Wednesday, January 30, 2013

Pick of the Day from ATIA 2013


Widgit Go is a new app from Widgit. Currently it is available in a full version and a lite version on Google Play for Android devices.  It should be available for iPads soon.

Widgit Go has an array of impressive capacities.  It can be used for creating various activities for learning and to act as visual supports. It runs without an internet connection, which is important for schools where that is an issue. The full version comes with all 12,000 Widgit Symbols.

It can be used for augmentative communication, of course, but it also can be used for learning activities.  It comes with 12 sample activities which include three communication boards, five symbol based writing activities (perfect for alternative assessment), three instructional activities and an excellent email activity.
The activities that teachers, parents and educators could create are limited only be creativity.  Visual schedules, social stories, matching activities, grid based writing activities, picture supported lists with speech feedback, picture recipes with voice feedback and so much more.  

The activities you make can easily be backed up and shared on Dropbox.  Editing is simple and can all be done on one page.  Activities can have as few as one and as many as seventy cells per page.  Pages can link dynamically.  You can use the included symbols or photos.   There are plenty of customization options such as changing colors and using music or sound effects on a button.

The email activity is incredible as it allows a student to compose an email using symbols, hear it read back with highlighting and then send it.  When the recipient of the e-mail open it he or she will also see the symbolated email text and have the ability to have it read with highlighting.  Even if they don't have the app.



Friday, January 18, 2013

A Missing Piece - AAC Implementation at Home



So often in the classroom we see AAC users who do not even bring their
speech devices home, never mind use them consistently there. Many of us know the thrill of opening up a child's speech device in the morning at school and realizing it has been used! I know in my classroom we get excited when a battery come in dead because it means the child used the device!

The parents who read this blog may be surprised at that, mostly because the parents who read this blog are usually the ones who are pushing for AAC to be implemented for their child. However, there are many parents who aren't interested in AAC for their child, who think it is just for school or who even refuse to let their child use AAC for one reason or another. Teachers and speech therapists sometimes run into former students years later only to learn that the years they spent teaching AAC meant little because as an adult the student no longer has a device or doesn't use it.

Why does this happen? Why do so few students use their devices at home and why do so many adults who used AAC in school fail to continue?

A big part of this is a failure of the school-home connection. We as teachers and therapists need to find ways to understand and appreciate what goes into implementing AAC at home, especially when there are so many other things that go into raising a child who has significant special needs. As we build our understanding we need to build systems and approaches to AAC implementation that bridge the gap between home and school. We need to help parents understand the power of AAC and help them feel more comfortable with leading their child through the process of learning to be a better communicator.

Let's face it, parents all over the world teach their children language. They aren't teachers or speech therapists. They haven't trained for years in language acquisition. They teach their children speech using modeling, shaping, repeating and recasting, and all sorts of other techniques they have probably never heard of. Yet we fail to empower parents of AAC users to do the same thing. We don't sit them down and say, "You can do this! Mom and dad just by you using this device in front of your child, by your responding to your child using this device and by acting as if device-use were verbal speech you can teach your child language!"

We also don't break it down. We don't say, "Week one just set it up every day. Week two model a sentence a day. Week three model two sentences a day..." We might never offer any training or encouragement and almost never do we go into our students' homes and demonstrate what we mean. But we need to. We must find ways to take this vital step.

In an ideal world children with significant special needs would have ongoing in-home consultation and training from their school staff. Teachers and therapists would be able to teach parents not just how to set up the device or program it but how to use techniques like Aided Language Stimulation (modeling) to increase their child's communication skills. Also in an ideal world parent would be able to attend training to become communication coaches.

Communication coaching would start simple. Essentially it would move slowly from helping parents see the value in bring the speech device home daily and having it present and powered up so it might be used to asking every family member to just model one sentence a day on the device without any demands but only an sense of expectation that their child respond in kind right through helping families find practical ways to use the speech device at places like the doctors, religious services and shopping.

(And realistically how many of us in schools consider what it must be like to take a child with multiple physical handicaps and all their equipment out and then worry about setting up the speech device? Have we even thought about how parents can carry all that stuff? My students always bring their speech devices out and use them during community based instruction but I know many who teachers either don't have community based instruction or leave the devices at school!)



It is time for teachers, therapists and administrators to find new ways to ensure communication success over a lifetime for AAC users. We have a world of technology at our finger tips, Skype, Google Plus Video Chats, video cameras on our phones with the ability to share at the touch of a button. Surely we can find ways to make a better connection for the sake of communication? We must find a way to work with families, taking into consideration their needs, so we can promote all of our students having a voice - wherever they are, forever.

(Many thanks to Samantha and her family for the use of the pictures!)



Friday, December 21, 2012

Sensory Spaces on the Cheap

A commenter let me know that my 2007 and 2008 Sensory Room on the Cheap posts were out of date, so I thought I would give it another go.

Before you go crazy buying or making things for a sensory space please consider carefully things like how much space you have, how sturdy/unbreakable things need to be for your students and what will the purpose of your sensory space be?  If your students need help being alert and interactive a soothing white room with soft glowing lights may not be the best idea and a room with expensive lights and decor may not be a great idea for a student who needs to "get his wiggles out".  Think about your purpose before you purchase!  Consider a theme to unify the room or space so it doesn't look thrown together - "The Ocean", "Beach" and "Space" might all work well!

 I should also mention that the American Academy of Pediatrics and others have warned that Sensory Integration Therapy does not (yet) have a research base behind it.  Multisensory Enviroments (aka Snozelen Spaces) also do not have a preponderance of evidence behind them (this is because most of the research is done by those who create and sell the systems).  That being said creating an engaging, soothing or otherwise specialized space for your students at school or your child at home can be rewarding.  It is up to the teacher (or parent or therapist) to collect baseline and intervention related data to determine if the space is helpful.

Ideas for a Your Purpose

Soothing Space

  • soft, body conforming seating
  • white or pastel walls, seating and decor
  • soft music
  • gentle, glowing lights
  • swings
  • rocking chairs
  • calming scents
 tulle with white string lights down the middle
Heavy Work and Vestibular Stimulation
  • ball/crash pits
  • lycra heavy work tubes
  • mini-trampolines and other bouncing toys
  • spinning toys
  • adjustable lighting
  • diffented music
For Increasing Use of Functional Vision
  • dark walls
  • black lights
  • bright glowing lights
  • things which move for using visual tracking
  • projectors
For Increasing Alertness/Movement
  • bright colors
  • things which move and draw attention
  • moving seating
  • switch activated/interactive toys
  • alerting music
  • stimulating scents


Products Under $150

Lights

Decorations
Equipment and Seating


DIY - Do It Yourself Ideas

How Others Have Made Sensory Spaces

Inexpensive Companies Worth a Try

Wednesday, December 12, 2012

Picture Symbol Support on the iPad

Use an App

Widgit Discover 

  • stories on three levels - text, symbol supported and simple symbol supported
  • text-to-speech to read back stories and questions
  • vocabulary support
  • vocabulary flashcards
  • currently available for three topics Tudors, Egyptians, Victorians
  • $9.99 Each

Attainment Symbol Support App

  • this app is add picture symbols to text as you type (think Writing with Symbols, Symbolate on Boardmaker or SymWriter)
  • the teacher could create text and save for the student to read, if needed
  • e-mail or save as PDF
  • $59.99 (coming soon)

Use a PDF 

  • if your Symbol Supported material isn't a PDF (for example you made it yourself in Boardmaker) use the free program Cute PDF Writer to save as a PDF and then send it
  • if your Symbol Supported materials happen to be a worksheet or something you want your students to be able to write on or mark up try an annotation program for PDFs on the iPad and they can do the work on the tablet
My Christmas Wish
  • Vendors producing symbol supported materials start distributing them as app or as books through iBooks to make them more accessible.  Some vendors I would like to see do this are:

Tuesday, December 11, 2012

The Yes/No Series - Part Six

 "Best Yes" and Rewarding Successive Approximation


Shaping, simply put, is rewarding the small steps that lead to a large success.  Also known as "rewarding successive approximations" I call it, "Close enough is good enough, for now."  By which I mean that if we reward a first time step towards meeting a goal and then each tiny step closer we will eventually get there.  Shaping is baby steps.  In the case of yes/no this starts with something known as "best yes".

A "best yes" is any response our student with complex communication needs gives us that indicates affirmation.  A slight head movement, a smile, clapping hands, stopping a rocking motion or a change in affect any of these is a best yes - and it is ok, at first, to accept any one of these from the same child.

With careful observation (including video, if needed) and data collection we can determine which "best yes" we can shape into a consistent "yes" response.  We want our vision of the consistent "yes" to be something noticeable and clearly understandable by all who interact with the individual regularly.  

For some children we may need to accept that the "best yes" and "close enough is good enough" is how things will be for a while and reaching a consistent yes might take years and years.  We may wonder or have to respond to others wondering if the "best yes" we are accepting is "intentional" on the part of the child.  The thing about a "best yes" is that intention is irrelevant.  We teach intentionality by assuming intentionality.  Repeat it with me, "We teach intentionality by assuming intentionality."  We are not delusional or Pollyannas when we act like that slight and inconsistent response is a "yes" - we are teaching!  Make a banner and hang it across your classroom if you must, "We teach intentionality by assuming intentionality!" When we reward that "best yes" we teach the child that repeating that "best yes" will lead to a reward.  We teach intentionality by assuming intentionality.

Watch this clip from the 1970 French film, An Infinite Tenderness, look for all the "best yes" responses and how the same child uses different "best yes" answers.  (The story is a puppy love story between these two children, the boy on the left and the girl on the right, it is told completely without words.  You can watch it on Netflix.  It is amazing.)


By combining our observed "best yes" and our vision for a consistent "yes" we can create a plan in which we reward the "best yes" we want to shape until it is consistent.  This means offering highly motivating rewards and waiting for the "best yes" before giving the reward.  

Once the "best yes" is consistent we up the ante.  We model the next successive approximation, offer a highly motivating reward and give the reward when the child gives us the new and improved, consistent  "yes".  This might mean we initially give the reward for a slight drop of the chin (working towards a nod) and once that is consistent we give the reward for a deeper drop of the chin.  Then we repeat with the next approximation until we have achieved our vision of a consistent, noticeable and understandable "yes".  (Which might mean the next approximation is a deeper chin drop and then a slight lift of the head and then a deep chin drop and a full lift of the head.)  We may have to have different expectations at different times - a slight smile is ok after a severe seizure or surgery but on a good day we expect a smile and a nod.

Shaping must be used with all of the other teaching tools in our tool boxes.  With students who have severe, complex or multiple needs one method is usually not enough for success!  

{As an aside it is obviously best for the end result to be universally understood like a spoken response (yes/no yup/nah, ok/nope), a head gesture (nod/shake) or hand motion (thumbs up/thumbs down). If this is not possible something slightly less universal but common with individuals with disabilities is a good choice such as signing yes/no, looking up for yes/down for no or blink once for yes/twice for no.  However a creative yes/no is better than a lifetime of trying to force someone to speak or nod/shake when it is too difficult.}

Monday, December 10, 2012

The Yes/No Series - Part Five

Using Books to Teach and Reinforce Yes/No



  • Ollie's School Day: A Yes and No Book
    • Go with Ollie through his day making yes and no choices
  • No No Yes Yes
    • this board book presents behaviors and labels them yes and no 
  • I'm Going to Read: No Yes
    • this is a simple story told by a series of yes and no statements
  • Yes, No, Maybe So
    • another simple story about reinforcing positive behavior
  • No, David!
    • this Kindergarten favorite has the adults in David's life telling him, "No!" to all of the impulsive things he does and is a great way to get all the kids calling out "NO!" whatever way they happen to do that!
  • Yes No Little Hippo
    • a book about safety through yes and no
  • Yes Day
    • the best day of the year, when every question is answered with "Yes!"
  • Eli, No!
    • a simple story about unconditional love told through a dog who gets into trouble
  • Yes Yes Yaul!
    • Yaul only like to say, "No!" until his friends help him learn to try "Yes!"
  • Stop and Go, Yes and No
    • this is a book about opposites and is best suited for teaching core words/antonyms, but it does contain yes and no
  • Yes, Please! No, Thank you!
    • a book of silly questions
  • No & Yes
    • a rhyming toddler book about behavior
  • Oh No, Ah Yes
    • a book about trying new things

Ways to use these and other books to teach and reinforce yes/no:



  • as you read the book have paraprofessionals and peers model yes and no for each student in the manner he or she communicates it
  • pick a student to be your co-reader and communicate yes and no as they occur in the book
  • velcro yes/no symbols to the pages and having students placing them correctly
  • have the students shout out (using whatever the method they use) yes and no
  • for behavior orientated books print pictures of each behavior and having students sort into yes and no

Sunday, December 9, 2012

The Yes/No Series - Part Four

Using Games to Teach/Reinforce Yes/No

"In ev'ry job that must be done
There is an element of fun
You find the fun and snap!
The job's a game" - Mary Poppins


"Is that right?" Game
Level: yes/no for accept/reject and higher


This game is all about being silly!  You can play it to work on accept/reject yes/no responses or higher level. Essentially you go something super silly, like try to put on the child's coat yourself, put the child's sock on their hand or whatever the child will know is absurd.  Then you ask, "Do you want me it this way?" or "Do you like it this way?".  Keep in mind that the child may, indeed, want it that way, because being silly is fun.  So if he says "yes" to the sock on his hand keep it up and put the other sock on his other hand.  Create a build up and keep asking yes or no questions.  When it is time to stop, if the answer is still, "yes", then you say, "Oh, I am so silly! No (model how the child says no)! It doesn't go like this!"  If the child is working on higher level yes/no you can ask, "Do socks go on hands?" and other higher order questions.

The Yes/No Race
Level: higher yes/no skills (label, function of object, comparison, etc.)


Prepare a list of yes/no questions at the level your students are working on or use yes/no question cards (see list below).  Decide if the student will compete individually or in teams.  Create a scoreboard with student names or team names.  Be sure each child has access to their best way of expression yes/no.  Using your list or cards ask each question one by one.  After each question be sure to wait up to a minute.  You can either play that the first correct answer wins a point or every correct answer wins a point.  I find this game works better if you have everyone answer at once (thus none of the students refuses to answer just for the attention given when they don't).  Whoever has most points at the end wins a prize!

Guess Who?
Level: higher yes/no


You can play this with the commercial game, with the commercial game replacing the cards with your own or you can create your own game.  To create your own you need to print out two sets of photographs of people (can be real people in your setting, celebrities or characters of books, etc).  We like to make these large for our students with Low Vision.  Using a velcro board or similar hang up one set of pictures.  Choose a student to be "it", preferably one who is working on yes/no.  Allow that child to pick a person from the second set of photo cards.  Once chosen the other players ask yes/no questions and the child who is "it" answers.  Be sure to have that child's best way of saying yes/no available. If the children asking the questions are non-speaking they can use communication books or devices or you can even program a series of questions onto a sequential switch such as a Step-by-Step or Smooth Talker.  The "asking" children should use the means of asking that allows them the most possible independent generation of their questions.  Once a yes/no question is asked and answered cards are removed from the velcro display board of photos in the process of elimination.  Stop when someone guesses the person or only one person is left.  Whoever guess is it, if no one guessed then the teacher picks.  (Thanks to Susan Malloy, SLP for this idea.)

What is it? Game
Level: higher yes/no


Gather a set of object or pictures.  These can be related to the theme unit you are teaching (insects, planets or be common objects from around the room).  Choose a child to be "it' and take him or her into the hall (or aside) and all the child to choose one thing.  Go back to the group and display all the items or pictures, including the chosen one.  The child who is "it" will need his or her best way to answer yes/no.  The other children will need a means to ask questions that eliminate items from the array in front of them.  As always speech or AAC can be used for the answering and the asking.  You may need to have questions for your particular set of objects ready on communication devices/boards/switches ahead of time.  As questions are asked and answered eliminate choices until someone guess correctly or one one choice is left.  You can also play this with the commercial game Hed Banz, adapt the game by only having one person at a time where a Hed Banz and the others take turns answering yes/no questions of the wearer.

20Q Game
Level: Higher yes/no


20Q is a commercial game it is available as a handheld electronic game, an app or online (for free).  For our purposes an older version of the handheld game (yard sales, flea markets, your basement) is better, but you can adapt if needed to the newer version.  20Q operates just like the 20 Questions game most of us have played only the game does all the figuring out.  The old version asks questions and gives you three possible responses "yes", "no, "it depends".  The newer version has up to ten possible answers, "yes", "no", "it depends", "unknown", "irrelevant", "sometimes", "maybe", "probably", "rarely", "partly".  Personally, I think that the new 20Q cheats!  However you can still use it by only answering "yes", "no" and "it depends".  If your students aren't ready for "it depends" you can ask them yes or no and change it to "it depends" when you enter the answer into the game.  You can also rephrase questions like "Is it an abstract concept?" or just answer those yourself without reading them aloud.  So long as all the students have a means of communication "yes" and "no" this game is a fun way to practice.

Question of the Day
Level: any


This is a fun game to include in your morning meeting group.  You can use a portable white board and simply write the question with a drawing and two columns or you can make your Question of the Day board all fancy.  If your students are at the accept/reject level of yes/no you can make a list of 10-15 accept reject questions and cycle through them over and over.  These could be things like, "Do you want the teacher to sing really loud?", "Do you want a high five?", "Do you want the paraprofessional to spin in circle ten times?", "Do you want my to give you a 3 second shoulder rub?"  Then go around the room and ask each child and perform the action if he or she says yes.  Tally each child (or put a picture of each child) under yes or no on your display.  Overtime you can draw comparisons, "Last time 2 students wanted me to sing, how many this time?" then you can bring in counting if you would like.  If your students are a higher level you can ask more abstract questions, "Are you wearing boots?" or "Is a fish an insect?" and then tally and graph responses.

Yes/No Practice Apps and Software

Yes/No  Question Lists and Cards

Free

Commercial

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