Wednesday, 7 January 2015

I can ... get things moving!

In our busy world, it often feels like we are moving at the speed of a race car from one thing to the next. Once in a while we may need to slow down or even to stop, while we are waiting for something to happen: an appointment, an assessment or a meeting that will lead us to our next steps...
While we are waiting, there are often things that we can do to keep everything moving along and to get prepared for what lies ahead. In the world of AAC, here are a few suggestions of ways that we can     keep taking those steps forward.

What can I do now?

When you have to wait for an assessment or for AAC services to "begin" for your child, ask your service provider about what you can be doing to get ready. There are a variety of service pathways at the children's treatment centres across Ontario. Often the process is outlined on the Centres' websites. 

At Thames Valley Children's Centre in London, Ontario, parents and caregivers of children who have been referred are encouraged to attend an Augmentative Communication Service Orientation Session, where they learn about what's involved in the assessment process. Families may also attend a Discovery Consultation at which information related to the child's existing communication skills is shared. If the child then needs to wait for an assessment, suggestions are made for some introductory "next steps" that can help that child continue to develop his/her communication skills while waiting for an appointment.

Gathering information...
You may be asked to gather together information that will ultimately be used when service providers are beginning their involvement. Some of this information can be helpful in many different situations: informing a new teacher about how your child communicates, sharing information with a support worker in the home, providing an update to a medical specialist at your next appointment. 

Here are a few ways to pull all of that information together:

 - Observe you child and document what you see. Your child will have lots of different ways that he uses right now to let you know how he's feeling or what he wants to do. If you can list what your child does and what it means, it can be very helpful to others who are just getting to know him for the first time. Now they know what to look for. Sometimes this list of communication strategies used is referred to as a "Communication Dictionary". 

- List your child's preferences e.g. favourite toys, books, movies, activities. When thinking about setting up opportunities for practicing communication, AAC clinicians will often want to engage your child in activities that are highly motivating. Knowing what items your child doesn't like can be equally important, as there are times when we need to know if a child is making a request for an item with intent ("I'm looking at my favorite stuffy. I really want it.") vs. looking at an item because you have held it up ("I'm looking at the empty kleenex box"). 

- Considering your child's preferences is a great starting point for documenting vocabulary that you think will need to be added to any communication system that is put in place. Start to keep a note of those key words that will be motivating for your child - the names of his pets or best buddies, places that he loves to visit, expressions that your family likes to use. The list that you generate can later be used as a starting point for customizing a vocabulary on a speech generating device or personal communication display.

Thinking about funding...
When looking ahead to putting in place communication strategies, there may be items that are recommended to be purchased or leased following the assessment. Some funding sources require documentation from a doctor stating a child's diagnosis. It may be helpful to obtain this from your doctor ahead of time. Information about potential funding sources is often available through a local children's treatment centre. In London, Ontario, TVCC funding clinics are held throughout the year and the upcoming schedule can be found on the Calendar of Events page.  

Sharing Information...
- Put your observations into an "About Me Book". You can make it as fancy or as straightforward as you want. Sharing information about how your child communicates can provide the context needed for successful communication. It can also be used to share interests and spark conversation. 

- Another way of collecting all of this information is by creating a "Communication Passport". Download a template that can be customized and printed out. 

- Create a "Remnant Book". This is a place to store photos, postcards, tickets or momentos that are meaningful  to someone. This provides a way to talk about things that are fun or important to the person and allows others to get to know him better. Many families use a small photo album that can be easily transported or attached to a wheelchair with a clip. 

A picture is worth a thousand words...
Capture some examples of how your child is currently communicating on a phone or tablet. This can be a very helpful tool when introducing your child to new people. Not only does it show what your child is capable of, it can also show new communication partners how they can best interact with your child (e.g. how to ask questions, how to interpret responses). These days you can gather all your information together in a high tech manner - capture the information for your communication passport in a Prezi that others can watch and learn from. Here's a brilliant example, all about Abby

Shape your child's yes and no responses. Having a consistent, repeatable and recognizable way to say "yes" and "no" can be very helpful when your child is communicating with a variety of different people. There are lots of ways that you can say "yes" and "no" - a head movement, a gesture, moving your eyes a certain way, etc. In addition, we sometimes use different methods at different times to 'say' these words. Our students often benefit from clear feedback about what they have done that has been accepted as a "yes" or "no" response: "I see you looking right at me - I think you are telling me yes". Share with others what has worked and what you are looking for as a "yes" and "no" response - make sure it's listed in your communication dictionary and passport!
For additional ideas for shaping yes/no responses, check the Teaching Learners with Multiple Needs blogspot. 

Here's something that you can start doing as soon as symbols are introduced for your child.  Pointing to symbols as you speak helps kids understand what symbols mean and how they can be used.  It sounds like a simple enough idea, but requires us to change how we interact with our children.  The PRC Let's Talk Blog has a wonderful post by Beth Ahmad that explains why we need a "Model, Model, Model" Mantra. 

Learning locally...
Often Children's Treatment Centres will offer workshops and small group activities for children, parents, siblings and caregivers. Information about what is available may be posted on the Centres' websites or may be available from other professionals who work with your child. At Thames Valley Children's Centre in London, Ontario, Education Sessions on specific topics are offered several times a year to all TVCC clients including those waiting for assessment (see information at the bottom of this newsletter). If you don't see the workshop that you think will be most helpful for you, let your clinicians know. Sometimes workshops are developed based on how many people are asking for them.

Learning online...
These days there are many opportunities to take part in Webinars and online training. Knowing what to search for can be overwhelming, simply because there is so much information out there. Keep your eyes on the I Can Newsletter blog and check back through the previous issues. We often try to highlight educational opportunities that are upcoming or those that have already happened that have been archived for us to revisit. Ask your SLP or OT for suggestions about Webinars that might be helpful for you. 


We Give Books
Here's a great resource recently featured on Caroline Musselwhite's AAC Girls Blog. Sign up and log in (for free) to access a huge number of books online. Lots of choices of books for ages 0 - 13 that you can read with your child. For kids who use switches, you can use a switch adapted mouse or interface and position your mouse on the arrows for page turning.  

Upcoming Events: 

We’re All Stars!  Coming February 2nd 2015 in London, Ontario.

Children and youth 10 years and older enjoy a special day of games, face painting, tattoos, pizza, cookies and so much more!  Watch peers share their stories about goals they have achieved, challenges they have faced, and their dreams for the future.  The highlight of the event for many kids is meeting the sports celebrities, who will be attending the evening Sports Celebrity Dinner & Auction, and getting their autographs.  Come share your dreams with us!

Augmentative Communication Service (ACS) Education Sessions 2015
TVCC is offering the following workshops to support low-tech no-tech communication strategies for parents, caregivers or service providers who want to learn more about communicating with children/youth who use AAC. Registration information will be available online later this month or you may call 519-685-8700, ext. 53367 or (toll free: 1-866-590-8822, ext. 53367). 

How to Choose Powerful Words
Date: Tuesday, March 3, 2015      Time: 9:30 - 11:30 a.m.
Date: Wednesday, October 7, 2015     Time 6:00 - 8:00 p.m.
With the space limitations of most low tech systems and communication displays, we want to ensure that our communicators have access to the words that will have the most impact and usage throughout the day. This workshop will demonstrate how to use Core Vocabulary, the 200 words that account for 80% of our communication to enhance a client's communication potential. 

How to Use Symbols so Your Child Will Too
Date: Thursday, April 16, 2015         Time: 9:30 - 11:30 a.m.
Date: Thursday, November 5, 2015      Time: 6:00 - 8:00 p.m.
Children learn how to talk by listening to and copying others. Learn how to facilitate communication by using symbols / strategies for children who are non-verbal or difficult to understand. During every-day fun activities, you will learn some key strategies and techniques. Materials will be provided for you to take home so that you can start immediately. 

Make & Take Workshops - Communication Passports (May) & Adapted Books (Dec)
Date: May 13, 2015         Time: 9:30 - 11:30 a.m.
Date: December 2, 2015      Time: 9:30 - 11:30 a.m. 
These workshops are in development. More details to follow on the TVCC website.