-like program (Sheets), a powerpoint-like program (Slides), and another section (Forms). You can save documents in the happy cloud land. And bonus, it saves automatically as you work.

Google Classroom.

If you work or are a student that uses google based accounts, then you may have access to setting up your very own Google Classroom. This will not work if you do not have an email account ending in .edu. If you are not sure, ask your local IT guy.

Chrome Web Store.

It’s not the Apple App store; but it is similar. When you find the colorful 9 block icon that is labeled “Apps” (on my browser, it’s in the upper left hand corner) or just enter in the url https://chrome.google.com/webstore/category/apps, you will now have the ability to attach Apps and Extensions to your gmail user account. This means, the apps and extensions you download can/will follow up wherever you log into a Chrome browser (except on iOS devices but I’ll get into that in a later post). Most things are free, especially when it comes to education.

What’s an App?

Just like when you download an app from the Apple Store to your iOS device, an App from the Google Chrome Web Store will bring you to a website and you will be able to complete games or tasks within that app.

What’s the difference with an Extension?

Extensions are tools you can use to customize your user experience in any site you could be on.

Now this is only the beginning. And I don’t want to blow your mind just yet. What I do want you to do is play and explore. Because there is a world of digital opportunity ready for the taking for anyone willing to try. Keep an eye out for upcoming posts and how-to sections to discover how Chrome's apps and extensions can help support different learning styles.

Define READING

2015-11-21T08:52:00.001-05:00

Thoughts and Highlights from Assistive Technology Conference of New England 2015

Define "Reading"

I heard this in the last session I attended with Gaby Richard-Harrington who is an Instructional Technology Specialist in Western Massachusetts, and it stuck and resonated with me. I remember at the beginning of the school year when my second grader brought home his weekly reading log, and I wondered to myself, well, does this count the Audio Books we read/listen to in the car? And I should have asked for clarification, but I didn't. But now I wonder, WHY should I ask?

Not being a reading specialist or a teacher, the WHY becomes evident. You need to define READING. Is the purpose for oral fluency? Is it for the progression and speed of the left to right, bottom to top nature? Is it to develop a love of listening to stories? Is it for the social emotional aspect of reading with a parent or peer? Is it for the comprehension of materials?

Reading to me is not just the act of eyes and brain working together fluidly to decode and sound out characters. I love reading. I love stories. I love learning. But for someone who struggles with any of the above aspects, I doubt they LOVE it. In fact, you ask a struggling reader and they probably say they HATE it. And that is a strong word.

So when assigning reading tasks, I challenge parents and educators to define clearly what is it that you are actually asking the student to do. It is then I think that you can see what kinds of tools are out there to help them become engaged "readers".

But first, just observe your reader(s). Does the student/child rub his eyes a lot, squint, or get headaches? Any of these should be red flagged and referred to an optometrist. Can the child/student use his eyes together to scan across a page without jumping? Do they have difficulty switching from the board to the book? If acuity has been addressed, then maybe a referral to an Occupational Therapist or Development Ophthalmologist might be in order. Is the student frequently reversing letters, missing letters or words, or just doesn't seem to be getting the whole picture? Maybe screening for a learning disability may be in order with a Neuropsychologist.

And in the mean TIME of all of this, how is the child accessing his reading material??? Because, we know this ALL TAKES TIME! So look at what you have available in the classroom, the district and the local library. Perhaps providing the student/child with the audio version of the novel you are reading in class would be an easy option. Do you have access to the digital format? Using the built in options on the MAC or PC to use the text to speech options may help. Does your district already have a site license for products like Read and Write Gold or Read and Write for Google?

I know this seems like a rant, but it is more of a challenge. I challenge teachers, parents, and therapists to really LOOK at the student (or yourself even) and DEFINE READING. It is only then you can begin to analyze how to really support the reader.

SpOTLight On: The Assistive Technology Conference of New Enlgand

2015-10-01T09:02:00.000-04:00

If you happen to be (or want to be) in the New England area at the end of November, you should consider registering for this year's Assistive Technology Conference of New England.

Hosted by Tech Access of RI, the Rhode Island ATAP affiliate with focus on educational supports, this year's conference has expanded to include a full day workshop option on Thursday November 19th as well as its comprehensive 24 session workshop day on Friday November 20th. Click HERE for full listings!

I am proud to say that I have been part of the planning committee for the past two years and this year is especially awesome. Between the expansion into a two day conference as well as the Bringing Access to Life Expo which features New England vendors, programs and agencies with special talents and abilities highlighting work and leisure, the ATCNE 2015 is sure to inspire you.

Love Letters By Emily

Therapeutic Sailing

Purely Patrick

Kelly Charlebois, Director of Tech Access of Rhode Island, is "most excited about the diversity of the content of the program and the ability to offer full day, in-depth workshops!"

She should be because the list of presenters is awesome! Can't make it to ATIA? Well, there will be at least three national presenters at this year's pre conference. Mike Marrotta, AT specialist at Inclusive Technology Solutions, will be presenting his Google Bootcamp. Diana Petschauer and Alyssa Marinaccio will be addressing Apps across the Curriculum and Kelly Fonner will be discussing Successful Implementation of AAC Apps. Professionals can also obtain continuing education credits certified by the AAC Institute.

I'm excited to go through Boot Camp this year with Mike Marotta, but I have seen both Diana's and Alyssa's presentations last year which helped me greatly develop an extensive repertoire of resources to use in daily practice. I am sure you will be highly satisfied with anything in which you chose to participate.

As with years past, the conference will be hosted at the Crowne Plaza Hotel, located in Warwick, Rhode Island. Accommodations and food have been excellent in the years that I have attended this conference. You can attend either a single day or the two-day conference. But tickets are selling out fast. Make sure to reserve your spot and be a part of something great. If you can't attend but want to support Tech Access and people with disabilities, check out the accessories designed in conjunction with Chubby Chico.

September SpOT Light Series: Your Therapy Source

2015-09-29T01:00:00.000-04:00

I close out the September SpOT Light Series: Discover the Therablogger with a seasoned Physical Therapist and her desire to keep herself and her readers up to date on current research and treatment ideas. Today's SpOT Light shines the light onYour Therapy Source.

Margaret Rice received her Masters in Physical Therapy 21 years ago from Columbia University after obtaining her Bachelor of Science in Physical Education. Your Therapy Source first started out strictly as a company in 2007, then established itself with a web presence one year later. Your Therapy Source's blog is now in its sixth year of publication in which it "specializes in electronic documents for pediatric occupational and physical therapists. [YTS] publishes a FREE digital magazine monthly for pediatric OTs and PTs. You can subscribe to our email list on our home page at http://www.YourTherapySource.com"

On her blog, Margaret shares a variety of her favorite back to school tips. 10 Back to School Tips for School Based Therapists reiterates organizational keys to facilitate a successful year for everyone involved in the students' care. And if you are looking for tangible therapeutic activities, who can resist items like free printables for the fall or 8 Print and Go Ideas for Indoor Recess?

But the biggest advice Margaret could share comes from her therapeutic 'ah-ha' moment. "As a pediatric therapist, a 5 year old taught me my most important lesson (thankfully early in my career). Let the child lead. Internal drive is an amazing motivator in children. I was there to support his goals as needed and modify the environment."

Letting the child lead sometimes gets lost along the way of access common core and testing. But as so many of the therapists from the SpOT Light Series: Discover the Therablogger, like Margaret, have shared personal stories and epiphanies that bring the focus back on the purpose of our existance: helping our clients (children, adults, whatever) access their life occupations. So, if you haven't already checked out the 14 innovative authors, take the time to do so. Inspiration just may be a click away.

September SpOT Light Series: Kids Play Space

2015-09-27T01:00:00.000-04:00

So I began the September SpOT Light Series in Australia and now after many adventures in the states, I head back to Aussie to aim the SpOT Light on Anna Meadows at Kids Play Space and her innate ability to see playfulness in the world around her.

Kids Play Space began, as most blogs, as diary of sorts during her maternity leave, featuring the childhood development of Anna's son. (check out her son's Happy Feet for a good giggle). But as time passed, it became a Play Space of passion for sharing pediatric play. Just recently celebrating it's 3 year 'blogiversary', Anna continues to spread the importance of play.

"It has truly become a labour of love! It is a place where my passions for OT, health promotion, child development and play collide! OT fights for accessibility, inclusivity and thriving in everyday ‘occupations’, working closely with individuals. In the world of health promotion, it’s all about striving for ‘health for all’. Finally, as play is children’s most important occupation, my motto over at Kids Play Space has become ‘play for all’, celebrating simple learning opportunities everyday, not just for our son, but for all children."

Now in Anna's 18th year of occupational therapy service, she reflects on the uniqueness of OT that allows us as practitioners to support through the life span.

"I’ve been so fortunate to have practiced OT in so many different areas! I’ve worked in hospital, rehabilitation, and community settings, (including community centres, disability, early intervention services and special schools), with people from 0-100+ years old!"

In many of Anna's posts, she looks outside the box to incorporate the available items of her surroundings into daily play. In Balance Beams in the Real World, Anna adapts the concept of Parkour (urban play spaces) to benefit childhood development. "Kids love seeking out and conquering balance obstacles naturally."

In her Small Space Living Series, Anna reiterates that "you do NOT need a mansion, a separate play room, or a million toys, for rich play experiences. Children are very adaptable, and will learn to explore and interact with whatever space is at hand."

But it is Celebrating Boredom in Childhood that sticks out in Anna's head as a top therapeutic tip. "Ensuring that [kids] have time to be bored, explore nature, problem solve with loose parts, interact with their friends is vitally important for school aged children. I guarantee these experiences will enrich their childhood, and make them more confident, capable students."

Kids Play Space provides a variety of strategies for caregivers and therapist to promote playful interactions with everyday items and activities So if you are looking for a way to avoid "plastic fantastic", hop, skip and jump over to Australia's Kids Play Space, where Anna Meadows will make you look at your surroundings with a more playful eye.

September SpOT Light Series: Starfish Therapies

2015-09-25T01:00:00.000-04:00

At Starfish Therapies, Physical Therapist Stacy Menz challenges herself to be the Star Thrower everyday by making a difference to children and their families one challenge at a time.

"I often get a lot of questions about where I got my company name from and while its on my website I never get tired of the story. Its from the Star Thrower story (by Loren Eiseley) and in it the tide is going out an an old man is walking down the beach littered with starfish. He sees a young boy throwing the starfish back into the ocean. When the old man asks the young boy why he is bothering because the starfish are going to die anyway, the boy looks at him, throws another one into the ocean, and says, ‘but I made a difference to that one.’ The story embodies why I do what I do and why I started my company and blogging."

Stacy has been a Physical Therapist for 15 years, after first receiving her Master's from Boston University followed by her transitional DPT there as well. She has taken her passion for pediatrics and helping families understand complex topics and molded into her blogging for the past 6 1/2 years.

"One of my favorite posts to write is ‘What does low tone mean’. I had the idea after explaining it to many families and seeing them understand what it meant for their child to have low tone. They were finally able to figure out how to explain it to their family members or friends. Being able to take complex terms and simplify it for families is something I really enjoy."

Stacy also has enjoyed sharing activities for therapists and caregivers to play with their kids to improve fine and gross motor development, like Five Ways to Use Drinking Straws and Ideas for Squatting.

Like many health professionals, Stacy reflects daily on the successes that she observes and how it reaffirms her therapeutic practice. "The other day, I was working with a kiddo in early intervention and he took his first independent steps. Seeing his parents’ reactions to moments like this is such a boost. Same as when any child hits a milestone or a big goal. Those are the moments that remind me why I do what I do."

So be inspired to be your own Star Thrower and check out Starfish Therapies or contact Stacy directly at stacy@starfishtherapies.com. Make a difference in at least one person's life today.

September SpOT Light Series: Pink Oatmeal

2015-09-23T01:00:00.000-04:00

Physical Therapist Chanda Jothen didn't initially plan on writing about her experiences in pediatrics therapy services. But since her Do It Yourself projects didn't pan out quite as she would have liked, Pink Oatmeal evolved into the fantastic resource it is today, a place for parents, teachers and therapists to find fun and functional movement-based activities.

Pink Oatmeal isn't just a combination of her favorite color and food. It is Chanda's outlet for combining her experiences as a mom and a physical therapist. In 10 Baby Items You Don't Need, Chanda was candid about her point of view on "crotch danglers" and jumpers, to which I can totally relate and appreciate. She found that ultimately her "laundry basket or diaper box were better options and far less money" in comparison to an exersaucer.

I have to admit, I had every single one of the items she discussed. And that's ok, because ultimately "moderation is key when it comes to baby equipment. If there is a product that works for you just be careful not to overuse it or pass baby from product to product with little floor time or time to explore their environment. "

Now with baby number two on the way, you can expect Chanda to continue on writing about the blending of motherhood and physical therapy.

Since it is the start of school, make sure to check out her recent post about incorporating movement stations into the daily classroom routine. "[Movement Stations] are the perfect way to incorporate movement and brain breaks into the day. They are one solution to making sure that student’s are getting movement in their day. We know that research shows us that kids that move and are physically fit perform better in the classroom. It is part of a natural flow in the classroom and it’s motivating for the students."

You download free and cost yoga cards, brain break cards and more at Chanda's Pink Oatmeal Teachers Pay Teachers store. And of course, you can also contact her directly at pinkoatmealblog@gmail.com. So if you happen to be hungry for marvelous movement activities, satisfy your appetite with Pink Oatmeal.

September SpOT Light Series: Dino PT

2015-09-21T01:00:00.000-04:00

Maybe it's because we are both Beccas, or maybe because she also is a Therapy-a-saurus, but either way I could NOT not put the SpOT Light on Rebecca Talmud at Dino PT.

Dino PT is the brain child behind DPT Rebecca Talmud. Rebecca received her Doctorate in Physical Therapy from New York University and has been practicing pediatric PT for eight years. Combining her comprehensive background in early intervention, school based service provision, center based provision, and adaptive sports and yoga for children with special needs, Rebecca has been excavating blog content for 5 years. Her blogging supplements her practice as it was her "interest in evidence based treatment and educating fellow Pediatric professionals as well as families and caregivers of the children we treat" that inspired her to connect with people outside of the office.

Dino PT has covered a variety of topics from W Sitting , in which Rebecca provides a variety of alternative seating strategies to improve alignment and function, to pediatric gait analysis, in which she clearly and thoroughly reviews a variety of commonly seen gait abnormalities.

I asked The Dino PT about her favorite Back to School Tip, and what she shared with me, I couldn't agree with more. "A big back to school topic is shoe recommendations. Consider your individual child and their needs prior to purchasing sneakers for the school year. The right shoe can make all the difference!"

Rebecca's passion for PT extends to the animal kingdom as well. The Talmuds adopted Daisy Duke, an French Bulldog with special needs. "She was paralyzed from the waist down as a result of a back surgery and her owners could not care for her and her special needs. Thanks to the amazing organization, French Bulldog Rescue Network (FBRN) and the great company Eddie’s Wheels (who fashioned her custom made wheels)..She has filled out lives with so much love and happiness each day. She is quite skilled at maneuvering her rear wheel cart in any terrain and inside she uses her incredible upper body strength to pull herself around. She is a great example to us all that with positivity, willpower and perseverance we are unstoppable!"

So become a pediatric paleontologist and explore Dino PT to unearth more information or contact Rebecca directly via email at info@dinopt.com.

"Every smile and every laugh from both the children and families I have worked with is stored in a vault that I keep with me always. There is no greater pleasure than giving a child confidence, helping them to master a new skill and allowing them to take pride and experience joy in their journey!"

September SpOT Light Series:Tools to Grow

2015-09-19T01:00:00.000-04:00

Even though Patti Pooler and Shelly Galvin have been blogging for one year, they have enough content to share with their well-over-30-years of combined service to the field for years to come.

Tools to Grow is a membership-based website "unique to the field of Occupational Therapy." Members have access to a variety of treatment and documentation resources and products. But it is their blog, categorized by performance areas, that allows Patti and Shelley to share their passion for pediatric Occupational therapy with therapist, caregivers and students in an easy to access manner.

"Most of our blogs focus on clinical issues that many pediatric Occupational Therapists encounter on a daily basis. We wanted to pair background clinical knowledge with a sampling of strategies, resources, and activities to address the difficulties so many of the children endure. We will continue to cover important topics related to direct treatment, assessment, consultation, and clinic management in the field of Occupational Therapy."

As part of their mission, Tools to Grow provides tools and strategies to therapists, teachers and caregivers to help children succeed. They have addressed issues such as tummy time for infant and toddler development to improving executive functioning in maturing children. But they also address the reality of service provision and how to organize and manage a caseload, which is useful for both new and established therapists.

"As Occupational Therapists, a system for tracking schedules, attendance, due dates, meetings, consults, screenings, progress reports, evaluations, and other caseload information is a necessity. When an organizational system is in place, it improves accountability, increases productivity, and decreases time spent managing paperwork. Last, but not least, the therapist should experience much less stress! This allows time and energy for the most important aspect of our career, working with our clients/students!"

Thank you Shelly and Patti for sharing insight with parents and therapists to help children grow! If you would like to connect and learn more about Tools to Grow Inc. you can shoot them an email at info@toolstogrowot.com.

"We are so thankful to be a part of the Occupational Therapy profession. A career that allows us to impact the lives of many, and to be creative and client-centered on a daily basis. Occupational Therapy is a profession that is gratifying, challenging, and filled with countless opportunities to make a difference in the lives of our clients and families."

Both Patricia Pooler and Shelley Galvin are New York State licensed Occupational Therapists. Patti received her Master's degree in Occupational Therapy from D'Youville College in Buffalo, New York, after first obtaining her Bachelor of Science Degree in Health Science from Brock University in St. Catharines, Ontario, Canada. She currently works part-time in a public school with students in grades K-8 and has specialized training in the areas of Handwriting without Tears K–5, Executive Functioning Skills, and Vision Processing. Shelley Galvin OTR/L, C/NDT has 34 years of experience as a New York State licensed Occupational Therapist with a specialty in pediatrics, sensory processing and certification in pediatric Neurodevelopmental Treatment. She has provided her clinical expertise in home based early intervention, public and private school based services as well as early childhood management.

September SpOT Light Series: OT Potential

2015-09-17T01:00:00.000-04:00

Occupational Therapist Sarah Lyon is taking her pOTential and growing it exponentially.

Sarah authors OT Potential, a site that allows her to feed her hunger for writing. "I started blogging as a way to connect with fellow occupational therapists. My first job out of school was as the only OT at a hospital in rural Nebraska. I relied heavily on my online community to ask questions and get support. At the time, there was a whole lot less written about OT and so I ended up starting my own blog. "

Not only that, but she is also the Occupational Therapy Expert on About.com. "When the opportunity arose to head up the occupational therapy page on About.com, I jumped on it. Breaking down medical jargon into straightforward, client-friendly information and advice is one of my passions." On both sites, Sarah provides quick reference guides for clients to navigate the world of OT like How to Find the Right Occupational Therapist and 8 Questions to Ask Your Occupational Therapist.

Sarah's experiences in a variety of hospital setting including trauma, in-patient psych and critical access, provides her with a unique perspective not often written about. She provided a snap shot of A Day in the Life of an OT at a State Psychiatric Hospital on a guest post for OT Cafe during April 2015's OT Month.

"I ran a life-skills group for men who had been hospitalized for several years and were preparing to return to the community. Every other Friday we did a cooking group, which always constituted my favorite sessions. It was incredible to watch they use a skill set that had lay dormant for several years. Cooking brings out so much personality in people."

With only four years into the field after completing her Masters from NYU, this Trekie, polka and choral music enthusiast, and Agents of Shield fan is already making her OT pOTential known.

"I love that there are so many professionals willing to share their knowledge in the online sphere. There are great pediatric therapy bloggers out there that are certainly worth a follow!"

Want to reach out to Sarah? You can contact her at sarah@otpotential.com

September SpOT Light Series: Handwriting with Katherine

2015-09-15T01:00:00.000-04:00

Handwriting With Katherine is where you can find all things related to handwriting from Occupational Therapist Katherine Collmer's point of view. With 17 years of therapeutic experience ranging from psychiatric, neurologic, geriatrics and of course pediatrics, it is her expertise in Assessment and Remediation of Children’s Handwriting Development Skills that she shares with parents and therapists alike.

"I have been interested in writing since I was a teenager. I still have the short stories that I scribed way back then. Blogging, however, wasn’t even in my vision back in 2009 when this type of writing found a place in my life. I was getting restless during a transition in my pediatrics career and a friend of mine suggested that with my interest in writing I should look into blogging. She suggested that I contact the Advance Magazine online blog editor…and that’s where it all began!"

Katherine integrates research-based evidence into many of her posts, making them both useful and insightful. For example, in a recent post titled Handwriting and Learning: A Vital Link to Skilled Writing, she reflects "Learning through the use of our hands continues to be a vital link for educational success throughout life, with handwriting playing a major role;" all the while, she incorporated ten references to support the idea.

Katherine is also a strong advocate for identifying visual deficits issues early since it is such a crucial element of handwriting.

"Sitting Posture Can Indicate Vision Concerns"

"Every time I connect a child’s parents with a developmental optometrist and they uncover a hidden visual skill deficit, I consider that a memorable therapeutic moment. However, my most memorable is the little boy who put on glasses for the first time at the age of 5 and said, “Hey, mommy, look at those pictures on the wall!” His mommy cried because he’d walked down that hospital hallway many, many times in his young life and had never even seen them before. Priceless."

Now into her sixth year of publishing, Handwriting With Katherine continues to provide teachers, parents and therapists with easy to use tips, from Pre K to Older Students. Hop on over now to Handwriting with Katherine to discover what the three handwriting performance areas that simply need to be taught and reinforced right from the start. And if you want to discover more about Katherine, just “Send me a note!”. You can also check out her newest adventure Go-To-For-OT on which she pairs up with #therabloggers Stacy Turke, Marie Toole, and Molly Shannon as they share insights on pediatric development and the most frequently asked questions from parents and teachers.

September SpOT Light Series: Miss Jaime OT

2015-09-13T01:00:00.000-04:00

Jaime Spencer, better known as Miss Jaime OT, holds a multitude of certificates: a Bachelor's Degree in Occupational Therapy, a Master's in Special Education, a Certificate in Advanced Professional Development for Assistive Technology Applications and she's a certified Handwriting Specialist. Combine all of that that with 15 years of experience and a love of crafts, and you get Miss Jaime's unique perspective on school based therapy services.

"One of my favorite parts of being an OT is teaching parents and teachers easy tricks to help their students. As a district Occupational Therapist, I often send out informational emails and handouts to the staff that I work with. I have always loved hearing “ I never knew that!” or “what a great tip!”. So many teachers have said to me, “You should write a book!”. So I started blogging!" Her Ask an OT posts cover a wide variety of reader questions from desensitization to improving grasp patterns.

One of Miss Jaime's Top Back to School Tip is for teachers and parents is to Draw Faces on the students’ pencils to remind them where to put their fingers. "It’s cheaper than a pencil grip, the kids think it’s funny, and it provides a visual reminder for them to hold their pencils correctly. " I also love her suggestion of putty google eyes on scissor handles to help encourage thumb up position.

Looking back at her premier year of blogging, Jaime recalls one of her favorites, Coping with Sensory Processing Dysfunction, in which a 17 year old guest blogger shared her story. "She wrote a very personal post for me on her experience as a person with Sensory Processing Dysfunction. I think she did a wonderful job! "

Miss Jaime worked for ten years in a sensory gym for preschool aged children and one her most memorable therapeutic moment comes from sensory based treatment. She was working with a child with Autism who had significant sensory issues; he had arrived at OT one day very over-stimulated and anxious.

"He was nonverbal at the time. We did a lot of sensory input, ending with a massage. He seemed a little more calmed but I put him in between two mats and applied pressure. I didn’t speak the entire session, had the lights off and very low music on. I applied the pressure to the mats for about five minutes. When I took the top mat off, he looked up at me with tears streaming down his face. At first I was shocked and upset, thinking he must have been scared. But then, he gave me the biggest grin. He must have needed the sensory input in order to feel regulated and was finally able to “release” that anxiety and overstimulation. It’s like they say, “sometimes you just need a good cry”.

Though only a year on the therablogging scene, Miss Jaime OT seems to have found her niche for helping parents, teachers and therapists to improve a child's school experience. If you want to learn more about Miss Jaime OT, or have a question for her Ask an OT section, email her at missjaimeot@gmail.com.

September SpOT Light Series: The Pocket OT

2015-09-11T01:00:00.000-04:00

I'm sure when Occupational Therapist Cara Koscinski began practicing over 18 years ago, she did not think she would be a successful mom-trepreneur, public speaker, blogger, and the 2015 Parent's Choice Award winner. But then of course, who would?

Cara's experience runs the gamut, from heart/lung transplant hospital to rehab and hand therapy as well as pediatrics. But it is her personal experiences raising her two children with special needs that inspires much of her work.

"They attended hundreds of hours of therapy. I felt as though I was on a ‘Level 3’ Fieldwork as I watched and learned from some amazing OTs! I took the good and left the bad to begin my own pediatric private practice. I specialize in autism, posture, and SPD. It’s the best when I go to a training that benefits my own sons and my clients! I’d go to EVERY training out there if I could afford to."

Searching for connections with therapists and other parents dealing with similar issues, Cara began The Pocket OT in 2005. Originally it was entitled Route2Greatness because her son was fascinated by roads; he could name them all. But as her blog evolved into what it is today, she changed the name to The Pocket OT to better suit Cara's quick-reference intentions.

One of her favorite posts hits close to home. 7 Tips for Fear of Loud Noises highlights the need for patience when working on desensitization. "So many children are fearful of loud and un-expected noises at school. My own son could not complete his classroom work for weeks after the school year began as he was afraid that the fire alarm would sound. My sister’s a music therapist and together, we invented a way to help him." Sound-Eaze and School-Eaze are available for download from her site as well as sold in special needs catalogues.

Now writing content for 10 years, Cara has also expanded her passion for sharing information into two books, “The Pocket Occupational Therapist” and “The Special Needs SCHOOL Survival Guide," both of which were Family Choice Awards winners She also has two new books coming this fall: the first is ‘The Weighted Blanket Sensation” and the other is a children’s book called, “Joshua’s Mighty Mitochondrial Disease."

When asked about a memorable therapeutic moment, Cara shared about how goofiness helped to finally break the ice with a teenage client who hated going to OT. "He spent seven sessions sitting in my clinic- refusing to speak to me……One session, I went through his entire home exercise program making up silly words; we both started laughing. After he decided I wasn’t so bad, he ended up meeting ALL of his goals! I hope he’s doing well!"

Not only can you find her working, writing, managing social media and email (ThePocketOT@gmail.com), posting products on Teachers Pay Teachers, this month you can see her in person. Cara will be speaking after Temple Grandin at the Future Horizons Dallas Autism Super Conference this month. Luckily for followers, The Pocket OT is pocket-full of energy, insight and inspiration.

September SpOT Light Series: OT Notes

2015-09-09T06:30:00.000-04:00

Today, the SpOT Light shines on the author of OT Notes, Cheryl Morris, who has been blogging for nearly as long as she has been practicing Occupational Therapy.

OT Notes began as a way to share study sheets and chapter notes related to the classes in which she was taking at West Virginia University. As the years passed and her experiences grew, from acute care to outpatient and early intervention to school system, OT Notes evolved.

"My blog really started for students and then became a good record of my work in a variety of backgrounds. I don’t write as much as I used to, as other things have taken a higher priority, but I tweet frequently and continue to enjoy sharing information on those platforms."

Cheryl recently guest posted on Handwriting With Katherine, on which she chronicled her experience and experimentation with assistive technology for students with complex needs, something to which I relate closely. You can also read about the therapeutic use of humor also known as Foolishness with a Purpose. "Be willing to make a fool out of yourself to help your clients overcome fears of pain or looking silly." Cheryl has also presented at conferences regarding social media, advocacy and pediatric practice.

Now relying on other social media such as Twitter to keep relevant topics to OT flowing, Cheryl is involved in the #OTalk2US movement. #OTalk2US is a monthly chat that helps therapists connect and discuss topics in the profession.

"It's easy to interact with all kinds of people who you would never meet normally, or never would be exposed to geographically."

Check Cheryl out as @OTnotes as she leads the Sunday September 13th #OTalk2US twitter chat at 7 pm. She will be conversing on how to meet the needs of students with complex/multiple disabilities in the school system.

September SpOT Light Series: Can Do Kiddo

2015-09-07T01:00:00.000-04:00

Today, the SpOT Light shines on an OT committed to capability.

When she became a mother a year ago, Rachel Coley, an Occupational Therapist of now 9 years, noticed people were looking to her for advice. "I was asked repeatedly to write a book, start a blog, and create a product or business to help parents." So as an homage for when she was able to ease parents' anxiety about what their child could not do, but focus on the joy of what they CAN, Can Do Kiddo was born.

With her background in infant and toddler development, and having an infant to boot, Rachel couldn't help but write about things she was doing with her own child. Her top tip? Less baby gear, more floortime play! On her page, What Every Parent Should Know, Rachel links to a variety of posts on letting infants explore outside of the baby gear.

"As a pediatric Occupational Therapist, I see and treat many issues in older babies, toddlers and children that likely started in early infancy - head shape problems, poor upper body and core strength, sensory processing challenges, and more."

She also has published Begin with A Blanket, a compilation of 45 tips for infant play and development. Rachel provides her experience and insight with products that she has found useful, therapeutic and developmentally appropriate.

Visuals are a big part of Rachel's posts. They help her describe positioning strategies. She often used her own child as a model. But as her child grew, she still needed a model for demonstrating poses and techniques. So...... she used a stand in. "I have a VERY realistic baby doll that I use for blog photos from time to time when I need a newborn photo. Luckily baby #2 is due in November so I’ll have a new model!"

So keep on the lookout for Rachel's newest addition in upcoming posts when you visit Can Do Kiddo. Or contact her directly at rachel@candokiddo.com.

September SpOT Light Series: The Inspired Treehouse

2015-09-05T01:00:00.000-04:00

Today, let's climb up the pediatric therapy 'Giving Tree' as I shine the SpOTLight on: The Inspired Treehouse.

When Claire Heffron, Lauren Drobnjak and Pam Braley began The Inspired Treehouse, it was for out of a love of sharing.

"The Inspired Treehouse as a way to share information about child development and activities to help promote healthy development in kids. We all had files full of activity ideas that we used in therapy, but unless they were being used at school, they were just gathering dust in our basements! We knew that blogging would be a great way for us to organize and archive our ideas while also sharing them with a larger audience. For me, blogging is my dream job. It is the perfect way for me to use my expertise as a therapist and my experience as a writer to help others learn more about child development and how they can encourage healthy development for kids at home, in the classroom, and beyond!"

With 10 years of experience in pediatric occupational therapy, and a Bachelor's degree in Magazine Journalism, Claire and her team of co-horts have a lot to share. Informational posts range from the importance of core strengthening to an index of over 300 activities for the kids. Two of her favorites include Inclusion and Providing OT Services in the Classroom. and Couch Cushion Games for Kids. Who doesn't like a good game of Wreck it Ralph and Fix-It Felix? :) Claire also advocates for free play and movement to help children develop their skills.

"All of my favorite therapy memories have been when I've set aside my data sheets, paperwork, and therapy "agenda" and simply let the kids take the lead. It's incredible how much more information you can get this way - about what kids really need and what their strengths are. These are the times I've felt a true connection with my students and have been able to appreciate their personalities and who they really are.

I think the most important thing we can do as parents, teachers, caregivers, and therapists is to give kids constant opportunities for free play and movement. Being able to run, jump, climb, balance, and even being allowed to fall once in awhile, are all essential for kids to develop strong gross motor, fine motor, and sensory processing skills. We can be advocates for integrating movement into the classroom, for ensuring that our kids get enough time for recess and [physical education], and for creating an active lifestyle at home that includes lots of unstructured play time."

Since Claire and Lauren are both active moms, balancing kids, work and the business is a challenge. But they make it work. "Our business runs on about 1,000 text messages and voicemails a day, along with the odd rushed phone call with kids yelling and screaming in the background."

Of course I think that is why I appreciate them as a Therablogger. Most of us have been there. We are all trying to manage the work-life balance. None of us are Linda Carter's Wonder Woman, though we all wear the crown just as well, if not better!

So head on over to The Inspired Treehouse. I am sure you will find something to spark your interest. Their treehouse reaches further than just the site too. You can also check out other branches on Facebook @inspired.treehouse, Twitter @inspiredtree and Instagram @insptreehouse.

September SpOT Light Series:The Speel

2015-09-03T01:00:00.000-04:00

I am starting the SpOT Light Series with a trip across the Pacific.

It wasn't even one year ago that Australian Speech and Language Pathologist Alex Trichilo took her passion for pediatric speech pathology to the world wide web with her site The Speel.

"I felt selfish having so much information about speech and language that families were paying for so I wanted to reach a wider audience and allow the information to be free."

Alex is a Speech and Language Pathologist who received her Bachelor of Human Communication Science (Speech Patholgy) seven years ago. She provides service to children ages 2-21 in Australia. Her focus and specialties include Speech, Literacy, Voice, and Accents.

For those who work with children with special needs, progress is measured in successful little steps. But when a child takes a giant leap, the memory becomes engrained. Apraxia of Speech is frustrating to say the least. According to American Speech and Hearing Association, Apraxia of Speech is a motor planning disorder related to the difficult coordinating the muscle movements to produce the words. So when one of her five year old clients with this disorder finally told her that he was able to report the school news without mistakes, it gave her a sense of pride and joy.

Alex focuses on parents to guide her content. "Most Speech Pathology blogs are written for other Speech Pathologists which means that they use a lot of jargon and are very therapy focused. The Speel is written specifically for parents and is driven by the requests and questions that we get from our readers."

Alex states that there is "no need to buy expensive toys or gadgets, make the most of every day activities by adding language and building comprehension, social skills into everything. This ensures that children develop functional language skills and apply their skills to their environment."

In one of her favorite posts, Giving you the tools for Developing your child's Communication Skills, Alex explained how the importance of being in the moment and conversing with your child is one of the best ways to expand language development.

Not only can you find great speech and language tips on her site, The Speel also hosts a You Tube Channel with suggestions for tasks including Listening Comprehension and Speech Sounds. She also posts free downloads and printable informational materials. So, if you want to reach out to Alex, visit The Speel or contact her directly at alex@thespeel.com.