Thursday, February 26, 2015

Social Stories

Hi everyone!

So this week I thought I would tell you all about social stories!

To begin a social story is a tool used to help individuals (primarily those on the Autism Spectrum) to develop appropriate social skills for a particular situation, event or activity that they might face. These stories can be created by a therapist or parent who best knows the child. Here are some helpful tips to consider when writing a social story:

  1. Picture the Goal: consider the purpose of the story and what the child needs to understand to achieve this goal. 
  2. Gather Information: the individual creating the social story should take into consideration the child's age, interests, attention span, and level of ability and understanding. For example: where does the situation occur, who is it with, how does it begin and end, how long does it last, what actually happens in the situation and why?
  3. Tailor the Text/Images: the social story should include pictures and words that are familiar to the child and specific to the situation. For example, include the child's picture in the story, the specific location the child will be in, etc..

So once the social story is made what now? When and how do you introduce the social story?


Carol Gray has developed guidelines on how to use social stories effectively. The information below is from her book The new social story book (1994), which you can find on The Gray Center's website.
1. Present the social story to the person at a time when everyone is feeling calm and relaxed. This will maximise their learning and help them develop positive associations with the story. Social stories should never be used as a punishment for misbehaviour.
2. Use an honest and straightforward approach when introducing the story, eg I have written this story for you. It is about thunderstorms. Let's read it together now. Soon we will review it.
3. Review the story as often as required - some social stories will be reviewed initially once a day, others prior to the situation for which they were written.
4. Maintain a positive, reassuring and patient attitude when reviewing the story. This is essential for the social story to have the desired effect.
5. When reviewing the story, use a calm and friendly tone of voice and make sure the environment is quiet, comfortable and free of distractions. 
6. Involve others in the review of the story where appropriate. For example, a story that is focused on a situation or activity at school could also be reviewed with the child's teacher or learning support assistant.
7. Introduce one story at a time to maximise learning and to make sure the person does not become overwhelmed with information.
8. There are two main ways of 'fading' a social story:
  • increase the period of time between reviewing it, ie if a story was initially reviewed once per day, increase the review period to every two days, then every three or four days, and so on 
  • change the content of the story to reflect the person's new skills. For example, remove directive sentences from the story, or rewrite them as partial sentences where the person is required to recall the missing information. However, some people with autism may find such changes distressing; alternative approaches should be explored if this is the case.

Below I have attached four sample social stories for different situations that a child might have difficulties with. As therapist what are some other situations that a child might have difficulties with and would benefit from a social story?







Monday, February 16, 2015

Importance of shoulder girdle strengthening

I came across this website that discusses the importance of shoulder girdle strength in children.  I always emphasize the importance of shoulder girdle strength with parents and explain how it effects their child's fine motor capabilities.  Without proximal stability, distal mobility is difficulty to achieve.  This website provides fun exercises to do with kids both in therapy and at home.  Some include bear and crab walks, and other activities to do with a partner that involved pushing.  These are exercises I like to incorporate into my session, but the website provides visuals.  Enjoy!

http://www.ot-mom-learning-activities.com/shoulder-exercises-for-kids.html
Sensory Processing Disorder

For those of us who aren't "experts" in the area of sensory integration, this website is helpful.  It breaks down how and why we use sensory integration techniques during occupational therapy treatment.  It also separates the information based on whether you're working with adults or children.  Some of you may have other jobs in which you work with adults.  Hope it helps!

http://spdfoundation.net/ot.html
Hi MTC staff!

I'll be posting ideas and articles in relation to occupational therapy.  For all my OTs, feel free to email me suggestions.  I'm excited to share some new ideas with everyone! 

Alexa

Friday, February 6, 2015

PECS Boards

Last one today I promise!

If anyone is interested in having pre-made PECS boards/low-tech boards or has heard of them and don't know how to use them Amy from Speech Language Therapy Inc. has made it easy. She includes AAC boards for adults and children in PDF format for anyone to use and explains how to use/integrate them into therapy. Enjoy!



I have attached a link to this blog below:

http://www.amyspeechlanguagetherapy.com/communication-boards.html

Ten Speech and Language Goals to Target during Food/Drink Preparation

Hi everyone,

Do you have a patient that you would like to use life scenarios to target goals? Well, ASHAsphere recently posted this article which discusses 10 different goals that can be addressed using food and drinks. I know we don't have an oven in our therapy rooms, but for those who do Early Steps this can be used to integrate their natural environment into therapy.

For those who are in the therapy rooms here are some food/drink ideas that do not need appliances:

  • sandwiches/burgers
  • chocolate milk
  • cereal (with milk)
  • decorate cookies/cake
  • rice crispy treats
  • ice cream sundae
  • PB&J sandwich
  • lemonade
  • popcorn
  • oatmeal

Does anyone else have any other great ideas?

Here is the link of the 10 different goals: http://blog.asha.org/2015/01/27/ten-speech-and-language-goals/

Guided Access

Hi everyone!!

Have you ever been frustrated that your patient is constantly pressing the home button to turn off the app on the iPad? Well I found an answer to the problem... its called GUIDED ACCESS! Apple created this option for the iPhones, iPads, and iPod Touches. It will temporarily lock your device to only display the app wanted. It disables all the hardware buttons (so attempting to turn off the device as a second option won't happen either). I have attached the link below on how to turn on Guided Access on your device.

http://support.apple.com/en-us/HT202612

Hopefully, this will allow therapists to gain control of the iPad so that it can be beneficial in the therapy environment.