Friday, June 20, 2014

The Truth about School Based Speech Pathology



School Kids at School

Well hello, strangers!  I have been taking a rather long hiatus and wanted to jump back into the swing of things.  For those who don't know, I have a little guy, almost 1 1/2 years old, who is occupying many of my hours now.  For the sake of putting family first, I will not be blogging or posting nearly as often, but do still plan on keeping this blog up and running and will post when I can.

Onto the post!

Let me just start with a disclaimer that I am not intending to represent everyone's experience with these truths about being a school-based SLP.  I am by no means the voice of school SLPs.  Not by a long shot!  I did however want to share my own experience with starting out in the speech pathology world.  Some of you reading may by be students trying to find their niche in the realm of speech pathology, others may be thinking of switching the settings they work in, and most of you probably are already working in the school setting.
Let's start with a little background on my part, shall we?  If you don't want the frills and details of my history, feel free to skip down to the list!

 Once upon a time, when I was a graduate student, my aspiration was absolutely not to be working in the schools.  My goal was to work in the hospital setting, specifically in acute care.   All my elective classes were geared towards adults and neurogenics.  I was dreading my school based internship and could not wait to start my hospital one.   Then, along came time to start my school internship and I found I actually did not mind it.  In fact, I very much enjoyed it.  However, truth be told, once I completed both internships I was still geared up for the hospital setting.  So, then came time to search for a job.  My husband already had a secure job, so I was limited in job selection in terms of location.  I applied to a couple rehab companies, as no hospitals were hiring at the time, and I had also applied to the local education agency, which contracts out to the schools.

Well, as luck would have it, I was offered a job with a rehab company that would contract me out to a very small hospital in a very small town.   I gladly accepted and had a start date all ready to go.  While all this was happening, the education agency had contacted me to let me know I did not get the job.  Ouch!  Burned from a job I did not even want in the first place.  Fast forward a couple weeks, the Friday before my Monday start date at the hospital to be exact.  The education agency contacted me and had a few more openings pop up and offered me a position.  So, all the sudden I was given an option for the schools and I was seriously considering it.  I literally had a matter of hours to make a decision about what path my career would go...medical or educational?  Of course, the fist person I called was my mom to go over the pros and cons, and long story short (is it too late in the story to say that?), I decided that the school setting was a better fit for me, so I nervously called the rehab company and politely told them that I had accepted another offer and they were actually very nice about it.  Looking back, I think I liked the idea of the hospital setting more than the actual work I would be conducting, if that makes sense.  I can absolutely not imagine going to work now and NOT seeing my kiddos smiling faces everyday.

So, onto the purpose of this piece.  Before working in the schools, I had some serious  misconceptions about what working in the schools was really like.  So, the good and the bad, here are the truths of my experiences in the schools:

Misconception #1I am going to be working with articulation ALL day.  This was a huge misconception.  I don't even know where I got this idea, maybe from my practicum experiences were I would go to the schools for 1-2 hours once a week and they were all articulation kids.  This was probably because I was a student and the smart SLP did not give me the more challenging kiddos.   I do see articulation kiddos, but the bulk of my caseload is language, complex communication needs, and social skills.  To be honest, there are some days I wish I could see artic kids all day because that is much more straight forward and this lady's brain in hurting by the end of the week.

Misconception #2:  Working in the schools is easy.  Nope.  No. No.  No.  Not at all true.  When I was in grad school, I thought school SLPs had more of a "fluff" job than the hospital setting.  Now, granted we are working on some different goals and the only comparison I have from school to medical is during my internship, so I am by no means saying schools are harder/easier than medical setting.  But, yes, working in the schools can be challenging.  You have a lot of people to please, a huge caseload to monitor and serve, usually lots of meetings to attend, referrals, evaluations, paperwork (which is mentioned in misconception 3), the list goes on.  You are still implementing evidence based practice while having to make sure 60 some kids are all making progress.  You are constantly consulting with teachers and parents on how to support their kids.  You are making materials for students.  You are providing in-services and trainings to school personnel.  You are writing IEPs, progress reports, and updating data constantly.  So, challenging, yes.  Rewarding, even more so.

Misconceptions #3:  Yippee!  Less paperwork in the schools!  Not.  (Did I just use a 90's joke in this?  Yup).  Again, no idea why I thought this.  The paperwork is ridiculous.  I wouldn't have initially thought so, but the schools can be pretty political, meaning almost everything you do must be documented.  Not to mention the IEPs, evaluation reports, and progress reports.  So, yes, there is quite a bit of paperwork in our field.

Misconception #4:  If I work in the schools, I'll be poor.  Again, no, I promise if you work in the schools, you won't go hungry.  Will you be making just as much as your SLP friend in SNF?  Probably not, but you are also working appoximately3/4 of the year.   However, if the salary is what is getting you down, there are always ways to make extra money: PRN (there are also some pediatric clinics that needs PRN SLPs as well), TeachersPayTeachers, doing private therapy on the side, and extended school year services (if your district or agency does not already require that as part of your salary). 

Misconception #5:  School SLPs only see kids for 15 minutes a week and that won't make any difference.  If present Courtney could go back in time, she would slap the living daylight out of student Courtney.  I would like to say I don't know where I got this idea, but sadly I do.  When I was in my internship, I had a parent refer to the clinical SLP her child was seeing as her "real speech pathologist."  Ouch.  When I first accepted my school based job and told a SLP friend, she went on to say how she would never do therapy in a school because that doesn't make any difference.  Double ouch.  Well, let me just clarify this misconception.  WE DO MAKE A DIFFERENCE.  Also, I rarely see kids for only 15 minutes a week (unless they are generalizing or in 5 minute kids, in which case I do and, hold on to your seat for this one, they still make progress!).  And let me tell you how I know that.  We are required to progress monitor.  And by required, I mean we are bound to a legal document stating that we will progress monitor.  Not only that, but in my state, I have to change instruction if I am not showing growth.  So you better believe that we are making progress in the schools!  Not to mention, we have the benefit of working with those who are with the children most of the week...their lovely teachers!

Now, off to enjoy the start of my summer (a great perk of working in the schools)!

-Courtney

(clipart credit to: www.mycutegraphics.com)

Sunday, February 23, 2014

March Articulation FREEBIES!

While looking in my March speech and language bin, I realized I only had about two activities in there for the month.  Yikes!  I quickly whipped up two general articulation games with a St. Patrick's day theme.


In this freebie, there is the classic "roll and cover" game that can work with any target sound.  You can work on targets sounds in isolation, words, phrases, or sentences.  For maximum production, I have my students say their target the amount they rolled on the dice.  They can then cover their number with a chip/eraser/etc.  Whoever covers their board first, wins!


The next game targets sounds at the conversational, generalization, and carry over phase.  Patrick the Leprechaun will be listening for how you use your target sounds while you answer these questions.  Students roll the dice to see which questions they will answer.  

Grab these FREEBIES here.

Happy Speeching!

-Courtney

Saturday, February 8, 2014

What's in my Speech Bin: February 2014


1.  The Day it Rained Hearts:  This book is my favorite book to read around Valentine's day.  It is great for sequencing and inferencing.  I have my students guess who she is making the valentine's for while we read and then we discuss how we know it is meant for that character.  I also have a board maker activity that I use for categorizing and descriptive words where there are descriptions for each character and the students have to decide what characters the descriptions go to (long ears for rabbit, green for turtle, etc).  Find this book here.

2.  Foam Hearts:  I could not find the actual foam hearts I got online, but I found mine at Target (I'm sure Walmart, Michael's, Hobby Lobby will have them!).  The bag I got had a variety of colors, textures, and sizes.  I use these for many goals, such as categorizing (by color, texture, size), prepositions (put the little heart in the middle, between the big hearts, etc), concepts (pick a hear from the pair/several/many pile), and descriptions/directions (give me the glitterly medium purple heart).  It is also great for a reinforcer for articulation activities.  The kind I got had sticker backing, so after they said the designated number of target words/sentences, they would get a heart to put on their sheet.  We also make homework sheets by writing target words on several hearts that I put in a baggie to send home and they can stick them on a sheet of paper once they practice the words at home.

3.  Arthur's Valentine:  Most of my younger kiddos love Arthur books.  It's also a great book to discuss teasing/social issues since Arthur gets teased in the story by his friends for getting Valentine's cards.  We put "thought bubbles" above the character's head to guess what they are thinking in this story by using post-it notes.  Find this book here.

4.  Mail Boxes:  I don't know where to find these online, but I found mine in the dollar bin at Target.  I use these a lot to make categorizing and sorting activities more motivating.  For my "speedy speech" or 5-Minute Kids, I make drill more interesting by having them place artic cards in the mailbox after they practice the target word.  I have also used them with my Secret Articulation Sort, which you can learn more about here.

5.  Froggy's First Kiss:  What kid doesn't like a Froggy book!?  Seriously, name one, I dare you.  I use this as a general retell book, inferencing (who is Froggy making the Valentine for!), and emotional vocabulary (love, embarassed, etc).

What kinds of materials are you using in Frebruary?

Happy Speeching!

-Courtney

Sunday, February 2, 2014

123TokenMe App for Speech Therapy

I am a speech-language pathologist who does use behavior systems and stickers charts with most of my kiddos.  I tailor each system to the child's specific need.  If a child has trouble remembering their speech folder, I reward them for remembering.   If I have a "runner" I reward them for participating in speech.  If I have a kiddo who does not like doing speech homework, I reward them when they do complete homework tasks.  Given, some of my kids are self motivated and the idea of "graduating" from speech is enough for them, so there is no need for a system to be put into place.  I am by no means a behavior expert, but I do believe in the power of positive reinforcement.

In the past, I have done positive reinforcement with penny boards for more of an immediate reward, as well as sticker charts for more long term goals.  Now that I am between four buildings, I am really trying to simplify as much as a can, which I am finding involves going as "paperless" as possible.

I had been searching and searching for an "sticker chart" app, but most the ones I had found can only manage four or less sticker charts at a time.  With a rather large caseload, this was not an option.  I finally bit the bullet and paid the $9.99 for the 123TokenMe because it was the only one I could find that could hold a whole caseload's worth of charts.  The good reviews also sold me on it.

I am SO happy I spent the money on this app.  I will never go back to paper sticker charts!  Basically, this app allows me to create an individual chart for each student on my caseload (at least the ones that need it).  You can pick from a variety of backgrounds and "tokens" to reward the behaviors.  If you are reinforcing a behavior in intervals (such as rewarding if they are in their seat or paying attention every 3 minutes), the app comes with a timer that will remind you to reward.  Since every student is different, you can control the number of token the student receives to get their reward.  There is also a place to document the behavior you are reinforcing, as well as a place for a visual for what they are working for.

Here are just a couple screen shots for some mock students:



I am loving this tool so far! I have used it for rewarding behaviors such as remembering their speech folder, completing homework, and being an active participant in speech.  I have also used it for speech production practice (for each correct production, the get a token and once all token are full they get a turn in a game).  I have also used for carryover for articualtion.  For example, while taking a conversational sample I have my timer set for every 2-3 minutes and if they are using their target sound correctly when the timer reminds me, they will get a token.

Check out more details about this app here!

Happy Speeching!

-Courtney



Sunday, January 26, 2014

Secret Valentine Articulation Sort

Wow!  It's been a long time since I've posted a product.  However, Valentine's Day is my favorite holiday, so I had to do it!


Actual mailboxes not included, but can be found cheap in the Target dollar bins!

This is a game that targets both articulation and phonemic awareness.  Students draw articulation card, or in this case a valentine, and have to determine if it should be delivered to Izzy Initial, Mikey Medial, or Frannie Final by figuring out if their target sound is in the initial, medial, or final position of the word.  You can practice at any level by saying the target word or having the student create a sentence about it.  This game is made extra motivating by having "secret valentine" cards mixed in with the articulation cards.  If they come across a secret valentine, the get to keep it for themselves.  Whoever has the most secret valentines at the end of the game, wins!

It targets some common phonemes in error, including: /k/, /g/, /f/, /j/, /l/, /r/, /s/, /v/, /z/, /ch/, /sh/, and /th/.  

 





Check it out at my TeacherspayTeachers store here!

Happy Speeching!

-Courtney

Monday, January 20, 2014

Symbaloo: Organize your Online Resources

Today, while meeting up with a couple veteran SLPs at my agency to discuss some complex language kiddos, I glanced over at my coworker's computer and saw something that made my heart skip a beat: Symbaloo.  Up until today, I had not heard of Symbaloo and the minute I had some free time I signed up and set up my homepage.

What is Symbaloo?  Well, I am no expert, given that I've only used it today, but I will say that it has already helped me become more organized and has given me a quicker way to access my online resources.  Using my own words to describe it, I would say it is a visual representation of websites you may "book mark" or "favorite," which you can set as your homepage to give easy and quick access to your frequently visited sites.  If you know me, I love to organize, so I immediately fell in love with this tool. 

Here is my Symbaloo "home page."


You can color code your sites.  I just started organizing my sites into four categories so far, including:

Green: Search Engines (yahoo, google, etc)
White: Work  Sites (email, google drive, IEP site, district site, etc)
Yellow: Products (LinguiSystem, TpT, SuperDuperInc)
Purple: Speech Sites (ASHA)

I plan on adding good speech blogs on there in a different category =)

I think this is such a great tool for SLPs, or really any profession, to help organize their resources.  I use the internet and webpages all the time for resources, so this just made my life a whole lot easier!  Not to mention the set up of Symbaloo reminds me a little of how an AAC device would be set up =)

Do you think you will use Symbaloo to help organize your online life?  Learn more about how to set up and use Symbaloo here.

Happy Speeching!

-Courtney

Tuesday, January 14, 2014

The Snowy Day and Playing with Snow!


I mentioned both The Snowy Day and the Insta-Snow in my last post, What's in my Speech Bin: January, and wanted to share a little more about it.

I made the insta-snow in a container (that I wish was a little bigger and deeper because it can get a little messy with younger kiddos)  that I could carry from school to school.  I think the whole jar of the insta-snow was approximately $13.00 and I barely scrapped the top of it when I made this container of snow, so I'm sure it will last a long time!

I made the snow prior to my speech groups, but you could work on predicting and guessing by having students guess what will happen when you add the water to the powder.

While we read, we worked on verbs and cause and effect by making tracks with our fingers and pencils with our toes pointing out, our toes pointing in, and while dragging our toes (or our finger tips in this case) and talked about what happened when we did each of those.  If you wanted to be really authentic you could go walk out in the snow or put real snow in a container and I'm sure it would work just fine!  The only thing that is bad with this snow and is that you can't form it into balls or pack it, so we didn't get to make snowballs or angels like in the story!

I also hid winter vocabulary cards in the snow for my younger students and had them dig through the snow to find them.  As long as the cards are laminated, they should not be ruined, but objects probably would work better.  Some of the vocabulary we targeted included: frost, snow, snowman, snowflake, storm, ice, freezing, snow angel, snow clothing (hats, mittens, snowpants, etc).  

The kids are so motivated to play in the "snow" so I would be curious if others have found other ways to incorporate this into speech!

Happy Speeching!

-Courtney