In the Autism Outreach Podcast, Speech Therapist and BCBA, Rose Griffin from ABA SPEECH, provides her best, ready to use autism interventions and speech therapy techniques to inspire professionals and parents working with students with autism. With 20 years of experience in the field, Rose understands one of the biggest challenges parents, therapists and educators face on a daily basis is helping students strengthen their communication skills. Listeners will regain a sense of calm as Rose breaks down trusted therapy techniques to try at home or school to provide support to students. Rose will address a variety of topics on autism spectrum disorder: how autism symptoms present in babies and toddlers, recognizing the differences between autism and a speech delay, early intervention therapies, autism evaluation, autism diagnosis, how to help a child with autism start communicating if they are nonverbal, helping students who engage in problem behavior, functional communication skills, increasing student engagement and improving social skills. An excellent listen for parents and professionals alike, with a mix of interviews and solo shows designed to inspire, empower, and provide you with confidence to help your students. Hit subscribe and learn more at www.abaspeech.org
Comparing vocabulary instruction for children who use AAC is not a one size fits all decision, and that is exactly what makes this conversation so valuable.
Vocabulary intervention is one of the topics I get asked about most often, and there is still so much to learn about the best ways to support children who use AAC. I’m joined by Dr. Courtney Trevino to unpack her research comparing explicit vocabulary instruction with more naturalistic, incidental teaching. We explore what each approach looks like in practice, how vocabulary was selected for the study, and what the findings can teach us as clinicians.
One strategy that really stood out to me was navigation description, talking out loud through the path you take to find a word on an AAC system. It is such a practical way to support learning, while also helping parents, teachers, RBTs, and other team members become more confident using AAC. I walked away thinking differently about how I teach vocabulary, and I think you will too. If you are looking for practical, research-backed ideas that you can start using right away, this conversation is full of them.
What’s Inside:
Mentioned In This Episode:
Comparing Two Vocabulary Interventions for Children Who Use Augmentative and Alternative Communication
Dr. Courtney Trevino
AAC Mastery for SLPs and BCBAs
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Building a business that reflects your values takes more than hard work. It takes intention, clear systems, and a vision that keeps you grounded when growth starts to feel overwhelming.
Stephen Smith and I explore what it really takes to build an ethical, sustainable ABA practice without losing sight of why you started in the first place. We talk about the importance of defining your vision early, especially if you're starting a business with a partner, and why having the right legal and financial support can save you from major headaches down the road.
We also dive into delegation, something every business owner struggles with at some point. Letting go of tasks can feel uncomfortable, but creating systems, documenting processes, and trusting your team are essential if you want to avoid burnout and create a business that can grow beyond you. I also share a few of the books and tools that have helped me think differently about leadership, delegation, and protecting my own creativity as a business owner. Whether you're just getting started or looking to strengthen an established practice, I think you'll walk away with practical ideas you can put into action right away.
What’s Inside:
Mentioned In This Episode:Grab Say it With Me
The ABA Business Leader's Guide by Stephen Smith
3 Pie Squared
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If you've ever wondered whether constant stress is simply part of being a helping professional, this conversation is for you. Burnout isn't a badge of honor, and crying in your car or pushing through physical symptoms shouldn't be considered normal.
I’m joined by Tiffany N. Arango to explore what clinician wellness really looks like and why so many dedicated professionals end up running on empty. Tiffany shares her own experience of reaching severe burnout while working in what she believed was her dream job, and how that experience changed the direction of her career. We talk about the workplace red flags that are easy to overlook, why so many of us normalize unhealthy environments, and how psychological flexibility can help us respond with intention instead of simply surviving each day.
We also explore the role leaders play in creating healthy workplace cultures and why genuine care for employees should never be viewed as a weakness. Whether you're a speech therapist, BCBA, RBT, or another helping professional, I hope this conversation reminds you that your well-being matters just as much as the people you serve. If you're feeling overwhelmed, please know you don't have to navigate it alone. Reach out, find your community, and seek support.
What’s Inside:
Mentioned In This Episode:
Grab Say it With Me
The Behavior Station
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The best outcomes happen when we stop working in silos and start learning from each other.
I recently had the chance to be a guest on Dr. Selena J. Layden's podcast, and I knew I wanted to share our conversation with you because it highlights something I'm deeply passionate about, meaningful collaboration between speech-language pathologists and BCBAs. When we recognize each other's expertise and work together, we create better outcomes for the students we serve.
We talked about my journey from school-based speech therapy into the world of ABA, how those experiences shaped ABA Speech, and why I believe communication and behavior support are strongest when they are aligned. We also explored common misconceptions between our professions, practical ways to build trust with colleagues, and why curiosity and open communication can go a long way.
One of my favorite parts of our discussion was sharing what I wish every school-based BCBA understood about speech-language pathology. Our training is incredibly broad, and many of us continue developing our expertise long after graduate school. The same is true for BCBAs, which is why ongoing learning and collaboration matter so much.
Whether you're an SLP, BCBA, educator, or part of an interdisciplinary team, I hope this conversation encourages you to build stronger partnerships that help every student communicate and thrive.
What’s Inside:
Mentioned In This Episode:
Grab Say it With Me
The Behavior Education Connection
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What happens when two SLPs and BCBAs get together to tackle the biggest conversations in our fields? You get an honest discussion about collaboration, research, and keeping students at the center of every decision.
Today, we're flipping the script and I'm answering some of the questions I hear most often about speech therapy and ABA, from choosing AAC vocabulary to navigating current topics like gestalt language processing, prompting, and aided language modeling. I share why I believe we have to move beyond an "all or nothing" mindset and focus on what the research tells us while making thoughtful, ethical decisions for each individual learner.
Dr. Giles and I also dig into functional communication, response forms, and why collecting meaningful data should guide every intervention we use. My hope is that these conversations help bridge the gap between disciplines so we can spend less time debating and more time helping our students communicate with confidence.
What’s Inside:
Mentioned In This Episode:Grab Say it With Me
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Every student deserves a way to communicate with the world, and that belief has guided my work from the very beginning.
Today, I’m sharing something incredibly special, the story behind my new book, Say It With Me: Naturalistic Tools to Spark Speech and Social Engagement. This is the resource I wish I had when I first started working with autistic learners who were not yet speaking, struggled to engage in therapy, or faced behavioral barriers that made learning more challenging.
I take you behind the scenes of my journey, from my early days at the Cleveland Clinic Autism Center to the lessons that shaped the compassionate, collaborative approach I use today. I also walk through the practical strategies featured in the book, including assessment, joint attention, play-based learning, AAC, social engagement, group therapy, behavior supports, and meaningful goal writing. My goal has always been to make research approachable and actionable so you can feel confident putting these ideas into practice right away.
Whether you're a speech-language pathologist, BCBA, educator, or parent, I hope this conversation leaves you feeling encouraged and equipped with new ways to support learners who are often the hardest to reach.
What’s Inside:
Mentioned In This Episode:
Grab Say it With Me
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Some kids are picky eaters, but when does it become something more?
Feeding challenges can feel overwhelming for families, especially when mealtimes become stressful, food choices become extremely limited, or concerns about nutrition start to grow. That's why I was excited to welcome feeding specialist Margaryta Kuzmin to the podcast. Together, we unpacked the difference between typical picky eating and pediatric feeding disorders, and why early support can make such a meaningful difference.
Margaryta shares the developmental reasons many children go through selective eating phases, along with important red flags that may signal a deeper concern. We also explore why feeding difficulties are rarely about food alone. Medical, nutritional, motor, sensory, and social factors can all play a role. I especially loved our discussion about how providers can approach these conversations with families in a supportive, compassionate way.
Whether you're a speech-language pathologist, BCBA, educator, or parent, this conversation highlights the power of collaboration and why feeding concerns deserve attention early on.
What’s Inside:
Mentioned In This Episode:Feeding Matters
Kuzmin SLP
Margaryta Kuzmin on Instagram
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Child-led therapy doesn’t mean lowering expectations. It means meeting children where they are and building meaningful learning opportunities from what matters most to them.
I’m joined by Dr. Katherine Pickard, Dr. Rachel Yosick, and Dr. Tracy Argueta from the Marcus Autism Center to explore how child-led Applied Behavior Analysis is shaping the future of autism intervention. We unpack Naturalistic Developmental Behavioral Interventions (NDBIs), what they are, how they differ from more traditional ABA approaches, and why they continue to gain momentum in both research and practice.
One of my favorite parts of this conversation is the discussion around “de-implementation,” the idea that sometimes improving our practice requires letting go of strategies that no longer serve children and families as effectively. We also talk about common misconceptions around child-led therapy, how to balance NDBI and structured teaching, and practical ways clinicians can begin incorporating more naturalistic, developmentally appropriate strategies into their sessions.
If you've ever wondered whether child-led approaches are "ABA enough" or how to start making meaningful changes in your own practice, this conversation offers thoughtful, research-based guidance that is both encouraging and actionable.
What’s Inside:
Mentioned In This Episode:
Marcus Autism Center
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AAC can feel overwhelming for clinicians, but it does not have to stay that way.
I’m joined by Valerie Zimmerman from Mindcolor Autism to talk about what happens when BCBAs and SLPs come together to better support autistic learners who use AAC. Valerie shares how her team has prioritized AAC training across their organization, even though many clinicians receive little to no formal instruction in this area. We dig into the real questions providers are asking, from ethical considerations around programming devices to understanding the role of collaboration in helping students communicate more effectively.
One of my favorite parts of this conversation is hearing how Mindcolor Autism created a clinical consultation model that gives staff ongoing support when they encounter challenging cases or communication questions. I love seeing organizations build systems that help clinicians feel less alone and more confident in their work.
We also talk about the importance of practical, immediately applicable training. Whether you are a BCBA, SLP, RBT, or parent, this conversation highlights how much growth can happen when teams learn together and stay curious about communication. AAC is not just about devices, it is about giving students meaningful ways to connect with the world around them.
What’s Inside:
Mentioned In This Episode:
Mindcolor Autism
AAC Mastery for SLPs and BCBAs
All About AAC Bundle
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Have you ever looked at an AAC device and thought, “Where do I even start?” I’ve been there too, and I know how overwhelming it can feel.
For years, I supported students using AAC while secretly feeling unsure of myself behind the scenes. I could teach communication strategies all day long, but when it came to navigating new systems and vocabulary sets, I remember leaving work feeling defeated and questioning whether I was truly helping my students. That experience completely changed the way I approach AAC today.
I’m sharing the story behind our brand-new course, AAC Mastery for SLPs and BCBAs, and why I created it for professionals who want practical, real-world support with AAC instead of more theory that never translates into therapy sessions. This course brings together incredible AAC experts to talk about assessment, motor planning, collaboration, bilingual learners, switch access, parent support, and so much more.
My goal is simple. I want you to feel confident supporting every AAC user on your caseload. Whether you’re brand new to AAC or you’ve been in the field for years, I want you to walk away with strategies you can actually use right away.
What’s Inside:
Mentioned In This Episode:AAC Mastery for SLPs and BCBAs
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What if our learners could practice success before they ever step into the real moment?
I’m bringing you a conversation that completely reframed the way I think about video modeling, independence, and skill building. We’re talking all about self-video modeling and how technology is creating more personalized, neurodiversity-affirming ways to support communication, daily living skills, and behavior regulation.
Dr. Rachel Khasky-Levy and Rinat Hitelman share how their work with The Babel Group and Wide Therapy is helping clinicians bridge the gap between therapy and real-world implementation. What stood out to me most was the idea of helping learners visualize themselves already succeeding. Whether it’s requesting a favorite snack, transitioning between activities, completing vocational tasks, or building communication skills, this approach focuses on possibility and confidence instead of correction.
I also loved hearing how self-video modeling can support learners who may not yet be able to demonstrate a skill independently in real life. By creating personalized visual rehearsals, clinicians and families can give learners repeated exposure to success in a calm, supportive way that feels meaningful and functional.
This conversation reminded me why I’ve always loved using video modeling in therapy. It’s practical, engaging, and incredibly empowering for our students across ages and settings.
What’s Inside:
Mentioned In This Episode:
The Babel Group
Wide Therapy
Voiceitt
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What really helps speech sound practice stick once kids leave the therapy room?
I’m joined by Shail Silver, founder of SpeechLP and parent to a child receiving speech therapy services, for a thoughtful conversation about carryover, motivation, and how technology can support meaningful speech sound practice at home. As a school-based SLP, this topic is especially important to me because we know progress doesn’t just happen during therapy sessions. The real growth comes from consistent practice in everyday environments.
Shail shares how his family’s experience inspired the creation of SpeechLP, an AI-powered app designed to make articulation practice more engaging and less stressful for both parents and clinicians. We talk about the challenge of getting enough repetitions for true generalization, why carryover can be so difficult for students, and how gamified practice can help keep learners motivated. I also loved hearing how practicing SLPs are actively helping shape the platform so it stays practical and clinically relevant.
There’s so much potential in tools that support families, reduce clinician workload, and help students build confidence with communication in a fun and functional way.
What’s Inside:
Mentioned In This Episode:
SpeechLP
ParagraphAI
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Sometimes collaboration feels seamless, and other times it leaves you questioning everything.
That contrast came up in such a real way as I talked with Jenny Argueta, and it’s something so many of us have experienced but don’t always say out loud. She shared how working with one collaborative SLP felt energizing, while another interaction left her feeling small and shut out. That moment stuck with her and ultimately shaped her decision to become dually certified so she could be part of the solution.
We unpack the tension that can exist between SLPs and BCBAs and how those challenges often stem from past experiences, misunderstandings, or lack of exposure to each other’s work. I always come back to the importance of listening. When we take the time to understand someone’s perspective instead of reacting, we open the door to better collaboration.
We also talk about AAC and the gaps in training that so many providers face. Jenny shares honestly about how overwhelming AAC can feel, even as an SLP, and why ongoing learning is so important. At the end of the day, our goal is the same. We want to support meaningful communication and real progress for our students.
What’s Inside:
Mentioned In This Episode:
Mirific LLC
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What if your documentation could protect your clinic instead of putting it at risk?
I’m joined by Aidan Kelly from Brellium to talk about one of the biggest stressors for growing clinics, documentation quality and compliance. As organizations scale, it becomes nearly impossible to manually track every note, and small gaps can turn into major audit risks. Aidan shares how outdated systems and manual reviews create blind spots, and how AI can bring real-time visibility into documentation practices.
We also talk about the real financial impact of audits and clawbacks, and why strong compliance infrastructure is essential if you want to grow sustainably. I love how Brellium works behind the scenes, supporting clinicians without adding extra work, while giving leaders actionable insights to improve quality across their teams.
What’s Inside:
Mentioned In This Episode:
Brellium
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Strong therapy starts with strong support, and that begins with the parent.
I’m joined by Khaliah Moody, and this conversation really stayed with me. We talk about what it truly looks like to support families in a meaningful way, especially when life outside of sessions includes real challenges like poverty, housing instability, and stress. Khaliah shares how her background in social work shaped the way she leads her clinic and supports both clients and staff. One of the biggest takeaways is that therapy cannot thrive if the parent is overwhelmed and unsupported. We have to meet families where they are, build real relationships, and focus on connection before intervention.
We also get into staff retention, building a positive team culture, and how community partnerships can extend impact far beyond traditional services. This is a powerful reminder that compassionate care is both clinical and human.
What’s Inside:
Mentioned In This Episode:
Steady Strides Behavior Solutions
Khaliah Moody on LinkedIn
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Everything made sense once I saw the full picture.
Receiving a later-in-life ADHD diagnosis can be both validating and eye-opening, and that’s exactly what we explore in this conversation. As I talk with Lindsay, I’m struck by how her story reflects something I see often, high-achieving, capable individuals who have been compensating and masking for years without realizing why things felt harder behind the scenes.
We talk through what it looked like for her to thrive in a fast-paced Wall Street environment while quietly navigating challenges with time management, comprehension, and testing. Her diagnosis came after her children were identified as neurodivergent, which is such a common pathway for families.
I also love how openly she shares the realities of parenting two neurodivergent children, from early sensory challenges to finding the right supports and building a strong community. We get into practical strategies that truly make a difference, including sleep, nutrition, exercise, and structure.
This conversation is a powerful reminder that ADHD can be a strength, and that understanding your brain can unlock better support, connection, and self-advocacy.
What’s Inside:
Mentioned In This Episode:
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Raising children with profound special needs means stepping into truth, even when it’s uncomfortable.
I had such a meaningful conversation with Sarah Kernion about what it really looks like to raise children with profound, nonspeaking autism, and how that reality often differs from the public narrative. Sarah shares her journey as a mom, from those early intuitive concerns to navigating diagnosis, therapy, and building a truly collaborative team.
We talk openly about the emotional weight families carry and why honoring that lived experience matters. Sarah brings such a powerful perspective on communication, reminding us that AAC enhances connection and that growth is not always linear. One of my favorite takeaways is how she reframes communication, not as a single outcome, but as a shared process between child, caregiver, and provider.
We also dive into what makes a great team. The biggest shift is moving away from hierarchy and toward true collaboration, where parents feel heard and valued. Sarah’s work through Inchstones is all about helping families feel seen, supported, and empowered in that journey.
What’s Inside:
Mentioned In This Episode:
Inchstones
Inchstones on Instagram
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Ever feel intimidated by AAC or unsure how AI fits into your clinical work?
In this episode, I sit down with Dr. Nerissa Hall and Dr. Michelle Boisvert to talk about two topics that can feel overwhelming but are full of possibility. We explore how AAC is not about waiting for prerequisites, but about giving individuals access to meaningful, independent communication. I share my own experience of feeling intimidated at first, and we break down simple, practical ways to get started that actually feel doable and even fun.
We also dive into AI in speech pathology, and this conversation gave me so much clarity. We talk about how AI can help us “offload” tasks like creating materials, while still keeping our clinical judgment front and center. We discuss where AI fits, where it doesn’t, and how to use it ethically and thoughtfully in your everyday work. If you’ve been curious but hesitant, this episode will help you take that first step with confidence.
What’s Inside:
Mentioned In This Episode:
Easy Report Pro
Tate Behavioral
AAC Communicare
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Communication isn’t owned by one profession, it’s something we all share and protect together.
I’m joined by Dr. Lilith Reuter-Yuill "Dr. RY" for a thoughtful conversation about what it really takes to ensure communication access for every learner. We talk about her journey from sign language interpreter to dually certified SLP and BCBA, and how that shaped her passion for collaboration and innovation.
We dig into some of the biggest friction points between disciplines, especially when it comes to AAC. One of the biggest takeaways is this, there is no one right tool or pathway. We have to start with the learner, the context, and the full communication repertoire. I also loved our conversation about moving away from quick fixes and toward meaningful, individualized support that actually generalizes.
We also share a preview of her upcoming course inside the ABA Speech Connection, where we’ll explore sign language, AAC, and how to thoughtfully select communication modalities that truly fit each learner.
What’s Inside:
Mentioned In This Episode:
Bridgify
Bridgify's Community
Idaho ABA Conference 2026
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Collaboration in schools can feel messy, complicated, and sometimes even uncomfortable, but it is also where some of the most meaningful progress for our students can happen.
In this conversation, I sit down with Ashley Patton to talk about what real collaboration looks like between teachers, BCBAs, speech therapists, and other service providers in school settings. Ashley brings a unique perspective because she has worked as a classroom teacher, a school-based BCBA, and a consultant supporting school teams. That experience gives her a deep understanding of the pressures educators face and how behavior and communication strategies actually fit into busy classrooms.
We talk about the importance of listening first when working with teachers and building trust before offering strategies. Ashley shares practical ways teams can embed communication goals naturally into classroom routines without overwhelming teachers who already have so much on their plates.
We also discuss replacement behaviors, functional communication, and why practicing these skills before challenging moments occur can make such a big difference for students. Ashley offers thoughtful insights about simplifying data collection, supporting teachers with manageable systems, and focusing on strategies that are realistic for the classroom.
Finally, we talk about Ashley’s Class on Task Behavior Analyst in School Summit and why creating community for professionals working in schools is so important.
If you support students in schools, this episode is full of practical reminders about how collaboration, communication, and small systems can create big change.
What’s Inside:
Mentioned In This Episode:
Class on Task
Class on Task Summit
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How can technology help us diagnose autism earlier and get kids the support they need sooner?
In this episode, I sit down with Dr. Cheryl Tierney to talk about an exciting advancement in autism diagnostics and how technology is helping clinicians and families access answers faster. With long waitlists and limited specialists in many areas, getting an autism diagnosis can sometimes take months or even years. Dr. Tierney shares how new technology is helping change that.
We dive into the EarliPoint system, an FDA-cleared diagnostic aid that uses eye-tracking technology to analyze a child’s viewing behavior while watching short social videos. The system collects an incredible 120 data points per second, giving clinicians objective data to support diagnostic decision-making. Even more exciting, the assessment takes only about 12 minutes and can be used with children as young as 16 months.
Beyond diagnosis, we also talk about how this technology can support clinicians like speech therapists, BCBAs, and occupational therapists by providing data on social engagement, receptive language indicators, and problem-solving skills. That means we can track progress over time and better understand whether interventions are truly moving the needle.
I also loved our conversation about interdisciplinary collaboration and the importance of having someone “quarterback” a child’s care so families receive consistent guidance. This episode highlights how innovation, research, and teamwork can make earlier diagnosis and better support possible for so many families.
What’s Inside:
Mentioned In This Episode:
EarliPoint Health
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Two trends I’m seeing in speech therapy and ABA have been on my mind lately, and honestly, they worry me about the future of our fields.
First, I saw a discussion where future BCBAs were debating whether they even needed to read the Cooper book. For me, that text was foundational when learning the science of behavior analysis. When professionals start skipping core readings just to pass a test, it raises questions about how strong our foundation really is as a field.
The second concern came from a speech therapy discussion where a private practice owner planned to refuse services to any child who also receives ABA. That really stopped me in my tracks. Our ethical codes call us to collaborate, and our learners deserve coordinated care, even when collaboration isn’t always easy.
These conversations matter because the strength of our fields depends on professionals who value the science and are willing to work together to support the students we serve.
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Mentioned In This Episode:
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What if we could safely practice real-world situations before our students ever experience them?
In this episode, I’m joined by Marsha and Rita from Floreo to talk about how virtual reality is supporting autistic learners in building social, communication, safety, and life skills. Floreo is a VR platform that allows learners to step into immersive environments like airport security lines, grocery stores, and even digital conversations, all while being coached in real time by a therapist, teacher, or parent.
What I love most is how functional these lessons are. From responding to TSA questions to recognizing red flags in online interactions, these scenarios reflect the real challenges our students face. We also discuss the growing research behind VR-assisted therapy, including published studies showing improvements in social skills and skill maintenance.
We talk through how VR can fit naturally into speech therapy and ABA sessions, with pre-teaching, guided practice, and generalization built in. Plus, we cover funding options, including school-based access and the temporary VR-assisted therapy billing modifier 0770T.
Technology is powerful when it’s clinically driven, and this conversation highlights how innovation can truly empower our learners.
What’s Inside:
Mentioned In This Episode:
FloreoVR
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If AAC has ever felt intimidating, you are not alone, and this episode is going to give you a clear, practical path forward.
In this conversation, I sat down with Gabriella Wendling, an AAC specialist who has dedicated her entire career to assistive technology and augmentative communication. We talk honestly about how most of us received minimal AAC training in graduate school and how real confidence comes from experience, collaboration, and ongoing learning.
We walk through what AAC evaluations actually look like, including timelines, feature matching, and access considerations like switches and eye gaze. Gabriella explains why getting the device is only the first step and why delays are often related to funding, not clinician performance.
One of my favorite parts of this episode is our discussion about what happens after the device arrives. Gabriella shares her coaching-based model for training communication partners, including teachers and families. She emphasizes micro goals, small, meaningful targets that fit naturally into daily routines, so AAC becomes functional instead of overwhelming.
We also tackle a hot topic around prompting and unpack why modeling and systematic prompting are essential for emergent communicators when done thoughtfully and ethically.
If you want AAC implementation that is sustainable, collaborative, and truly supportive for students, this episode will leave you encouraged and equipped.
What’s Inside:
Mentioned In This Episode:
AAC & Me
AAC & Me on Instagram
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When you move from treatment rooms to team meetings, everything changes, including how you show up as a BCBA.
In this episode, I talk with Shalini Solomon about her transition from clinic-based ABA to working as a school-based BCBA. If you’ve worked in both settings like I have, you know they are completely different worlds. In a clinic, you’re often running sessions. In a school, you’re collaborating, coaching, and translating ABA into language that makes sense to teachers and administrators.
Shalini shares what helped her navigate that shift, from simplifying behavior intervention plans so they actually work in busy classrooms to minimizing jargon and building buy-in with staff. We also talk about why understanding IDEA, IEPs, FAPE, and district systems is critical if you’re stepping into a school role, especially if you’re one of the first BCBAs in your district.
We also discuss her journey toward earning a doctorate in behavioral health and the importance of leadership, mentorship, and representation in our field. It’s an honest, practical conversation for anyone considering or currently navigating a school-based BCBA role.
What’s Inside:
Mentioned In This Episode:
Elevate & Align Behavior
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Starting your own practice does not have to mean doing it all alone.
In today’s episode, I sat down with Bukhtar Khan, co-founder and CEO of Finni Health, to talk honestly about what it really looks like to start and grow an independent ABA practice. We talked about the fears BCBAs often have around finances, insurance, staffing, and burnout, and how Finni Health is built to support clinicians who want autonomy without sacrificing stability or ethics.
Bukhtar shares the heart behind Finni Health and why their work is so focused on reducing stress for clinicians, protecting quality care, and helping providers build sustainable practices that align with their “why.” If you have ever thought about starting your own clinic but felt overwhelmed by the logistics, this conversation will give you clarity, reassurance, and a realistic look at what support can look like.
What’s Inside:
Mentioned In This Episode:
Finni Health
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Stepping into your first leadership role can feel overwhelming, and navigating autism services as a parent can feel even harder, even when you’re already in the field.
In this episode, I sat down with Rayni McMahon for a powerful conversation about leadership, advocacy, and what happens when your professional world and personal life collide. We talked about what it really feels like to move from clinician to administrator, why so many professionals feel unprepared for leadership roles, and the one thing that can make that transition feel more manageable. Rayni shared practical, honest insights about mentorship, managing people, setting boundaries, and learning to lead with both confidence and compassion.
We also spent time talking about advocacy from a deeply personal lens. Rayni opened up about her experience as a BCBA navigating the system as a parent of an autistic child and how being “in the know” did not make accessing services easier. Her perspective highlights just how complex and exhausting the system can be, even for professionals, and why empathy, persistence, and advocacy matter so much for families.
This conversation is thoughtful, relatable, and full of takeaways for anyone who is stepping into leadership, supporting teams, or advocating for children and families within our field.
What’s Inside:
Mentioned In This Episode:
Virtue Healthcare Consulting
Rayni Brindley McMahon on LinkedIn
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Prompting AAC is abuse? Let’s talk about that and a few other AAC conversations that keep coming up again and again.
In today’s solo episode, I’m diving into five hot topics in AAC that have been surfacing repeatedly in my recent calls, trainings, and collaboration meetings. After more than 20 years as a speech therapist and being dually certified as a BCBA, I’ve seen how confusing, overwhelming, and sometimes divisive AAC conversations can become. I also remember very clearly when AAC felt intimidating to me too.
This episode is about cutting through the noise, grounding ourselves in research, and having better, more collaborative conversations about AAC. I share real scenarios clinicians are facing right now, from AAC evaluations that drag on far too long to device access barriers to strong opinions about prompting that simply don’t align with the science. My goal is to help you feel more confident, more informed, and better equipped to advocate for your students and clients.
Whether you’re newer to AAC or have years of experience, these topics matter. AAC is a student’s voice, and we have a responsibility to protect, support, and expand it in thoughtful, ethical ways.
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Earn CEUs with a community of peers. Join the ABA Speech Connection
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In this episode, I had the absolute pleasure of welcoming Dr. Kathleen Dyer, Dr. Anna Linnehan, and Dr. Mary Jane Weiss for a powerful conversation around their article Fostering Belonging in Autistic Individuals. This was actually the first time I’ve had three guests on the podcast at once, and it felt like the perfect conversation to mark that milestone.
We spent time unpacking the difference between inclusion and true belonging and why simply being “in the room” does not always mean someone feels connected or accepted. As behavior analysts and speech-language pathologists, we’ve made incredible progress with access, inclusion, and participation, but this conversation challenged us to take a deeper look at the quality of those experiences.
We talked about what happens when autistic individuals are included but don’t feel they belong, the emotional toll of masking and camouflaging, and the very real systemic barriers that still exist for autistic adults. I also loved hearing how this work grew from their experiences in higher education and from listening closely to autistic individuals and families who shared that they often had to create their own communities.
What really stood out to me was how much this conversation aligns with compassionate, individualized care. Belonging looks different for everyone, and if we’re not asking about it, observing it, and building it into our assessments and interventions, we’re missing something essential. This episode felt like an invitation for our field to stretch, reflect, and evolve, and I’m so grateful to these three leaders for helping start that dialogue.
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Mentioned In This Episode:
Earn CEUs with a community of peers. Join the ABA Speech Connection
Get the book Perspectives on Neurodiversity and Belonging
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In today’s episode, I sat down with Nafisa Obi to talk about what it really looks like to bring speech therapy, occupational therapy, and ABA together under one roof. Nafisa shared her journey from starting a small speech therapy practice to co-founding Essential Speech and ABA Therapy, which has grown into a nationwide franchise model focused on early intervention and true interdisciplinary collaboration.
We talked honestly about the realities of private practice ownership, the challenges of adding ABA to an existing SLP practice, and why understanding your “why” matters so much when you’re building services that impact families. Nafisa walked us through how her team recognized a gap in care, leaned into collaboration instead of competition, and built a model that prioritizes children, families, and ethical growth.
This conversation is especially powerful if you’re an SLP, OT, BCBA, or practice owner who feels the pull to do more for your clients but isn’t sure where to start. Nafisa’s story is a reminder that thoughtful, family-centered care and sustainable business practices can exist together, and that collaboration truly changes outcomes.
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Essential Speech and ABA Therapy
Nafisa Obi on LinkedIn
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I’m bringing back one of my mini episodes that continues to spark great conversations around verbal imitation. This reprise dives into how we think about echoics and verbal imitation in a way that is thoughtful, ethical, and grounded in collaboration. I share why this can be such a tricky area, especially when speech-language pathologists and BCBAs are working together, and why context always matters more than a checklist.
In this episode, I walk through how I approach verbal imitation on a team, why assessment and collaboration are essential, and how we can support learners without turning them off to verbal communication. This is a practical listen that encourages all of us to slow down, zoom out, and make sure our targets are truly functional for the child in front of us.
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Verbal Imitation Guide (Hack #19)
Join our ethics course
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In this reprise episode, I’m revisiting an important conversation with Dr. Michael Selbst and Dr. Jeniffer Cruz about Pathological Demand Avoidance, often called PDA. I began getting more questions about PDA as clinicians and parents shared concerns about students who weren’t responding to traditional strategies and seemed to escalate around even small or well-intended demands.
In this episode, we break down what PDA is and how it’s currently understood. While PDA is not a formal diagnosis in the United States, it’s often described internationally as a profile rooted in anxiety and a strong drive for control. Dr. Selbst and Dr. Cruz explain how both explicit demands, like being told to complete a task, and implied demands, such as routines or social expectations, can trigger a fight, flight, or freeze response.
We also explore why compliance-based systems and reward-driven approaches often don’t work for learners with this profile. Even positive strategies can increase anxiety when they rely on external control. Instead, this conversation focuses on shifting toward collaboration over compliance, building trust, and reducing power struggles so regulation can come first.
What I appreciate most is how practical this discussion is. We talk about language, tone, and small changes adults can make to better support regulation, communication, and independence.
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Dr. Selbst and Dr. Cruz have the authority to practice interjurisdictional telepsychology (APIT) from the PSYPACT commission, allowing them to provide telepsychology to clients in many states. To see if your state is included, please click on this link: https://psypact.site-ym.com/page/psypactmap
PDA Society
Behavior Therapy Associates
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Functional Communication Training can change everything when behavior is really communication and we take the time to listen.
In this reprise episode, I’m revisiting one of our most popular conversations of the year, all about Functional Communication Training and how to get started in a way that is practical, ethical, and truly supportive for students. I hear so many questions about what to do when students are struggling to express their needs and emotions and how to move beyond problem behavior into meaningful communication. This conversation with Dr. Bethjoy Houck gives you a clear, research-based way forward.
We walk through what Functional Communication Training actually is, why it is different from simple mand training, and why identifying the true function of behavior through assessment is essential before jumping into intervention. We also break down how to thoughtfully select functional communication responses so they are easy to prompt, meaningful to the learner, and sustainable across environments. Whether you are a speech-language pathologist, BCBA, RBT, or parent, this episode is filled with real-world examples that bring the research to life and help you apply FCT with confidence and compassion.
What’s Inside:
Mentioned In This Episode:
A Practitioner’s Guide for Selecting Functional Communication Responses
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Strength training and structured fitness can transform quality of life for autistic and neurodivergent individuals. Eric Chessen began developing meaningful fitness programs after realizing there was almost no guidance on how to safely and effectively support this population. His work focuses on bridging the gap between exercise science and positive behavior support so individuals of all ability levels can build strength, confidence, and long-term independence.
We discuss why traditional motivations for fitness (like aesthetics or sports performance) often don’t apply to neurodivergent athletes and how professionals can create programs that prioritize functional movement, daily living skills, and proactive behavior support. Eric explains why “stronger is safer,” how resistance training supports fall prevention and mobility, and why distinguishing structured exercise from loosely defined movement is essential. He also highlights collaboration opportunities with SLPs, OTs, BCBAs, and parents, sharing how fitness can be integrated into therapy sessions in consistent, scalable ways.
For clinicians, educators, and families wanting to bring structured, neuroaffirming fitness into their work, Eric offers Autism Fitness certifications worldwide, along with site-based programming and individualized athlete coaching. For more information, check out his website below.
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Autism Fitness Website
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“We can’t sleep for them, but we can support and set the stage for healthy sleep”. Guest Nicole Shallow, M.Ed., BCBA joins the show to talk about supporting sleep through a compassionate, neuroaffirming, science-based lens. Nicole works with families whose autistic children struggle with falling asleep, bedtime resistance, night waking, or inconsistent sleep schedules—helping parents understand where to begin when exhaustion and overwhelm have taken over.
We discuss what makes someone a good candidate for sleep coaching and how behavior analysts can look beyond behavior alone by considering factors like diet, medical needs, and overall wellness. Nicole walks us through how she supports families with clear start dates, meaningful data collection, and recommendations tailored to each child’s unique sleep profile.
Nicole also shares five core sleep support tips that families and clinicians can start using right away:
For BCBAs interested in becoming more confident in sleep support, Nicole offers a Sleep Certification Program every February and September. More information can be found at her website.
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Nicole Shallow., M.Ed., BCBA - LinkedIn
Your Behaviour Gal
Sleep Expert & Behavior Analyst - Nicole Shallow, M.Ed on Instagram
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Emily Kearney, BCBA, who has been working in the field since 1999, joins the show to dive into a topic we haven’t explored in depth before: matching as a skill. Though it may seem simple, matching is foundational for learners of all ages. This critical skill supports language, play, leisure, problem solving, and actions across the lifespan.
We discuss how matching isn’t always identical—it can be based on features, categories, or associations—and how it develops from early learning readiness into more complex skills for older learners. Emily highlights teaching strategies like multiple exemplar training and ensuring stimulus control by using the variety of cues learners encounter in real-world settings. For example, a “cup” can vary in material, size, color, shape, or function, but learning to recognize it in all its forms builds observation skills, problem-solving, and perseverance.
For older learners, we explore adding a language component, asking questions like “how do you know it’s a match?” to encourage reasoning and verbalization. Matching isn’t just a simple game; it's a prerequisite for broader communication, life, and learning.
For questions or mentorship opportunities, reach out to Emily at emily@kearneybehaviorconsulting.com.
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In this solo minisode, I’m diving into five of the questions I hear most often—covering selective mutism, collaboration, AAC, core words, and the path to dual certification. These are the topics that come up again and again in our field, and today I’m offering practical guidance, real examples, and links to deeper learning.
Don’t forget to check out ABA Speech for all of your CEU needs—link below!
What’s Inside:
Mentioned In This Episode:
Episode #068: Annie DiVello – Supporting Students With Selective Mutism
Episode #121: Core Vocabulary and Typical Language Development with Allison Bean and Bethany Frick Semmler
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Guest Meghan Edwards, a Board Certified Behavior Analyst (BCBA) and School-Based Behavior Specialist, joins the show to share her journey from providing in-home services to becoming a public school BCBA. With over a decade of experience, Meghan helps schools build proactive systems for behavior and staff support—bridging the gap between behavior analysis and the real-world classroom.
We talk about what it means to be a school-based BCBA, including the top three things to consider when transitioning to a school role. From navigating the noise and unpredictability of the school day to collaborating closely with teachers and administrators, Meghan emphasizes the importance of relationships and rapport in making an impact. She shares how her weekly newsletters, staff shoutouts, and open communication help her connect across teams.
Meghan also discusses how her Instagram community, @school_based_bcba, evolved into The Behavior Lounge, a mentorship hub for school-based BCBAs. Plus, she highlights her passion project, The Paraprofessional Training Manual, created to empower the staff members who support high-needs students but often receive the least training.
Be on the lookout for a CEU with Meghan coming to ABA Speech Connection in Fall 2026!
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Mentioned In This Episode:
School Based BCBA
Meghan Edwards BCBA Mentor and Behavior Support for Schools
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Guest Marie Martinez, a dual-certified SLP/BCBA, joins the show to share her passion for empowering parents and supporting communication in everyday moments. She’s the author of Path for Words: Five-Minute Language Learning Activities for Children Ages 1–3 Years, a book that helps families turn daily routines into powerful language opportunities.
Marie talks about identifying the small moments that matter most—because communication doesn’t just happen at the table with flashcards, it happens all day long. She also offers great advice for anyone passionate about their work (and maybe thinking about writing a book!): if you see a need, fill it. Her work helps parents feel less overwhelmed and more empowered to help their children thrive in their communication journey.
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Mentioned In This Episode:
Path For Words (@pathforwords) on Instagram
Marie Martinez on LinkedIn
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Leah and Dr. Shelly, both occupational therapists who have either earned or are working toward dual certification as BCBAs, join me to talk about the power and challenges of blending these two worlds. Believe it or not, there aren’t even statistics on how many dual-certified professionals are out there—but the impact of this crossover is clear. Their work centers on collaboration with families and other professionals, finding common ground between OT and ABA.
We talk about the funding and system barriers that can make integration tough, and how learning to understand each other’s “jargon” helps break those walls down. As Dr. Shelly says, OTs and BCBAs are often working toward the same goals—they just use different words. Sometimes, you have to “massage the message” so everyone can connect and understand.
Dr. Shelly also shares insight into the business and insurance side of implementation, while Leah highlights the importance of spreading the word about the tools ABA offers. Their message is simple: put the egos aside, keep listening, and stay open to learning from each other.
What’s Inside:
Mentioned In This Episode:
Is This My Child?: Sensory Integration Simplified
Circle Care Services
The Autism Roundtable Podcast - Circle Care Services
My BCBA Life Podcast - Circle Care Services
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Luba Patlakh, founder and director of Kidology, Inc., shares her journey of creating a thriving pediatric practice that offers speech, occupational, physical, and ABA therapy. Four years ago, she expanded her clinic to include ABA services, recognizing that behavior is the “glue” connecting all other disciplines and a crucial way to continue supporting clients as they age out of early intervention.
Luba walks us through the process of credentialing, applying, and setting up systems to accept insurance in her home state of Pennsylvania. She reflects on how she initially managed every aspect of the business herself before scaling to include an admin team and other essential roles. Through mentorship and a commitment to learning, she gained valuable insight into business metrics, leadership, and fiscal responsibility—key elements of running a sustainable practice.
Her advice for providers looking to expand into ABA? Never give up. Understand your state’s requirements, take your plan seriously, and learn before acting.
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Mentioned In This Episode:
About Us - Kidology Inc.
Luba Love (@kidologyqueen) on Instagram
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Lily Darnell and Sarah Varillas of Inner Circle Autism Network are using a telehealth behavioral parent training model to support families in a powerful new way. Their approach helps parents gain the tools and confidence to use ABA strategies at home—especially when traditional, clinic-based services may not be accessible.
For many families, clinic environments or long waitlists can create barriers to care. Inner Circle’s telehealth model offers a lifeline for those in transition, waiting for services, or needing support that fits into their family’s daily life. As Lily and Sarah share, parents already have so much on their plates, and telehealth can meet them where they are.
For clinicians interested in getting started, the RUBI Parent Training package is available online, complete with resources and worksheets. Lily and Sarah also offer practical advice: review state licensing requirements and payer guidelines for virtual care, plan meet-and-greets for new families, and structure a caseload that allows for flexibility and consistency.
Ultimately, many parents can benefit from a coach, confidant, and partner. Through this innovative telehealth model, ABA can reach beyond the clinic walls to truly support families in their everyday lives.
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Inner Circle Autism Network
Store - The RUBI Autism Network
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I’m so excited to celebrate 250 episodes of the podcast, and I couldn’t think of a better way than by sharing a little sneak peek into my own life. For this milestone, my 10-year-old son, Paxton—an aspiring podcaster himself—joins me to ask some fun questions about the show, my path to becoming an SLP, and a few behind-the-scenes facts you may not know.
To mark this celebration, I’m also sharing links to some of our most popular and meaningful episodes. And if you haven’t yet, come join us at ABA Speech Connection, where we keep the conversations going, unpack important topics in the ABA world, and offer CEUs designed to truly support your work.
What’s Inside:
Mentioned In This Episode:
Episode 1 Welcome to Autism Outreach
Episode 62 Autism Early Intervention and Joint Attention
Episode 44 How To Help Students with Apraxia of Speech with Dr. Edythe Strand Pt. 1
Episode 44 How To Help Students with Apraxia of Speech with Dr. Edythe Strand Pt. 2
Episode 45 Executive Functioning with Sara Ward
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“I can’t be the only one who feels this way.” That was the thought that led Kate Swenson to use her passion for writing to share her family’s journey. Kate is the founder of Finding Cooper’s Voice and the author of Finding Cooper’s Voice and Autism Out Loud. Her work highlights that autism is a family diagnosis, and she has made it her mission to connect the community, start conversations, and give families a voice.
Kate and I talk about the isolation many families feel after an autism diagnosis and how simple acts of presence and connection can make a difference. Sometimes autism makes it harder for families to leave the house and their world feels smaller—just being there, talking, and offering support can open doors again.
We also discuss the importance of creating opportunities for families to spend time together. For Kate’s family, that joy is found in boating—something they made accessible for her son and enjoyable for everyone. She encourages families to get comfortable hosting, bringing fun and community into their own homes when going out feels too difficult.
Through her writing, her membership communities on Facebook and YouTube, and the platform she has built with Finding Cooper’s Voice, Kate is helping families feel seen, supported, and less alone.
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Mentioned In This Episode:
Finding Cooper's Voice
Finding Cooper’s Voice - Facebook
Kate (@findingcoopersvoice) on Instagram
Kate Swenson | Substack
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Erin Stern, BCBA, Founder and President of STEPS Behavioral Health, shares how her clinic takes an integrative approach by combining ABA, Speech, OT, and PT to support early learners. With a strong focus on flexibility and tailoring every goal to the individual, Erin highlights the importance of thoughtful intake and assessment, working closely with families, preparing children for school, and weaving in everyday experiences and milestones.
Erin discusses the clinic’s Early Steps Program, which supports newly diagnosed learners through Kindergarten and beyond. With no “hard lines,” the focus is always on finding the right placement, environment, and balance of clinic- and home-based services. Erin explains how determining intervention hours involves multiple factors—age, behaviors, skill needs, family dynamics, and insurance—while maintaining flexibility to meet each learner’s individual needs.
Our conversation also highlights the value of providers immersing themselves in a learner’s AAC system, staying committed to professional growth, and never forgetting the power of play. As Erin reminds us, “Don’t forget to play,” because natural learning and connection thrive in those moments.
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Stepsbh.com
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Lindsay Watson, PT, CEO, and Co-Founder of Augment Therapy, is on a mission to blend augmented reality (AR) and virtual care to transform therapy. Augment Therapy offers interactive AR rehabilitation exercises and fun wellness games designed to encourage movement and improve outcomes at home and in person. With their ARWell PRO app, therapists can use the software during sessions and give patients free access at home, all while tracking progress through a customized, gamified platform.
While Augment Therapy is currently used primarily by OTs and PTs, Lindsay shares exciting plans to expand into speech therapy. We also discuss the benefits of telehealth when applied intentionally and how leveraging technology can enhance repetition, generalization, and engagement—turning a tool that’s often seen as a negative into a powerful ally for therapy success.
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Mentioned In This Episode:
Augment Therapy
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Thinking about becoming a Registered Behavior Technician (RBT)? There are now over 200,000 certified RBTs, and in this episode, I’m joined by Jackie Jung, an RBT currently pursuing a career in speech-language pathology. A Registered Behavior Technician is a paraprofessional who works directly with individuals receiving ABA services, implementing treatment plans under the supervision of a BCBA.
Jackie shares her journey into this role and walks us through the steps to becoming certified: completing a 40-hour training course, passing an exam, and demonstrating skills through a competency assessment—all of which may be covered or supported by your employer.
We also discuss the essential skills RBTs need, including play-based strategies and de-escalation techniques, and Jackie highlights the growing need for well-trained professionals in the field. Starting in 2026, RBTs will be required to complete CEUs every two years—a change we’re ready to support at ABA Speech Connection with high-quality continuing education.
#autism #speechtherapy
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Speech Join the aba speech connection, learn more about our RBT membership tier.
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What is Reciprocal Imitation Training (RIT), and how can it support social communication skills? In this episode, I’m joined by Dr. Jessica Osos, BCBA, to explore the definition and application of RIT—a naturalistic developmental behavioral intervention (NDBI) designed to teach learners to imitate spontaneously through ongoing, play-based social interaction. Unlike structured drills, RIT is child-led and play-focused, helping to build social skills that go far beyond imitation.
For many SLPs and BCBAs, this is a new approach. Dr. Osos explains how the back-and-forth of imitation highlights the value in what the child is doing and how strategies like Sports Casting (narrating the interaction) can enrich play. Expanding play might mean introducing more toys, exploring new play schemas, or creating deeper sequences.
Key factors for successful RIT involve simple language, emphasizing important words, being repetitive, and expanding language by copying and adding. Focusing on goals beyond imitation? RIT doesn’t have to be a “this or that” choice. This child-led expansive approach works with a variety of social communication, like joint attention and more!
#autism #speechtherapy
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Episode #146: Early Intervention and Project Impact with Anna Dvortcsak and Dr. Brook Ingersoll - ABA Speech
Speech Membership - ABA Speech
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Is this intervention going to make a client’s world bigger?
That’s the guiding question for today’s guest, Cindy Mrotek, BCBA and LBS, founder of a.c.e therapies—a center offering Speech, OT, and ABA services, along with options for adult learners. With three locations across Illinois, a.c.e therapies focuses on skills that truly matter across the lifespan.
In our conversation, Cindy shares why focusing on meaningful skills and goals is so important for increasing quality of life and “making the world bigger” for learners and their families. Without access to leisure skills and other essential life skills, a learner’s world can feel very small—and that impact extends to their loved ones too.
Cindy also highlights the unique benefits of a multidisciplinary clinic, where collaboration across disciplines creates a holistic approach to building a better life, rather than working on skills in isolation. As a clinician-owned center, she may not compete with private equity on pay or scale, but she offers something different: collaboration, flexibility, and an individualized, learner-centered model that supports both therapists and families.
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Mentioned In This Episode:
a.c.e. Therapies
a.c.e. therapies (@acetherapies_) on Instagram
Cindy Dougherty-Mrotek on LinkedIn
Speech Membership - ABA Speech
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Do you feel like most CEUs aren’t very beneficial? You’re not alone—60% of my audience across the field feels the same way.
That’s why I created The ABA Speech Connection CEU Membership—a program designed to foster collaboration, provide access to current research, and deliver engaging, practical CEUs that actually help you support your learners in communicating with the world.
ABA Speech Connection is both ASHA and ACE approved, with a strong focus on meaningful outcomes. Since launching, more than 500 professionals have joined. Each month, members can attend at least one live course (often more) and access our growing catalog of CEUs. Whether you’re an SLP, RBT, or BCBA, you’ll find everything you need to earn your continuing education in one place.
Membership is just $25 per month or $247 per year, with group pricing available as well.
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Speech Membership - ABA Speech
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Dr. Erin Michaud, SLP and BCBA-D with over 20 years of experience in communication development and ABA, joins the podcast to share the groundbreaking work of The Early Markers of Autism Project—a program changing the landscape of early autism identification and intervention.
This hands-on, in-person research and treatment study works with infants from both high-risk populations (siblings of children with autism, with a 20% recurrence rate) and low-risk populations. By tracking social interaction, shifting attention, joint attention, and social behaviors from infancy through age five, the project identifies and responds to early markers far earlier than the current AAP screening recommendation of 18 months.
The impact? Earlier diagnoses, earlier interventions, and fewer families waiting for services. Dr. Michaud shares how this project is creating validated assessment tools, expanding parent training, and building strong research to push for insurance coverage—bringing meaningful change for high-risk infants and their families.
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Mentioned In This Episode:
Talking First Words — Coming Soon
Early Markers of Autism Project | The New England Center for Children
7 Investigates: Autism Intervention - Boston News, Weather, Sports | WHDH 7News
NECC Infant Sibling Research Project 2023
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Cindy Watson, celebrating 30 years as an SLP and making her third appearance on the podcast, returns with BCBA Ashley Snavely to share how their clinic blends multidisciplinary and interdisciplinary care.
“We were missing something,” Cindy reflects. Already offering PT, OT, and Speech, their team recognized therapists needed tools to address challenging behaviors. Adding ABA was the evidence-based solution. In this episode, Cindy and Ashley discuss the early stages of collaboration—how large group trainings, comprehensive education, and the creation of the BILT (Behavior Intervention Leadership Team) empowered therapists to problem-solve before BCBAs step in. They also dive into AAC in a collaborative setting, emphasizing curiosity, data-driven decisions, and open communication as key to success.
Together, they show how a “we want to learn from you” mindset builds trust, resolves disagreements, and ultimately leads to what matters most—meaningful progress for every learner.
What’s Inside:
Mentioned In This Episode:
Episode #115: Early Intervention Speech Therapy Services – A Talk With Cindy Watson
Episode #191: Autism in Girls- A Conversation with Cindy and MC
Speech Membership - ABA Speech
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Ron Demuesy joins me to unpack the vital and often nuanced role of school-based BCBAs. Unlike outsourced consultants, in-house BCBAs provide consistent presence, accessibility, and a deeper connection with students and staff.
Ron shares key insights for success:
In addition to his school-based work, Ron serves as a lead consultant at FTF Consulting, teaching others to analyze and build skills for individuals with severe problem behaviors, while also contributing to research initiatives.
And don’t forget—our School-Based BCBA Startpack is there to help you hit the ground running, and we’d love for you to join us for a live Q&A with Ron on September 9th from 7 to 8 PM EST. You deserve to feel supported in the critical, transformative work you do every day.
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Mentioned In This Episode:
Purchase the School Based BCBA Starter Pack
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On today’s episode, I’m joined by Allyson Wharam, BCBA, instructional designer, and founder of Sidekick Learning. Allyson is the creator of one of the most comprehensive and thoughtfully designed 40-hour RBT courses I’ve come across. Her background in instructional design brings a fresh and interactive approach to RBT and BCBA training.
We talk about how the RBT certification has grown rapidly and why quality training is more important than ever. Allyson explains what goes into becoming an RBT and how her course supports new professionals with engaging, person-centered content. We also dive into how BCBAs can feel unprepared when stepping into supervisory roles and how her supervision curriculum fills that gap.
Whether you're a clinic owner, new BCBA, or someone supporting trainees, this conversation is full of helpful insight on training, supervision, and compassionate care.
Allyson also shares details on our upcoming collaboration. On August 19, I’ll be presenting a free live CEU course on joint attention through Sidekick Learning, and I’d love for you to join us.
What’s Inside:
Mentioned in this episode:
Sidekick Learning
Supervision Sidekick on Instagram
Allyson Wharam on LinkedIn
ABA Speech Connection
Free CEU on Joint Attention – August 19
RBT Training Use coupon code: ABASPEECH
Jennifer Houston joins me to share her journey from speech‑language pathologist (SLP) to dual‑credentialed SLP/Board Certified Behavior Analyst (BCBA)—a rare “unicorn” duo found in fewer than 500 professionals worldwide. After more than two decades of diverse SLP roles, Jennifer found herself increasingly drawn to addressing challenging behaviors across her caseload. Motivated by this evolving passion and a push from her boss, she pursued BCBA certification, blending her communication expertise with applied behavior analysis to better support her clients.
In our conversation, Jennifer tackles common misconceptions about both fields and describes her thoughtful approach to professional introductions. She emphasizes the importance of gently educating colleagues about the shared foundations of speech‑language pathology and behavior analysis, fostering collaboration rather than competition.
Jennifer is also an active member of ABA Speech Connection, our community that provides science‑backed resources on the latest developments in ABA. She explains how this network helps her stay current and deliver evidence‑based interventions. Highlighting that education doesn’t end at graduation, Jennifer contrasts what she loves about our live courses—robust chat interactions—with the flexibility of ABA Speech’s comprehensive course library, underscoring her belief in lifelong learning.
#autism #speechtherapy
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Speech Membership - ABA Speech
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We’ve made it to the final installment of my mini summer series!
In today’s episode, I’m asking an important question: Do you feel valued at work?
Feeling valued and building mutual trust are key ingredients for meaningful collaboration, which is essential in the work we do as providers.
I’m sharing practical, collaborative phrases you can use to build trust and strengthen your professional relationships. (You’ll also find a link to a free phrase bank—a helpful part of a larger freebie I offer!)
The truth is, we don’t get much formal training on how to collaborate—especially with colleagues from different backgrounds or disciplines. That’s something I’m passionate about changing through ABA Speech, so be sure to check us out!
You’ll learn phrases like
“How do you usually approach this? I want to make sure we’re aligned on our strategies.”
How we show up in the world and with each other matters. We don’t want to work in silos. We want synergy. Because when we collaborate well, we can transform not just the lives of the learners in front of us—but ripple outward beyond the therapy room.
What’s Inside:
Mentioned In This Episode:
ALP for AAC
SLP/BCBA collaborative phrases—Speech Therapy Hack #30
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Welcome to Part 3 of my mini-series answering your burning questions! Today, we're diving into the topic of verbal imitation.
When it comes to verbal imitation and echoic goals, context is everything. These goals must be functional and meaningful to the individual child in order to support communication development.
As an SLP collaborating with a BCBA, and vice versa, rely on assessment tools and an SLP's robust training in speech to identify and shape functional goals. It's crucial that we plan and program with intention—otherwise, we risk discouraging a child from verbalizing
The key? Collaborate early and often. Assess together. Plan together. Use resources like the Autism IEP Goal Bank (don’t miss the freebie!). Then, have the SLP on the team focus on those targeted words and move into collaboratively supporting generalization into the natural environment for a robust bank of words.
Looking ahead to 2026, we’re excited to explore communication disorders more deeply over at ABA Speech Connection. Stay tuned—because sometimes, you don’t know what you don’t know.
#autism #speechtherapy
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Verbal Imitation Guide (Hack #19)
Join our ethics course
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In this installment of minisodes, we tackle a common AAC challenge: what happens when professionals don’t agree? The BCBA recommends PECS, the SLP suggests a dynamic device… Now what? Welcome to the standard trial of non-collaborative chaos.
There are plenty of barriers to AAC collaboration, but also practical steps that can lead to smoother teamwork. The first is building familiarity. AAC can feel overwhelming, but taking time to learn the basics makes collaboration more effective.
One key reminder: the device belongs to the student. Everyone on the team should be working toward the same goal—supporting the individual’s communication needs across their lifespan.
Joint assessment can help, and tools like the free ALP AAC assessment offer a shared starting point. Another useful strategy is to assign a single person to program the device. This reduces confusion and ensures consistency.
Most importantly, collaboration keeps families from being caught in the middle. When professionals work together, outcomes improve—for everyone involved.
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Mentioned In This Episode:
ALP AAC Assessment
AAC course bundle
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Responding with “Where’s the research for that?” may be quick, but it can strain professional relationships. Today, we’re diving into a simple framework you can start using in your school or clinic—starting tomorrow!
So, how do we navigate disagreements when our training and backgrounds differ? The truth is—our way isn’t the only way.
Consider this quote from the article Maintaining Professional Relationships in an Interdisciplinary Setting: Strategies for Navigating Nonbehavioral Treatment Recommendations for Individuals with Autism:
“An interdisciplinary collaboration for individuals with ASD involves combining the strengths of multiple disciplines in order to maximize client outcomes.”
As we walk through the decision-making flowchart featured in the article, remember: keep an open mind, take time to understand the treatment in question, and always prioritize the client’s outcome and safety.
Stay tuned for more of my 10-minute episodes, where I answer the most commonly asked questions.
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Mentioned In This Episode:
Maintaining Professional Relationships in an Interdisciplinary Setting: Strategies for Navigating Nonbehavioral Treatment Recommendations for Individuals with Autism - PMC
Join Our Ethics Course!
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There may be two sides of the IEP table, but at the end of the day, we’re all on the same team — the learner’s.
I had the pleasure of chatting with Ryan Hogan, also known as @TheWorldsOkayestSchoolPsych, the creator behind the popular, lighthearted school psych meme account on Instagram.
We talked about the intersection of ABA, special education, and school-based work in the social media space. Ryan shared some great insights, especially the reminder that you control your own online space. Protect your peace: block people, delete comments. Thoughtful questions and concerns deserve a response; negativity for its own sake does not.
As both a school psychologist and an autism parent, Ryan brings a unique and deeply personal perspective to the IEP table. He knows firsthand what it feels like to be both the professional and the parent — and how overwhelming it can be. Sometimes, parents need not just data and research, but connection, empathy, and that parent-to-parent understanding.
It was a meaningful and insightful conversation — one that reminds us that compassion and collaboration go a long way (and so does a joke!).
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(@worldsokayestschoolpsych) on Instagram
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Leila Farschian, Special Educator and Board Certified Behavior Analyst (BCBA), is someone who gets things done. She has lived these problems in the field and is actively working to solve them. Her story offers practical insight and inspiration to you in your daily work.
As founder of the Global Schoolhouse Project, Leila partners with the International Healthcare Network on Closing the Digital Divide, a project bringing digital devices into schools in Johannesburg, South Africa. It’s not just about providing tech. She works directly with teachers and students to train them in effective use while identifying the barriers and gaps that limit access.
Through her BCBA work, Leila also developed a range of lessons, curriculum, and tools. To share these more broadly, she created ABA Toolbox, a per-learner platform that automates and scales her resources across clinics. It supports her own practice and others in the district, all with a multidisciplinary, child-centered approach.
Leila’s work is a reminder that real progress often starts with individuals who take action. Whether she’s expanding tech access in underserved schools or streamlining care with practical tools, the best businesses are started by those who understand the problems.
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Mentioned In This Episode:
ABA Toolbox
Global Schoolhouse Project
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I am talking all things biz with Mellanie Page, founder and CEO of The ABA Collective. Mellanie, a trailblazer in the field, creates high-quality programs that go beyond the traditional boundaries of ABA. Mellanie joins us to talk about entrepreneurship, finding your niche, and the value of starting before everything feels perfect.
If you’ve got that entrepreneurial spark, a voice nudging you toward something more —you’re in the right place. Mellanie shares how stepping into the gaps she saw in the field led her to build impactful offerings like CEUs, conferences, and the OBM Practitioners Program. This program offers a thoughtful blend of modules, mentorship, and community—a natural path for future business owners.
More and more clinicians are moving toward business ownership, and Mellanie’s story is a great reminder that there’s room for creativity and passion in this space. Her top advice? If the return is there, the investment is worth it. Think long-term. And most importantly, action creates clarity — you don’t have to have it all figured out to begin.
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Mellanie Page (@theabacollective) on Instagram
Mellanie Page | BCBA CEUs
Mellanie Page on LinkedIn
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For BCBA Maggie Haraburda, founder of Unfurling Littles, play is anything that sparks joy. Her approach to ABA therapy blends child-led play with ACT-integrated strategies, centering on the child’s motivation and individuality.
In our conversation, Maggie highlights the “Dos and Don’ts” of play therapy: join the child’s world before introducing new elements, build from what already brings them joy, and act as a play partner—not a director.
Her neurodiversity-affirming lens means recognizing all forms of communication, supporting autonomy, self-regulation, and self-advocacy, and honoring each child’s unique strengths.
Maggie doesn’t shy away from anti-ABA concerns. She acknowledges past harms and invites curiosity over defensiveness, aiming always to grow and improve her practice.
She also offers an ACE-approved CEU, Supporting Play the Neurodiversity Affirming Way. Expanding your playbook is important. Explore more CEUs at ABA Speech Connection to deepen your understanding of language milestones and child-led support.
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Unfurling Littles LLC
maggie.h@unfurlinglittles.com
Episode #146: Early Intervention and Project Impact with Anna Dvortcsak and Dr. Brook Ingersoll - ABA Speech
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As someone who goes to yoga a few times a week, I was intrigued at the possibility of integrating it into my therapy practice. Lindsay Watkins is a BCBA and Registered Yoga Teacher (RYT-200) with a passion for blending wellness and applied behavior analysis. Lindsay teaches continuing education (CEUs) to BCBAs on this topic on BehaviorLive (her next training is scheduled for June 2, 2025).
Here, Lindsay shares her journey from burning out as a special ed teacher to discovering yoga therapy and figuring out how to apply it to her own clients. We take a look at research studies that show the benefits of using yoga to modify behavior and discuss examples of the techniques in action.
Lindsay also shares how she advocates for this outside-the-box approach to therapy, the benefits of yoga across the lifespan, and tips to level up your own yoga practice.
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Mentioned In This Episode:Lindsay Watkins on Instagram
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Have you ever considered adding ABA services to your speech therapy practice? Today I had a chat with Quintina Briscoe, founder of Pediatric Speech Lab, who shares her inspiring journey to opening her own clinic. Quintina discusses how she recognized a gap in services for children with autism and the importance of integrating ABA into speech therapy to better support her clients.
She reflects on the behavioral challenges many SLPs face and how inclusive, multidisciplinary therapy can make a lasting difference. Quintina also highlights the range of services her clinic offers—from in-clinic and teletherapy sessions to placing facilitators in Baltimore City schools.
We also dive into her empowering company culture, rooted in inclusivity, autonomy, transparency, and respect—and how she weaves these values into every layer of her business and team meetings.
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Quintina Briscoe M.S. CCC-SLP (@quintinabriscoeslp) on Instagram
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Lauren Ross is a proud member of a rare group—one of fewer than 500 professionals dually certified as both a Speech-Language Pathologist (SLP) and Board Certified Behavior Analyst (BCBA). In 2022, she founded Precision Therapy, a Medicaid-funded therapeutic consultation service designed to deliver impactful, client-centered care.
Her innovative model blends naturalistic developmental behavioral interventions (NDBIs) with hands-on caregiver training to support meaningful, individualized goals. What sets Lauren apart is her commitment to serving individuals beyond the “services cliff,” working with clients across the lifespan—including adults well into their 80s!
Through a thoughtful combination of Acceptance and Commitment Therapy (ACT), collaboration, and ongoing data-driven planning, Lauren and her team create customized support plans that fit both the client’s goals and the caregiver’s capacity.
At the heart of her work is the belief that true progress lies in generalization—the ability to apply learned skills in real-life settings. By using naturalistic interventions embedded in daily routines, Lauren helps adults not just build skills but live them.
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Precision Therapy PLLC
Precision Therapy PLLC (@precisiontherapyva) on Instagram
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Tracey Hawkins became part of the autism community in 2018 when both of her sons were diagnosed with autism—just seven months apart.
When it comes to autism, structure and routine are so important. But as a mother, Tracey couldn't find the right technology to support her family's needs. She knew she couldn’t change the diagnosis, but she could improve the support system around it.
So, she created the Thrive App—a tool designed to organize the chaos and connect parents with providers. In her own home, Tracey uses the app in multiple ways: to give her older son a clear after-school schedule and to enable real-time communication with her younger son’s care team through the chat feature.
This isn't just another calendar planning app. Thrive was built through a neurodivergent lens, offering clear directions, visuals, and resources for emotional regulation throughout the day. It’s designed to create a smoother path toward independence.
The Thrive App offers a 7-day free trial, with subscription options of $7.99/month or $49.99/year. It’s a valuable tool for families of all kinds—supporting kids of all ages and needs as they learn structure, routine, and self-sufficiency.
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Thriving on the Spectrum
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Stephanie Howard, a BCBA and mother, faced a turning point when her son was diagnosed with ADHD at age five. She realized the same executive functioning tools she used professionally could support both her parenting and her son's development.
Executive functioning—skills like planning, impulse control, and focus—is often disrupted in ADHD, autism, and trauma. It’s more than behavior; it’s about how the brain organizes and responds to the world.
Stephanie shares, for listeners, the Executive Functioning Skill Questionnaire and other free resources that have helped her understand and support her son’s needs. These tools are designed to guide both parents and professionals in identifying strengths and areas for growth.
She also shares some of the specific goals she’s set at home, showing how executive functioning skills can be built through everyday routines. Programs like the Flexible and Focused Program and ROPES help break down executive dysfunction into manageable steps.
To generalize these skills, Stephanie offers practical tips: use timers and task lists, give clear warnings before transitions, and turn tasks into games to hold attention. She highlights the power of caregiver education, understanding the difference between antecedents and consequences, and working with a team.
For Stephanie, it’s not just about managing behavior—it’s about supporting the brain.
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25 Executive Skills Questionnaire — Peg Dawson & Richard Guare Step I: Read each item below and then rate that item based
Executive Skills Questionnaire – Revised (ESQ-R) – NovoPsych
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Bombarding parents or colleagues with information can shut down meaningful dialogue. Instead, Dr. Monica Gilbert shares how we can use Motivational Interviewing (MI) to foster collaboration and encourage change through using the core principles—OARS + I:
Using motivational interviewing keeps conversations about change productive, builds trust, and supports meaningful discussions across all professional dialogue with parents and colleagues.
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Dr. Monica Gilbert
Motivational Interviewing Academy
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At the ASHA conference in Seattle, I had the opportunity to meet Gabriella Cameron and Jennifer Kent, who presented on their Theme-Based Collaborative Groups within the Endeavour Program at Ivymount, a nonpublic, publicly funded special education environment serving students aged 5–21.
Gabriella and Jen’s theme-based groups are embedded within Endeavour, offering structured but flexible learning experiences tailored to each student. Any student who can tolerate working in a group is a candidate, as the focus is on skill exposure rather than mastery, creating opportunities for participation at varying levels.
Each group consists of 5–6 students, each supported by a 1:1 aide, alongside a specialist (SLP, OT, PT) and a group leader. The framework includes:
Looking ahead, Gabriella and Jen are exploring ways to measure skill acquisition, enhance motivation, incorporate high-tech AAC, and share their resources more broadly—paving the way for more inclusive and meaningful learning experiences.
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JD Barker, New York Times bestselling author, was diagnosed with autism at 22—a late discovery that brought long-overdue clarity to challenges he’d faced since childhood. Early in his career, a stint in anger management led a counselor to suggest autism, prompting JD to begin therapy. There, he worked on basics like making eye contact and organizing his thoughts—skills that helped him better navigate both personal life and the demands of his writing career.
He began as a ghostwriter and book doctor, eventually becoming a bestselling author in his own right. JD credits autism for giving him a unique mental edge—he can juggle eight books at once, all meticulously organized in his head. While public speaking remains a challenge—he once went two years without speaking to anyone—he now co-hosts Writers Inc., a podcast where he interviews fellow authors about their creative journeys.
As a therapist who works to make learners successful across the lifespan, it’s interesting and encouraging to hear from autistic adults. You can find more about JD at his website or follow him @JDBarker on all social media.
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Mentioned In This Episode:J.D. Barker
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Dr. Matt Zakreski, PsyD, joins me to explore neurodiversity—a term often used, but not always fully understood. Neurodivergent individuals, including those with autism, ADHD, dyslexia, bipolar disorder, and more, experience measurable differences in how their brains function. It’s not about won’t, but can’t—and that distinction matters.
In classrooms, teachers frequently encounter neurodiverse learners, yet most lack proper training to support their unique needs. Dr. Matt addresses this gap through his conference talks, educator training, and his book, The Neurodiversity Playbook.
Expecting neurodivergent students to thrive without tailored support is like asking a child to ride a bike without training wheels or a helmet. Their brains aren’t wired to naturally absorb social and emotional skills in the same way neurotypical peers do. But research shows that with intentional, structured support, these learners become more social, adaptable, and engaged.
This creates a powerful cycle: when students do better, they feel better—and when they feel better, they do even better.
Dr. Matt offers practical resources for neurodivergent individuals and those who support them, aiming to foster environments where every learner can succeed.
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Dr Matt Zakreski
Dr. Matt Zakreski on Facebook
Matthew Zakreski on LinkedIn
Dr. Matt Zakreski (@drmattzakreski) on Instagram
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As professionals, we inevitably face contentious subjects across the field. Today I am sharing a recent example of disagreement met with collaboration. In this case, an SLP determined that a Gestalt Language Processor (GLP) was not yet in the Natural Language Acquisition stage to answer questions. Meanwhile, the BCBA set a goal for the learner to respond to Personal Safety Questions. The team ultimately collaborated to prioritize safety-related questions as a goal important for this specific learner. This case highlights an essential responsibility: ethical collaboration to support the best possible outcomes for our learners.
I also encourage you to check out the Systematic Review on Gestalt Language Processing published in December 2024. The review summary concluded that there is currently insufficient empirical evidence to support GLP as an effective intervention. As providers, it’s our duty to evaluate emerging practices while ensuring our approaches remain evidence-based.
At ABA Speech, our mission is to equip professionals with the tools they need to help autistic learners communicate with the world. We do this one CEU at a time. If you haven’t taken our ethics course, “Navigating Conflict Ethically,” which focuses on AAC, Verbal Imitation, and Gestalt Language Processing, consider exploring it through the ABA Speech Connection Membership.
By fostering collaboration, prioritizing ethics, and staying informed, we can create meaningful communication opportunities for every learner.
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Take the ethics course by joining the ABA Speech Connection
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Are the learners in your class or therapy room engaging in behaviors that create barriers to learning? What can you do?
Bailey Payne, author of Behavior Breakthrough: 12 Skills to Transform Behavior at Home and in the Classroom, offers data-driven, evidence-based strategies to help parents and educators reshape their responses, modify environments, and create lasting change. Her book makes Applied Behavior Analysis (ABA) concepts accessible, empowering caregivers and teachers to foster a more peaceful learning space.
Where to start?
Bailey emphasizes teaching essential skills using a clear framework: Why is it important? What is it? How does it look in practice? Today, we explore descriptive praise—a powerful tool for guiding children toward positive behaviors. Unlike general praise, descriptive praise explicitly recounts a child’s actions, showing them how to access attention appropriately without resorting to behaviors that produce a barrier to learning.
With teachers already overwhelmed, strategies like descriptive praise offer a simple yet proactive way to remove learning barriers. By intentionally reinforcing desired behaviors, educators can create a more structured, supportive environment—one where every child has the opportunity to succeed.
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Mentioned In This Episode:
Behavior Breakthrough: 12 Skills to Transform Behavior at Home and in the Classroom
Bailey Payne
Behavior Breakthrough with Bailey Payne (@behavior_breakthrough) on Instagram
BehaviorBreakthrough (@behaviorbreakthro) on TikTok
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I’m talking with Jessica DeMarco about outside-of-the-box thinking to promote and teach social skills while enriching students’ lives. Project Social Code is a unique program that uses block coding to help children develop teamwork, problem-solving, and communication skills while exploring STEM. Funded by a $2.5 million, five-year grant, it ensures that kids of all abilities, including those with disabilities who are often excluded from traditional STEM programs, have the opportunity to engage, learn, and grow.
Block coding provides a visual, user-friendly way for students to collaborate, think critically, and express creativity. Through structured lesson plans designed for every skill level, students practice parallel play, teamwork, and problem-solving while building confidence in a fun and supportive environment. Teachers receive free resources, professional development, and in-class demos to integrate coding into their classrooms effortlessly.
At the heart of the program is DASH, a special robot (there’s a virtual version too) that students bring to life through their own coding. DASH moves, makes sounds, and responds to their commands, making coding an interactive, hands-on experience that reinforces both technical and social skills.
Project Social Code is more than just a STEM program—it’s an opportunity for every child to develop essential life skills, build new interests, and be part of an inclusive learning experience. And best of all, it’s free. Learn more and access resources at Project Social Code’s website.
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Dr. Michael C. Selbst and Dr. Jennifer Cruz from Behavior Therapy Associates joined me to explore Pathological Demand Avoidance (PDA), a subtype of autism spectrum characteristics marked by an anxiety-based drive for control. PDA triggers a fight, flight, or freeze response to both explicit and implied demands, making traditional interventions ineffective. Individuals with PDA often have highly sensitive nervous systems and struggle with the removal of control, leading to heightened anxiety.
While there are no evidence-based strategies yet, emerging approaches emphasize collaboration over compliance. Rather than coercion, effective support comes from building trusting relationships, presenting expectations in a meaningful way, and embedding socio-emotional learning opportunities. The focus is not just on moving away from discomfort but helping individuals experience it with compassion and cooperation. As caregivers and clinicians, we must lend our calm, practice emotional intelligence, and reflect on how we show up in these interactions.
Although research in the U.S. is still developing, Dr. Selbst and Dr. Cruz recommend the UK-based PDA Society as a valuable resource for further information.
#autism #speechtherapy
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Dr. Selbst and Dr. Cruz have the authority to practice interjurisdictional telepsychology (APIT) from the PSYPACT commission, allowing her to provide telepsychology to clients in many states. To see if your state is included, please click on this link: https://psypact.site-ym.com/page/psypactmap
PDA Society
Behavior Therapy Associates
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Are you supporting students struggling with reading? Marty Schultz introduces an incredible learning resource, Buddy Books, which provides access to over a million books to help students build confidence and improve literacy.
Designed for students in lower socio-economic districts and those with learning differences like ADHD, autism, or selective mutism, Buddy Books offers a structured yet engaging way to develop reading skills. A student reads a line, then the AI reads a line, creating an interactive and supportive experience. With books tailored to student interests, this approach keeps learners engaged while AI software analyzes challenges and tracks progress.
Schools and providers have seen amazing results, particularly in second grade and beyond, as students gain confidence and fluency. There is also a home version too! Marty Schultz shares inspiring stories of Buddy Books at work, showing how struggling readers make measurable progress. The ultimate goal? That learners no longer need Buddy Books—because they’ve become independent, enthusiastic readers.
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ObjectiveEd
info@objectiveed.com
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At the Marcus Autism Center, Dr. Kathleen Edmier, BCBA, and Karen Guerra, SLP, work together to bridge the gap between their fields, demonstrating the power of collaboration in supporting individuals with autism. Their work showcases how speech-language pathologists (SLPs) and board-certified behavior analysts (BCBAs) can align their approaches to maximize positive outcomes.
For professionals looking to collaborate, the key lies in relationship building and mutual respect. Shifting from a multidisciplinary to an interdisciplinary model allows for deeper integration of tools and strategies, creating a unified approach to intervention. This partnership also enhances the generalization of procedures and plans, ensuring that individuals and their families receive cohesive and effective support.
One of the most impactful areas of collaboration is in addressing complex topics such as verbal imitation and augmentative and alternative communication (AAC). Despite differences in terminology, both disciplines focus on developing essential social skills. Open dialogue between professionals helps them recognize shared goals and complementary strategies, fostering a more effective and comprehensive support system.
For SLPs and BCBAs, embracing collaboration means building a synergistic approach that enhances family support. Prioritizing understanding, flexibility, and mutual respect creates a stronger network of care. By adopting the mindset of "having grace for one another," professionals can work together to drive meaningful progress and improve outcomes for those they serve.
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Dr. Givona Sandiford is a friend, colleague, and speech-language pathologist with nearly 20 years of experience and a passion for innovation. As the founder of Melospeech, Dr. Givona is transforming the field by introducing technology-driven tools that help SLPs streamline their workflows, increase efficiency, and even boost their income. Her forward-thinking approach has made her a trailblazer, inspiring professionals to embrace new ways of working while maintaining balance in their lives.
On the day of this recording, Melospeech released their latest innovation, The Communication Milestone Screening Protocol: Birth to Five (CMSP:B-5). A tech program designed for SLPs and early intervention professionals, this tool simplifies the process of screening communication milestones for children, producing a detailed report in under 10 minutes. It’s a game-changer for those looking to maximize their impact, offering timely support to more children while saving valuable time. Dr. Givona explains how tools like this don’t replace the work of SLPs but act as powerful assistants, allowing professionals to focus on what matters most—providing care.
Throughout the conversation, Dr. Givona reminds us that working harder and longer is not a badge of honor. Instead, the true goal behind her work is to achieve meaningful results while enjoying a balanced life filled with time for family and loved ones. Whether you are highly invested in the latest tech innovations or you haven't even tried public access AI like ChatGPT, you have to hear this chat with Dr. Givona and learn how technology can enhance your practice and bring your work-life balance to the next level!
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Melospeech
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DeTerrence Allen, a dedicated behavior scientist, comes from a family of Board-Certified Behavior Analysts, including his wife. His passion for ABA is rooted in a heartwarming “love story” for the field. A dynamic speaker, DeTerrence recently delivered an inspiring talk on soft skills at the Black Men of Behavior Analysis Conference.
So, what are soft skills? DeTerrence highlights critical communication skills rooted in kindness and respect, understanding the function behind your words, and ensuring you’ve built rapport with those you engage with. Soft skills are essential for effective collaboration and creating meaningful change.
Passing the BCBA exam is just the beginning. DeTerrence emphasizes the importance of continuing to learn and refine your approach. For new BCBAs, he advises seeking out supportive supervisors and mentors, building a professional network, and having regular discussions with colleagues. ABA also needs to be thoughtfully defined across different contexts, as its application varies.
To connect with DeTerrence Allen and learn more about soft skills and professional growth in ABA, visit his LinkedIn profile. He’s passionate about supporting clinicians in their development and helping them thrive in the field.
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DeTerrence Allen on LinkedIn
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Welcome to the ABA Speech Podcast. We will continue discussing autism and broadening our scope with important topics in the field. I’m joined by Dr. Matthew Brodhead, whose career has been shaped by a passion for understanding human behavior and how we can influence it. His article, Maintaining Professional Relationships in an Interdisciplinary Setting: Strategies for Navigating Nonbehavioral Treatment Recommendations for Individuals with Autism, written 10 years ago, has greatly influenced my work and focus on collaboration.
Today we discuss restraint and seclusion in addressing dangerous and challenging behavior. Restraint involves physically restraining an individual’s body, while seclusion involves isolating an individual in a room alone. Both strategies are intended to prevent individuals from harming themselves or others, and it is important to equip teachers and providers with helpful and safe strategies for handling these situations.
However, in the educational system, there is often drift and infidelity in the use of these practices, as well as a lack of oversight and proper training. Increasing accountability in school districts and improving tracking and training for restraint and seclusion is essential. If you witness dangerous, unsafe, or unethical use of these practices, it is critical to take action, including contacting the police.
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mattbrodhead.com
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Functional Communication Training (FCT) is a proven strategy to replace problem behaviors with effective communication skills. In her article, Practitioners Guide for Selecting Functional Communication Responses, published in Behavior Analysis in Practice, Dr. Bethjoy Houck offers practical advice to help clinicians implement FCT successfully.
FCT focuses on giving learners a way to express their needs that works for them, whether through speech, sign language, cue cards, object exchanges, or even video clips. Dr. Houck shares creative examples that encourage thinking beyond traditional methods to meet each learner’s unique needs.
She stresses the importance of starting with assessments like Ringdahl's MTA or Valentino et al. to identify the best Functional Communication Responses (FCRs) for the individual. Practitioners should select FCRs that reinforce desired behaviors or are incompatible with the problem behavior. FCRs should be taken seriously and not unnecessarily restricted, as maintaining open and accessible communication is key to the success of FCT.
Dr. Houck emphasizes that FCT is about meeting learners where they are and giving them tools to express themselves in ways that make sense for their abilities. Whether verbal or nonverbal, communication is an essential skill, and FCT helps individuals share their needs while fostering meaningful growth.
#autism #speechtherapy
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Getting an autism evaluation for a child can be a daunting process, fraught with long waitlists, high out-of-pocket costs, and navigating complicated systems. Every moment matters when it comes to early intervention, and Dr. Michael Perisa of Zest Pediatrics is working to simplify the journey for families.
Zest Pediatrics, the first pediatric direct primary care network in the country, offers a membership-based model that removes many of the headaches families face with traditional primary care. By operating outside of insurance restrictions, Zest Pediatrics delivers care in a way that prioritizes what children truly need, without delays or limitations.
Dr. Perisa and his team across Zest Pediatrics are uniquely equipped to provide timely autism evaluations. With specialized training and the flexibility to focus on individual patients, they can intervene quickly to ensure children are seen and supported. An autism evaluation at Zest Pediatrics includes a comprehensive history intake, a behavioral assessment, and a standardized questionnaire, all analyzed to determine a diagnosis or not.
Because Zest Pediatrics doesn’t bill insurance, they offer evaluations at a flat rate of $1,250 and are actively collaborating with communities and therapy centers to help reduce financial burdens for families. If you have concerns about your child and need a faster path to evaluation, visit zestpeds.com/autism to learn more.
Speaking with Dr. Michael Perisa highlighted the importance of making care more accessible for children and families navigating autism concerns. Early intervention is critical, and Zest Pediatrics is paving the way for better, more efficient solutions.
#autism #speechtherapy
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Zest Pediatric Network
Autism - Zest Pediatric Network
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Enjoy this replay of this favorite two-part episode!
In part one of my interview with Dr. Edythe Strand. A renowned speech pathologist and former professor at Mayo College, Dr. Strand has led groundbreaking research on developmental, acquired, and progressive apraxia of speech.
Dr. Strand explains that apraxia is not a medical diagnosis but a label for a speech-sound disorder impacting the movements required to produce speech. Unlike other speech disorders, apraxia affects programming and planning movements, leading to awkward transitions, distorted sounds, and inconsistency. Therapy focuses on movement, not just sound production. Using Dynamic Temporal and Tactile Cueing (DTTC), clinicians emphasize the physical gestures that create sounds rather than isolated phonemes.
Dynamic assessments are crucial for evaluating Apraxia. Dr. Strand’s own Dynamic Evaluation of Motor-Speech Skill (DEMS) provides insight into a child’s preferred cueing and severity of their disorder. This method contrasts with traditional static assessments, which rely on single responses to stimuli.
In part two of this interview, Dr. Strand delves deeper into DTTC, a treatment she developed for children with severe apraxia. Unlike typical therapies, DTTC involves a hierarchy of cues to teach motor speech skills. Dr. Strand highlights the importance of functional, fundamental words in therapy for children with severe Apraxia, particularly those with autism.
Dr. Strand’s passion for helping children communicate shines through her work, blending research and practice to improve lives. Don’t miss the valuable resources she shares in this episode and the links to her groundbreaking research!
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Child Apraxia Treatment
Apraxia-kids: Home
Videos for Parents and Clinicians:Overview of possible causes and types of problems in speech development
Definitions and Descriptions of Childhood Apraxia of Speech (CAS)
Examples of different levels of severity in Childhood Apraxia of Speech (CAS)
Differentiating Childhood Apraxia of Speech (CAS) from other types of speech sound disorders
Diagnosis of Childhood Apraxia of Speech (CAS)
Treatment of Childhood Apraxia of Speech (CAS)
How parents can help their child with Childhood Apraxia of Speech (CAS)
Childhood Apraxia of Speech (CAS): Other resources
Childhood Apraxia of Speech: Information for Parents
Childhood Apraxia of Speech -- by Dr. Edythe Strand, Ph.d. View video FOR FREE and receive ASHA CEUs!
Enjoy this replay of one of my favorite episodes! Executive functioning skills are essential for all ages, and in this episode, we dive into this critical topic with Sara Ward, an SLP specializing in executive functioning. Sara brings a unique perspective, sharing practical strategies for assessment and intervention that can transform how we support students.
Sara simplifies executive functioning for young children as “sequencing” and explains how it evolves into planning across growing windows of time and space for teens and adults. A neurotypical brain visualizes where it needs to be in the future to plan and act. However, parents and professionals often become a “prosthetic frontal lobe” by overprompting. Sara emphasizes the importance of teaching students to visualize and take ownership of their tasks.
One standout strategy Sara shares is using gestures to support task planning. When children physically act out steps with their hands, the connected language often follows, helping them internalize the process of execution.
For assessment, Sara suggests tools like the Barkley Deficits in Executive Functioning Scale, which distinguishes attention issues from executive skill deficits, and the Clinical Executive Function Inventory (CEFI) for behavior insights. She also advocates for viewing speech and language assessments through an executive functioning lens.
This episode is packed with actionable strategies and tools that I’m excited to bring to my therapy sessions and IEP meetings. I hope you find these insights as inspiring and practical as I did!
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Cognitive Connections: Executive Function
Attending ASHA 2024, the largest conference for speech-language pathologists (SLPs), was an incredible experience for networking and professional growth. As the national association for speech therapy, ASHA’s annual event is a hub for innovation, collaboration, and learning.
I kicked off the conference by attending an insightful talk by the Speech Production Lab on speech motor chaining, setting a high bar for the days ahead. Later, the reception for CEU providers offered a fun and engaging opportunity to connect with peers and discuss the field's nuances.
Day two was packed with impactful sessions, covering topics like MTSS, group therapy for complex learners, and a critical appraisal of gestalt language processing—a particularly hot topic. I also relished conversations with other SLPs, dually certified SLP/BCBAs, former podcast guests, and ABA Speech members.
While some discussions highlighted tensions around controversial issues, this only strengthened my commitment to fostering kind and cohesive collaboration. The work we do as therapists and providers is vital, and this event reinforced how meaningful and inspiring our shared mission is.
What’s Inside:
Mentioned In This Episode:
Join the ABA SPEECH Connection - Professionals
Join the ABA SPEECH Connection - Parents
Rose Griffin (@abaspeechbyrose) on Instagram
Rob Harvey specializes in cooperative, fun social skills groups, using creative strategies to teach social language in ways that truly resonate. Today, we explore the transformative power of thinking outside the box when it comes to social skills development.
Rob’s innovative approach integrates therapy with theater and tabletop role-playing games like Dungeons & Dragons. Starting with theater, learners practice social skills by engaging with scripts during rehearsals and performing in front of an audience. This structured setting provides a safe space for learners to build confidence, interact, and refine their social abilities.
Seeking opportunities to promote improvisational skills, Rob turned to one of his passions: tabletop role-playing games. These activities go beyond scripts, encouraging learners to dive into spontaneous social interactions. They don’t just foster interest and motivation—they offer real-life experiences, helping learners develop initiation skills, express emotion, and create lasting connections that extend beyond the group.
"Lead with joy" is a message Rob passionately shares, and it’s his top tip for launching bold, innovative therapy ideas. Find someone who shares your excitement, and imagine the possibilities that emerge when you embrace silliness! Breaking that barrier opens the door to incredible engagement and connection.
What’s Inside:
Mentioned In This Episode:
Rob Harvey (@therapeuticdungeonmaster) - Instagram
Join the ABA SPEECH Connection - Professionals
Join the ABA SPEECH Connection - Parents
Rose Griffin (@abaspeechbyrose) on Instagram
Dr. Amanda Cash highlights the unique challenges and opportunities of transitioning from school to adult services. In adult settings, the fast-paced, skill-driven structure of school is replaced by a slower, more flexible approach focused on long-term growth. Without the looming deadline of graduation, the emphasis shifts to safety, happiness, and meaningful, lifespan-focused skill-building. Human rights and personal preferences become central, with care providers ensuring that all practices align with ethical standards and individual interests.
Self-advocacy is a cornerstone of this transition. Dr. Cash emphasizes the importance of teaching these skills early, such as how to request needs, make choices, and exit situations when necessary. These abilities empower individuals to navigate adult environments with confidence and independence, fostering greater self-determination and engagement in their lives.
To prepare effectively, schools should focus on rigorous skill development and provide opportunities for community and workplace experiences. Backward goal-setting, working from long-term objectives backward to current needs, ensures students are equipped for the demands of adulthood. Through thoughtful preparation and early advocacy, individuals can move into adult settings ready to thrive.
What’s Inside:
Mentioned In This Episode:
Join the ABA SPEECH Connection - Professionals
Join the ABA SPEECH Connection - Parents
Rose Griffin (@abaspeechbyrose) on Instagram
Rob Gorski, widely known as The Autism Dad, started his blog over a decade ago as a private space to document his family’s journey with autism. Today, it’s evolved into a business, podcast, and vital resource for autism families. Through his work, Rob shares insights on communicating about autism, helping families understand their children, and breaking down stigma.
Discussing autism with kids—whether autistic or not—requires sensitivity and simplicity. Autistic brains are wired differently, and kids don’t need complicated explanations. Small, clear insights can help them understand their differences without feeling isolated. Rob emphasizes that openness empowers autistic kids and avoids the distrust that can stem from hiding autism as a “taboo” topic. Every child is unique, and there’s no single right approach to this conversation.
To foster understanding, Rob suggests choosing a neutral, calm environment where children feel safe, sharing small pieces of information over time rather than a single, in-depth talk. Parents know their kids best, and trusting their instincts is essential. Mistakes are part of the journey—what truly matters is a willingness to adapt, grow, and create a supportive space for their children.
What’s Inside:
Mentioned In This Episode:Visit The Autism Dad
Join the ABA SPEECH Connection - Professionals
Join the ABA SPEECH Connection - Parents
Rose Griffin (@abaspeechbyrose) on Instagram
Today, we're diving into empowering parents and the magic of early intervention through teletherapy with Glory Lichon, founder of Glow Bright Therapy. Glory’s journey started in school-based therapy, but like many SLPs, she faced burnout. That experience led her to create a teletherapy practice focused on early intervention, where parent involvement takes center stage.
Without the barrier of school-based settings, early intervention teletherapy actively involves parents, guiding them through strategies they can use in daily routines and their child’s natural environment. From evaluations to progress checks, families and therapists work together on a HIPAA-compliant Zoom platform, making it simple and secure. Each session kicks off by understanding the family’s recent experiences and observing the child in their environment, looking for natural opportunities to support communication and learning.
Glory’s approach is all about letting the child lead—she believes communication isn’t just about talking and prompting. She follows the “Observe, Wait, Listen” strategy, which allows kids to explore at their own pace, focusing on authentic engagement rather than prompting. She also shares practical, easy tips parents can try at home, like using bath time to practice verbal routines (“wash, wash, wash your hair...”) or learning body parts during soaping up.
Check out Glow Bright Therapy on Instagram or visit their website to learn more!
What’s Inside:
Mentioned In This Episode:
Glow Bright Therapy
glowbrighttherapy (@glowbright_therapy) on Instagram
Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
I connected with my guest Wall Street Journal and USA Today best-selling author, Dr. Paul Gavoni, on LinkedIn. His work focuses on creating positive and safe cultures by driving meaningful behavior change. He explains that learner behavior often reflects the actions of adults in their environment, a key idea in Organizational Behavior Management (OBM), an application of the science of ABA.
Dr. Gavoni describes OBM as "zooming out" to look at how adult behavior impacts learners. He shares a story of working with a community school, where implementing OBM strategies for the adults created momentum and encouragement while keeping the effort low and the outcomes valuable.
In our conversation, he also talked about the inspiration behind his 10 books, including Quick Wins and Positional Authority Ain’t Leadership, where he breaks down practical behavior management and leadership strategies that drive real change.
We wrapped up with his thoughts on becoming a keynote speaker and getting involved in conferences. His advice? Anyone can do it—it’s JUST behavior.
What’s Inside:
Mentioned In This Episode:
Translating the covenant: The behavior analyst as ambassador and translator - PMC
Paul "Paulie" Gavoni on Linqapp
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Rose Griffin (@abaspeechbyrose) on Instagram
Today I am joined by Eileen Lamb, founder of the Autism Cafe. I recently shared a video of Eileen’s son, Charlie, that really struck a chord with my audience. It showed how his use of AAC (Augmentative and Alternative Communication) had progressed over time, offering a message of hope for others in similar situations.
Eileen talks openly about how tough it can be to share your family’s journey online. Her story started when Charlie began showing signs of autism at 18 months. What began as updates on her personal Facebook for friends and family soon grew into the platform she has today, with a large following across social media.
Among her involvement in the field, Eileen is also an author. Her first book, All Across the Spectrum, is an autobiography that explores her experience being diagnosed with autism after her son. It highlights the differences in severity and what it’s like to parent a child on the spectrum while being on the spectrum herself. Her second book, Be the One, is a collection of prose poetry about overcoming life’s challenges. Eileen’s third book, And Yet Here You Are, is coming out soon.
For parents raising children with autism, Eileen has some advice: Be mindful of social media. While it can be a great place for finding support, community, and information, it can also lead you into a lot of unnecessary controversy.
What’s Inside:
Mentioned In This Episode:
The Autism Cafe
Eileen Lamb (The Autism Cafe) on Facebook
Eileen Lamb (@theautismcafe) on Instagram
Eileen Lamb on TikTok
Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
From taping in my walk-in closet to experiencing incredible growth and change over the last 199 episodes, it's been an amazing journey. Today, as I record this special episode, I’m also celebrating my 16th wedding anniversary—with none other than today's guest, my husband, Patrick Griffin.
Seven years ago, I started ABA Speech with two physical products: Action Builder Cards and Double Up. Since then, I’ve branched out, and in recent years, I've focused heavily on this podcast. In this episode, listen in as my husband interviews me in a rapid-fire format, covering happenings, inspiration, and growth from episode 1 of Autism Outreach to where we are now.
There’s so much thought and intention that goes into each episode—from selecting guests to crafting meaningful takeaways to expanding the reach and impact I want to create. My goal is always to make a difference in the lives of individuals with autism, their parents, and practitioners.
Thank you for listening and celebrating this huge milestone with me!
What’s Inside:
Mentioned In This Episode:
Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
Joining me today is the SLP behind the Instagram account @language_processing, Kathleen Oppenheimer. She caught my attention because she consistently shares excellent information on her page about language processing and the research behind it.
Gestalt Language Processing (GLP) is a hot topic these days. Kathleen defines GLP as a hypothesis about how language is acquired, in contrast to Analytic Language Processing (ALP). It’s important to note that these terms are not commonly used outside this specific context, nor are they frequently found in research articles. For many in the autism community, GLP currently serves as an identity label for their echolalia, but it's crucial to distinguish this from its use as a clinical label to guide therapy.
We also discuss the abundance of ongoing research and debates in the field. If you’re not aware of what's available, you might not know what to trust. Kathleen emphasizes that pseudoscience can appear scientific but is not applied in a scientifically rigorous manner (e.g., ignoring parts of research, relying solely on anecdotal evidence, not being evidence-based, etc.). When navigating the internet, you may come across ASHA journals, clinical research, peer-reviewed articles, white papers, anecdotal articles, and viewpoint articles—it’s essential to understand the publication requirements for each before applying them to your practice.
As a final thought, Kathleen reminds social media consumers: You don’t know what you don’t know, especially when it comes to research and research methods. Be sure to check out her page for more insights on language processing!
What’s Inside:
Mentioned In This Episode:Kathleen Oppenheimer - Google Scholar
What's Language Processing (@language_processing) on Instagram
@TheLanguageScientists
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Rose Griffin (@abaspeechbyrose) on Instagram
Today, I learned about a new tool in therapy and AAC, speaking with guests Dr. David McNaughton and Dana Patenaude, who collaborated on the research article "Using Visual Scene Displays With Young Children: An Evidence-Based Practice Synthesis," published in the Journal of Special Education Technology.
Visual Scene Displays (VSDs) are interactive visual representations, such as photos or images, that depict scenes, objects, or events. They allow users to engage with elements within the image, providing a more immersive and interactive communication experience. VSDs can be used with Augmentative and Alternative Communication (AAC) tools, offering a more contextual and personalized way for users to communicate. This is not an either/or tool but a powerful resource that can be combined with other AAC methods.
This study found that VSDs are an evidence-based practice. Their use can be personalized with meaningful photos, tailored to individual interests. Children can even participate in creating and selecting "hot spots," giving them real-time language engagement with the parts of the scene that interest them most. There are also ways to create video VSDs or VSDs that incorporate literacy.
VSDs can be used for shared storybook reading, setting/environment photos, culturally responsive elements, and more! David and Dana do a great job of breaking down this comprehensive research and explaining how effective VSDs can be across various settings. Be sure to check out the links provided to access this open article and find resources on getting started with VSD apps.
What’s Inside:
Mentioned In This Episode:Patenaude, D., McNaughton, D., & Liang, Z. (2024). Using Visual Scene Displays With Young Children: An Evidence-Based Practice Synthesis. Journal of Special Education Technology, 01626434241263061.
Video Visual Scene Displays (provides information on other studies that used video visual scene displays, including links to videos of research participants and links to apps that support VSDs and video VSDs)Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
Approximately 25–30% of autistic children are minimally verbal, often requiring alternative communication methods like Augmentative and Alternative Communication (AAC). Jean Jarrett, SLP-BCBA, joins us to continue highlighting AAC during the month of October. Selecting the right AAC system can be overwhelming due to the many factors involved: communication partners, environments, and caregiver involvement. The process requires input from various disciplines, careful planning, and individualized support.
A common misconception is that children need to reach certain milestones before starting AAC, but there are no prerequisites. There is no need to wait or delay getting started with AAC to meet certain skills, but a learner’s skillset does play a critical part in the device chosen. When choosing an AAC system, factors to guide decision-making include device programming, environments in which it will be used, and potential insurance reimbursement.
Providers must be equipped to handle pseudoscientific approaches, such as Rapid Prompting or Spelling to Communicate, and focus on evidence-based practices like AAC, which can make a profound difference when used effectively. The journey with AAC doesn't end when the device is received; that's just the beginning.
What’s Inside:
Mentioned In This Episode:
Jean Jarrett on LinkedIn
jjarret@unc.edu
Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
October is AAC Awareness Month! Today’s guest, Chris Bugaj, is the co-host of the Talking with Tech podcast, which explores the world of AAC, inclusive design, and the creators, providers, and users behind these systems. As an SLP, Chris realized early in his career that he had a knack for technology, which led to his role on his district's Assistive Technology Team for Inclusive Learning.
During our chat, we discussed the history of early AAC devices, their flaws, and how these limitations impacted our ability to set effective goals. We’re so fortunate that technology and access to it have improved dramatically for our learners over the past two decades. We also touched on the concept of a growth mindset—a philosophy focused on breaking free from fixed ideas about abilities and embracing the "power of yet," ensuring we don't limit any learners in any way.
Chris has his formula for professional development in AAC down to a science. It begins with a facilitation meeting to assess training needs, followed by teaching sessions where communication partners join in-person or online courses focused on modeling through a unique training and coaching format. Finally, there are follow-up practice sessions and feedback to reinforce learning.
When AAC training and coaching are effective, they impact not just one learner but every learner that provider or teacher will work with in the future. We offer many AAC courses at ABA Speech Connection, so don’t forget to check them out and join us!
What’s Inside:
Mentioned In This Episode:Join us in the ABA SPEECH Connection Membership
Rose Griffin-Autism Speech Therapy Tips (@abaspeechbyrose) • Instagram
Are you ready to transform your approach to autism therapy with naturalistic interventions?
Introducing my new self-paced CEU course, Naturalistic Interventions for Autistic Learners – Next Steps. This 5-hour course is divided into 7 bite-sized modules covering essential topics like play, social skills, joint attention, parent support, and more!
Natural Environment Teaching (NET) is quickly becoming the standard in our field, but how do you get started? Play-based therapy is rich with nuance, and this course offers clear, practical guidance to help you create meaningful, functional, and evidence-based child-led therapy.
My life's work has been dedicated to reaching learners who are traditionally harder to engage and helping them find the best ways to learn and communicate. I’m passionate about bridging the gap between research and therapy, ensuring that effective strategies reach the therapy room.
Don’t miss out—sign up now for Naturalistic Interventions for Autistic Learners—Next Steps, available for a limited time. And while you're at it, explore my membership program, ABA Speech Connection!
What’s Inside:
Mentioned In This Episode:Naturalistic Interventions For Autistic Learners – Get the Course for A Limited Time
Join us in the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
Dr. Rick Kubina, a distinguished Professor of Special Education at The Pennsylvania State University, has had a dynamic career, collaborating with prominent figures in the fields of special education and applied behavior analysis (ABA). In our discussion, we delve into a topic that is close to my heart as both a Speech-Language Pathologist (SLP) and Board Certified Behavior Analyst (BCBA): the critical role of data in effective decision-making. Dr. Kubina emphasizes that the foundation of quality decision-making lies in the integrity of the data collected. Without accurate baseline data, it's impossible to chart a meaningful course toward improvement. He advocates for standardized measurement tools, arguing that consistent data collection is key to achieving standardized outcomes, which are crucial for comparing and understanding progress across diverse populations.
In addition to his academic work, Dr. Kubina serves as the research director for CentralReach LLC, a company that provides innovative practice management and clinical solutions for therapy service organizations, particularly those focused on ABA, speech therapy, and occupational therapy. CentralReach's platform offers a comprehensive suite of tools for data collection, billing, scheduling, and staff management, all designed to streamline operations and enhance outcomes for clients, especially those with developmental disabilities like autism. As the field evolves, Dr. Kubina is keenly aware of the potential and challenges posed by artificial intelligence (AI). CentralReach is committed to harnessing the power of AI to improve data-driven decision-making while addressing concerns about its integration, ensuring that AI serves as a powerful, supportive tool for practitioners in the future of therapy and education.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:Rick Kubina - CentralReach, LLC | LinkedIn
CentralReach
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Register for our Naturalistic Interventions Course
Rose Griffin-Autism Speech Therapy Tips (@abaspeechbyrose) • Instagram
Linda Thoresen joins me today for a special Member Spotlight. She is an SLP and a member of ABA Speech Connection, and I first met her in her onboarding meeting. During this conversation, Linda shares about her journey from medical therapy to teletherapy.
As a seasoned therapist, Linda has been in the field for 20+ years. We discuss the changes in course work from her training to the present day, as well as the change in working with adults to now school-age and autistic learners. She has a great perspective to share on her membership with ABA Speech about her ASHA course library access and the comprehensive education available.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:
Join us in the ABA SPEECH Connection Membership
Register for our Naturalistic Interventions Course
Rose Griffin (@abaspeechbyrose) on Instagram
There’s been a noticeable shift in the field of behavior analysis, with more BCBAs being hired as full-time employees in public schools. This is a big change from the past, when BCBAs were typically brought in as outside consultants. Schools are now seeing the benefits of having these experts on staff to support students with specialized needs directly in their school environment, rather than sending them out of the district. Today, I spoke with Melissa Connor-Santos, someone I connected with on LinkedIn who is deeply passionate about improving behavior-analytic services for children in public schools. Melissa and I both believe in the power of public schools to provide the least restrictive environment for our learners, and she shared some valuable insights on how BCBAs can make the most impact in these settings.
Working as a BCBA in a public school comes with its own set of challenges and opportunities. Public schools are large systems where you might not have much control over certain decisions, so it’s crucial to focus on collaboration and relationship-building across the entire school team, from administrators to teachers and support staff. To thrive in this environment, BCBAs need to refine their skills to fit this setting. Melissa emphasized the importance of finding a mentor, even if they’re not a BCBA, but someone with experience in public schools who can provide guidance. She also warns that while public forums and online (Facebook) groups can be helpful, they need to be used wisely and carefully. And above all, sticking to the ethics code is non-negotiable—it’s the foundation of our work and crucial for maintaining trust and effectiveness in the school community.
What’s Inside:
Mentioned In This Episode:Oceanview Behavior Solutions
Oceanviewbehaviorsolutions@gmail.com
Join us in the ABA SPEECH Connection for Parents
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Rose Griffin (@abaspeechbyrose) on Instagram
Today we welcome returning guest, Cindy Watson. Be sure to check out episode 115, where we discuss Early Intervention Speech Therapy. Along with Cindy, we are joined by MC, Cindy’s youngest daughter. MC shares about her story, autism diagnosis, and her perspective as a middle schooler.
Cindy shares about MC’s life pre-diagnosis and the concerns she noticed along the way. Labeled often as “the easy kid”, MC shied away from social settings and talking with peers. And her mom fought judgment as a provider; everyone saw her as a mom and thought “everyone has autism”. But parents should trust their instincts!
We hear straight from MC about her preferences in therapy, like focusing on topics that highlight her interests. As well as her struggles and dislikes from group therapy to handling unkind words from kids her age. An important piece of therapy for older learners is to emphasize naturalistic and discrete therapy styles. Therapy is nothing to be ashamed of, but the reality is that middle and high schoolers do face a stigma when it comes to their peers.
This is a great chat opening up about autism in girls, therapy for older learners, and how we can best serve our middle schoolers in therapy!
What’s Inside:
Mentioned In This Episode:Episode #115: Early Intervention Speech Therapy Services - A Talk With Cindy Watson
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Rose Griffin (@abaspeechbyrose) on Instagram
I love hearing from Autistic Adults, and Paige Layle has garnered quite a following on TikTok and Instagram, sharing her story and creating resonating content for her viewers traveling similar journeys.
Paige’s recently published memoir, But Everyone Feels This Way: How an Autism Diagnosis Saved My Life, has been an opportunity to reach her followers on a deeper level, connect beyond the internet, and create a resource for those that relate to her story. Just two weeks before her 15th birthday, Paige received her diagnosis. It was what she calls “Life Shattering”. She describes that she had been internally begging and pleading for an explanation of why life is so hard for her; the diagnosis was just that.
She took to social media after becoming comfortable with these platforms across her life, in her second year of university. Paige made her first autism-focused video discussing her anger about “trending sounds” insulting autistic individuals, which pushed her to start educating and sharing the autistic voice. She now creates content full-time, with the bulk of her income coming from public speaking events and consulting with schools and other organizations.
Paige reminds parents not to be scared. If you have concerns about delays or other symptoms in your child, just know that whatever information you collect will help you, she says. And for those of us out there consuming content, she informs us that not all autistic people want to be advocates, so be respectful, as well as diversify your resources so that you may hear a variety of voices. You can find Paige on Instagram and TikTok at @PaigeLayle.
What’s Inside:
Mentioned In This Episode:Paige Layle
Paige on TikTok
Paige on Instagram
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Rose Griffin (@abaspeechbyrose) on Instagram
Lisa is a BCBA and the mom of 3 boys, including Kruz. He is Lisa’s youngest child and has Autism Spectrum Disorder. You may be familiar with their journey as they share it with you through @CruisingWithKruz on Instagram.
During our conversation, Lisa dives into the struggles that take place when it comes to advocating for a diagnosis and the other ones that pile on once you do get it! Waitlists can be excruciatingly long, not only for evaluations but for services too. That’s why it’s key to stay in communication with your team. It’s not easy once you enter services either. Lisa talks about the financial weight of high insurance premiums as well as high maximum out of pocket costs.
Lisa shares Kruz’s progress in the last year and a half. He has participated in 25 hours a week of ABA, weekly speeches, and been involved with his family, friends, and community. A look at Kruz’s skills in January 2023 would show nonverbal communication and dangerous self-injurious behavior. Now his progress, reflected in June 2024, reveals conversational communication, a blossoming sense of humor, and critically reduced self-injurious behavior. With this great news, they are able to target other needs and reduce the intensity of services.
Parent education and training is something Lisa is very passionate about, as she heeds other parents advice to advocate, advocate, advocate. If you’re noticing a delay or have heightened concerns, do not wait! You will NEVER regret providing support and intervention. But you will regret losing time. Lisa is heading up our brand new parent portal that you can access with an ABA Speech Connection Membershi
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:CruisingWithKruz (@cruisingwithkruz) on Instagram
Cruising With Kruz
Join us in the ABA SPEECH Connection for Parents
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Rose Griffin (@abaspeechbyrose) on Instagram
Parents are an important piece of the team. Today I am talking with Dr. Janie Funk about parent training in ABA. Caregiver engagement is imperative to an individual's success. Dr. Janie explains how her team at Behaven Kids supports parents through a strong team of clinicians with great interpersonal skills, a referral network for access to services in collaboration with other providers, and ensuring systems are in place to support caregiver concerns and questions.
Parental support is a mandated requirement for most insurance payers. Dr. Janie talks through how she meets these requirements by maximizing caregiver engagement from the beginning of the process with families, even when quantifiable minimums of these efforts may not be presented.
We also touch on children with dual diagnoses across Autism and Mental Health. At Behaven Kids, Dr. Janie has the opportunity to work within her scope of practice across this demographic and collaborate in a way that isn't often seen in the field. “From outpatient therapy services to specialized day programs to medication management, Behaven Kids strives to provide the services a family needs to maximize each child and adolescent’s potential for individual success.”
Let’s keep talking about these important topics! Leave a review where you listen to podcasts to let me know what you think or want to hear next.
What’s Inside:
Mentioned In This Episode:Behaven Kids
Join the ABA SPEECH Connection Membership
Rose Griffin (@abaspeechbyrose) on Instagram
I always love the opportunity to talk with a parent and hear their story. I feel it really provides an opportunity for learning and growth as a provider. Susanna Peace Lovell, a professional life coach and advocate, joins me to discuss her journey as a parent of a child with autism and her book on the topic, Your True Self is Enough: Lessons Learned on My Journey Parenting a Child with Autism.
In her book Your True Self is Enough, Susanna shares her story of being of support and service to parents and families with similar stories. This journey begins at the birth of her first child, Arizona. The difficulties began right away with food allergies and skin issues, and the diagnosis and challenges just kept coming. Susana says that her daughter cried for what felt like nonstop for the entirety of her first 18 months of life. At age 2.5, Arizona was diagnosed with ASD. This was nearly 16 years ago, and for Susanna, this was a challenging and unfamiliar experience.
You can find out more about Susanna's journey in her book, which she describes as part memoir, part guidebook, where she finds a balance between honoring her child’s experience while also honoring her own journey and voice. Her daughter, Arizona, wrote the foreword and inspired the title.
If you have this feeling that something is different, Susanna says to stay in tune with that feeling, which she calls the “Caregiver Gut." Write everything down; no detail is too little. She reminds us that being an advocate for your child requires tenacity and a help seeking mentality. The doors can be opened just a little bit more when you’re vulnerable to those who can help.
What’s Inside:
Mentioned In This Episode:Susanna Peace Lovell
Your True Self Is Enough: Lessons Learned on My Journey Parenting a Child with Autism by Susanna Peace Lovell
Get our Ethics Course about SLP/BCBA Collaboration in the ABA SPEECH Connection
Rose Griffin (@abaspeechbyrose) on Instagram
“Well, I guess you better figure it out”. Those are words you do NOT want to hear from your CFY supervisor. Supervision in your Clinical Fellowship Year is so important for setting the tone for the rest of your career. Lynn Dudek shares her experience on both sides of the spectrum, from not meeting any of her expectations to exceeding them all.
What makes a positive mentor and supervisor? It all comes down to communication and these qualities Lynn lists for us are: being a good communicator, setting professional goals, building relationships and connections, assessing performance, and providing specific feedback. Ultimately, it's great practice for a supervisor to begin this relationship with this question; “What do you expect from this experience?”. Lynn explains how she interviews her mentees and has gotten her supervision down to a science with standard forms to provide the best possible outcome.
Lynn shared her own personal experience of a not so great mentor. What should someone in their CFY do if their supervision just doesn't feel right? The truth is, it might be hard, but you need to discuss it directly with your supervisor with direct, open communication. Lay out your expectations, find compromise, and lean on ASHA and state requirements.
If YOU are looking to become a supervisor, Lynn recommends knowing yourself and what you're capable of so that you’re able to give the best mentorship possible. It affects someone's entire career and all the clients they work with subsequently. Check out ASHA for CEUs and assessments for becoming a supervisor, or reach out to your state with questions!
What’s Inside:
Mentioned In This Episode:Episode #109: The Power of SLP and BCBA Collaboration with Lynn M. Dudek - ABA Speech
Get our Ethics Course about SLP/BCBA Collaboration in the ABA SPEECH Connection
Rose Griffin (@abaspeechbyrose) on Instagram
Enjoy this replay from episode 62.
Joint attention is closely linked to receptive and expressive language skills, highlighting the power of communication. To build connection before communication, use shared activities like playing with toys, singing songs, and reading books. Even if students aren't fully engaged initially, tracking their baseline data and progressing with goals can lead to impressive transformations and excitement.
Toys: Playing with toys in therapy is all about creating interaction in a semi-structured environment. Remember to use simple language, allow for natural curiosity and play, and not bombard with questions. Toys I personally love to use include: cars and car tracks, mini objects, and farm sets.
Literacy: Build excitement around the book, use books with repetition, and if your kids like it try an animated voice, which can be really fun. A few books I love to keep in my therapy bag that are a great success for joint attention are: Pete the Cat and his White Shoes, Brown Bear, The Very Hungry Caterpillar, and Chicka Chicka Boom Boom.
Music: Students love songs because they are familiar and create engagement. I also love to use visuals, which can be just laminated pictures or little toys that match the activity of the song. It can also be engaging to sing songs that have motions for the words. My favorite songs to use are Old Macdonald, Wheels on the Bus, Head, Shoulders, Knees, and Toes.
It can be difficult to keep data and set goals around these abstract ideas, be sure to check out my goal bank on ABA speech. I hope you love these ideas, and I can’t wait for you to try them out in your next therapy session!
What’s Inside:
Mentioned In This Episode:
IEP Goals for Students with Autism - ABA Speech
Get our Ethics Course about SLP/BCBA Collaboration in the ABA SPEECH Connection
Rose Griffin (@abaspeechbyrose) on Instagram
Conflict is part of what we do as a provider in this field. When it comes to helping the most difficult learners, it's no surprise we might find ourselves contentious at IEP meetings, I’ve definitely had my fair share in my 20+ year career. But you CAN get through them with the best interest of the learner at hand.
Here are my top 5 tips for navigating contentious IEP meetings:
We all want to help maximize outcomes for our learners; we are all there for the benefit of the learner! You can get through these difficult, contentious, and often conflict filled meetings if you keep these 5 tips in mind.
What’s Inside:
Mentioned In This Episode:Take our ASHA and ACE approved course about Navigating Contentious IEP Meetings Ethically With Confidence
Rose Griffin (@abaspeechbyrose) on Instagram
AAC stands for Augmentative and Alternative Communication. These are communication devices, systems, strategies and tools that replace or support spoken language. We have talked about this many times on the podcast but I am sharing some top tips for AAC that I have learned along the way during my 20+ years!
If you’re loving this summer series of short, easy-to-consume topics, let me know! Leave a review or send me a message on Instagram.
What’s Inside:
Mentioned In This Episode:Get our Ethics Course about SLP/BCBA Collaboration in the ABA SPEECH Connection
Message me on Instagram
Even though I started as a school-based SLP, when I found my way to an ABA setting, I also found my true passion to help all autistic learners find communication. Navigating a non-public program can have challenges and is certainly different than working in a school, so I want to share a few of my own gems of wisdom with you!
What I wish I knew: 5 tips for working in an ABA setting:
If you’re loving this summer series of short, easy-to-consume topics, let me know! Leave a review or send me a message on Instagram.
What’s Inside:
Mentioned In This Episode:
Get our Ethics Course about SLP/BCBA Collaboration in the ABA SPEECH Connection
Rose Griffin-Autism Speech Therapy Tips (@abaspeechbyrose) • Instagram
Are you transitioning into a school-based SLP role? Let me share the gems of wisdom I have learned looking back on my first year in a public school setting. I am back with another short episode for my summer series, sharing 5 top tips and strategies as a school-based SLP!
No matter if you’re an SLP, BCBA, teacher, Para-Pro, or RBT and you're working in a school, let me know what you thought of this episode! Help me get the word out that we are talking about important things over here!
What’s Inside:
Mentioned In This Episode:
Membership - ABA Speech
Welcome to the Summer Series! I’m going to be doing a series of solo shows on topics and questions I get through the summer, packaged up into bite-sized, easy-to-consume episodes for those of you enjoying your summer vacation.
Today I am talking all about my journey of becoming a dually certified SLP, BCBA, a unicorn certification of less than 500 people in the entire world! Over my 20+ year career, I’ve gained some wisdom and learned some lessons that I want to share with you.
I started my career as an SLP in a school setting. There I had my first opportunity to work with autistic learners and I loved getting the opportunity to see these amazing breakthroughs. But when I changed jobs to a clinical setting and had my first experience with ABA…I was lit up. We were working with learners who had traditionally been difficult to reach and helping them communicate for the very first time. As a provider, I felt true joy for these learners but also feelings of sadness that they had gone so long without access to their environment through communication when they really didn't have to.
As I conclude this mini-episode, I share the time-consuming course work, resources, and testing that went into becoming a certified BCBA 12 years ago. I share this with you because I believe in the power of ABA to create a world where all students have a way to communicate and access their environment.
What’s Inside:
Mentioned In This Episode:
Membership - ABA Speech
The Huberman Lab podcast is a popular podcast hosted by Dr. Huberman aimed at disseminating science to the masses. The podcast focuses on a variety of topics, but BCBA Carrie Susa Woodward joins me to break down the recent episode of the Huberman Lab with Dr. Karen Parker all about autism.
Dr. Parker and Dr. Huberman discuss the rising incidences of autism. Are there more autistic people than there were 20 years ago? The answer, yes AND no. There are a variety of factors that have led to more diagnoses in recent years, including more aware parents, a better understanding of development, a better understanding of social skills, and increased research and science on early intervention.
We also touch on their discussion about early diagnosis and early intervention. Which revolves around brain plasticity. In the first three years, the brain is easy to change and adapt and is able to establish good neural connections. Early intervention can open up the world of learning for autistic children. While the topic of what inventions are best isn't detailed, the most important takeaway is that no age is too early!
So how can we, as providers, help get these kids into intervention as fast as we can? Well, Carrie is doing her part with her course, Jump Start the Journey. This course is aimed at parents of young kids with delayed development on the waiting list for services. She includes information on research-based therapies, input from her 20 years of experience in the field, and modeled play exercises.
What’s Inside:
Mentioned In This Episode:Membership - ABA Speech
Jumpstart the Journey - Full Course
Dr. Karen Parker: The Causes & Treatments for Autism - Huberman Lab
Dr. Annie McLaughlin is a special breed of BCBA; she practices as an IEP advocate and trains other professionals to become advocates as well. IEPs can be a contentious environment, tip-toeing around and finding diplomatic approaches to tough conversations. Dr. McLaughlin explains that her philosophy around advocacy is to show us as humans with compassion first.
In her advocacy work, Dr. McLaughlin supports families through the lens of ACT (be sure to check out some of our episodes discussing this topic). She also uses her behavior analytic lens to take an important perspective for clients with diverse needs. “I want to be the advocate everyone wants to show up,” is what Dr. McLaughlin shares when discussing how to focus on collaboration through open communication and active listening.
At a table filled with parents, therapists, and school faculty, Dr. McLaughlin advocates for “both sides” by highlighting parent concerns AND validating the expertise of the providers. The advocate helps make space for diverse perspectives while reinforcing ideas. When both the families and the providers are on the same page, it can make a big difference in the work they are doing with the learner.
You can find Dr. Annie McLaughlin on Instagram as @IEPAdvocateAnnie, where she shares about her courses and helps other professionals become IEP advocates.
What’s Inside:
Mentioned In This Episode:Annie McLaughlin, PhD, BCBA-D (@iepadvocateannie) - Instagram
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There is always so much people want to know about AAC. Today I talked with BCBAs, LingLy Tan and Jane Button. LingLy is the CEO of AAC software company Linggo, created to build and encourage language beyond simple requests.
As I’ve mentioned many times, keeping up with the current research is one of the largest barriers for providers in the field. AAC is one element that is always changing, and it is so necessary to be aware of the latest information. During our conversation, LingLy and Jane shared some of their favorite research, including from some authors I’ve talked to on the podcast.
While software for AAC does matter, LingLy highlights that it is a much smaller piece compared to the training to actually teach and use AAC. In fact, Linggo is working on a new training program, where they streamline the translation and application of current research into implementation with AAC with both live hands on options and self paced recordings.
Be sure to take a look at the articles and previous episodes all about the current research on AAC.
What’s Inside:
Mentioned In This Episode:
Matrix training to teach tacts using speech generating devices: Replication and extension
Transitioning from a low- to high-tech Augmentative and Alternative Communication (AAC) system: effects on augmented and vocal requesting
Core vocabulary lists for young children and considerations for early language development: a narrative review
Examining core vocabulary with language development for early symbolic communicators
Episode #121: Core Vocabulary and Typical Language Development with Allison Bean and Bethany Frick Semmler - ABA Speech
Episode #111: Matrix Training with Dr. Sarah Frampton - ABA Speech
Join the ABA SPEECH Connection Membership
I love Summer!!
Summer should be fun and functional, which is why I want to kick off this season with ABA Speech Summer Social Skills Resources.
This resource guide is jam packed with ideas, models, and tutorials to get you working on joint attention and social skills in the fun, summer sun!
What’s Inside:
Mentioned In This Episode:
Membership - ABA Speech
Summer Social Skills Resources
This Episode features a pre-recorded ASHA Mini Training on Gestalt Language Processing. Gestalt is a hot topic in the speech therapy and ABA worlds, and today I focus on what research is available, what we do not yet know, AND how we can collaborate with teams when we have opposing views, whatever those may be.
Gestalt is a multi word chunk that a speaker hears, uses, and stores as a whole before having knowledge or awareness of its internal structure, sometimes referred to as Delayed Echolalia or Scripting. In this training, you will find resources and guides to the information available on gestalt. The truth is, it’s complicated! But I also provide a guide to being a critical consumer of information.
So what do Gestalt and traditional therapy have in common? In their simplest form, good therapy practices.
Where it differs is how we approach assessment and some of the questions left without research or proven studies. At this point in time, there are no criteria for assessments in gestalt, no controlled studies for what therapy practices work best, a limited understanding of what Gestalt connects to in the brain, and no research on Gestalt with AAC. So how do we move forward? Critically consider the implications of shifts in your practice, question our (and others') assumptions, avoid repeating unproven claims as facts, and keep our individual clients in mind.
Throughout this training, I shared a variety of resources that you can find online via ASHA including articles from Marge LeBlanc, a team conflict article from Gregory Abell, and the upcoming article A systematic review of gestalt language processing interventions in children or adults with communication disability. If you’d like to hear another episode of Gestalt, you can check out #155 with Sari Risen.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:Join the ABA SPEECH Connection Membership
Episode #155: What Is Gestalt Language Processing? with Sari Risen
In my continued effort to bridge the gap between research and therapy, I had a great discussion with Dr. Elizabeth Biggs, assistant professor of special education. We discuss the power of Literacy in human connection. Even for children with complex communication needs, the need for literacy starts at birth (cue the baby shower gifts of everyone's favorite books), and it never stops!
In a study tracking around 40 families through the pandemic school year (20-21), Dr. Biggs and other researchers checked in on their journey of supporting their children's literacy and language learning. While many families expressed aspirations for their child's communication progress, a significant portion didn't prioritize literacy, perceiving their children as not ready or simply not giving it much thought.
Their research found that confidence in literacy acquisition varied greatly, often depending on the support from providers and teachers. They also looked at concerns regarding literacy, especially concerning the acquisition and utilization of Augmentative and Alternative Communication (AAC) systems, with only a single family reporting a positive experience.
Literacy is reading, writing, speaking, listening, and expressing—each learned in intertwined manner and contributing to meaningful human connections. Dr. Biggs encourages a family-centered approach in your therapy whenever you can, emphasizing the need to equip and support families in nurturing literacy skills in their children. Ultimately, as Dr. Biggs states in our conversation, “Literacy is for ALL kids, not just some kids”.
Do you like episodes like this? Do you want to hear more about recent research and how you can implement it in your therapy room? Leave a review and let me know!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:Join the ABA SPEECH Connection Membership
As I continue to bridge the gap in research to the therapy room, I also see deficits in pre-service training that can make therapy a better experience for both providers and families.
Jessica Rohrer, BCBA-D, joins me to discuss her work with soft skills, using tools to measure and build compassion skills in the therapy room. Her research uses the Jefferson Scale of Physician Empathy, a tool primarily used to check compassion in the medical field, as a pre and post measurement on the impact of compassionate skills training.
Dr. Rohrer developed the Compassionate Collaboration Tool as a checklist for provider self-reflection and a helpful next step to incorporating compassion skills in their therapy. The tool focuses on three skill sets in providers.
Basic interview skills: introductions, note taking, nodding, and back channeling.
Interest skills: asking and reflecting positivity on client interests and asking and reflecting caregiver priorities.
Joining with the family: empathy statements, normalizing skills, and partnering skills.
It can be easy to forget the emotional time our clients and their families may be experiencing when entering therapy, which is why it is crucial to focus on empathy and compassion in our basic skills for a positive experience. New clinicians may particularly experience more difficulty. If you’re looking for next steps to include compassion in your therapy, Dr. Rohrer reminds you to self-monitor and reflect, consider group behavior skills training, and remember that every client and every family will have varying needs for compassion.
What’s Inside:
Mentioned In This Episode:Soft Skills: The Case for Compassionate Approaches or How Behavior Analysis Keeps Finding Its Heart
(PDF) Teaching Compassion Skills to Students of Behavior Analysis: A Preliminary Investigation
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The title of Joe Veneziano and Dr. Shannon Shea’s research article, They Have a Voice, Are We Listening?, caught my eye and I had to read it. These two BCBAs met at a Journal Club and connected over the need to shed light on the history and nuance of ABA and Behavior Analysis.
With the field growing and opinions of professionals being so diverse, educating incoming BCBAs on the history of behavior analysis is crucial. Their paper examines “indistinguishability” and its implications by defining “indistinguishable” in behavior analytic terms. They write about well known studies, such as the Lovaas seminal paper (1987). There are many critiques of ABA in the field and in the in the media today. Is it evil or bad? Is it perfect? Neither is true, but the field and practice of behavior analysis rely on the lens of the research you undertake.
Together, we discuss the importance of evaluating research critically and understanding the difference between pseudoscience and robust research. We also highlight the need for an emphasis on the underrepresented voices of autism, including queer individuals, POCs, and women.
Research and an open mind are crucial to the success of ABA and the impact it will have on individuals receiving it. As quoted in their article, “Go forward with empathy and cultural humility.”
What’s Inside:
Mentioned In This Episode:They have a Voice; are we Listening? - PMC
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After 2 decades of working in a clinical long term care setting as an SLP, Susan Browning was looking for something different amidst the pandemic. This change led her to her role in pediatric SLP in an ABA setting.
We discuss one of my favorite topics, collaboration. Susan, bursting with positive energy for the field, talks about how she worked to find her niche to collaborate and complement the work of the other providers and BCBAs in the clinic.
With the large scope that SLP spans in the field, it is such a nuanced science. Susan explains some of her interesting presentations coming up to show this large scope, and she draws comparisons from her long term care patients to her pediatric patients with the importance of blending cognition and language.
Enjoy this really positive conversation and check out the link to a special ABA Speech Connection CEU, SLP in an ABA Setting.
What’s Inside:
Mentioned In This Episode:CEU Library - ABA Speech
Join the ABA SPEECH Connection Membership
Maura Weis is the mother of two, a son and a daughter. The Weis family’s autism journey began when their youngest, Hannah, experienced early life difficulties, and then concerns with delays started occurring at 18 months.
Maura shares about their early experiences and her pediatrician visits. Even more concerns grew after a move due to her husband’s coaching career. As they worked through tests and possibilities, Hannah began school with an ABA program and received several diagnoses.
Maura wrote Miles From The Sideline: A Mother's Journey With Her Special Needs Daughter when her daughter was 8 years old as a resource for family members of families with special needs children. She also created the Hannah and Friends Family Foundation with her retired NFL and college football coach husband, Charlie Weis. Hannah, turning 29, now lives on the Hannah and Friends property in Indiana. There are 13 residents who have Daily Programs, Summer Camps, and After school activities. It’s a wide, open space to create a life.
Among her experiences and family's journey, Maura shares an important sentiment for families to embrace all experiences, even the difficult ones, because they are important learning opportunities for their children. You can find out more about Maura Weis and her foundation by reading her book, visiting the Hannah and Friends website, or on Facebook.
What’s Inside:
Mentioned In This Episode:Miles From The Sideline: A Mother's Journey With Her Special Needs Daughter
Hannah and Friends
Hannah and Friends
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If you walk away with anything from today’s episode, let it be: It will get better. My guest, Kelley Coleman, is a mother of 2 and wrote the book she desperately needed when it came to navigating the extensive list of diagnoses for her youngest son. We discuss her book, Everything No One Tells You About Parenting a Disabled Child: Your Guide To the Essential Systems, Services, and Supports and the daunting overwhelm that comes with a disability diagnosis.
Being a parent or caregiver is difficult enough, but throw in a medical diagnosis, nuerodivergence, and, in Kelley’s case, many comorbidities and more questions than answers and you’ve got a recipe for distress. Kelley talks about how a big win for her family was the support and openness of their pediatrician, but not every provider is this way, and for many families, it can feel like no one is in your corner. If that's you, you will find so many resources and support in this book.
As we bring our talk to a close, Kelley ties up her multitude of knowledge and advice into this tip; Get started with something that will bring an easy victory! It is reassuring to see the fruit of your labor. Do the one thing, get the win and keep that system going.
Everything No One Tells You About Parenting a Disabled Child: Your Guide To the Essential Systems, Services, and Supports launched on March 12th. You can find it anywhere you buy books and ask your libraries to carry it too so that this amazing advice can reach as many families as possible.
What’s Inside:
Mentioned In This Episode:Kelley Coleman
Join the ABA SPEECH Connection Membership
In the age of smartphones and tablets, video modeling is more accessible than it ever has been before. Dr. Teresa Cardon dives into the research on how effective video modeling is and how to move based on perceived barriers.
Video modeling research shows that learners respond faster than with live modeling and you can use it to teach a variety of skills including self help, play, and imitation. Dr. Cardon explains that most barriers providers find for video modeling, time or training, are based on a perception that video modeling is difficult or needs perfection. Studies show that the model in the video can be anyone as long as the desired skill is being modeled correctly, the age or connection to the client has no bearing on the success of the video model.
To get started, decide on your target skills or actions to be modeled. Pre-film the action (although Dr. Cardon mentions quick perception filming of your own hands works too), play for the client, provide the necessary items for the action, and the hardest part…keep quiet. Dr. Cardon mentions you can do as many as 5-10 video models per session with videos that are 20 to 40 seconds long.
Dr. Cardon’s advice for listeners is to just do the video model! Don’t let perceived barriers stop you from using this super effective evidence based practice.
What’s Inside:
Mentioned In This Episode:teresa.cardon@unt.edu
Dr. Teresa Cardon on LinkedIn
Teresa CARDON | Speech & Hearing Science; Board Certified Behavior Analyst | Chicago School of Professional Psychology | Ph.D. Program in Applied Behavior Analysis | Research profile
Video Modeling Imitation Training Manual.pdf
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Whether you’re a keynote speaker or you’re attending a small group team meeting, front of the room speaking opportunities are abundant in the autism healthcare field. And they are mutually beneficial. Dr. Breanne Hartley is BCBA-D who is passionate about public speaking. These opportunities create an environment of learning, collaboration, and sharing ideas and thoughts.
Public Speaking Strategies for SLPs, BCBAs, and anyone with a front of the room opportunity:
Along with these great tips, we also discuss Dr. Hartley’s work as the Chief Clinical Officer at UNIFI Autism Care. UNIFI is on a mission to level up autism care and create a unified experience between providers and clinicians for the benefit of the patient.
What’s Inside:
Mentioned In This Episode:ABA SPEECH Connection Membership
C.A.R.E. Autism
Breanne Hartley, PhD, BCBA-D, LBA - Chief Clinical Officer - UNIFI Autism Care | LinkedIn
Join the bootcamp here
Do you hear the word parent advocate and immediately anticipate a contentious IEP meeting with an US vs THEM mentality? It doesn’t have to be that way. April Rehrig is an advocate with over 20 years of experience as a school psychologist, teacher, and parent in the public school system.
In our conversations, April explains how her philosophy is about reaching across the table to work together and resolve concerns. She is a virtual advocate working with clients across the country and offering an embedded coaching model with on-demand online courses, letter templates, and parent training. This model goes beyond advocacy and helps parents learn and understand how they can themselves advocate for their child.
Not everyone can afford an advocate, April affirms, which is one reason she provides coaching and training to empower parents for future IEP meetings. Most advocates are fee-based, but you can also find low-cost and sliding-scale options too. She shares some great insight when it comes to looking for an advocate, like understanding the difference between advocates, attorneys, and coaches. It’s important to know what you need and want with this support. April provides examples of questions to be sure to ask when finding the right fit.
There is a lot of value for parents and families as well as provider teams when it comes to providing advocacy support, especially when the goal for all is positivity and collaboration. If you like this episode and want to see more of this type of content, be sure to rate and review on Apple Podcasts.
What’s Inside:
Mentioned In This Episode:ABA SPEECH Connection Membership
Rise Educational Advocacy
Join the bootcamp here
When it comes to teaching comprehension to autistic learners, it can be difficult to know where to get started. This is an important skill leading to independent communication, and it’s crucial to have a robust system for teaching the skills.
I’m going over some of the foundational skills leading to comprehension. Labeling is a progressional skill that should start with the preferred terms of the learner, then onto more functional beyond the therapy room for their day to day life. Intraverbals and (to keep things simple) filling in the blanks are another skill that is a cornerstone of conversation and a foundation of comprehension learning. Don’t forget to check out Dr. Sundberg’s supplement that I discuss in this episode.
WH questions are a specific target to get started with in comprehension. You can get very specific with criteria and data when creating learning targets and IEP goals for this skill. You can teach this skill with visuals (I share a resource for this today too!) and very importantly, you can use WH questions to teach and generalize personal safety questions: What is your name? What is your guardian's name? What is your phone number? Etc.
There are great links and resources for you to check out today, so don’t miss those! And if you found this episode helpful, don’t forget to leave a review or reach out to me at ABAspeech.org with any questions.
What’s Inside:
Mentioned In This Episode:Dr. Sundberg Intraverbal Supplement: Intraverbal Subtest V.6.0
ABA SPEECH Intraverbal Printable: Speech Therapy Activity: Focus on Comprehension & Expressive Language
Boom Cards for Comprehension
Join the ABA SPEECH Connection Membership - Membership ABA Speech
Join the bootcamp here: Dynamic Content Joint Attention Bootcamp
Alexa play Get Along by Kenny Chesney
Rachel Stotts wrote the article, Accepting Different Opinions About Autism in the Nov/Dec issue of ASHA Leader. It is bright positive energy in a space that really needs it. She is an SLP and a mother of 4. Rachel’s passion for autism is so important professionally and personally, as she has her adult autistic son at home.
Rachel shares her thoughts on the controversy surrounding the autism puzzle piece. For her, autism is a puzzle—figuring out all the right support, services, and needs. When it comes to different opinions and information, she reminds us to listen, stay informed, and evaluate based on our values and knowledge. One person, one therapy, one anything—it just doesn't work in the autism population.
There is always someone offended, a trending opinion, or a hot button topic. So how do we navigate all of the information and opinions online and on social media?
-Remember who you are in this industry for: It’s not about likes and validation; it's about making a difference in the child’s life.
-Be cautious about the content you’re consuming.
-Find community away from negative online spaces.
Unfortunately, not everyone is going to see eye to eye on interventions, but as long as we support people and the people supporting the people, we can find positivity and make a difference!
What’s Inside:
Mentioned In This Episode:ABA SPEECH Connection Membership
Join the bootcamp here: https://aba-speech-llc.ck.page/38b4953816
Today we’re featuring more accessible research! We’re talking about a topic I am really passionate about; Modified Leisure with play, social skills, and joint attention all mixed in.
Dr. Erin Barton explains the research involved in her study, Teaching Board Game Play to Young Children With Disabilities. Her work focused on expanding play research from pretend play to play with peers, with an emphasis on the least amount of adult intervention. Dr. Barton makes an important note that every child deserves a 100% chance that they will have at least 1 chance for a positive interaction with their peers. Board game play is a naturally occurring chance for small group play with functionality that applies beyond the therapy room.
The children involved in the study had limited speech, developmental delays and required no peer aversions, specific motor skills related to game play, and the ability to follow one-step directions. They generalized board game play with visual cues and step by step guides among an array of games that were picked daily by rotating student choice. In the study, they found that after between 5 and 10 sessions, children were able to generalize and maintain the skill.
Dr. Barton also shares some tips that everyday clinicians can use today in the therapy room.
Did you like this episode? Let me know if you’d like more like this, and I'll keep bridging the gap between research and practice!
What’s Inside:
Mentioned In This Episode:ABA SPEECH Connection Membership
“We have to see learners as a part of their community.” Brittany Schmidt, BCBA-SLP, explains a major point of the AAC Trial process, having the device be effective across all of the learners' environments and communication partners.
It’s hard to stay up to date and fully understand AAC when you’re not working with it on a regular basis. In this episode, Brittany shares some specific points and ideas when it comes to finding the right AAC device for a learner and avoiding device abandonment.
Over the years, there has been an incredible evolution of access. There is more affordability and availability of devices and applications with unique features that can be programmed for diverse learners. Ease and functionality, response and consequence changing, power words, and realistic goal setting are among some of the great points Brittany and I discuss.
You can find out more about Brittany through Thrive Clinical Solutions or reach out to her via email. Be on the lookout for her talk and CEUs on AAC through ABA Speech Connection.
What’s Inside:
Mentioned In This Episode:Thrive Clinical Solutions
schmidt@thriveclinicalsolutions.com
ABA SPEECH Connection Membership
As a fellow busy SLP-BCBA, I know it's hard to keep up to date with research. That's why I’ve been combing through articles and inviting these researchers in our field on the podcast! I am on a mission to bridge the gap between research and practice.
Stephanie Gonzalez is a BCBA doctoral candidate at the University of Florida and the author of the article, Teaching Children to Respond to Questions About the Past: A Preliminary Analysis. While her research into this topic is ongoing, Stephanie and I had a great conversation about recall skills and how some may not see them as an available skill for their learners. The work she has done shows how this skill can be worked on alongside other important targets.
What did you do at school today? What did you do this weekend? What movie did you see? What toy did you play with? These are all valuable questions that recall the past and unlock conversations, especially for parents who want to know what their child is up to.
Using probe fading, Stephanie gradually builds a delay in recall, using differential reinforcements every time a learner correctly recalls. In fact, with the learners she's worked with, she has surprisingly built the 30 minute recall very quickly. Stephanie explains the base skills her learners have and how others may build this into their treatment package.
Be sure to read Stephanie’s article and stay tuned for more important research made accessible!
What’s Inside:
Mentioned In This Episode:
Autism Outreach: #107 The Importance of Comprehension Skills with Dr. Merrill Winston
Teaching Children to Respond to Questions About the Past: A Preliminary Analysis
ABA SPEECH Connection Membership
While schools in the past have focused on a consultative model when it comes to BCBAs, it has become a growing trend in the field for schools to hire a district wide BCBA of their own. When you move from a consultant to an actual school employee this opens up a lot of room for dialogue. BCBA, Dr. Bruce Tinor joins me to chime in with this conversation.
Dr. Tinor agrees that hiring BCBAs is the right step but just one is not enough. There are certain roles in a school where 1 overseer is enough, but being an effective BCBA requires a lot of hands-on work and direct contact. If you do find yourself in the daunting task of being your district's only BCBA, Dr. Tinor has some great tips to systematically attack and support your school. Even if you are the only BCBA employee of the school, find a community to collaborate and share knowledge and support.
Along with all of his wisdom and insight for active school based BCBAs, he shares some advice that applies to even new BCBAs wherever they may land. Pair with your clients. This might mean students, parents, or even other staff but when you have paired up and built rapport, success and trust will follow.
What’s Inside:
Mentioned In This Episode:ABA SPEECH Connection Membership
Joining me from Upstate Caring Partners is Dr. Erik Jacobson. The agency works with a large population of individuals with moderate to severe intellectual disabilities. Upstate CP is focused on changing lives with compassionate care.
During our conversation, Dr. Jacobson discusses how Upstate CP has reflected on their previous caretaking model, evaluating hand over hand crafts and goals that don’t last the lifespan. They have transitioned into an instructional model that builds strong relationships and creates a safe environment in a dignified way.
Dr. Jacobson shares how their staffing and teams have changed, starting with hiring their very first BCBA in 2019. With a focus on making their program less like school and more like life, they are making lasting changes that are going to positively impact the individuals in their care for life. You can find more about Upstate Caring Partners on their website.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode: Upstate Caring PartnersABA SPEECH Connection Membership
Acceptance and Commitment Therapy (or training), also known largely as ACT, is a relatively new premise in the field of ABA. Kate Nasuti who has been a BCBA for over a decade and in the field of ABA for 20+ years, joins me to discuss this important topic.
Kate shares her experience learning about ACT and how it's benefited her personally, even comparing “ACT Boot Camp” to a yoga retreat. It’s that impactful. She uses this technique now with parents and providers, giving access to this incredible therapy via coaching with individuals who would not otherwise benefit from ABA.
We go through some of the core processes of ACT: Mindfulness, Diffusion, Committed Action, Self as context, Values, and Acceptance. Kate describes some of these in detail, like Value Clarification. She uses this really beautiful quote from Michelangelo on his sculpture of David, “I just chipped all the way through the parts that aren’t David ''...to reveal that for clarification of our own values, we must just remove all the values that aren't ours.
Kate shares a ton of great resources, like the ACT course available on PRAXIS and Dr. Steven C. Hayes’ book, The Liberated Mind. ACT is such a beneficial addition to the science of ABA that I really encourage everyone to learn more!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:
Get access to Kate’s ASHA and ACE course: Is It Really Burnout? Anxiety? How Words Can Get Us Stuck by joining the ABA SPEECH Connection Membership
Replay: Episode 107
As SLPs and BCBAs, we are tasked with teaching comprehension to our learners, but do they really understand these skills? Dr. Merrill Winston joined me to discuss not only reading comprehension but comprehension in everyday life and the building block skills to be successful.
What is comprehension?
Whether you're reading a book or listening to a statement, there are 3 markers for comprehension.
Dr. Winston and I get into the nitty gritty of that last marker and talk about it when it comes to comprehension of daily life. He says that a major prerequisite for reading comprehension is comprehending their day. You can check this by having your learner sequence, or "serieate," their day. (First I did this, then I did this, then we did that…)
With this skill, students are pulling information from the past and making a time reference. You can practice by working in smaller increments, like the last hour even. This doesn't have to be verbal; it can be in pictures or icons as well! But the important thing is to ask those questions!! Students may not be able to serialize their day simply because they aren't being asked these questions.
We also talk about goal setting and realistic expectations. If you're considering setting a comprehension goal for your learner, Dr. Winston says to be sure to ask: What is the end goal? Where is this skill going to take them? Every skill you spend time on should have a goal that extends across the lifespan and opens more doors and opportunities. He even goes as far as to say that working on a goal for too long without progress is careless!
This was such a great chat with a leader in the field of ABA, and I hope you found it helpful!
What’s Inside:
Mentioned In This Episode:Winston Behavioral Solutions
ABASpeechByRose - Rose Griffin - Instagram
Membership - ABA Speech
Replay: Episode 105
I love talking about joint attention, but a lot of my ideas and strategies in my courses may feel like they are geared toward older preschool age students. My tips today are for the youngest learners, toddlers age 2 to 3. Joint attention is an important foundational skill and it is never too early to get started with these strategies!
3 Ways to Get Started with Joint Attention with Your Toddler Today
Books
Books are the lifeline for learning and sharing activities and time with our little ones. For these young learners, when reading use a positive, energetic voice. Try using board books and interactive books with flaps. With your own child, make a goal to embed at least 15 minutes to read and interact with a book everyday!
Some of my favorites: Huggy Kissy and the Llama Llama series
Songs
Use YOUR Voice. Learn songs with motions to sing with your toddler. If toddlers aren't speaking they can join in by using the gestures and doing the motions as you sing. You can also use visuals like toys that match the song or printed visuals from my TPT store for early intervention songs.
Some of my favorites: Wheels on the Bus, 5 Little Monkeys, Happy and You Know It, Old McDonald
Play
Playing with toddlers is so fun and you never know what they will love and enjoy. Focus on not asking questions but just modeling simple language and narrating the activity.
Some of my favorites: Bubbles, Sensory Bins, Cars with Tracks
What’s Inside:
Mentioned In This Episode:
Books For Speech Therapy For Toddlers
Songs for Early Intervention by ABA SPEECH | TPT
Membership - ABA Speech
GLP – Gestalt Language Processing, is taking social media by storm. BCBAs and SLPs alike are talking about it… But should it be something we follow and jump into without question? Dually Certified SLP-BCBA Sari Risen joins me to discuss her findings on GLP along with some warnings.
So what is GLP? It is basically a distinction against NLA – Natural Language Acquisition, in which NLA individuals learn by developing single words and increasing over time, whereas GLP individuals have longer and longer utterances and develop single words over time. Sari uses the example of a toddler who says “ohh da do” [meaning open the door] will eventually learn the words open, the, and door but would start with the longer utterance before knowing the words individually.
Sari took Marge Blanc's 15 hour course on the topic and explained the history of GLP when Dr. Ann Peters made this distinction between NLA and GLP in the 70s. While information on Gestalt is available, it is mostly anecdotal, with very few official studies or evidence.
Educate yourself so that you can understand and explain GLP when and if parents ask. Sari and I warn practitioners to think critically about the strategies and theories they use and not to follow something just because of social media.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:srisen@actionpotentialservices.ca
www.actionpotentialservices.ca
Membership - ABA Speech
It can be hard to stay up to date on research when you’re busy working with clients. That’s why I love being able to take these important topics and break them down into bite-sized chunks! Today, Landon Cowan, a Doctoral Candidate at Marquette University, shares with me his work on the research article, A Decision-Making Tool for Evaluating and Selecting Prompting Strategies.
I think sometimes it can be difficult to see the importance of basic ideas, so we break some of these ideas down to their core. Landon defines a prompt as anything that elicits a desirable response. These are as simple as vocal modeling, visual cues, and gestures, and they are even more frequently used in everyday life with digital alerts and sticky notes.
As we discuss the types of prompting and the need for relevant prompting strategies, Landon discusses common inconsistencies and cautions for some prompting. Always holding the final goal in view. The research article includes some really helpful flowcharts to help guide and make data-based decisions on prompting strategies that are relevant to your learner. Landon explains the charts and the other supplemental resources available that can not only assist therapists but can also aid in staff training for a consistent understanding of prompting.
Be sure to check out the full article and find Landon on Research Gate and LinkedIn for questions and to follow his other work. Did you like this episode? Please let me know if you want more easy-to-consume research content and what other topics you’d like to hear about!
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:Landon Cowan Marquette University · Department of Psychology (Behavior Analysis)
Landon Cowan on LinkedIn
A Decision-Making Tool for Evaluating and Selecting Prompting Strategies - PMC
Membership - ABA Speech
“Fell in love with teaching; fell in love with watching him learn." That's a quote from my guest, Dr. Bridget Taylor. She has a long list of accomplishments, among them being a BCBA and Licensed Psychologist. She shares about her journey into the field and something she has noticed changed since conference early in her career in the 90s.
At the time, the ABA profession was still growing, and conferences she spoke at were attended more by parents, with this momentum driven by families who wanted information to help their children. Now, parents are still an equal part of the process as ever, but those seats are filled by professionals who need to then transfer information, support, and training over to these families.
We discuss some of the work she has done in this area, including parent training and particularly compassionate care and relationship building. She points out a familiar phrase: ‘People don't care how much you know unless you show how much you care’. This really speaks to the way relationships with families create buy-in, collaboration, and ultimately more positive outcomes for the client.
Dr. Taylor describes compassion as empathy in action. She explains that it requires endurance through uncomfortable feelings and an emphasis on listening during those times so that you can understand and support families. As we close, she shares her recommendations on how clinicians can better help parents by attending training, reading articles, seeking mentorship, and truly practicing listening as a skill.
What’s Inside:
Mentioned In This Episode:Building and Sustaining Compassionate Relationships with Caregivers | ABA Technologies
Membership - ABA Speech
Family and parent support and education are so important, especially when it comes to our youngest learners. Today, I am talking with Dr. Tracy Raulston. She is such a bright spot in the field, with so much information to spread and a great project in the works.
Dr. Raulston helps me discern the difference between Natural Environment Training and NDBI. When we are working with young learners in early intervention, play-based therapy is so crucial. Dr. Raulston explains how NDBI utilizes developmentally based instruction and strategies with child development front and center. Providers using NDBI are using protocols focusing on social connection, sensory exploration, and speech milestones.
The Mindful Routines Project is Dr. Raulston's initiative to provide clear and seamless tools to support parents and families. Being a parent is hard, and parents of autistic children are at an increased risk of stress. This project embeds mindful tools like noticing and validating thoughts and feelings without judgment and encourages parents to be more compassionate with themselves. As Dr. Raulston builds this project, she anticipates an 8-week curriculum for BCBA’s providing family guidance.
Families and parents are our learners' biggest influences and advocates. It is so great to hear about more awareness and tools for BCBAs to work to support these important members of our community.
What’s Inside:
Mentioned In This Episode:
tjr27@txstate.edu
Dr. Tracy Raulston on LinkedIn
Membership - ABA Speech
When Jeannette Passanisi landed on my TikTok For You Page (‘the FYP’ if you’re familiar with the popular social media platform), I knew I had to have her on the show. Jeannette is a mom of 3, with her youngest son, Robbie, being autistic.
Jeannette shares his developmental delays, swept aside early on as being the baby of the family; however, she soon realized he was not developing like her older girls and sought advice. Eventually leading to a diagnosis of PDD NOS at age 4. At the time, autism diagnoses were harder to get, especially at a young age. During our conversation, she shares how his diagnosis changed in 2017 to level 3 autism and, more recently, to more profound autism.
Having a profoundly autistic son requires a lot of direct care. As Jeannette mentions his lack of sleep, tendencies to rage pace, and other behaviors, Robbie needs to always be accompanied and needs assistance with a lot of daily tasks. Jeannette is also Robbie's #1 advocate, always making sure that he receives the best quality and most positive therapy techniques. She provides great examples of how she advocates for her son.
“Everyone has the ability to improve at their own pace” is just one gem from Jeannette’s and my talk. You can learn more about her family and autism journey on TikTok @Running4Robbie.
What’s Inside:
Mentioned In This Episode:
Running4Robbie - TikTok
Membership - ABA Speech
Here we are at episode 150! I am so happy to be here sharing and disseminating this important information with you every week. To celebrate this milestone, my favorite guest, friend, mentor, and colleague, Dr. Mary Barbera, joins me.
If you’re not familiar with her amazing work, she shares her remarkable journey into the autism world. Working as a nurse and starting her family, her world and purpose changed when her oldest son Lucas was diagnosed with autism just before his 3rd birthday. She went from a mom in denial to a BCBA, author, online educator, and podcast host on a mission to create awareness and help parents and families with autistic children get the best outcomes for their children.
We cover a really important topic in early intervention... Is it a speech delay or autism? She breaks down the procedures necessary to get started when you’re working with a child who is not yet speaking. When it comes to her Turn Autism Around Framework, the first step is Asses. She advises assessing the child’s Expressive & Receptive Language (verbal and nonverbal), as well as feeding and sleeping habits.
Mary Barbera really encourages parents to be the “Captain of the Ship”. Parents are a child's best advocate, and she has an abundance of tools and resources for parents via her Turn Autism Around book, Online Courses and Community, and her new digital assessment. Her goal is to help every child reach their fullest potential while being as safe, happy, and independent as possible.
What’s Inside:
Mentioned In This Episode:
Dr. Mary Barbera
Membership - ABA Speech
Things are bound to happen. Whether you are a new or seasoned provider, you will surely encounter an ethical dilemma. Licensed Clinical Psychologist and BCBA-D, Dr. Linda LeBlanc, is on to talk about the importance of ethics, provider values, and her new book, Ethics: Proactive and Practical Decision Making for Behavior Analysts.
For many, your position in the field of ABA is the first professional role where you are officially responsible for the outcome of a vulnerable person. Your personal underlying values are important to decision making when it comes to the code of ethics. Ethical situations in this field can bring questions to boundaries and relationships appropriate for the role.
The first response to an ethical situation is often a gut response. But Dr. LeBlanc poses the idea of how providers can be proactive in their ethical framework before specific ethical dilemmas even arise. She explains the big picture of her up and coming book in three parts that will cover history, values, and personal behavior, a dissection of each section of the ethics code, and practical everyday management of ethics.
Following the code of ethics is not about perfection; it is about being planned, intentional, and thoughtful in a way that protects you and your client. You can find out more about Dr. Linda LeBlanc at her website and read a preview of her book at Sloan Publishing.
What’s Inside:
Mentioned In This Episode:LeBlanc Behavioral Consulting
Sloan Publishing - Ethics: Proactive and Practical Decision Making for Behavior Analysts
Membership - ABA Speech
As an SLP - BCBA working in the field for the last two decades, I have certainly made mistakes and learned along the way. Today I am sharing my top 5 mistakes and what I would do differently. Because when we know better, we do better.
In a world where 1 in 36 individuals has autism, we have to be striving to support autistic learners in every way we can.
What’s Inside:
Mentioned In This Episode:
IEP Goals for Students with Autism - ABA Speech
Membership - ABA Speech
Enjoy this free training from my new series, Communication Without Limits. In this presentation, I am providing an introduction to AAC.
AAC is a powerful tool that can help learners communicate and find their voice for the very first time. I share a personal story from my career where AAC did just that. What an amazing feeling!
I cover important information to support SLPs-BCBAs such as the Communication Bill of Rights, as well as who to turn to for support when it comes to finding devices, programs, and collaborating in your district or center. Utilizing an AAC requires a team; this is the learners voice and everyone has to be on the same page, including SLPs, BCBAs, OTs, Teachers, Parents, etc.
How do you know you need an AAC? I go over the steps of a comprehensive assessment involving Case History, Ecological Inventory, Self-Report, and Sensory-Motor Status. Once you’ve determined the need for AAC, you need to determine the system that will optimize communication for your learner. This is an important feature matching process where, as the provider, you determine access, language systems, and the materials or devices appropriate for the learner.
I hope you continue to tune in to future free training on important topics in ABA. To stay in the loop, receive more in depth training and tutorials, and connect with other professionals, consider joining the ABA Speech Connection Membership.
What’s Inside:
Mentioned In This Episode:
AAC - Slides and Handouts
Membership - ABA Speech
My guests today, Anna Dvortsak and Dr. Brook Ingersoll, are the creators of Project ImPACT, an important initiative in the field to provide access for parent coaching and train parents for a collaborative approach to therapy.
Project ImPACT is a systemic approach to parent mediated intervention for parents of young children with social communication delays, with or without a diagnosis. This parent coaching teaches parents to work with their children to create relevant skills and goals for their community and needs in four main targets; Social Engagement, Communication, Imitation, and Play.
There are many programs and systems that may not be attainable for some providers. Anna and Dr. Ingersoll have worked to make this an accessible program with an easy to follow and systemic coaching guide. For those who want more training with Project ImPACT is available but not required.
Collaboration is such an important part of a young child's intervention, not just with providers but with their family and their community. That’s why Anna and Dr. Ingersoll created this program with a holistic view of a child's needs beyond the therapy room, with strategies parents can implement daily.
You can find out more about Project ImPACT by visiting their website.
What’s Inside:
Mentioned In This Episode:Project ImPACT
Membership - ABA Speech
As a member of the field, you have probably heard of and used the VB-MAPP. Today I am talking to Dr. Barbara Esch, who is an experienced contributor to the field as an SLP and BCBA-D, as well as the author of the EESA, a part of the VB-MAPP.
Dr. Esch recently released the “New EESA”, the Early Echoic Skills Assessment and Program Planner. She explains the changes and the reasoning behind them.
The EESA is not about articulation, as it is primarily focused on Early Speech Learners. This assessment and planner is about how well an individual can repeat what they hear with the criteria: the number of syllables 1 to 6, different numbers of consonants, and different numbers of vowels.
In the new EESA you will find 5 groups of increasingly complex syllables within the Guide and Protocol books. These also include FAQ, Translations, and a Work Packet. In the work packet, the administrator will analyze skill levels and utilize the program planning guidance.
It’s always important to me to keep things FUNctional. Dr. Esch and I discuss the importance of choosing the write targets and the write syllables for words of things our learners like and would need access to.
As creator of the EESA, Dr. Barbara Esch has had a hand in thousands of learners' development of verbal speech. You can utilize this tool whether you're an SLP, BCBA, Parent, Caretaker or anyone finding themselves responsible for teaching vocal speech!
What’s Inside:
Mentioned In This Episode:Dr. Barbara Esch
Different Roads to Learning
Membership - ABA Speech
Have you ever been in a position where you’ve only seen your supervisor or administrator when there is conflict? Dr. Ellie Kazemi, behavior analyst and keynote speaker, joins me to discuss the work environment and how to build a positive work atmosphere, whether that’s in an ABA clinic or in a school based setting.
What is crucial to a positive atmosphere? Shared values and open communication. These important ideals come up over and over again throughout Dr. Kazemi's and my discussion. In order for teams to feel appreciated, psychologically safe, and have the desire for growth, they need administration and colleagues that promote transparency, shared values, and a framework to train resiliency for the ever changing systems.
If you’re a supervisor or administrator listening, consider how often and how naturally you’re making yourself available for conversations with your team. Dr. Kazemi emphasizes the point that there needs to be consistent, visible support from leadership.
Without these ideals, providers can face burnout, and even worse, the client can suffer. At the end of the day, we all want to make a difference and provide the best outcomes for our clients. The first step is creating a positive atmosphere for providers.
You can find Dr. Ellie Kazemi on her website, Instagram, and LinkedIn.
What’s Inside:
Mentioned In This Episode:Ellie Kazemi
Ellie Kazemi - LinkedIn
Ellie Kazemi (@ellie.kazemi) on Instagram
Membership - ABA Speech
How do you know if your therapy is working? Data collection is an important aspect of therapy to analyze goals and student improvement. During my 20 years of public school experience, I once had my data subpoenaed! It might be rare, but it CAN happen, so you want to be prepared.
Depending on your student goals and program, the way you collect data may differ. For some students, it may be appropriate to cold probe and collect discontinuous data with other continuous trials may be necessary. I explain how I use Google Forms to create digital data tracking for whichever need you have, which you can even attach to your Google Calendar to appear when you’re working with each student.
When it comes to paper data, many teachers and therapists create a data binder. For me, I like to include a calendar template, IEP goals and objectives, and then the various data sheets and task lists.
Consistently tracking data is crucial for your students and for yourself when it comes to creating progress reports, discussing progress in meetings, and even in the event the court may subpoena your data, like they did for me. Be sure to check out all of the resources I discussed today so that you can make your data collection habits organized and efficient.
What’s Inside:
Mentioned In This Episode:
Speech Therapy Data Binder
Data Collection using Google Forms
Membership - ABA Speech
As we enter the beginning of the school year, I want to go over my 20 years of experience in the field to discuss service delivery models in a school based setting. Our goal is always to support students in the best way possible, and the best way to do this is through an individualized approach to service delivery.
Depending on your learners needs, there are a variety of models you can consider. The need for these can depend on goals, age, needs, and the school environment.
The best way to make the biggest difference is to embed communication across the learners day and lifespan. From preschool to high school and beyond, service needs will vary greatly. The only thing that is constant is that EVERY student will need individualization.
Begin the new school year by building rapport, writing amazing goals, and getting to know everyone on your learners team!
What’s Inside:
Mentioned In This Episode:
Membership - ABA Speech
Working in this field, whether as an SLP, BCBA, or both, can be isolating, and meeting CEU requirements can be overwhelming and feel pointless. The Autism Connection CEU Membership is a professional development community to help SLPs and BCBAs make meaningful progress with autistic learners. Those already a part of the community have called it a positive space to learn and grow.
What can you expect from the membership?
-Every new member will receive 1 on 1 onboarding with me, Rose Griffin.
-A path tailored for seasoned professionals and those brand new to the field.
-Monthly live ASHA and ACE approved CEUs.
-Monthly Live Q&A.
-A cataloged CEU library.
Expect to see topics such as Group Therapy, AAC Assessments, Navigating IEPs with Ethics and Confidence, The Power of Joint Attention, Goal Setting Across the Lifespan, and I will also be leading an Intro to ABA series.
This membership community is launching NOW! Join before September 19th, during the founders launch, and receive these benefits:
-Free Advanced Language Learner Course – $297 value
-Join Annual for $197 first year + Double Up and Leisure Vocabulary Game - 35% savings
-Join Monthly for $20 for the first 6 months and $30 per month for the following months.
I cannot wait to have you a part of our community so that together we can make the most difference in our autistic clients' lives.
What’s Inside:
Mentioned In This Episode:
Membership - ABA Speech
Today I am talking to a “unicorn”. Ashley Whitaker is one of the 505 (at the time of this recording) dually certified SLP/BCBAs! Ashley has been in the field for 10 years and shares her path to certification.
Ashley started her undergrad with the idea to become a teacher after a lifelong passion for helping kids learn. When her roommate suggested a course in speech, the rest was history. Shortly after her career began, she was exposed to ABA and began her journey to BCBA certification.
As prep for the exam, Ashley recorded herself reading The Cooper Book summaries and relistened to them during her commute, as well as taking mock exams and using the ABA Wizard App. If you're listening and interested in becoming a BCBA, remember that the requirements are always changing, so be sure to download the BCBA handbook for the latest information.
I actually met Ashley through ABA Speech, and she is a part of the new ABA Speech Connection CEU Membership. Her experience has shown it is a like minded group of professionals and a collaborative community. With the membership, Ashley has found a place to ask questions and learn in a non judgmental space.
As always, I want you to leave this episode with actionable tips to use in your therapy room. Listen to the end to see how Ashley uses Essentials for Living as a framework in her practice.
What’s Inside:
Mentioned In This Episode:Learn more about the ABA SPEECH Connection CEU Membership and Joint Attention on September 12th at 8-9pm eastern and September 13th at 8-9pm eastern.
My guest today, Lorri Unumb needs no introduction. Lorri is a mother of three, an autism mom, a lawyer, an autism advocate, and an absolute dynamo in the field. Be sure to check out her long list of achievements in the guest bio for this episode!
We are talking about something so important and impactful for families everywhere who have an autism diagnosis: insurance. In 2003 when Lorri’s youngest, Ryan, was diagnosed ABA was not a covered treatment even though it was evidence based and crucial to his opportunity to reach his highest potential. Full time ABA therapy for Ryan’s needs would run $70,000+ annually. And they weren't the only family dealing with this.
While Lorri’s family could make it work, paying full price for therapy was not ideal and for some families this would simply not be possible. So in 2005 she got to work writing a bill that would require insurance coverage for all evidence based autism treatments to include ABA. And after a 2 year journey what became known as “Ryan’s Law” was passed in 2007. Autism Speaks reached out to employ Lorri and she then spent the next decade replicating this law across the country, finally passing in the 50th state in 2019.
Lorri also shares about her role in the Council for Autism Service Providers, a collaborative organization of providers working and learning together from across the country. And as an autism mom herself she has some great advice for parents facing new diagnosis: “It gets better”.
What’s Inside:
Mentioned In This Episode:Council of Autism Service Providers
The Autism Law Summit
Learn more about the ABA SPEECH Connection CEU Membership and Joint Attention on September 12th at 8-9pm eastern (https://us02web.zoom.us/j/835049703570) and September 13th at 8-9pm eastern. (https://us02web.zoom.us/j/86200908099)
Have you ever had a client exhibit behaviors that you just don’t know how to approach? Dr. Jonathan Fernand has had experiences in the field across many settings that aid in his understanding on intervening with restrictive and repetitive behaviors.
Restrictive and repetitive behaviors can mean a variety of behaviors, from high order (compulsive and ritualistic) to low order (self injurious and vocal/motor stereotypy). But when do these behaviors warrant intervention?
Dr. Fernand reminds us that while every decision is contextual and depends solely on the individual, there are factors that contribute to deciding on the intervention process. Consider safety, health and wellness, community, and other lifespan barriers as indicators for intervention. Prioritize the need for intervention and differing methods with changes in skills and interests. It’s also important to note that not all restrictive and repetitive behaviors need to be at zero levels if they can be enjoyed appropriately.
This conversation is great for SLPs, who are often in situations where they feel like they are calling in the BCBA when things have gone too far wrong and can maybe do more to intervene preventatively. Dr. Fernand, like me, is an advocate for lifelong learning. He urges professionals to access a network of resources and lean on colleagues and mentors to learn and grow.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:Dr. Jonathan Fernand on LinkedIn
Jonathan K. Fernand Florida Institute of Technology · School of Behavior Analysis
Learn more about the ABA SPEECH Connection CEU Membership and Joint Attention on September 12th at 8-9pm eastern and September 13th at 8-9pm eastern.
Get ready for an inspiring episode. I chatted with Dr. Shahla Alai-Rosales and Peggy Heinkel-Wolfe, who co-authored the book Responsible and Responsive Parenting in Autism: Between Now and Dreams.
This comes from Dr. Alai-Rosales’ extensive professional career and over 4 years of experience in the field, as well as Peggy’s personal experience as an Autism mom. The book binds together responsive parenting into three parts: Learning, Loving, and Connecting.
We discuss a philosophy prominent in the book, ABA, as a science of love and change. Dr. Alai-Rosales explains the deep care and concern required to work with an individual when trying to change behavior. Being a provider, you must harmonize the process of change with your deep regard for human rights and the individual you’re responsible for.
For professionals, these two share some insight into how to cultivate genuine kindness and positivity that will impact your clients and their families. Remembering your why and purpose in the field and staying present in the moment can help ground you.
This is a great reminder that although this is work, our time is a precious gift to our clients and their families, and every conversation makes a difference.
What’s Inside:
Mentioned In This Episode:Responsible and Responsive Parenting in Autism: Between Now and Dreams
Having an autistic adult on the podcast is always an opportunity to learn how we, as practitioners, can do our best for our clients. Joining me today is Larissa Minner, a passionate and experienced disability rights advocate, speaker, and consultant.
Burnout is commonly talked about, and I've even done an episode where we talked about professional burnout in the field. Larissa talks about Autistic Burnout and Neurodivergent Burnout and what that looks like for many individuals. Signs and symptoms of Autistic (or Nuerodivergent) Burnout can include feeling drain in all aspects of life, an increase in executive functional challenges, a lowered coping skill level, regression and loss of skills, brain fog, physical fatigue, mimicking and causing depression/anxiety, and even being a factor involved in suicidal ideation. This causes a lot of problems for autistic individuals, like finding a job or making their way through university.
So what can we do? As professionals, we can provide Neuro Affirming Environments. A Neuro Affirming Environment applies to social, emotional, and physical aspects, and Larissa explains some ways to do that without putting the burden on the autistic person. Firstly, use the person's preferred language, whether they prefer Autistic Person or Person with Autism. Also developing language that is not based on a person’s deficit; for example, Larissa uses the term Strategic Explorer to verbalize her preference for routine. Additionally, consider sensory friendly rooms with adjustable lighting and noise accommodations, validations in different listening and communicating skills, and always giving ample warning when it comes to events and changes.
Larissa is active in making changes across the field for both autistic children and autistic adults when it comes to healthcare, education, and career opportunities. This is a great conversation that shares some less talked about advocacy for autistic people and encourages professionals to check themselves when it comes to providing compassionate care.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:You can participate in her ongoing research study at Shape in Healthcare Survey (Healthcare Equality)
You can find out more about Larissa and her work at: https://linktr.ee/larissaminner
My guest today Dr. Cody Morris is an asset to the field, his goals include improving the practice of BCBAs, by Improving assessment and treatment methodologies regarding problem behavior and addressing organization challenges in delivering services.
Today we discuss Assent, its importance, and how to gain Assent even when a client is not yet speaking. Dr. Morris makes a very important comparison in definitions between Consent and Assent.
Consent: the affirmation that an individual who is legally authorized gives permission for themselves or another person to participate.
Assent: the affirmation that an individual who is not legally authorized to provide their own consent, affirms their willingness to participate.
Both of these are incredibly important, Consent has many legalities that affirm participation. Assent on the other hand, can be difficult to confirm when a child has limited or no communication skills. There are multiple ways to gain assent. 1, through Verbal statements or 2, through Behavior Allocation.
Assent can be obtained when a student's behavior allocated the confirmation to engage through choice. Choice does not mean the student decides all goals and treatment, but as Dr. Morris and I discuss small choices that affirm engagement and build to grander decision making skills.
In our conversation today, Dr. Cody Morris and I discuss some important fundamentals of behavior analysis that heavily involve Assent as a best practice. You can find out more about Dr. Morris’s work and research in the provided links.
What’s Inside:
Mentioned In This Episode:
Dr. Cody Morris on LinkedIn
Cody MORRIS | Assistant Professor | Ph.D. | Salve Regina University, Rhode Island | Department of Psychology | Research profile
Welcome to the fourth and final part of my Autism Case Study Series. I am going back over my last 20 years of experience in public education, non-public programs, and teletherapy working with autistic learners.
The last learner I want to talk about is a 3 year old boy that I saw in-home with my private practice, ABA Speech. When I first began services, the child had received an autism diagnosis, was not yet speaking, and was attending ABA services. After two years of working with this child, he had begun to speak in sentences and enjoy group activities.
I saw this child weekly for 35 minutes of instruction and 10 minutes of parent coaching. In my very first session with this learner, I focused on Joint attention using my 3 pronged approach: Music, Books, and Play. We sang Wheels on the Bus with motions, we read Pete the Cat, and we played with bubbles! These are some of my go-to resources. The child at first was not engaged or interested at all, but I continued to observe and take data, and engagement increased over time.
We even saw this child’s first spontaneous word during a play section of therapy. Playing with mini objects in a bag, the child reached in and pulled out a miniature shoe and said the word “shoe”! After that, engagement continued to increase. We played with miniature objects in many different ways, shaking them up in bags and hiding them in the learning space.
This series has been designed to help you resonate and feel inspired to help your clients or children develop a way to communicate with the world. What do you think of solo shows? Send me a DM on Instagram, an email, or please take time to leave a review.
Stay tuned for the launch of my community membership coming in Fall 2023; send me an email if you want to get in early.
What’s Inside:
Mentioned In This Episode:
Start Communicating Today- Toddler and Preschool Course
Welcome to Part 3 of 4 of my Autism Case Study Series. I am going back over my last 20 years of experience in public education, non-public programs, and teletherapy working with autistic learners.
Today I am sharing about an elementary learner from a non-public program. He came to me with no communication and unsafe behaviors that were a barrier to his learning, community, and school environment. This student actually brought with him a beautifully set up AAC on his iPad but had zero tools for utilization.
As we worked with this student in this non-public program, we collaborated with his parents, his home district (a rural area 1 hour away), and he was in a private classroom with 2 male assistants to keep everyone safe. I worked with this child for 1 hour a week in his classroom. We began work on building receptive language, requesting, understanding basic vocabulary: nouns and actions, joint attention, social engagement, and utilizing his iPad.
Several things helped me be successful with this learner. I was able to meet the learner where he was and engage in a way that was respectful of his preferences. I helped him with modified leisure skills like modified memory, where we used video modeling. During my work with this student, my idea for Action Build Cards also came to life.
Things took a big turn when this student realized his AAC was his voice. He began to use his iPad with pride. We even took community based outings to lunch places where the learner was able to use his AAC with a cashier to order his lunch. If you’ve taken my course, Help Me Find My Voice, you may have even seen this learner in some of my videos.
Stay tuned for Part 4 of this case study series next week, where I will share about a 2 year old learner!
What’s Inside:
Mentioned In This Episode:
Social skills for students with autism- Modified Memory
School-Age Course
Action Builder Cards
Welcome to Part 2 of 4 of my Autism Case Study Series. I am going back over my last 20 years of experience in public education, non-public programs, and teletherapy working with autistic learners.
Today I am sharing about an 8-year-old nonverbal learner I worked with in a non-public program. This learner came to me with no way to communicate with the world and various behaviors that were barriers to safety and learning. He really struggled with the learning environment, and I had to be creative.
Building rapport and getting to know your learner is so important. My usual iPad videos and sensory toys were not interesting to this learner, so I had to think outside the box. Listening to country music, special light up sensory toys, small objects to carry, and even mirrors ended up being some of the learners biggest interests and reinforcers.
I saw this learner in two 30-minute sessions across their school day, individually in my office. We started communication with AAC using an app on a device, which we really had to adapt this learner to. We also used visual prompts in an AAC binder with laminated pictures of familiar and favorite things.
These solo sessions were built around these three goals and activities:
As time progressed over several years, we worked on labeling, verbal imitation, and vocational skills. Eventually we segued into ½ individual and ½ group sessions where this learner became a shining star in more modified leisure games like Musical Chairs, Simon Says, and the Grocery Store game.
Stay tuned for part 3 of this Autism Case Studies series!
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:
Connect Four Modified - YouTube
Social skills game for mixed groups - ABA Speech
Save $100 on our autism courses!
Toddler & Preschool Course - ABA Speech
School-Age Course - ABA Speech
The Advanced Language Learner - ABA Speech
Welcome to Part 1 of 4 of my Autism Case Study Series. I am going back over my last 20 years of experience in public education, non-public programs, and teletherapy working with autistic learners.
In this case study, I discuss a middle school learner in public education. He had recently come to the country and was completely nonverbal. I first began with AAC to give him a voice and start communication. He did have to shape up his point with OT to make this accessible, but from there we began to build rapport. I also started using sign language and the resource LifePrint for his teaching area.
For assessment, I did the VB-Mapp and collaborated on this with his teacher, paraprofessional, and BCBA. The collaborative piece was so important, and we were all working really hard to help this learner find his voice. The VB-Mapp is a great gauge of expressive, receptive, and social language skills.
I structured our therapy around functional goals for this learner involved in leisure skills, requesting, and sharing activities. I worked with this learner in solo sessions in his classroom setting twice a week, and once with group activities.
I used a variety of resources that were tailored to the likes and interests of the learner to gain verbal imitation, and from there I inventoried his sounds and began to build more words and phrases.
The focus of these case studies is to help and inform therapists on how to work with our hard learners. We can make this fun and functional, give these learners their voice, and change their lives. Stay tuned for part 2.
What’s Inside:
Mentioned In This Episode:
LifePrint
Save $100 on our autism courses!
Toddler & Preschool Course - ABA Speech
School-Age Course - ABA Speech
The Advanced Language Learner - ABA Speech
Technology can feel intimidating, but there are so many tools available on your common devices that you might not even consider using them in therapy. JoanGreen is an SLP, assistive technology specialist, and online tech advisor. In this episode, she shares 10 tech tips that anyone can use to utilize technology and enrich your therapy sessions.
As SLPs, it's important for us to know and understand the assistive apps and accessibility features available, especially functions that are useful across the lifespan. As Joan explains these tips, she shares examples, scenarios, and easy ways to integrate these technology features into therapy with various ages.
Ten Tech Tips:
Joan offers a ton of information on technology and some awesome ways she helps professionals in the field. Be sure to download the free PDF for today’s listeners to learn all about these 10 tech tips and check out her platforms online.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:
10 Tech Tips to Enhance Communication
Innovative Speech Therapy
IST Tech Savvy Solutions Public Group | Facebook
Amazon.com: Assistive Technology in Special Education: Resources to Support Literacy, Communication, and Learning Differences
Save $100 on our autism courses!
Toddler/Preschool Course
School- Age Course
The Advanced Language Learner
Dr. Hank Schlinger has an extensive list of impressive and valuable contributions to the field. Today he joins me to discuss his brand new book, How to Build Good Behavior and Self-Esteem in Children.
Parenting is so hard and along with it comes responsibility that will span your child’s entire life. Whether your child has an autism diagnosis or not, parenting is parenting. Dr. Schlinger discusses the idea of intentional parenting, in which, as parents, we consistently reinforce and model good behavior and set clear boundaries. Dr. Schlinger also goes over 5 common problems parents face that contribute to behavior and self-esteem.
During this awesome conversation, Dr. Schlinger discusses each of these problems and offers solutions for parents to be more intentional as well as build good behavior and self-esteem. You can find his book on Amazon or find out more by visiting the book's website.
What’s Inside:
Mentioned In This Episode:Self-Esteem in Children
HOW TO BUILD GOOD BEHAVIOR AND SELF-ESTEEM IN CHILDREN: Schlinger Jr., Dr. Henry D.
Rita Soronen is a National Child Welfare Advocate working with the Dave Thomas Foundation for Adoption (DTFA). She advocates for the abused, neglected, and vulnerable children in the foster care and juvenile justice system.
There are 117,000 children in North America freed for adoption and 77% of those children have some sort of medically identified need, including autism. These children belong to a special division of DTFA, Wendy’s Wonderful Kids. This division is an initiative to advocate for and support children most at risk of aging out of the foster care system—teenagers, sibling groups, and those with special needs.
During this conversation, Rita not only explains the wonderful work done for these children but also shares a story of hope. CJ is a child with autism who was adopted at age 9 by a loving and caring adoptive mom, D. Now 20 years old, CJ, who was nonverbal at the time of adoption, is thriving as a college student and productive adult.
1 in 36 children has autism, and there are many children in the child welfare system with an autism diagnosis or other special needs that need support and care. You can learn more by visiting the Dave Thomas Foundation for Adoption website or calling their information hotline.
What’s Inside:
Mentioned In This Episode:
Dave Thomas Foundation
Dave Thomas Foundation for Adoption on Facebook
Call: 1-800-ASK-DTFA
What a pleasure it was to have Sandy and Ben Hartranft on the show! Sandy is the proud mom of three sons, one of whom is Ben. Ben is 24 years old and was diagnosed with autism at the age of 2.
20+ years ago, Sandy knew something was off, limited speech and no response to his name led her to pursue check-ins with her son’s doctors and an official appointment with a developmental pediatrician. Soon, it all came together, and the signs began to make sense with his new-found diagnosis. Ben found support through early intervention and through the rest of his school years with OTs, SLPs, The Talk Institute, and even his bus driver, who helped him make a plan to get on the regular education bus.
When you hear what Ben is up to now, you will be amazed! He has been on the Ellen show, worked extensively with the Philadelphia Eagles and their autism advocacy events, and gone on solo trips, including cross country to California to win big on The Price is Right! He even owns his own company, Benergy. In which he provides presentations and public speeches for organizations to spread awareness and advocacy for autism.
This duo is full of inspiration, kindness, and positivity. You can check out Sandy’s book, Swinging From the Chandelier: Finding Joy in the Journey through Autism, for more of the story of this incredible family.
What’s Inside:
Mentioned In This Episode:Ben Hartranft
Join our Start Communicating Today Live Course On June 20th and June 21st from 7-9:30 pm est. Register here.
This isn’t the first time we’ve talked about Assent on the show. But today we’re focusing on what it is. Why is it important? And how do you know if you’re using an Assent Based Model? Liz Lefebre is a precision teacher and BCBA passionate about high quality behavior and educational services.
So what is Assent? The goal of an Assent Based Model is a person-centered approach to assessment, intervention, and all other decision-making. In this model, the learner's assent withdrawal from participation is honored, whether it be a vocal 'no' or a non-vocal expression of verbal behavior.
Liz describes it as having various components: Designing a program based on learner values, measuring engagement and Assent withdrawal, teaching and reinforcing assent withdrawal, as well as creating boundaries for safety and respect. Check out Liz’s hot off the press checklist to analyze your current therapy and see if you are incorporating an Assent Based Model. What do you need to shift and change? She includes examples and non examples to clarify these subtle components and how they should be embedded.
If you’re ready for the first steps toward embedding an Assent Based Model in your therapy sessions, Liz has some tips.
When we know better, we do better. Assent is a crucial part of doing better, as my goal for therapy is to keep things fun AND functional!
What’s Inside:
—What is Assent?
—A new guide to analyze how you’re using Assent in therapy.
—The first steps for embedding an Assent Based Model.
—The importance of learner values and interests in therapy.
Mentioned In This Episode:
Assent Based Treatment Checklist
Octave-Training
Assent Conference
Start Communicating Today Webinar
Dr. Kelle DeBoth Foust is one of my best friends; we’ve been friends for over 15 years. She is an Occupational Therapist and an Associate Professor of OT at Cleveland State University. She has a passion for working with children with autism and other developmental disabilities and today she shares her wealth of knowledge with us.
What is Occupational Therapy? No, it has nothing to do with helping people find jobs! Dr. DeBoth Foust describes it as therapy to regain the skills necessary for meaningful activities or occupational roles. This is a skill or activity that you LOVE to do and the foundational skills necessary to help you do it. For kids and young learners, this is commonly play or school participation.
Occupational Therapists work frequently with sensory processing disorders and help use sensory integration for regulation. Dr. DeBoth Foust talks about "sensory diets,” which are strict schedules for sensory activities, and how these can sometimes not be very helpful. Working with sensory issues needs to be totally individualized, and teachers need to “be a detective” to see what triggers or helps students. Students should have some choice and be able to self identify how they feel and what they need to regulate.
We also discuss a hot topic I love; collaboration. As we are all highly trained in our fields and we want what's best for the learner, collaboration can be tough if we don't fully understand each other's roles. When it comes to BCBAs and OTs collaborating, they can often butt heads because it might feel like OTs are reinforcing problem behaviors with sensory integration. Dr. DeBoth Foust explains it well when she says, "Not every behavior problem is a sensory issue and not every sensory issue is a behavior problem”.
Dr. DeBoth Foust and her work focus on increasing engagement and participation in play! You can find out more about her work through CSU or the program PLAAY on the Move.
What’s Inside:
Mentioned In This Episode:PLAAY on the Move
Kelle Kathleen DeBoth Foust, PhD, OTR/L
It’s May, and it can be a time when a lot of stress and overwhelm can be occurring. How do you know when you’re headed toward burnout? What do you do?
Jasmine Yepez, The ABA Lady, is passionate about burnout and mental health advocacy for professionals and shares with me today her journey to healing after experiencing burnout. Burnout can be caused by a variety of things, like unhealthy boundaries with work. Are you consistently bringing work home with you? Checking your email during your time off? It can also be caused by a work environment that perpetuates negativity or overwork. Do they not help you set boundaries? Do they require work out of the office or during time off? Do they set unreasonable expectations? Whether it’s one or a combination, if you’re starting to feel burnout symptoms, you need to make some changes.
Jasmine was in a position where she needed to take a break from the field. You may also feel that it is necessary, or you might feel that with additional steps, you can work through the burnout.
Work through and heal burnout:
If you’re new to the field or coming back from a break due to mental health, what can you do to ensure your employer has a positive culture that won’t lead to burnout? Jasmine shares some great questions and considerations for interviewing that can help you find the right employer.
As you head into a busy and often stressful season, put yourself first! Have the care, compassion, and patience you would have for your clients for yourself as well! It is okay to take care of yourself, and it is always okay to question your job, there may even be ways you can use your certification that you haven't even considered yet!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:@TheABALady on Instagram
You may have heard of the term "ACT," or Acceptance and Commitment Therapy, before, but this is a new topic for the show! I was so excited to learn about this impactful therapy approach from BCBA Kody Harms.
What is ACT? Acceptance and Commitment Therapy is all about accepting that variables and challenging things will occur in life, but developing mental flexibility through positive values can be overcome. As a therapist working with parents, teachers, and other professionals engaged in the special education community, Kody found this to be the strongest force, especially with post- COVID concerns. He focuses especially on those that will have an impact on children with special needs.
The approach to this therapy involves action based sessions. Creating daily actions to reflect who you want to be and systematic goals based on your environment. During intake, you have a values assessment to understand who you are and what you want to be. And weekly check-ins involving a health score from 1-10. The idea is that a healthier mind and mental space lead to more positive outcomes and change toward your goals. You can expect role play, narrative exercises, and other tactics that drive towards an overall shift toward a positive mindset.
Whether you’re a mom looking to be a better, more positive parent towards your special needs child or a professional working towards handling contentious situations with special needs children and their parents, ACT can be a really healthy and balanced way to reach those goals.
Before we close, Kody shares his 5 second rule when it comes to when you don’t really want to do something. I know I am going to use this right away!
You can find out more about Kody and ACT therapy with Curated Family Therapeutics online at their website and Instagram.
What’s Inside:
Mentioned In This Episode:Curated Family Therapeutics
CFT Instagram
Get Your Free Autism Toolbox
Whether you are a seasoned professional, parent, or brand new to the field, IEP meetings are a reality when it comes to school based settings. With over 20 years of experience, I have 5 top tips to keep you positive, prepared, and confident no matter the tone of the meeting.
If you ever need extra support, whether you’re a parent or professional, I am here, and you can book a coaching call with me. Not every IEP meeting will be warm and fuzzy, but we can live in a world where we do not dread them!
What’s Inside:
Mentioned In This Episode:
Autism Outreach Podcast - Episode 54: Autism Assessments
Book a coaching call with Rose
Get Your Free Autism Toolbox
One of my big goals with ABA Speech and The Autism Outreach Podcast is to disseminate information to help professionals stay in touch with the latest research and information in our field. When the article, Examining Core Vocabulary with Language Development for Early Symbolic Communicators, written by Dr. Allison Bean and Dr. Bethany Frick showed up in a professional Facebook group, I knew I had to know more.
Let’s first start by breaking down the definition of the vocabulary discussed in this article and today’s episode. Core Vocabulary is made up of 200–400 words that occur frequently across individuals, settings, and contexts - pronouns, verbs, auxiliary verbs, prepositions, and determiners (it, more, that, is).
Fringe Vocabulary is all the other words specific to an individual or activity - mostly nouns.
In their research, Dr. Bean and Dr. Semmler examined 7 core vocabulary lists, looking at the composition of the list, what portion were nouns/verbs/etc and when they are acquired under typical development. They found the lists to very well match the definitions in our field, and the majority of words were acquired by typical language learners from ages 25 - 66 months.
As we discuss the findings from their research, we consider how practitioners are choosing, using, and teaching words to AAC learners. AAC is still critical language development, just with a different modality. It is crucial to continue to use your clinical expertise and training in language development as you are choosing words and teaching your AAC users.
At some point in time, every single SLP will encounter a learner who uses AAC. How are you developing their language? How are you choosing meaningful words specific to the learner?
Dr. Bean and Dr. Semmler get to the heart of these important questions and have a great discussion about this important research!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:Thank you to our sponsor LINGGO. For more information, visit www.linggo.com or contact info@linggo.com
Allison F. Bean | Department of Speech and Hearing Science (osu.edu)
ABA Speech: Learn About Current ASHA and ACE CEUs
When you are post-certification and become a practitioner, it can be difficult to stay in touch with the latest research. Dr. Amber Valentino, Chief Clinical Officer at Trumpet Behavioral Health, discusses some of the ways to break beyond the barriers of research as a clinician and make ABA research more accessible.
Dr. Valentino wrote a paper with her colleague, Jessica Juanico, on the barriers to research for practitioners who had a real desire to continue research during their field careers. This was the inspiration for her book, Applied Behavior Analysis Research Made Easy: A Handbook for Practitioners Conducting Research Post-Certification. Dr. Valentino expresses the importance and place for field research that looks different, may be less structured, and embraces the mess that is everyday clinic work.
I’ve set a goal for myself to read three journal articles a week because learning and disseminating information are important to me. Dr. Valentino shares some ways she recommends creating digestible goals to consume research, like “lit in a min” and time blocking.
We also talk a bit about public speaking. Whether you are live on socials, a podcast, an IEP, or a parent meeting, speaking can be nerve wracking. She says to prepare, practice, and know your audience. That is the best way to soothe your nerves and nail your talk!
You can find out more about Dr. Amber Valentino and her work by visiting the website for Trumpet Behavioral Health or checking out her personal website, Behavioral-Mom.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:Behavior Mom
Trumpet Behavioral Health
ABA Speech: Learn About Current ASHA and ACE CEUs
Thank you to our sponsor LINGGO. For more information, visit www.linggo.com or contact info@linggo.com
Have you ever met a provider, with a “Sit down! Do your work! Kids need to listen!” mentality? Jennifer Posey is a BCBA and adjunct professor at Endicott College. In this episode, she shares about her new tool, the Joy Index, which is currently in the research and peer review process.
The Joy Index is a tool that measures assent, autonomy, embedded choice, and relationship building. It involves 32 indicators with yes or no answers that can be used by parents and professionals. As providers, our goal is to have a positive impact, but there are those who have raised concerns about the practice of ABA. This tool is to keep those concerns in check and ensure we are creating a joyful experience in therapy.
Honor the learner, follow their lead, provide choice in play materials and instruction, these are all parts of the dance between instructor and child to create a meaningful interaction.
The Joy Index is currently under peer review, so stay tuned for future information on this incredible tool. Contact Jennifer Posey via email and look out for her at upcoming conferences this year.
What’s Inside:
Mentioned In This Episode:jposey@endicott.edu
ABA Speech: Learn About Current ASHA and ACE CEUs
Don’t Wait! That’s the advice from Zulekha Williams when it comes to taking action for concerns with your child’s development. I met Zulekha over on TikTok; she is a great mom who is fighting for the needs of her children and sharing her journey along the way.
As a member of the helping profession, Zulekha wasted no time when it came to getting support for her son when she started noticing early signs of autism. Before his diagnosis, she was seeing signs like delayed motor skills, no eye tracking, limited awareness, no sense of danger, and no speech. She immediately started speech and other therapies before completing the M-CHAT on her own and bringing it to her doctor.
Alongside speech therapy for her speech delayed 2-year-old, Zulekha has quite the journey securing the right therapy and services for her sons. Between ABA therapy, speech therapy, telehealth, school, and even issues with allowing AAC in the school, she had to seek out the help of another TikTok creator, The IEP Strategist. If you’re having similar experiences when it comes to speech services or AAC, check out the Communication Bill of Rights on ASHA.
During our conversation, you can hear the passion Zulekha has for her children. Her story and tips for services and creating communication with your children are such an inspiration for any family!
What’s Inside:
Mentioned In This Episode:
Communication Bill of Rights
Zulekha Williams on TikTok
ABA Speech: Learn About Current ASHA and ACE CEUs
“In all communication, aim first to understand”. This is the first bullet from Leanne Page’s Parent Training Checklist. Leanne is a BCBA, parent coach, author, continuing ed provider, and mom of 2. In this episode, she is sharing some impactful points on this step to step guide for Compassionate Parent Training.
Did you know that a study showed just 40 seconds of compassion from a doctor drastically improved patient outcomes? Oftentimes communications with parents can occur only when problems arise or to update goals and IEPS but Parent Training is actually a monthly service usually covered by insurance. Not only can this provide better client outcomes but it can impact and support the whole family.
Leanne uses thoughtful and clever tips in this checklist to dance the fine line of communication, covering goals and meeting them where they are at. Find yourself having trouble getting through a conversation with a parent. Use a pause wisely and remember, WAIT - Why Am I Talking? This gives you both a chance to reset.
With Parenting with ABA, Leannae offers membership and CEUs through monthly training and book studies covering empathy, compassion, and other trauma information resources based on ABA research. You can find out more about her and Compassionate Parent Training through her website!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:Parenting with ABA
ABA Speech: Learn About Current ASHA and ACE CEUs
We all know collaboration can be tricky when it comes to working across many fields of expertise, especially with a shared tool like AAC. Today I am delighted to have Barb Weber as my guest. Barb is an SLP, BCBA, author, and AAC specialist.
When it comes to AAC, especially considering the differences in AAC training for SLPs and BCBAs, navigating collaborating can be hard. Barb emphasizes the importance of matching the AAC device to the skills and relevant activities of the user. She also notes that the person whose voice it is and their close circle should be involved in the decision-making process. Functional and socially relevant vocabulary should be prioritized, taking into account different perspectives from the SLP, BCBA, teacher, and family.
There is a fine line between collaborating and “too many cooks in the kitchen”. Barbs asks the question; whose device is it? It is crucial to manage the device with agreed-upon procedures and involve one programmer who considers the communication and thoughts of all providers. But the most essential piece is to remember who we are serving, always supporting and honoring the user's needs.
Difficult conversations are part of the process, Barb actually calls this an important skill for therapy providers. She recommends that providers learn how to say hard things to ensure they are providing the best possible care. Negativity can circulate in areas of collaboration, but you can combat that by always talking to everybody and building opportunities with different perspectives.
Our conversation might help your collaboration go smoothly and even avoid disagreements, but if they do happen consider these tips:
This was great information from Barb who is a member of ASHA’s SIG 12. I hope these tips can help you in your practice and collaborating with other providers on your journey to help your learners!
What’s Inside:
Mentioned In This Episode:
Special Interest Group 12, Augmentative and Alternative Communication
ABA Speech: Learn About Current ASHA and ACE CEUs
In this conversation with Pediatric SLP Cindy Watson, you can just see the passion she has for helping young learners communicate and find their voice.
When Cindy first receives a new Early Intervention case she calls on the parent to talk through the reasons and concerns that led them there and another simple but IMPACTFUL thing…what does the child like? These things establish rapport and give Cindy the tools to enter the first Early Intervention session as she calls “the fun aunt.”
Cindy’s top favorite toys and tools for initiating play and communication are among my own with Bubbles, Books, Blocks, and other open-ended toys. Arkansas where Cindy’s center, Children’s Therapy TEAM is a bagless state which encourages therapists to enter homes with no outside resources and take advantage of the child’s natural environment so that parents can keep up the work outside of therapy.
When assessing new toddlers for Early Intervention Cindy starts out with play, observation, and conversations with caregivers. For formal assessments, she uses the Preschool Language Scale and the Rossetti Infant Toddler Language Scale.
Cindy shares my view on the importance and power of communication and shares a few key focuses she thinks therapists and families at home should consider when working on speech:
Cause and effect communication
Reinforcing language
Gestures
Joint attention
Building on milestones
Not only does Cindy do incredible work with young children in Early Intervention, but her center also has a really amazing mentorship program for their therapists to give them the tools and confidence to do their best work. You can find out more about Cindy and The Children’s Therapy Team on their website and Facebook.
What’s Inside:
Mentioned In This Episode:Children’s Therapy TEAM
Children's Therapy Team on Facebook
cindy.watson@childrensteam.com
ABA Speech: Learn About Current ASHA and ACE CEUs
I am speaking with Rachel Archambault, the PTSD SLP. Rachel was present on Valentine's day 2018, when a mass shooting occurred in her workplace, Marjory Stoneman Douglas High School in Parkland Florida. This experience led her to curate and cultivate resources for her trauma-affected students, and provide therapy with Trauma Informed Care.
Trauma Informed Care hallmarks on: Realizing trauma is present, Recognizing the effects, Responding to the trauma and its effects, and avoiding Retraumatization. Rachel uses the 6 pillars of Trauma Informed Care to guide her approach:
Safety
Choice
Collaborating and Mutuality
Trust and Transparency
Empowerment
Cultural, Historical, and Gender Issues
During our discussion, Rachel provides situations and insights that can guide your care to ensure no student is at risk of trigger or re-traumatization. Whether they were a part of a traumatizing national event or a smaller personal trauma, all trauma is equal and every person deserves to be protected. With her advice today, it is clear that this initiative takes a mindset shift that has benefits to everyone you come in contact with.
For more information check out the resources Rachel provided in today’s episode along with finding her on her Instagram @PTSD.SLP.
What’s Inside:
Mentioned In This Episode:What Happened to You?: Conversations on Trauma, Resilience, and Healing
Trauma Informed
PTSD Resources for SLPs | Facebook
Rachel A. | The SLP W/ PTSD - Instagram
ABA Speech: Learn About Current ASHA and ACE CEUs
When it comes to supporting students using AAC devices… Are you Intimidated? Overwhelmed? Unsure? Unprepared? In this episode, I am digging into my tool belt of 21+ years of experience and sharing my top 5 strategies to use to support autistic learners using AAC devices!
Know this Document -> The Communication Bill of Rights! Be aware of this empowering document and print out and even share it with the people in your learner's orbit. Listen in for some specific and important rights for our learners and their voice.
Understand the Device: Sounds simple? Maybe, but there will often be new to you technology and programs. Take the initiative and the time to learn it and understand! You need to be an expert so you can help not only your learner but the others involved in their care. Seek out AAC experts in your district, find online tutorials, and get educated by company representatives!
Model Using the Device: Everyone in our learners' environment needs to understand that the device is absolutely essential. Model for other teachers and therapists so all providers can be aware and help your learner. Show how the device can be used across the day.
Train Others: People shouldn’t be afraid of AAC devices. It’s a big part of your responsibility to make sure everyone is educated about a device, its rights, and how to use it. Tie it into compliance with the IEP. Try fitting it into PD, training days, or late start days!
Keep Generalization in Mind: How is this important in a larger school environment? At home? In the community? This skill is important enough to take time to work on because it moves beyond the therapy room and will last across environments and lifespans.
Help me reach my goal of making sure ALL autistic learners have a voice! Like, share, and leave a review on this podcast!
What’s Inside:
Mentioned In This Episode:
Episode 108: The Power of No with Lisa Wallace
Social skills game for mixed groups - ABA Speech
Boom Cards: Social Skills- Let's Talk: Visual Conversation
ABA Speech: Learn About Current ASHA and ACE CEUs
Dr. Corey Whelan, SLP-BCBA joins me in this episode to discuss a really important assessment for autistic individuals that can add to compassionate care across the lifespan.
Practical Function Assessment (PFA) is a process aimed at understanding individuals and the barriers they face in therapy. The goal of PFA is to provide a treatment plan via a skills-based therapy process that will prevent unsafe behavior and help clients reach their optimal learning environment. The first step in PFA is an open-ended interview to learn about the individual and their barriers. The information gathered in the interview is then synthesized into an Interview-Informed Synthesized Contingency Analysis (IISCA) to move forward with the assessment.
PFA allows for the safe evaluation of dangerous behavior without the need to witness it. Instead, the focus is on reinforcing non-dangerous, early responses in the chain of behavior, with the ultimate goal of providing a skills-based therapy process to treat problematic behavior. Three critical skills are emphasized in treatment with the PFA: functional communication training, tolerating disappointment when a response is not reinforced, and cooperating with adult-directed instruction during a delay.
Behavior Analysts looking for training in PFA can do so through online courses or by seeking mentorship from the center of the company they work with. PFA is ideal for individuals who are making minimal gains in therapy but behavior barriers remain a concern, or for new clients engaging in problem behavior prior to starting therapy.
It's important to note that the purpose of PFA is not to understand why a behavior is occurring, but to treat it and prevent it, leading to more effective therapy. By breaking through barriers, individuals can access their optimal learning environment, allowing them to make the most of their therapy sessions.
What’s Inside:
Mentioned In This Episode:
Vinfen
Practical Functional Assessment
ABA Speech: Learn About Current ASHA and ACE CEUs
Dr. Sarah Frampton, an assistant professor at the University of Nebraska - Omaha joins me today as we discuss her work with Matrix Training. Dr. Frampton also refers to it as Matrix “Planning”, this is a generative approach to therapy that can help learners acquire new skills and improve their communication.
Matrix Training involves arranging words in a matrix so that some multi-word phrases are taught directly, while others emerge through indirect teaching. This approach involves creating a table of related targets and components and then moving forward with training and probing. The key benefit of this approach is the ability to identify and prevent faulty stimulus control in tact training.
Age is not a barrier to using Matrix Training because it is based on a solid foundation. This approach is best suited for learners who are acquiring single-component tacts and listening skills, with a provider who has found a teaching style and process that works best for them. Learners who will find Matrix Training most effective are typically at Level 2 of the VB-Mapp or around 18 to 30 months developmentally.
The basics of Matrix Training are simply selecting targets, teaching targets, and then assessing targets. There are no restrictions on how to use and teach with Matrix Training, and it can be embedded into a naturalistic teaching context or any other context that works best for the student.
Dr. Frampton emphasizes that Matrix Training is a systematic and science-based tool that can be incredibly effective for therapy planning. When done well, therapy sessions can even look and feel like play.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:Sarah Frampton | Department of Psychology | University of Nebraska Omaha
ABA Speech: Learn About Current ASHA and ACE CEUs
Dr. Dana Battaglia, SLP, and Dr. Mary McDonald, BCBA, have been working together and collaborating throughout their career. Collaboration in the two fields is slowly making progress but there is still a lot of polarity for a lot of professionals.
They rely on their strong commitment to science and evidence-based practice to guide their collaboration.
Dr. McDonald references the Ethics Code of Behavior Analysis codes, 2.10, 3.01, and 3.06.
2.10 Collaborating with Colleagues
Behavior analysts collaborate with colleagues from their own and other professions in the best interests of clients and stakeholders. Behavior analysts address conflicts by compromising when possible and always prioritizing the best interests of the client. Behavior analysts document all actions taken in these circumstances and their eventual outcomes.
3.01 Responsibility to Clients
Behavior analysts act in the best interest of clients, taking appropriate steps to support clients' rights, maximize benefits, and do no harm. They are also knowledgeable about and comply with applicable laws and regulations related to mandated reporting requirements.
3.06 Consulting with Other Providers
Behavior analysts arrange for appropriate consultation with and referrals to other providers in the best interests of their clients, with appropriate informed consent, and in compliance with applicable requirements (e.g., laws, regulations, contracts, organization, and funder policies).
The bottom line is to ask yourself, what is in the best interest of the client. When you don't know what you don't know and you have access to a professional with the knowledge and skills needed for your case, it is important to have humility, stick to the science, and consult them.
Dr. Battaglia and Dr. McDonald's collaboration across their professions maximize their outcomes and increase the benefit of the client. They share some strategies and tips to help other SLPs and BCBAs open to collaboration and see the same great results.
What’s Inside:
Mentioned In This Episode:
Dr. Mary McDonald
dbattagliaslp@gmail.com
Dana Battaglia, Ph.D. (@Dana_Battaglia1) / Twitter
Eden II Programs
ABA Speech: Learn About Current ASHA and ACE CEUs
If you succeed, I succeed. That really culminates in the importance of SLP and BCBA collaboration, but as we've discussed on the show in the past…it can still be really challenging.
Lynn Dudek, owner of ASD SLP, and a fellow SLP-BCBA "unicorn". She shares her experiences in the field with stories coming from the late 80s and early 90s that dive into the history and changes we've seen in the SLP, BCBA, and autism fields. A pivotal moment in her career was a "dream dinner party" as I joke, where she picked the brains of Dr. Vince Carbone and Dr. Patrick McGreevy. Throughout her career as an SLP and eventually, as a BCBA, she was faced with the opportunity to work and collaborate with other BCBAs and SLPs.
Lynn shares somewhat of a case study of a collaboration interaction that really went well on the topic of verbal imitation. This concept with Echoics can be a touchy subject between the fields, but because the BCBA Lynn was working with was open to understanding Lynn's expertise on speech development, they were able to agree and move forward for the better of the learner.
Common Challenges for Collaboration:
-Understanding the role and expertise of the professional…who really "knows best?"
-The language barrier… academic language and terms between the two professions can differ greatly
Positive Strategies for Collaboration:
-Be open: create an open line of communication, you are both well-educated, trained professionals with specific expertise.
-Demystify the language: when possible use plain language that everyone can understand, or explicitly explain academic terms
-Pair first: we always talk about "pairing first" with our learners… take the time to pair with the other professional. Make a connection and show interest, it can smooth the edges of future disagreements.
When we work together we can do such amazing things, not just for the child but for the professionals on the team.
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:lynn.dudek@asdslp.com
ABA Speech: Learn About Current ASHA and ACE CEUs
No. No, thank you. I don’t want to. I don’t like this. These are important statements that communicate that you do not want something to happen. In this episode, Lisa Wallace an SLP who has worked with young children with autism and their families for over 25 years talks about this important yet overlooked skill of communicating “no.”
No may look like a variety of things depending on the activity and the child’s communication level. Clear signals might be verbally saying no, giving back or throwing an item, running away, crying, and in some cases severe problem behaviors. Other more subtle symptoms might be withdrawal, the closing of eyes, turning away, and disengagement.
Effective communication of “no” should be a goal for every child, regardless of how they are currently communicating it. To assess where to start, Lisa recommends using observational informal assessment, taking notes, and talking to the caretaker. What triggers a “no” response? What does “no” mean to them? What does “no” look like to them?
Lisa talks about working towards this goal in a mildly challenging way because there often are no provided opportunities to communicate “no”. Especially, if you have a child who is happily engaged in every activity. Or alternatively, you have a child who, provoking a “no” activity might cause triggering, dangerous behavior.
Tips for “Practicing Protesting”
-Provoke in a Mildly Challenging Situation (Avoid high stakes situations)
-Set antecedents, what are going to be the causes of the “no”?
-Provide visuals, AAC, or other familiar communication tools.
-Ready to model. Show the learner what communicating “no” looks like.
-Use the correct reinforcement: Removal of antecedent.
You want the child to know and understand that when they communicate “no” or “I don’t want to” or “Not like this”, their communication is going to be validated. Do not continue doing the “no” activity in any capacity.
This is such a great topic, and one I don’t think we discuss nearly enough. Saying “no” is an important piece of communication in helping our learners find their voice.
What’s Inside:
Mentioned In This Episode:ABA Speech: Learn About Current ASHA and ACE CEUs
As SLPs and BCBAs we are tasked with teaching comprehension to our learners, but do they really understand these skills? Dr. Merrill Winston joined me to discuss not only reading comprehension but comprehension in everyday life and the building block skills to be successful.
What is comprehension?
Whether you're reading a book or listening to a statement, there are 3 markers for comprehension.
Dr. Winston and I get into the nitty gritty of that last marker and talk about it when it comes to a comprehension of daily life. He says that a major prerequisite for reading comprehension is comprehending their day. You can check this by having your learner sequence, or "serieate" their day. (First I did this, then I did this, then we did that…)
With this skill, students are pulling information from the past and making a time reference. You can practice by working in smaller increments, like the last hour even.
This doesn't have to be verbal, it can be in pictures or icons as well! But, the important thing is to ask those questions!! Students may not be able to serieate their day, simply because they aren't being asked these questions.
We also talk about goal setting and realistic expectations. If you're considering setting a comprehension goal for your learner, Dr. Winston says to be sure to ask: What is the end goal? Where is this skill going to take them? Every skill you spend time on should have a goal that extends across the lifespan and opens more doors and opportunities. He even goes as far as to say that working on a goal for too long without progress is careless!
This was such a great chat with a leader in the field of ABA, and I hope you found it helpful!
What’s Inside:
Mentioned In This Episode:Winston Behavioral Solutions
ABASpeechByRose - Rose Griffin - Instagram
ABA Speech: Home
ABA SPEECH Your Autism Resource
Every October I send out a survey to find out what you all are struggling with. This year the top 2 answers were Engagement and Behavior Barriers. I talk about engagement often on the show, and in this episode, I am focusing on behavior barriers.
If you’re trying to find ways to support your students who might have behavioral barriers or problem behaviors here are seven things to consider for preventing and handling these barriers:
I also recommend recording ABC data. Antecedent, Behavior, Consequence. Write down and track every occurrence of behavior and the correlating information. As time continues you will understand, notice a pattern, and begin to prevent these behaviors. I offer an ABC sheet in my course Help Me Find My Voice, but ABC sheets are readily available via web search.
Not only is this podcast meant to help you give a voice to your learners, but also helps you have the confidence to reach and support all of your autistic students. If you found this helpful please subscribe so you don’t miss more important information you can put to use in your therapy room.
What’s Inside:
Mentioned In This Episode:
ABASpeechByRose - Rose Griffin - Instagram
ABA Speech: Home
ABA SPEECH Your Autism Resource
I love talking about joint attention, but a lot of my ideas and strategies in my courses may feel like they are geared toward older preschool-age students. My tips today are for the youngest learners, toddlers aged 2 to 3. Joint attention is an important foundational skill and it is never too early to get started with these strategies!
3 Ways to Get Started with Joint Attention with Your Toddler Today
Books
Books are the lifeline for learning and sharing activities and time with our little ones. For these young learners, when reading use a positive, energetic voice. Try using board books and interactive books with flaps. With your own child, make a goal to embed at least 15 minutes to read and interact with a book every day!
Some of my favorites: Huggy Kissy and the Llama Llama series
Songs
Use YOUR Voice. Learn songs with motions to sing with your toddler. If toddlers aren't speaking they can join in by using the gestures and doing the motions as you sing. You can also use visuals like toys that match the song or printed visuals from my TPT store for early intervention songs.
Some of my favorites: Wheels on the Bus, 5 Little Monkeys, Happy and You Know It, Old McDonald
Play
Playing with toddlers is so fun and you never know what they will love and enjoy. Focus on not asking questions but just modeling simple language and narrating the activity.
Some of my favorites: Bubbles, Sensory Bins, Cars with Tracks
What’s Inside:
Mentioned In This Episode:
Books For Speech Therapy For Toddlers
Songs for Early Intervention by ABA SPEECH | TPT
ABA Speech: Home
ABA SPEECH Your Autism Resource
We need to step back and wait so that the child has a chance to find their voice, whatever that looks like so that they can spontaneously and independently connect with us.
Dr. Jamie Hughs-Lika is a BCBA-D, an Early Start Denver Model Certified Therapist, and has been working in the field for 26 years. We discussed what you can do when social engagement is difficult with your child or students and why is it so important to work on this skill.
Social engagement and attention begin as early as infancy, with eye contact and small coos from your baby. When this isn’t present, and the pattern of limited social engagement continues, Dr. Hughs-Lika says differences in social attention are one of the first early signs of autism. Children with autism are less motivated to engage socially, and Dr. Hughs-Lika covers the three pillars of social motivation:
*Social Orientation: This is responding to communication and social attention with eye contact, gestures, etc.
Social Seeking: This is initiating communication through gestures, imitation, showing toys or items, etc.
Social Maintaining: This is ‘maintaining’ a social connection through turn-taking and social reciprocity.*
Dr. Hughs-Lika is also an autism mom and shares a little about her journey for connection with her son Liam. When she works with him and other children she “takes a pulse” of the interaction with these questions.
Social communication is the cornerstone of more advanced communication. Having fun, being positive, and building a personal connection with your child are important strategies for working on social engagement and communication. During our discussion, we talked about the assessments available, Dr. Hughs-Lika’s courses, and the nuance of working on this critical skill. You can find out more about her courses and other information by finding Sage Learning Systems on social media or visiting their websites.
What’s Inside:
Is social engagement an early sign of autism?
What are the three pillars of social motivation?
Available assessments for social skills.
Strategies and Questions to guide interactions with your child or student.
Mentioned In This Episode:
—SAGE Learning Lab
—Sage Learning Systems
—Sage Learning Systems on Facebook
—Chevalier et al article
—Fun visuals for teaching strategies
—ABA Speech: Home
—ABA SPEECH Your Autism Resource
“Rose, I am working with a student who is not engaging during therapy!”
This is a message I get week after week from my listeners! So this week I am playing back my most listened episode of 2022, number 62, all about joint attention. I go over some key strategies to not only increase attention during therapy but help your child or client on their journey to communication
These activities involve shared activities through playing with toys, singing songs, and reading books. It is okay if your student isn't ready to fully engage when you introduce these activities, note their baseline data, and move forward with goals. You will be amazed to see the transformation and excitement over these simple activities.
Toys:
Playing with toys in therapy is all about creating an interaction in a semi-structured environment. Remember to use simple language and allow for natural curiosity and play and not bombard with questions.
Examples of toys I love to use:
Literacy:
Build excitement around the book, use books with repetition, and if your kids like it try an animated voice which can be really fun.
A few books I love to keep in my therapy bag that are a great success for joint attention are,
Pete the Cat and his White Shoes, Brown Bear, The Very Hungry Caterpillar, and Chicka Chicka Boom Boom.
Music:
Students love songs, they are familiar, and create engagement. I also love to use visuals that can be just laminated pictures or little toys that match the activity of the song. It can also be engaging to sing songs that have motions for the words.
Songs I love:
It can be difficult to keep data and set goals around these abstract ideas, be sure to check out my goal bank on ABA speech. I hope you love these ideas and get use out of them in your next therapy session!
What’s Inside:
Mentioned In This Episode:
IEP Goals for Students with Autism - ABA Speech
ABA Speech: Home
ABA SPEECH Your Autism Resource
Any chance to talk about collaboration, I am all about it! Janna Bedoyan and Morgan van Diepen are experienced members of the autism field. Janna is an NBCT teacher who specializes in Augmentative and Alternative Communication and Morgan is a BCBA and autism specialist. As I talk to these two today, their passion is just incredible.
Together, Janna and Morgan have just published a new book, AAC Visualized - a visual guide for AAC full of detailed pictures, examples, ideas, and strategies. The mission behind AAC Visualized is to normalize the use of AAC, advocate for acceptance and access to AAC, and empower families through AAC education. In the creation of this book, they collaborated with SLPs, Teachers, Autistic Individuals, and AAC users to get an all-encompassing view on AAC.
Janna and Morgan make it clear that it is NOT SLP versus ABA but instead there is a clear need for collaboration between the two. AAC is typically taught and used with SLPs but it's important for ABA providers to put it to use during therapy as well for these users. They share some of their tips and strategies from their book!
3 Essential Tips for ABA Providers Teaching AAC
Be sure to check out their book AAC Visualized and the "sister" book ABA Visualized. You can find Morgan and Janna on Instagram to check out all of the cool things they are doing in their field!
What’s Inside:
Mentioned In This Episode:
Shop AAC VisualizedAAC Specialist & Consultant (@aac.and.me) • Instagram
ABA Visualized (@abavisualized) • Instagram
ABA Speech
I love hearing from autistic individuals in the field who have first-hand experience with the challenges and reality of diagnosis and therapy. Carly Millis Jalowiec is the Education Assistant at Milestones Autism Resources, today she shares with me her journey to her own autism diagnosis as an adult. Carly provides great insight into the difficulty of diagnosing autism in females and why providers and clinicians have an outdated idea of autism.
Autism in girls is unfortunately too often missed. Carly explains that in the infancy of autism research was focused primarily on white boys with a narrow view of symptoms and presentations. Providers often only find a diagnosis in those with the same profile while social conditioning and traditional gender expectations create varied presentations for autism. Boys will often present autism symptoms in a very outward way while girls will typically internalize symptoms and characteristics.
Carly talks about how arriving at her adult diagnosis leans a lot into her lifelong masking and camouflaging. Masking is a really important topic in the autism field today because so many individuals want and deserve to be honored as themselves. Carly explains how masking can help individuals fit into the world and get through the day but can really hurt themselves internally. She herself says she doesn’t know where she ends and the mask begins. There is an importance to learning to navigate the neurotypical world but not at the expense of losing yourself.
This is where clinicians and providers come in. Social Skills instruction often leads therapy in the direction of hiding or changing an autistic individual with unrealistic goals. Carly stresses the importance of setting goals that do not change the individual or try to “remove the autism” because that simply won’t work. Goals and skills should revolve around redefining what success looks like for each individual in a way that honors their true self.
Research and understanding of autism have changed in such a rapid way, more than any other field. So it is SO important that we have these important, nuanced conversations to increase awareness. You can find Carly on LinkedIn and check out Milestones online for autism resources and information!
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:Carly Millis Jalowiec - LinkedIn
Milestones Autism Resources
ABA Speech
Wow! I can't believe we are here… episode 100! In honor of this milestone, we are flipping the script with my friend and mentor, Lisa Chattler, interviewing me.
Going back to the VERY beginning, I had no idea what I wanted to be, so my mom gave me a career test my senior year and it actually revealed my ideal profession as a speech therapist. I really didn't know a lot about the career so I shadowed a friend of the family who was an SLP and that day I just knew it was perfect for me, so I declared my major and never looked back. Now I've been an SLP for 20 years.
Lisa asks some great questions about the learners, mentors, resources, and paths that lead to where I am today: dual certified as a BCBA and SLP, operating an online business, offering courses and webinars, and hosting the Autism Outreach Podcast. And I get to share those important decisions and people who have shaped my experience.
Since I was a kid, I've always been in trouble because I was turned sideways in my chair talking away. That is one of the reasons I love this podcast; not only do I get to talk and have great conversations but I get to do so with experts in the field that I really admire. I am happy to have this opportunity and keep spreading the word about autism, SLPs, BCBAs, and ABA through the show and my online courses.
Thanks for being a listener, and just know your dedication to the field by listening is so important!
What’s Inside:
Mentioned In This Episode:ABA Speech
Kristen Colyer is a BCBA and the Director of Children’s Services at The Infinity Center for Behavior Services. She joined me today to discuss Early Intervention and ABA for young children.
When you first get that autism diagnosis, beginning Early Intervention and ABA services is the first step for support for many parents and their child. Kristen shares what that looks like at The Infinity Center. Because we are working with young children, most often with limited or no communication, parents are the best reporters. The first step is a parent interview to gain as much insight and knowledge of the child. Next, the child will join for an additional interview with the parent. Finally, the BCBA and the child will engage in play therapy. During this time the BCBA will observe and complete assessments. The Infinity Center most commonly uses the VB-MAPP and depending on the skills and communication level of the child may administer other assessments such as the Essential 8 or social skills assessments. This process from the parent interview to the play observation could span a couple of days.
Support does not end with the child. In many cases insurance covers parent training. The Infinity Center offers parent support and twice-monthly parent training. In these trainings, they cover what’s happening in therapy, therapy goals, and how therapy activities can translate to at-home activities. Additionally, because play therapy can be oddly tricky, the center offers shadowing, training, support, and natural environment protocol practice for their staff.
Learning and receiving therapy through play is so important and really effective. Kristen shares a few of her favorite and popular toys for therapy sessions. She says children often gravitate towards cause and effect play, favorites for these include the Melissa and Doug Wooden Ball Tower and the classic Jack in the Box. They also play Mr. Potato Head and the Shoebox game, based on BCBA Mary Barbera’s book and courses.
The Infinity Center for Behavior Services is based in Maryland, if you’re in the area or would like to learn more you can check them out on social media or visit their website.
What’s Inside:
Mentioned In This Episode:
Infinity Center ABA
Infinity Center for Behavior Services - Home | Facebook
Announcing The 2nd Annual Autism Connection Conference held in collaboration with The Autism Helper.
Join us on December 3rd for an exciting, fun, and knowledge-packed conference. The event will run from 8:30 AM to 4:30 PM EST with a break for lunch. Autism Connection features 5 amazing sessions created with SLPs, Special Education teachers, General Education teachers, and BCBAs in mind.
Join our LIVE session or replay the recorded event available three days later until December 31st. When you participate you are eligible to receive a general certificate, ASHA CEUs, and ACE Provider credit.
This conference features 5 sessions to help support YOU in the classroom and therapy room:
Be sure to get registered for this awesome virtual conference! We can’t wait to see you at Autism Connection on December 3rd!
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:
ABA Speech
Register for The Autism Connection Conference
Rachel Torrance is a BCBA, License intervention specialist, on the board at Milestones Autism Resources, and a Consultant working with parents, school districts, and private agencies to advocate appropriate services and achieve desirable outcomes. Rachel also happens to be my business partner at Supervision Academy, a virtual resource for attaining supervision hours to become a certified BCBA.
Becoming a BCBA requires coursework (as a master’s program or post-master’s), Hours, Supervision, Observations, Feedback, Formal Exam, and more. Supervision for a traditional path requires 2000 hours directly supervised by an experienced BCBA or group of BCBAs.
At Supervision Academy we know becoming a BCBA is hard work and stressful, and finding a supervisor can be nearly impossible at times. We offer a virtual group of supervisors providing clinical expertise, behavior skills training, guidance, feedback, and more. Additionally, we strive to provide robust supervision, tailoring your experience to your career goals.
When finding a supervisor for this very important piece of your certification we encourage you to cover all of your bases. Rachel suggests asking and considering these questions when interviewing supervisors.
Please note that all information provided in this episode is current as of November 2022. If you’re interested in learning more about Rachel Torrance and her work you can check out her consulting website, as well as visit the Supervision Academy page to find out how we can help you with supervision to become a BCBA!
What’s Inside:
Mentioned In This Episode:
Behavioral and Educational Expert ServicesSupervision Academy
Parents, have you ever been in a situation where you're fighting with your child's school to get your child the services they deserve and are entitled to? Catherine Michael has spent more than 20 years working with families on designing success for special needs children. She is a managing partner at the law firm Connell Michael Kerr as well as the founder of Coffee with Catherine, which offers classes and resources for families of children with special needs.
A Free Appropriate Education
Every child in America is entitled to a free appropriate education. This means the support, services, accommodations, and environment that they have been evaluated for and determined to need for their educational success. The Individual Disabilities Education Act, outlines federally what special needs students are required to receive within schools. Many states have even codified and extended these laws into their own state statutes to give more rights to these families.
Educational Due Process
Due Process does not create damage, the goal of this action is to resolve and settle on the necessary support and services for a child as quickly as possible. As soon as the Educational Due Process is filed, a school has 15 days to come to a resolution with the family. If a resolution is not met then an Administrative Hearing will take place. This hearing is an informal relaxed hearing often taking place in a school, where the burden of proof lies on the parents. Catherine discusses the obstacles to the qualifications of the Hearing Officers for these settings and how they can negatively affect the outcome.
If you're a professional or parent seeking to learn more about Special Education Law check out the resources at Coffee with Catherine. Additionally, if you're located in Indiana, Michigan, Ohio, Pennsylvania, or Alaska and need legal assistance pertaining to special education, reach out via the Connell Michael Kerr, LLP website.
What’s Inside:
Mentioned In This Episode:Coffee with Catherine
Connell Michael Kerr, LLP
As an SLP-BCBA, collaboration is a really important part of my work. Julianne Trudeau is an SLP and Director of Speech Services at Bierman Autism Center. This center grew from a small in-home provider to a clinic-based therapy center with 17 locations across the country. Bierman operates a Collaborative Service Model in which BCBAs, SLPs, and OTs work together to best serve the child.
I've shared many stories in the past about the difficulty I've both seen and experienced with the collaboration between SLPs and BCBAs. Julianne uses an analogy, I love. BCBAs and SLPs are like a married couple, they may not always see eye to eye but they have the same goal at heart. This goal is in the best interest of the child. In collaborating together, BCBAs and SLPs can take a bit from each other to become better, more informed professionals and make the child the most successful as possible at the same time.
Bierman Autism Center increases the success of their collaborative service model by embedding opportunities into the schedule. Providers have embedded meetings for communication and collaboration for their cases. They also schedule weekly clinical staff meetings, monthly center staff meetings, and quarterly meetings for centers across the region. Bierman also embeds collaborative training opportunities for staff and parents.
Intake a Bierman begins with a family tour led by the center director. During this time services, goals, and collaborative ideas are discussed with the family. This visit will be followed up with an initial assessment and the parents will be provided the opportunity to have their child's ABA supplemented with service from other center providers such as SLPs and OTs. When a family chooses to participate in a collaborative service, each department will assess the child and collaborate and touch base on overlapping areas and goals.
You can find out more about Bierman Autism Centers at their website or on social media.
What’s Inside:
Mentioned In This Episode:Bierman Autism Centers
Autumn Ziemba was working as a news anchor for Fox 8 News when her son received his autism diagnosis. Through her family journey and support in the autism community, Autumn has shifted careers to become the Communications and Content Manager for Milestones Autism Resources.
As a mother of two, Autumn knew what to expect for typical development in her young children. When her youngest started showing signs of regression, loss of speech, disinterest in typical play, and others around her began to notice too, it was time for an evaluation. With the support of her family’s pediatrician, her son was able to receive a diagnosis at age 2 and a half. This was in 2017 and the times were different when it came to support, resources, and services. Her son started with play-based ABA and speech therapy for one hour a week, not nearly enough. To add to their hardship, just three months post-diagnosis her son was diagnosed with Leukemia. Their focus had to shift from early intervention to cancer treatment. After the early days and weeks of treatment, their family was able to bring back ABA therapy and other services. Now at 7 years old, Autumn's son is a Leukemia-Survivor and attending school in a special needs classroom with great support from their school district.
As a parent who has been through so much with her son and her family, Autumn’s biggest advice to professionals, providers, teachers, and anyone working with autism families is to have empathy. For her empathy, compassion, and understanding goes a long way. I’ve seen firsthand professionals and other parties be less than supportive of families with questions, and agendas. But Autumn reminds us that parents are coming in with only their children’s best interest at heart, and it's important to understand that.
For families just beginning their autism journey whether pre or post-diagnosis: Do not fear the diagnosis. Autumn shares that while a concrete diagnosis can feel scary, it can actually open up doors to resources, services, and support that you wouldn't otherwise have. Take each day as it comes, and remember not every approach will work for every child. Meet your child in the middle and allow them to be a part of their own team!
If you’d like to find out more about Autumn Ziemba you can find her family's autism story online, as well as her contact information on the Milestones website.
What’s Inside:
Mentioned In This Episode:
Milestones.org
I haven’t done a solo show in a while and I am excited today to share my 10 strategies to increase student engagement. I had a client, let’s call him Adam for today, and when I started working with him, he did not communicate or even engage at all. I would bring different toys and objects to try to get his attention through play-based learning but we would just take a toy and leave. About after 4 sessions with him, his parents started asking me when am I going to use a more structure approach and really work on his communication skills. Truthfully, I felt defeated and anxious.
But at 20 plus years into my career already, I have done so much research about joint attention and how valuable this is to ABA and Speech Therapy. On our 5th session, I brought Mini Objects in a bag and although Adam’s engagement was still fleeting then, he picked up a toy form the bag and it was a shoe. Adam exclaims, “Shoe!” and we were all so excited because that was his first word during his sessions! It was in this moment that I realized that Adam has started his journey with communication and when we realize that these small steps every session matter, it opens up a path for spontaneous communication. So today, I share and break down my top 10 tips I applied to help increase Adam’s engagement in therapy.
Every student is different so with these strategies, you really need to be creative and discern what works for your student at the moment. What works for one student may or may not work for another. If you have a student in mind that you want to help start communicating, these strategies will really be beneficial to improving your relationships with your students and increasing their learner engagement. For more tips and information on helping students with communicating, check out our ASHA approved 5-hour course, Start Communicating Today.
What’s Inside:
Mentioned in this Episode:
ABA Speech
Start Communicating Today Course
I love this power statement: “If you don’t believe in ABA, it’s like you don’t believe in breathing.” It’s a really impactful tidbit from my chat with Dr. Joanne Gerenser, SLP and Executive Director of the Eden II Programs. Dr. Gereneser and I discuss the importance of ABA in the field, as well as what that means for collaborating with other professionals; having SLPs and BCBAs work together with ABA to serve students with autism, especially those with challenging behavior.
There are some professionals and parents in the field that just really don’t understand what ABA is. There can be a lot of mean-spirited, negative, information online about ABA depending on where you’re looking. When you really look at it and understand the professionals working in the ABA field and the help it can provide to the autism community with serious learning and behavior challenges, you will see just how important it is.
When it comes to collaboration, you can’t paint every BCBA with the same brush just the same as SLPs. The worst therapists are not representative of the entire field and you cannot walk into an interaction with telling the other professional what to do; It erodes the professional relationship.
Dr. Gerenser’s techniques for communicating with hesitant professionals:
You can find out more about Eden II and Dr. Joanne Gerenser, visit Eden II Programs online.
What’s Inside:
Mentioned In This Episode:Home - Eden II Programs (eden2.org)
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As therapists we know that every client is different when it comes to goals, abilities, and needs but how often are we checking up on our cultural awareness for each individual? Maria Davis-Pierre is a mental health counselor and the founder of Autism in Black. As a mother with two autistic children and autism herself, Maria understands the stigma associated with the diagnosis and is on a mission to educate on inclusive, culturally responsive therapy for black families and other underrepresented cultures.
“Is there anything culturally we should know about you?” A question Maria highlights as one of the best questionnaire form inclusions she has seen when it comes to starting therapy. As a professional and therapist working with unique individuals from all cultures and backgrounds, there are no details too small to incorporate into therapy that fit your client's culture. For example, bring culturally relevant props for a therapy lesson or check your understanding of cultural concepts that could be a typical household routine for one culture but seen as a learning deficit in another.
Whether props, books, flashcards, etc. be cognisant of your materials and the reflection of your client within them. It is important for black children to see themselves reflected in their learning materials to not only understand but also stay engaged. It is okay if you’re not an expert on every culture and every family. Ask questions, be open, and create a dialog so that you can continue to learn and support your clients in a culturally responsive way.
What to keep in mind when getting started with culture-responsive therapy:
As therapists and professionals are number one, the goal is to always help the children and culturally responsive therapy is a really important but often forgotten piece of that. Maria shares some great tips and insights for professionals to consider. You can find out more about her work on the Autism in Black website.
What’s Inside:
Mentioned In This Episode:Autism in Black
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Dr. Ariana Boutain is the Vice President of Clinical Services at KGH Autism Services. At their facility, they are passionate about child-initiated and play-based therapy with NDBI.
Naturalistic Developmental Behavioral Intervention is an empirically supported approach to treating young children with autism that involves learning through play. NDBI represents a merge of ABA and developmental science.
The general framework for NDBI that Dr. Ariana and her colleagues use is the principles of ABA as well as developmentally based assessments and intervention strategies for guiding goal development and individualization. Teaching strategies with NDBI involve child-initiated, child-led play. This involves environmental setup, communication temptation, and shared control with turn-taking.
Interdisciplinary collaboration is a hot topic in the field of autism but it is a high priority at KGH. As they add SLPs, OTs, and other providers to their team they match therapy approaches, encourage play-based therapy for all disciplines and provide thorough training on NDBI.
You can find out more about the work and treatment model at KGH on their website!
What’s Inside:
Mentioned In This Episode:
Our Services | KGH Autism Services: ASD Treatment Clinic, Chicago & Madison
Advanced Language Learner - Sign Up Today - ABA Speech
Register for the Pyramid Educational Consultant’s Third Annual FUNctional Communication Conference on October 17th & 18th
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Whether you’re a parent, professional, or an autistic individual, you have most likely seen the Autism Puzzle Piece. Like myself, you might even have a sticker or magnet on display as a symbol of your support for the community. But what is the real symbolism behind it? In this episode, I have the honor to talk with Thomas McKean, an autistic adult who had an integral part in the development of this icon.
Prior to Thomas’s collaboration in the creation of today’s autism puzzle piece, the original icon developed in 1963 was a puzzle piece with a child crying. This symbol represented the hopelessness, sadness, and confusion for children with autism at the time. In the 1960s, there was little to no research, ethical treatment, or support for autism families.
When Thomas and his colleagues developed the new symbol in 1999 they knew the view and information about autism had changed a lot. There was much more hope and a positive shift had taken place in the community. They wanted to embody that. The autism symbol as we know it today is represented by a puzzle piece reflecting the information we are still missing and learning as we add new “pieces”, it features a multi-colored design to represent diversity in the community.
"If you've met one person with autism, you've met one person with autism." - Dr. Stephen Shore
This representation of diversity is so crucial to Thoma’s advice when it comes to division in the field. He says, the difference is not bad, in fact, it's necessary. Because each individual with autism is so different it's important for professionals to see things differently and really work toward an individual approach. No professional is going to have all the answers for every autistic person, and when we understand that, we can peacefully collaborate.
Thomas says one of his most asked questions is how to help parents who are just venturing into their autism journey with their child. For that, he has 4 steps.
This was such an enlightening talk on the true vision and meaning of such an important icon in our community. I hope you found it just as interesting as I did!
#autism #speectherapy
What’s Inside:
Mentioned In This Episode:
Thomas A. McKean
Thomas A. McKean | Facebook
Advanced Language Learner - Sign Up Today - ABA Speech
Register for the Pyramid Educational Consultant’s Third Annual FUNctional Communication Conference on October 17th & 18th
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“Rose speaks through the lens of the SLP and BCBA which is incredibly helpful in bridging the communication between the two fields. Rose keeps students' individual needs at the forefront of decisions on therapy targets and she incorporates autistic voices and has worked hard to keep therapy and training relevant to autistic learners. I appreciated her practical therapy ideas and sharing of materials to get started.” Jenny Blackman, SLP
Introducing ABA Speech’s newest course, Advanced Language Learner. A brand new 5-hour ASHA and ACE-approved course. Are your autistic learners struggling to break beyond their basic communication skills? Plateauing? This course is packed full of helpful, transformative content to bring your learners and your therapy to the next level.
What can you expect to learn?
-Effective assessments
-Collaboration tips and techniques
-Developing expressive and receptive communication skills
-Strengthening social skills AND respecting individuality
-IEP Meeting Tips
-Effective group intervention
-Guest Lecturer: Oliver Wendt, Matrix Training
-Monthly group mentoring and support with access to the online community
-Materials: Adapted books, no prep group activities, language book, leisure activity visuals, and so much more.
Do not miss out on this one-time-only FOUNDERS pricing: $197 available for 1 week only!
What’s Inside:
Mentioned In This Episode:
Advanced Language Learner - Sign Up Today - ABA Speech
Register for the Pyramid Educational Consultant’s Third Annual FUNctional Communication Conference on October 17th & 18th
ABA Speech: Home
“Rose, I’m not sure how to plan a session. I have 5 autistic students that I need to see for group therapy to work on social language instruction and I am not sure what activities to plan to help them remain engaged and work on their individual and social language goals.”
I received this question in an email from one of my listeners! So today’s episode I am sharing my customizable framework for planning group therapy, along with some great resources, activity ideas, and freebies!
Group Therapy Framework
Tools: SmartBoard or iPad for sharing visuals with group
Question of the Day
Literacy-Based Activity
Extension Based Activity
Leisure Based Activity
I have linked all of the resources and freebies I shared today that can be used in this customizable framework for planning group therapy sessions for autistic learners, be sure to check them out!
What’s Inside:
Mentioned In This Episode:
Fall Freebie Would You Rather by ABA SPEECH
Farm Visit Adapted Book by ABA SPEECH
Grocery Store PPT
Register for the Pyramid Educational Consultant’s Third Annual FUNctional Communication Conference on October 17th & 18th
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Start Communicating Today – Waitlist – ABA Speech
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What is it that develops speech production in our learners? Today, Tamara Kasper, BCBA and SLP, is sharing some really great and specific information on how speech production and reinforcement differs between typical developing children versus children with autism.
Speech Sound Production
In typically developing children, speech sounds are reinforced differentially and automatically when making sounds that sound like words. For example, they get a cookie when they make a sound that sounds like cookie or they get happy, hugging excitement when they say something that sounds like mama or dada. Naturally, typical children are encouraged by the sounds and interactions in their environment and want to match the sounds made by the people they value in their world. This is where self-correction and refinement comes in because they will notice and hear how their sounds may sound different from the adults around them.
In non-typically developing children, specifically those with autism, they are more sensitive to social stimuli and are less likely to be affected by the attention of their parents or guardians in regards to their sounds. So the traditional, automatic reinforcement to make and refine sounds is not occurring. Additionally, these learners will not likely notice how their sounds sound different from those around them, leading to no self-correction as sound production continues.
Therapy for Speech Sound Production
Tamra shares her assessment and criteria for determining readiness for working on speech production. She collects metrics from the VB-MAPP, indicating responses, manding rate and variety, instruction cooperation development, and echoic repertoire. The scores and data from these metrics will relay whether a Natural Environment or Structure Teaching therapy is appropriate for these students. Within these systems, Tamra discusses the programs she uses. She shares today a little bit of her rubric on how she assigns these programs based on the needs of the child and assessment criteria.
If you’d like to learn more about Tamra, you can find out more about her work and some video tips at Northern Speech Services. Additionally, if you’d like access to her therapy rubric discussed today and other resources, you can reach her via email.
What’s Inside:
Mentioned In This Episode:tkasper@centerautism.org
Northern Speech Services
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Start Communicating Today – Waitlist – ABA Speech
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Nothing can cause more stress than an IEP meeting looming in the future. But it doesn’t have to be that way. Stephanie DeLussey, IEP coach and veteran special education teacher, joined me on the podcast today to share some tips and suggestions for making IEPs not only painless but more productive.
Goal Setting
SMART goals are a big buzzword in the education community, but what does it mean? Stephanie breaks down the acronym;
Specific -Is the goal individualized and a direct skill, no generalizations?
Measurable - Can the goal be tracked with data?
Attainable - Is this goal realistic for the student?
Relevant - Is this goal relevant to the student's needs, capabilities, and grade level?
Timebound - Is the goal given a realistic timetable to be met by the student?
Objectives and benchmarks are often used interchangeably when discussing goals, but they are not the same. Objectives are larger skills broken down into smaller skills and goals. A Benchmark looks more like the Annual IEP Goal but is broken into steps to achieve it. As Stephanie called it, ‘same staircase, different way to climb it’.
Every state's guidance when it comes to skills can be very different, some have State Standards, some have Common Core, some have Essential Elements. Depending on even your district or your individual school, whether you include these in your IEP goals or not. Stephanie explains how this relates to the IDEA Federal Law, state laws, and local recommendations.
Stephanie’s Top Two Tips for IEP Preparation:
1. Send Draft IEP - Stephanie recommends always sending home a draft IEP including the present levels of baseline data and the proposed goals. This levels the playing field for the caregiver, and provides much more collaboration between guardian and education team.
2. Consult the General Ed Teacher - Recognizing that there can be animosity between special education and general education teachers, Stephanie encourages collaboration and to work together on IEP accommodations to create individualized and classroom specific modifications.
You can find out more about Stephanie via Mrs. D’s Corner for educational resources and The Intentional IEP for IEP support.
What’s Inside:
Mentioned In This Episode:
The Intentional IEP
Mrs. D's Corner
ABA Speech: Home
Start Communicating Today – Waitlist – ABA Speech
Help Me Find My Voice – EVERGREEN – ABA Speech
September 13th FREE Webinar 8-9 pm eastern registration link
September 14th FREE Webinar 8-9 pm eastern registration link
When it comes to parents advocating for their child’s education there can be so much to navigate, many times parents don’t even know their legal rights. Amanda Selogie and Vicki Brett are attorneys and founders of The Inclusive Education Project, a non-profit organization that educates families on special education rights.
If you have a child receiving in school therapy or you're a school based provider, you may have heard the term IEE. But what is it? An IEE is an Individual Education Evaluation performed by a qualified person not employed by the school district. This evaluation is a legal right detailed in 34 CFR § 300. 502.
The purpose of IEE is to service the child. Not the parent. Not any providers. Not the school district. This is why these can be such a great tool. Parents might seek these out if a child’s education plan is missing critical assessments or if there is a disagreement in the analysis of any assessments. The idea is to get a full scope and understanding of a child’s abilities and needs to best inform their education and any interventions or services. When requesting an IEE it's important to look at what’s the concern with the current assessments, and what is the goal an IEE can help achieve?
If you’re a school based provider, do not be offended about the request for an IEE. The need for an IEE does not mean a therapist, or provider is not doing their job. There are certain limits that can prevent authentic results, such as access to limited assessments, testing environments, and sometimes a damaged rapport. The benefit of an IEE being conducted by a non-school district employed provider means that often the evaluator has different, more complex qualifications and expertise. Meaning, the evaluator can assess and analyze across disciplines. An IEE evaluator can offer fresh perspective, new environment, and more variety in assessment options.
When we’re determining an education plan for a child, more information is ALWAYS better. The more everyone knows about a child's needs and abilities, the more detailed and purposeful goals can be made. Amanda and Vicki are doing great work spreading awareness of parents rights for their children’s education. You can reach them at their website, social media, or via email.
What’s Inside:
Mentioned In This Episode:
Inclusive Education Project
@inclusiveeducationproject - Instagram
Inclusive Education Project - Home | Facebook
admin@iepcalifornia.org
ABA Speech: Home
Start Communicating Today – Waitlist – ABA Speech
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There is so much opportunity for communication in our students' natural environments. But how can we use this intentionally and build our therapy plan around it? Dr. Cindy Gevarter, BCBA-D and assistant professor in the Department of Speech and Hearing Sciences at the University of New Mexico, joins me to discuss real world applications for naturalistic communication training in your therapy sessions.
Assessments:
When beginning therapy sessions for students, assessments are important for understanding students skills, goals, and needs. Dr. Gevarter listed several of her preferred assessments for naturalistic communication training that we have talked about on the show many times!
Planning:
Naturalistic communication is not random play, when preparing for a session keep in mind opportunities, routines, and priorities that are typical for your student. But you can’t just wing it. Dr. Gevarter recommends planning with an Activity Matrix: skills and goals associated with activities and embedded strategies. Follow through with developmental extension, parent coaching, and an environment set up for natural communication. A lot of the strategies and planning we discuss apply directly to 1 to 1 sessions, but Dr. Gevarter elaborates on how to plan for dyads and group settings by intentional peer to peer interaction or typical routines such as circle time or an art activity.
Data:
In a natural environment, we can’t pause a student while we record data. Dr. Gevarter suggests simplifying your data for quick observations. You may try using a rating scale or other shorthands that you can understand when noting responses, and goal planning. Remember that this is informal data collection used to inform your sessions, don’t overcomplicate it!
Why Natural Environment?
I often find parents in in-home sessions surprised that our therapy isn't taking place at a table with structured activities. While there is a time and a place for the table, there is a major benefit to utilizing a student's natural environment. When participating in natural play or natural environment activities, students are seeing and receiving natural reinforcement from their communication. They can actually see and experience the benefit of communication.
What’s Inside:
Mentioned In This Episode:
Cindy Gevarter, Ph.D., BCBA-D
Collaborative Autism Grant
Project SCENES
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I always joke that it is my mission to meet all the unicorns out there, the dually certified SLP and BCBAs, as there are less than 500 in the world. Today I am talking with Dr. Teresa Cardon and Dr. Lina Slim both SLPs and BCBA-Ds. We are focusing on a subject that it a hot topic but near and dear to my heart, collaboration.
Too often I see and hear problems between SLPs and BCBAs in therapy, IEP meetings, etc. But we need to be communicating and collaborating for our clients! Dr. Cardon and Dr. Slim share their perspectives on what barriers exist that are making these relationships so difficult.
First and foremost is communication, frequently there is not respectful, humble, and open communication between these two providers. Additionally, specialty specific jargon is thrown around that can confuse and frustrate other professionals who arent “in the know”. Interpersonal skills, self-reflection, and bias awareness are really key to keeping communication productive. Try going into every conversation with your professional team of other specialties with the understanding that no one is wrong, we just see things differently.
We also discuss logistical differences such as philosophy and theory. Your philosophy as a therapist can really impact your practice and how you view other providers. Whether you approach with a behavioral, developmental, or social theory will really guide your thinking and reception of collaboration with differing points of view.
Dr. Lina Slim shares with us the ideas of the Four Domains of Authentic Interprofessional Culturally Aware and Responsive Collaborative Practice.
We are in agreement that collaboration has to be more common practice in our fields. Working together will benefit the health and educational outcome of the clients we serve. It is necessary, because it is simply not possible for one person to have all the answers.
We have got to start teaching this practice before our new therapists enter schools and facilities! Dr. Slim and Dr. Cardon both share how they are advocating and encouraging this in the field through there work in this great episode!
What’s Inside:
Mentioned In This Episode:
TCardon@thechicagoschool.edu
Linaslimtop@gmail.com
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Starting preschool for both typically and non typically developing students is a big step, and there are a lot of important factors to consider. Dr. Katie Walton of Ohio State University oversees the Nisonger Center, an Inclusive Preschool Program. This center works with students with and without disabilities from birth to age 5.
What is Inclusive Preschool Programming?
Inclusive in short means that it includes all students, regardless of learning needs. What this looks like can vary from practice to practice. Some schools might just incorporate all learning types and work to meet all needs and others might focus on special needs services while incorporating typically developing children. Early intervention practices, while important for specific needs, are actually best practice teaching that can benefit any and all students, especially in a preschool setting.
Assessments, Planning and Goal Setting
Planning and goal setting are essential for any classroom and any student. At the Nisonger Center they use a curriculum based assessment, APES, for daily planning for all students. Therapists and providers within the school will do individual assessments for needs and goals setting within IEP teams for students who require additional support. Additionally, important for any preschool program is a robust social and emotional skill plan. The team at Nisonger works hard to set functional goals, on what social and emotional skills look like in action, versus checking a box on a goal list. Dr. Walton also shares about the really great collaborative loop from their preschool team to public schools, for IEP goals and transition. This is such a huge benefit for school based providers and families for a full understanding of a child’s needs and abilities.
Are you a parent considering preschool programs for your child?
It can be confusing, overwhelming, and hard to know what's right when looking for a program for your preschool aged child. Dr. Walton provides some questions for parents to consider and ask their prospective programs.
An Inclusive Preschool Program has so much to offer both children with and without disabilities. Whether you’re a professional working in a preschool or a parent ready to place your child in the right school, consider the ideas we’ve discussed in today’s episode to ensure the best practices are being used for your child and their unique needs!
What’s Inside:
Mentioned In This Episode:
Nisonger Center Early Learning Program
Start Communicating Today – Waitlist – ABA Speech
Help Me Find My Voice – EVERGREEN
The social setting of our world is ever-changing and developing, for autistic individuals it can be hard to understand and keep up with the skills to navigate it! Dr. Ali Arena is an SLP, BCBA who specializes in social skills. While Dr. Arena works primarily with autistic adults, she shares some great tips that can be applied across the lifespan.
As a provider, working on Social Skills requires a strong and trusting relationship with your client. Dr. Arena shares about how she has learned about her clients interests and hobbies and allowed them to be the expert in the conversation. She also reminds therapists to create connections and rapport before diving into their interests because these connections become genuine. Another tool Dr. Arena uses in her therapy are dyads, she finds peer group practice between neurodivergent individuals can be really impactful in understanding social cues and norms.
Masking is something autistic individuals in the community are really speaking out against. Dr. Arena agrees that being true to yourself and not changing are important. I reference what a previous guest had called camouflaging, as a tool to follow societal rules. Sometimes as an adult, you just need to know how to talk to your boss or your professor in college. Following social rules can be necessary for autistic adults and that's where Dr. Arena comes in. Her clients come to her to repair social communication, either for work, relationships, or other problems they might be having. It’s not masking but rather building, learning, and refining new skills.
From focusing on REALISTIC social situations for all ages to helping autistic adults with romantic relationships, Dr. Arena has some great tips for therapists, parents, and any professional working with autistic individuals on social skills. You can find out more about her at her website or on Instagram.
What’s Inside:
Mentioned In This Episode:
Dr.Ali - Connection Creator (@connectingwithali) on Instagram
Ali Arena Communications: Home
ABA Speech: Home
Start Communicating Today – Waitlist – ABA Speech
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Use coupon code SUNNYSALE75 and save $75 off Start Communicating Today and $75 off Help Me Find My Voice. Offer ends July 31st.
Have you ever felt like an assessment didn’t truly tell the story of your child? Shellie Bader is an SLP with a really incredible and valuable career. Today she is sharing all about Dynamic Assessment and how we as Speech Therapists can use this to enrich and drive speech therapy.
Oftentimes, formal and informal assessments are not comprehensive enough to determine the “story of the child”. Dynamic Assessment is a qualitative assessment we are able to use, to get the bigger picture. It is an alternative or supplemental assessment, with a method that provides the ability to understand what a student can learn. This tool can help determine whether a child has a learning difference or a learning disorder, and how a child learns and is specifically helpful with students who use English as a second language or have other special circumstances.
Where do you start with intervention when it seems like everything should be a goal? Along with Dynamic Assessment comes a Mediated Learning Experience. In which the therapist picks a skill that is relevant or important to the child. This learning potential observation occurs over one session, so the therapist can determine the abilities of the child within the learning process.
When completing a Mediated Learning Experience, the information collected can drive you directly to the creation of IEP goals. Through working on a skill, the therapist will actually be able to see the prompts that are successful, the supports needed, the targets a student struggles with, and how the skill should be scaffolded.
A Dynamic Assessment and a Mediated Learning Experience is another tool for your SLP tool belt to help determine how a student learns specific skills while always working on meaningful, functional skills for the student and their independence. If you’re interested in finding out more or talking with Shellie Bader, you can reach her via LinkedIn or email!
What’s Inside:
Mentioned In This Episode:
Shellie Bader, M.A., CCC-SLP - LinkedIn
ShellieSLP@gmail.com
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Start Communicating Today – Waitlist – ABA Speech
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To receive 75$ OFF BOTH of these courses in the month of JULY, use code SUNNYSALE75.
Happy Summer!! I am excited to announce that we are hosting a SALE for the month of July on our courses, Start Communicating Today and Help Me Find My Voice.
These are CEU courses with ASHA and ACE approval for SLPs and BCBAs. Summer is the perfect time to take advantage of your free time and get the tools to help your autistic learners from toddlers, preschool, and school age.
Start Communicating Today is a 5 hour course for toddler and preschool aged learners. Get confident in your abilities to help your learner use their voice. In this course you will find support and research backed tools for assessments, IEP goal setting, structuring therapy and so much more.
Help Me Find My Voice is a 5 hour course for school age learners. Working with this age can be overwhelming and intimidating. In this course you will find the tools for success all in one place, with support for assessments, IEP goal setting and meeting structure, engaging therapy plans, and even AAC support.
The purchase of both of these courses include 3 month access to the 5 hour course, research backed tools, and printables. As well as ASHA reporting and CEUs.
To receive 75$ OFF BOTH of these courses in the month of JULY, use code SUNNYSALE75.
I cannot wait to see you in the courses!
What’s Inside:
Mentioned In This Episode:
SALE CODE: SUNNYSALE75
Start Communicating Today – Waitlist – ABA Speech
Help Me Find My Voice – EVERGREEN – ABA Speech
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Is your learner difficult to engage? Are you not sure where to start? Is your learner not communicating? Knowing where to start can be stressful!!!
I am here to help with my top 5 strategies to get your autistic learner communicating today!
Strategy 1: Create a Fun Atmosphere
Present a toy the child will enjoy. Play with the toy and use simple language.
(play dough, cars, musical toys, mini objects, etc.)
Strategy 2: Observe
What does your learner like to do? How is your learner currently communicating?
(Make notes about their likes, and dislikes. Is your learner vocalizing, using pictures, pointing, pulling to an item, etc.?)
Strategy 3: Engage in Shared Activities
Connection before communication
(Reading a book, singing a song, playing with toys)
Strategy 4: Create a Positive Atmosphere
Positive Vibes Only: Use simple language, do not bombard your learner with questions.
(“Wow, I see a truck!” Vs. “What is that? What color is that”)
Strategy 5: Remain Flexible
What you planned may look different than how it actually happens. Adapt the skill to following the learner's lead.
Now you can rest easy because that starting point is not out of reach! If you want to learn more including all about assessments, goal setting, therapy structure, tools and resources, join my toddler and preschool course: Start Communicating Today!
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Start Communicating Today
I first found Calonda Henry on TikTok, where she shares tons of great tips and information for parents and professionals. Calonda is a Florida based SLP where she owns a certified Woman and Minority owned practice, Broad Horizons Speech Therapy. With summer here, many learners are not receiving their school based speech and language services and parents may want to know how to help.
As parents, we want to do the very best for our child and it can feel overwhelming and intimidating to need to "carryover therapy" on your own in the summer. Calonda reminds families that speech and language practice can be generalized in your everyday environment, and can be free, easy and very natural. You don't have to plan the perfect table activity to get really enriching practice for your child.
In everyday activities and simple interactions, there are so many opportunities to practice general or specific speech goals.
The most important tip: Interact together, at the end of the day interaction with your child is so powerful for practicing all of their speech and language goals. Play games, ask questions, read books, talk about your activities or meals. This creates a low demand setting where your child can generalize their speech and language goals while having fun.
What’s Inside:
Mentioned In This Episode:Broad Horizons Speech Therapy (@broadhorizonsspeech) TikTok
Broad Horizons Speech Therapy - Instagram
Broad Horizons Speech Therapy
Speech, Language, and Education Parent Support Group of Florida
Meet Calonda Henry of Broad Horizons Speech Therapy
ABA Speech: Home
Dr. Trina Spencer has been a Board Certified Behavior Analyst for the last 21 years and is currently a Fulbright Scholar at the Center for Augmentative and Alternative Communication in South Africa. Today, she shares about her career journey, and all of the incredible and inspiring work she is doing in the field. Dr. Spencer's goal is to encourage research-practitioner partnerships, interprofessional collaboration, and anti-ableist practices.
On the day of our recording, Dr. Spencer was celebrating the launch of ECHO Autism - South Africa. ECHO Autism is a virtual learning network of providers offering real-time access to autism and behavioral experts. This advisory board of Echo Autism is the first on the continent of Africa.
Among her research and fascinating work, she has designed instructional tools. Story Champs is a multi-tiered system of language instruction used in a variety of educational settings across several countries. This structured program provides robust teaching procedures that allow for use in one on one settings as well as small or large groups. Story Champs includes 65 lessons that scale from preschool to 3rd grade. Goals in this system include story retelling, personal stories, fictional stories, writing personal stories, and answering WH questions but the scope and skills included with this instruction are vast! Social academic language is promoted throughout the instruction as well as in use in the reading opportunities taken straight from the learner's social studies and science curriculum.
The CUBED Assessment is a free downloadable comprehensive assessment that works great with story champs but can also be used and accessed independently of that program as well.
"The CUBED is a family of screening and progress monitoring tools that accurately, reliably, and efficiently measure decoding, language comprehension, and their product, reading. There are two main subtests of the CUBED – The Dynamic Decoding Measures and the Narrative Language Measures, which together measure 18 targets." - Language Dynamics Group
I am so excited to follow along with all the AMAZING work Dr. Spencer is doing and will continue to do in the field. Be sure to check out all the amazing linked resources she shared today to purchase Story Champs, download CUBED, and so many more freebies!
What’s Inside:
Mentioned In This Episode:
Trina’s Tool Box
Language Dynamics Group
Northern Speech Services
ABA Speech: Home
With the traditional school year coming to an end, SLPs and parents may be wondering how you can support your learners' communication throughout the summer months. I was so excited when I happened upon Bridget’s, from Speech Therapy Talk, blog post all about summer speech activities! She is on today’s episode to share 11 fun, easy, and affordable ways to get outside, enjoy the summer, AND practice communication skills. Whether you’re continuing speech therapy through the summer in a private setting, a school SLP looking for ideas to share with families, or a parent ready to continue the work from speech therapy at home this summer, these are GREAT tips that both you and your learner will be sure to enjoy!
These are activities that just SCREAM summer to me. Many of these tools are free, lying around your therapy room or house, or very affordable! The great thing about these activities is the scope for practicing varying skills is huge, you can apply almost any skill or goal to these activities and have fun doing it! If you want to learn more about Bridget, her ideas, and resources, you can visit the Speech Therapy Talk website!
What’s Inside:
Mentioned In This Episode:
Speech Therapy Talk
Speech Therapy Talk Membership
ABA Speech: Home
It can often be intimidating to get started and understand working with students with complex communication needs. Dr. David Rehfeld is a dual certified, SLP and BCBA and an assistant professor who joins me today to discuss the importance of support to students using AAC and their caregivers.
The individuals who spend the most time with a client need to have the most buy-in when it comes to effectively using AAC. Dr. Rehfeld encourages this support with Caregiver Coaching. Caregivers are any of the people your client spends more time with than you, parents, guardians, teachers, and one on one support staff. The goal of Caregiver Coaching is to minimize perceived effort to make the most impact. Providers working with caregivers often have ideas of “easy” ways to integrate the AAC device into routines but should consider unique needs and preferences that assimilate into their existing life.
Caregiver Coaching is provided using the Behavior Skills Training Model. BST is evidence based practice to provide instruction to facilitate success of skill mastery. Dr. Rehfeld explains it in four phases.
Phase One - Understand: What are we working on? Why is it important?
Phase Two - Model: Show and demonstrate the skill.
Phase Three - Observe: Encourage and provide opportunities to practice.
Phase Four - Feedback: What are you doing well? What can you improve on?
When you’re helping someone with AAC, you’re not just helping one student but you’re helping all of the future AAC users this person works with in the future. Keep in mind the importance of rapport, and positive reinforcement by providing praise when you see caregivers doing the right things!
Dr. Rehfeld is active in working with students aspiring to work in the speech pathology field. You can find him at the many conferences he attends or speaks at. Dr. Rehfeld encourages others in the field to attend conferences, seek out resources, and keep adding as many tools to their belt to help their clients as they can.
What’s Inside:
Mentioned In This Episode:
Start Communicating Today Live - ABA Speech
ABA Speech: Home
Many times, assessments and standardized tests don’t tell the whole story of the learner. So, what do you do when you’re overwhelmed with where to start with a younger nonspeaking or autistic learner. When I first started my career I remember being discouraged at times and with a lack of the resources available unlike what we have today, I had to find the information myself and blaze that trail. Today I want to share how I get started with these learners, to help them find their voice and start communicating today.
Top 8 Foundational skills for young autistic learners:
1. Joint Attention - There is power in shared activities, a time that generates spontaneous communication. Both the therapist and the learner in an activity surrounding Literacy, Music, or Play. Check out the episode for my list of favorites!
2. Imitation - Keep it fun and functional by practicing during play. The key is playing with similar items in a way that the child will want to repeat. For example, role-play with a baby doll.
3. Requesting - Work on meaningful words that can make communication powerful for a student's real life. Specific requesting skills teach students that communicating can get them something!
4. Matching - There are so many great skills that come along with matching like scanning and engagement. I share a bit about how I use my favorite resource and modify matching games to work with the students' level.
5. Play - Play routines and leisure skills are SO important. Work on playing with fun games, shape sorting, and building around their language level.
6. Following One-Step Directions - This is critical not only in school but at home. Be sure to think about your kids and how their communication impacts their day outside of the therapy room. Examples: “Put your coat on” “Stand by the door” etc.
7. Labeling - Students should be comfortable talking about things in their environment. Be aware of your students' level and chronological age, is it appropriate to use flashcards? Or is it important to work on it during play?
8. Fill in the Blank - “Ready…Set….___” This skill starts with, “I say something, you say something”, which opens the door for so much communication, like asking and answering questions!
All of my advice today comes from my experience in private practice, where I am afforded the opportunity to work one on one. Be sure to take into account all of your circumstances, therapy opportunities, and resources when planning to individualize these skills to your students. If you have questions or want to know more about my favorite resources discussed in today’s episode, you can always contact me at ABA Speech.
What’s Inside:
Mentioned In This Episode:
Start Communicating Today Live - ABA Speech
ABA Speech: Home
I think it’s so important to think outside of the box when engaging our students in therapy. Today I am talking with Kim and Amy from Talk Yoga, two SLP friends who met at work and combined their passion for speech and yoga to help their clients grow.
Not only is Yoga a fun, engaging activity in itself but as a trained yoga instructor, Amy has adapted poses for her clients into what she calls Articulation Poses. Talk Yoga really believes in the whole body of the child and how all of their physical movements inform the movements inside the mouth. Articulation poses are modified versions that connect to oral motor skills for articulation and connect the body to the mouth.
Another use for yoga that Amy and Kim embed into their practice is teaching vocabulary using alliteration associated with movements. For younger students, skills like labeling, imitation, and even imagination work can be really engaging through yoga. Yoga is a shared activity and leisure skill that can be benefited from across the lifespan, Amy and Kim emphasize that their work can be applied to any age range.
As a therapist, it can be difficult to find shared activities that generalize into the community or home, but yoga is perfect for this. Yoga is accessible to anyone and families can enjoy yoga together as a connecting activity. One tool Amy and Kim use is allowing the student to become the teacher, having students dictate and verbalize the poses creates so many language opportunities!
Yoga is a practice grounded in breathwork, calm, and mindfulness. Amy and Kim embed this into each and every one of their sessions, starting with breathwork. The best part of this is it not only calms and prepares your client, but you as the therapist can enter the best headspace to be there with your client.
I know firsthand that I see spontaneous communication explode in shared activities like Yoga. Amy and Kim provide so many tips and ideas for embedding yoga into your therapy sessions, I can’t wait for you to try them!
What’s Inside:
Mentioned In This Episode:
Start Communicating Today Live - ABA Speech
ABA Speech: Home
Talk Yoga
Talk Yoga SLP Podcast
In my 20 years of experience, I have divided my time between school-based and private setting therapy. I have dedicated my career to autistic learners and today I want to share my TOP TEN tips on developing an IEP and conducting a successful smooth IEP meeting. These tips will ensure you are prepared, remain calm, and work to the benefit of the student, especially when working on more difficult cases for students who are non-typical or non-speaking.
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Start Communicating Today Live
Are you feeling stressed? Are you feeling like you just can’t achieve that work-life balance? May tends to be a tough time for many providers, educators, and even parents. Today I talk with Marie Muratalla, SLP, Podcaster, Mindset Coach, and creator of the Say Thanks More Gratitude Journal.
Like many of us, in 2020 when the COVID shutdown began, Marie struggled to bear the weight of her job. In a time when her job was no longer what it was, she battled her personal identity and where that separated from her work identity. This began her business, grounded in the practice of gratitude which she was always passionate about, Marie created Thanks More Gratitude Journals and advocated for the use of mindful habits to set boundaries and create joy.
Marie’s Mindful Habits
1. Daily Gratitude Practice: Try journaling or starting small by writing down one thing you’re thankful for. It can be at any part of your day and can be as simple as a dedicated 5 minutes during your morning coffee or before bed.
2. Morning Meditation: Marie practices 3 minutes of meditation each morning, it doesn’t have to be the same amount of time. It can be whatever works for you. But locking that time in to ground yourself and let go of all other thoughts for just a moment is so important.
3. Bring Presence into your Routine: Whether it's even yoga, affirmations, journaling, meditation….Set intentions and a time to be present for yourself. Marie shared some great apps that she uses to build these routines into her day.
Something so many struggle with is work-life balance. Marie’s number one solution to this is setting boundaries. It can be hard but try to focus on where you are at the moment, and not bring thoughts about work home or into your weekend. For Marie, this means removing her work email from her phone and being firm with colleagues when they ask her questions outside of work.
Mindfulness and gratitude practices are research-based and are proven to reduce stress and increase joy and productivity. Studies have shown that by participating in a gratitude practice, like journaling, you are increasing serotonin levels and decreasing cortisol levels. This practice reduces stress because you are able to take ownership of your emotions and feelings and you are putting it into a safe place. The more you practice these, the more you bring yourself to that balance present place.
Try these tips yourself by introducing these positive habits one small step at a time. If you’d like to learn more about Marie Muratalla or the Say Thanks More Community, you can find her on her website or on social media.
What’s Inside:
Mentioned In This Episode:
Thanks Morris
Marie on (@thanksmorris) • Instagram photos and videos
Marie on (@thanksmorris) TikTok
Down Dog
I am - Daily Affirmations on the App Store
Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones
ABA Speech: Home
Start Communicating Today
I have been following Theresa Richard’s business journey for a while and when I recently learned about her son’s autism diagnosis, I had to learn more about her. Theresa is an SLP, Board Certified Specialist in swallowing and swallowing disorders, Business owner, Podcaster, Author, and creator of the MedSLP Collective. She started her business in 2013, began blogging in 2014, and moved into the podcast world in 2017. I have really enjoyed following her work and Theresa does an excellent job disseminating information in a lesser-known field.
Theresa proclaims that she has such a passion for helping children with special needs. She recently sold one of her mobile FEES businesses and donated all proceeds to the foundation, set up in her son’s honor. Theresa’s son was born with an extremely rare chromosomal abnormality. There was no concrete syndrome which was extremely lonely to not be able to find a support group or community.
Her journey brought her family on a big move from New York to Florida to seek out therapy for her son at age 5. During the assessments to receive a therapy placement, her son received the shocking diagnosis of Autism. While this knowledge was surprising and unexpected, it affected their lives in a positive way. This diagnosis opened the door to a whole new world of support. In Florida, under this diagnosis, Theresa has been able to find the perfect school and specialized therapists that see him at school.
A team working toward the benefit of your child is so important, and Theresa speaks out to families to let them know that facilities and schools, and therapists who are ready to work toward that are out there. Theresa on her journey has had a variety of experiences and she shares her advice for providers from a parent's perspective: open-ended, nonjudgmental communication is vital. She makes these conversations, questions, and discussions an important part of her son’s therapy plans.
Theresa’s parting words for parents new to the journey of autism, is to not be afraid to reach out. Social media and groups can be a negative place but don’t go there, surround yourself in the positive groups and the positive voices. As an autism mother it can be scary and lonely but there are people out there who want to help and support you!
You can follow Theresa Richard and her journey by checking out her website or following her on social media!
What’s Inside:
Mentioned In This Episode:Thank you to this episode's sponsor, Mightier. We make video games that help kids build their emotional strength.
Learn how to #beMightier at www.mightier.com
— MedSLP Collective
— Theresa Richard Medical SLP
— TheresaRichardSLP on Instragram
— Theresa Richard on Facebook
— So You're Having Trouble Swallowing Paperback – August 11, 2021
— ABA Speech: Home
I am always interested in learning more about the variety of students I can help. Today I am interviewing Annie DiVello, an SLP who specializes in Selective Mutism. At the time Annie was in grad school, it was believed that selective mutism was more of a mental health disorder and that SLPs were not involved, but even now there is still a real lack of information or resources both in school and in private practice.
What is Selective Mutism?
Selective Mutism (SM) is essentially a phobia of speaking, along with comorbidities. This fear of speaking can be attached to a singular person, people, or places, during certain activities. Selective Mutism often occurs along with anxiety disorders or other speech disorders.
Supporting Learners with Selective Mutism:
Annie discusses the importance of a ‘Round Table’ of support for students with Selective Mutism. These learners cannot be worked with in isolation and should be supported by a variety of professionals that are experts in the complex variety of needs of students with selective mutism.
When it comes to assessment, Annie directs the question about performance vs. skills and ability. A student's performance is not always indicative of their skills, especially in the case of Selective Mutism. Annie provides some tips for SLPs to collect this information, including parent interviews and respectful videoing. Selective Mutism can be effectively diagnosed with a multidisciplinary team at the age of 30 months.
Getting started with therapy for students with Selective Mutism:
As a school-based clinician, you may not come across students with Selective Mutism, but working with experts like Annie DiVello is such a key piece in developing a framework for your therapy with students with more complex needs. This episode is packed with great tips for SLPs working with learners of all ages. Annie is an ASHA-approved CEU trainer, you can find out more about her and her work on her website, AnnieDiVello.com.
What’s Inside:
Mentioned In This Episode:
Annie DiVello Consulting
ABA Speech: Home
I love any opportunity to chat with adults with autism who can share their insight on diagnosis, support, and living life with autism. Billy Mayfair is a top professional golfer in the United States, who found his diagnosis late in life in 2019. Today he shares his journey in early life and the concerns that led to his evaluation, and how those answers have helped him find the support he needed.
Growing up golf was a safe haven, he found joy in being alone. Unlike those who receive an early diagnosis, because Autism was not on the radar Bill did not have support in school. He found school to be very difficult and struggled all the way through. Billy's high school counselor even told him not to try to go to college, that he needed to just go out and get a job and struggle for the rest of his life. This was a huge motivator for him, propelling him into completing college and into his golf career.
Billy's wife was instrumental in seeking a diagnosis. There was a pivotal moment during a golf tournament in which he was wrongly disqualified. When he did not comprehend what was happening and he wasn't speaking up for himself, his wife's concerns pushed him to an evaluation. Billy shares that even though he knew something was going on, he was reluctant to seek answers and even took weeks to actually read the findings report.
One of Billy's key struggles throughout his adult life has been with thought delay presenting as unpleasant facial expressions. Oftentimes when he needed more time to think about something, he looked defiant and angry. He's learned that it's okay and even important to ask for more time to think or process. It's really key to self-advocacy.
With this late in life diagnosis, Billy has adapted to new support such as seeing a neuropsychologist and even a nutritionist who is helping him connect the dots between his diet and his brain.
Billy and his wife are currently working on starting a foundation to support athletes with autism and their family members.
What’s Inside:
Mentioned In This Episode:
ABA Speech: HomeBilly Mayfair on Twitter Thank you to this episode's sponsor Mightier - We make video games that help kids build their emotional strength. Learn how to #beMightier at https://www.mightier.com/autismoutreach
On today's podcast, I had the opportunity to learn from Haley Moss. Haley is an author, lawyer, educator, speaker, and is also autistic. In this episode, she shares her perspective on important issues in the autism and neurodivergent community, as we have a conversation surrounding inclusivity in therapy and society.
"Be yourself, but not like that". It can be extremely exhausting for adults to keep up with behaviors that are seen as typical and don't come naturally to them. Haley compares Neurodivergent social skills to being bilingual. It's not that they don't have social skills, they are just different and no matter what or how they try to make them "alike" neurotypical individuals it will always come out with an "autistic accent". She emphasizes the importance of teaching the reason behind typical social skills as cultural needs versus them being "better" or "normal". Everything someone does has a reason behind it and tying trust and understanding to that is really helpful.
What is Neurodiversity?
Neurodiversity is a difference in cognition in which everyone's brain works differently. Neurotypical brains operate in ways that may be expected in a "normal" manner. Neurodivergent is a scope of operation involving the brain out of the box, outside of what would be "expected" ways to include autism, ADHD, mental health, intellectual disabilities, and acquired disabilities such as traumatic injury or illness.
What is Ableism?
Haley shares a definition from the Center for Disability Rights, "Ableism is a set of beliefs or practices that devalue and discriminate against people with physical, intellectual, or psychiatric disabilities and often rest on the assumption that people with disabilities need to be fixed in one way or another." Ableism is much more prevalent in society than people realize, especially in the manner of accessibility and that neurodivergent individuals are not given seats at the table for key discussions.
Practicing Empathy in Your Therapy Sessions
As professionals, we truly want to help people. One of my goals with this podcast is to help therapists and providers do better by knowing better. Haley shares some of her tips from a neurodivergent perspective on how to be empathic as a provider.
I learned so much during this chat with Haley. If you'd like to learn more or connect with her, you can find her on her website and all social media platforms.
What’s Inside:
Mentioned In This Episode:
Haley Moss
ABA Speech: Home
SLPs have such a broad scope. We get so much training in graduate school but creating specializations based on your passions really happens through your own research and work out in the field. So there are many areas that fall under the scope of speech therapy that not all SLPs understand completely or feel comfortable with. As my listeners know, Autism has become my area of focus, so I really did not have a lot of awareness or understanding about Dyslexia. This chat with Jeannette Roberes was so educating and informative for me.
Jeannette is an SLP, software engineer, and educator who specializes in Dyslexia. Dyslexia is a combination of characteristics involving reading, writing, and talking. An individual with Dyslexia is going to struggle in one or all of these areas. Symptoms can include late talking, slow to learn words, and a severe delay in reading.
Jeannette has made some great strides in advocating and educating on Dyslexia and how to support her students. She and her colleagues are working on a book to educate SLPs on how to appropriately assess, treat, and diagnose students presenting with Dyslexia.
Her tips for intervention for Dyslexia revolve around a multisensory structured language approach involving decoding, fluency training, vocabulary, and comprehension. She says that a successful session is tapping into the essential components of teaching reading. Jeanette talks about the big five: Phonemic Awareness, Alphabetic Principle, Fluency, Vocabulary, and Comprehension. When working with Dyslexia or any literacy based skill, books are your greatest resource, there are so many activities that can be planned around one book even over the course of 4 sessions. It also instills a love of reading that is so important.
Jeannette is really passionate about using diverse inclusive books in your literacy opportunities, because in our therapy sessions we are preparing students for a world in which they will interact with individuals who don’t always look like them. She calls books sliding glass doors, a stepping stone or path into a bigger world. She encourages families and therapists to read books reflecting both disabilities and different cultures.
You can find out more about Jeannette on all social media platforms by searching in Bearly Articulating and check out her book, Technical Difficulties: Why Dyslexic Narratives Matter In Tech, available on Amazon.
What’s Inside:
Mentioned In This Episode:
Bearly Articulating Teaching Resources | Teachers Pay Teachers
Amazon.com: Technical Difficulties: Why Dyslexic Narratives Matter In Tech eBook : Washington, Jeannette: Kindle StoreABA Speech: Home
ABA SPEECH Your Autism Resource
Today, I am providing 15 strategies for SLPs working in an ABA setting. I have had the opportunity to work in ABA settings in addition to traditional schools. Whether you're new to the ABA world or thinking about taking a position in a specialized setting, these tips are some that I find so helpful for you, your colleagues, and your clients.
If you're looking for more in depth information, you can check out my courses Help Me Find My Voice and Start Communicating Today. Also, be on the lookout in the coming months for my newest ASHA-approved course on SLPs in the ABA setting! I am also available for Discovery Calls if I can be of more service to you. See you next time!
#autism #speechtherapy
Today I had the pleasure of talking with my BCBA supervisor and trailblazer in the field. Kelle was introduced to the world of autism at a really young age, which led into special education and continued on to her large body of work. In this episode she is sharing with us, from her wealth of knowledge, about how to work with students with problem behavior and what to do to support learners when it becomes a barrier to therapy.
The first step, with any therapy case, is to understand your learner. You can do this by reading the files, interviewing the parents, teachers, and other providers, and talking to the learner. You really want to know who this child is, what they like, and how they work so that you can pair your environment and therapy up to these things. Take a deep breath, take your time, and just build that relationship.
If you've built that rapport and problem behavior is still occurring, you can analyze the appropriate next steps. When tier 1 or non-dangerous behavior is occurring it is important to move forward with therapy. Note it, track data on it, but keep doing what you're doing. Try to avoid accidentally reinforcing that negative behavior. But what if it's more?
What is an FBA?
A Functional Behavior Assessment, is a formal assessment process that must be requested as a part of an IEP. This process is worked through the team of providers, parents, and anyone who works with the learner. Next, a direct observation occurs to track patterns and antecedents. Finally, an actual analysis may be necessary where the learner will be tested. We do all this to guide us to an accurate behavior intervention plan.
What is the BIP?
A Behavior Intervention Plan written into an IEP to guide and shape therapy. A BIP can not be created without an FBA. Whoever develops the BIP needs to be the one to train and support staff on how to support the learner.
When it comes to these plans and conversations, they are often occurring because things are not going well which can cause some contention between professionals. Kelle and I both discuss how we find it helpful to remind the team that we are in fact on the same team and that the common goal is to help the learner!
To close out this awesome interview, Kelle shares a little bit about her upcoming conference, The Verbal Behavior Conference. This began in 2018, became virtual throughout COVID, and is occurring both live and virtual this year. There are a ton of great speakers and leaders in the field and so many trending topics on the billet.
What’s Inside:
Mentioned in this Episode:
ABA Speech: Home
ABA SPEECH Your Autism Resource
Verbal Behavior Conference
There is a strong bond between joint attention and both receptive and expressive language skills. When we work on joint attention, we are showing that our learners' communication is powerful! I am sharing a few tips and ideas that I use to build connections before communication while working on joint attention goals.
These activities involve shared activities through playing with toys, singing songs, and reading books. It is okay if your student isn't ready to fully engage when you introduce these activities, note their baseline data, and move forward with goals. You will be amazed to see the transformation and excitement over these simple activities.
Toys:
Playing with toys in therapy is all about creating an interaction in a semi-structured environment. Remember to use simple language and allow for natural curiosity and play and not bombard with questions.
Examples of toys I love to use:
Literacy:
Build excitement around the book, use books with repetition, and if your kids like it try an animated voice which can be really fun.
A few books I love to keep in my therapy bag that is a great success for joint attention are,
Pete the Cat and his White Shoes, Brown Bear, The Very Hungry Caterpillar, and Chicka Chicka Boom Boom.
Music:
Students love songs, they are familiar and create engagement. I also love to use visuals that can be just laminated pictures or little toys that match the activity of the song. It can also be engaging to sing songs that have motions for the words.
Songs I love:
It can be difficult to keep data and set goals around these abstract ideas, be sure to check out my goal bank on ABA speech. I hope you love these ideas and get used to them in your next therapy session!
What’s Inside:
Mentioned In This Episode:
IEP Goals for Students with Autism - ABA Speech
ABA Speech: Home
ABA SPEECH Your Autism Resource
I am excited to share my top 10 tips and strategies for supporting middle and high school-aged students. This is an area where I feel not a lot of information is available. I am very fortunate to work with kids across the lifespan from preschool ages in my private practice to middle and high school in the school setting. While I generally focus on helping autistic learners, these tips can be great for anyone working with older students.
Build rapport.
This can be difficult and likely won’t happen overnight but it will greatly affect your relationship and effectiveness with the learner.
Analyze your service delivery options.
Your students likely have a large array of needs, how can you change the environment, setting, and therapy approach to meet those needs?
Know who is on the team.
Do your students see other therapists or other providers? Keep communication open and available for all the team members for your learner’s success.
Focus on independence.
Independence looks different for every learner and encouraging this can be done in a variety of big and small ways.
Create shared goals.
It’s great to collaborate with other teachers and share goals, these can be developed together and supported across settings.
Analyze the function of your goals.
Always ask, how are these goals important across the lifespan? Know why you’re working on something and the scope of sequence to accomplish these goals.
Consider working on communication as it relates to vocation and leisure.
As we get older, vocation and leisure become increasingly important, students should feel really comfortable in these areas.
Analyze data collection.
Use a variety of data collection related to goals in different forms. Self-monitoring can also be a great tool for data collection.
Go over goals with your students.
At the middle and high school, students become part of their goal-setting team, encourage participation in IEPs and keep them aware of the why behind their therapy goals. This is a great time to share how you're going to support them and what to expect.
Reach out with any questions.
Utilize resources available to you! I would love to help and share the resources I’ve created as well as support through a Discovery call.
I hope you found these tips helpful. Please reach out if I can support you!
What’s Inside:
Mentioned In This Episode:
—Double Up Vocabulary and Leisure Game - ABA Speech
—Vocational Binder
—Discovery Call
—ABA Speech: Home
—ABA SPEECH Your Autism Resource
Apraxia is something a lot of my listeners are really interested in learning about. I had Dr. Edythe Strand on the two-part episode, number 44. Today Dr. Jennifer Moore, SLP, and co-owner of Brave Wings Therapy brings us some strategies on understanding Apraxia with autism and applying the interventions to autistic learners.
What is Apraxia and is it common in autism?
Childhood Apraxia Speech is when the brain has difficulty planning and directing the muscles in a sequence to produce speech. Students with Apraxia might have difficult transitions from one syllable to another, you might see oral groping, vowel distortion, or errors in prosody. Autism rates have risen, current studies show approximately 1 in 44 children is diagnosed with autism. Although research does vary, within that subpopulation there is a coexistence of Apraxia in about ⅔ of those cases.
How can Apraxia interventions be applied to autistic learners?
Many SLP’s struggles because there are great evidence-based assessments such as DTTC and REST for apraxia. However, with these approaches, there are many prerequisite skills required for an authentic, best practice result that do not align with the “box” our autistic learners need. Effective assessments for these learners will require outside-of-the-box thinking using a mix of these approaches with modifications unique to each learner.
When assessing an autistic learner, we really have to be dynamic in our approach. This means looking at sensory differences, current communication style, AAC use, receptive language, and cognitive ability and assessing each of these areas. Jennifer suggests structuring the therapy environment and before therapy, activities to be conducive to the learner and the assessments.
Picking functional targets for autistic learners?
Jennifer uses the term “Power Words” as an important start for learning targets. This means words that are of high use for them in their everyday life that are going to be heard and used often with a big impact. With these functional words, SLPs can look at what the student already has in terms of the sounds and oral motor skills and how to shape it. The Principles for Motor Learning guides instruction, practice, and retention for learners with apraxia and Jennifer provides great guidance on this.
This was such an informative episode on modifying assessment and treatment for Apraxia in autistic learners. You can find out more about Jennifer and her work on Instagram, Facebook, and on the Brave Wings Therapy website.
What’s Inside:
Mentioned in this episode:
Don’t miss Pyramid Educational Consultants’ Second Annual FUNctional Behavior Conference on April 4th and 5th, 2022! Pyramid’s international team of behavior analysts, and dually certified speech pathologists, led by Andy Bondy and Lori Frost, the developers of PECS, have created all new and expanded content that includes a broad range of practical information related to the field of behavior analysis. Day one will focus on content related to educational programming and program development. Day two of the virtual conference will present information related to behavior analysis and communication. Earn up to 8.0 BACB CEUs including one ethics and one supervision credit when you attend the full virtual conference. To learn more about attending the FUNctional Behavior Conference on April 4th & 5th, visit pecsusa.com!
— Dr. Moore on Instagram
— Brave Wings Therapy
I often get requests for how therapists can help students who are engaging in problem behaviors that create a barrier to learning. In this interview, my colleague Sasha Long of The Autism Helper shared her “Five Favorite Antecedent Strategies”.
If you’re not sure what antecedent means, Sasha gives a great explanation. For the purpose of this list, antecedent means to be proactive. This is a list of best practices that when used to their fullest potential can help teachers, therapists, and even parents become proactive instead of reactive in the face of problem behavior.
1. Evaluate the Physical Environment. Remove elements of distraction or possible sensory overload. We might not always be able to remove it all together, but we can minimize or be aware to be of support to the learner.
2. Routines. Kids and adults thrive off of routine and knowing what to expect. Be sure to include several grounding activities throughout the day. We’re all human and things come up but how can you plan ahead to maintain a routine even when there is a change in the day?
3. Schedules. We often have schedules for the whole day but mini schedules are the secret sauce. Try to break down the steps into every group and activity. If you can associate each activity with a visual cue in the order it happens. Keep it simple and applicable to the receptive language skills of the learners.
4. Visuals. We all use them, but, why are you using them? Take a look at the receptive language skills of your learners and figure out what kind of visuals they need. Make visuals a purposeful strategy as opposed to pictures used for the sake of taking up wall space.
5. Reinforcement of replacement behaviors. When you build up good behavior, you’re not going to need to be reactive. Provide praise when students are engaged in positive replacement behaviors. Find the good even if it's small!
Our end goal when working with students and implementing this list to see an increase in communication and a decrease in problem behaviors. Sasha is a wealth of information. You can find out more about her and her work through her blog and podcast, The Autism Helper.
What’s Inside:
Mentioned In This Episode:Don’t miss Pyramid Educational Consultants’ Second Annual FUNctional Behavior Conference on April 4th and 5th, 2022! Pyramid’s international team of behavior analysts, and dually certified speech pathologists, led by Andy Bondy and Lori Frost, the developers of PECS, have created all new and expanded content that includes a broad range of practical information related to the field of behavior analysis. Day one will focus on content related to educational programming and program development. Day two of the virtual conference will present information related to behavior analysis and communication. Earn up to 8.0 BACB CEUs including one ethics and one supervision credit when you attend the full virtual conference. To learn more about attending the FUNctional Behavior Conference on April 4th & 5th visit, pecsusa.com!
The Autism Helper
ABA Speech: Home
ABA SPEECH Your Autism Resource
I am announcing a huge upcoming event, the Autism Connection. If you are an SLP, BCBA, teacher, or even a parent, this is going to be a great event. I partner with Sasha Long who’s also a BCBA and she’s got really great strategies that are actionable and applicable.
This is a live PD in which participants will receive CEUs and certificates of attendance. Be sure to check out the talking points, event schedule, and get registered!
Learn about the Autism Connection. The inaugural LIVE PD event is taking place on March 12th. Brought to you by ABA SPEECH and The Autism Helper. A LIVE ASHA approved and ACE event!
Schedule: (Eastern Time)
Time: 9:45 am -10:00 am
Topic: Welcome
Presenters: With Rose and Sasha
Time: 10:00 am - 11:00 am
Topic: Make the Environment a Tool not an Obstacle
Presenters: Sasha Long M.A. BCBA
Time: 11:00 am - 12:00 pm Topic: The Performative Power of Language in Therapeutic Spaces: Steps Towards Neurodivergent Affirming Practices Presenters: Mari Cerda BCBA LBA
Time: 12:00 pm -12:15 pm Topic: Break Presenters: Break
Time: 12:15 pm - 1:15 pm Topic: Modified Play and Leisure Skills For Preschool and Elementary Aged Students Presenters: Rose Griffin M.A. CCC/SLP BCBA
Time: 1:15 pm - 2:30 pm Topic: LUNCH BREAK Presenters: LUNCH BREAK
Time: 2:30 pm- 3:30 pm Topic: AAC Intervention: Supporting Communication Partners and AAC Users in Naturalistic Communication Environments Presenters: Kate Grandbois, MS, CCC-SLP
BCBA
Time: 3:30 pm - 4:30 pm
Topic: The Best Kept Secrets of Collaborative IEP Goal Writing
Presenters: Stephanie DeLussey and Rose Griffin M.A. CCC/SLP BCBA Time: 4:30 pm - 4:45 pm
Topic: Wrap Up and CEU Reminders
Presenters: Rose and Sasha
Get Registered for the Autism Connection Now!
Thank you to our sponsor:
Don’t miss Pyramid Educational Consultants’ Second Annual FUNctional Behavior Conference on April 4th and 5th, 2022! Pyramid’s international team of behavior analysts, and dually certified speech pathologists, led by Andy Bondy and Lori Frost, the developers of PECS, have created all new and expanded content that includes a broad range of practical information related to the field of behavior analysis. Day one will focus on content related to educational programming and program development. Day two of the virtual conference will present information related to behavior analysis and communication. Earn up to 8.0 BACB CEUs including one ethics and one supervision credit when you attend the full virtual conference. To learn more about attending the FUNctional Behavior Conference on April 4th & 5th, visit pecsusa.com!
What’s Inside:
Mentioned In This Episode:Get Registered for the Autism Connection Now!
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ABA SPEECH Your Autism Resource
We focus a lot on therapy for young learners, but what about when they grow up? Support for older autistic learners and adults is so important. In this episode, I interviewed Jared Stewart, autistic adult, professional, and BCBA.
For many, characteristics of autism may not be apparent until life demands exceed their skill set. He shares his experience in the school system, how bullying, and the skill demands affected him. He finished his 7th-grade year with a refusal to return to school and spent the next year doing correspondence school from his bedroom. He began school again at the start of 9th grade with the realization that everything he wanted to do was on the other side of education.
Jared talks about a calendar planner one of his teachers helped him create that really changed the way he managed school, giving him a new sense of control. At that point, he learned that he could learn the systems of success. Creating systems is a really great tool for autistic individuals and with the mastery of these, anyone can learn to do bigger and better things.
From his first-hand experience as a high school student to college student, Jared has excellent insight on the needs for public school support and beyond. Focusing on strengths and building up the confidence of your autistic learners is key to their success as they move from school to the real world. Additionally, helping learners understand their unique challenges and working on them is important too. Masking is a hot topic in the autism world today, Jared shared his take on what he calls authentic masking as an important skill to connect your authentic self with your neurotypical community.
Jared pointed out that we often forget that autism is a developmental delay. As autistic individuals get older, brain development begins to catch up to neurotypicals and they can really do some powerful things. He sees it first hand with his work at the Scenic View Academy, a residential academy in which autistic adults live, work and get paid for their work. The school customizes plans for students that last on average about 2-3 years. In this program, they learn all the skills to function and keep themselves safe in daily life physically, mentally, emotionally, and sexually.
This was a great chat about focusing on the transition mindset when preparing autistic learners for beyond public school. Jared is so knowledgeable and passionate about helping others. If you’re interested in the Scenic View Academy you can find out more information online or if you’d like, you can get in touch with Jared who is happy to help in any way he can.
What’s Inside:
Mentioned In This Episode:Don’t miss Pyramid Educational Consultants’ Second Annual FUNctional Behavior Conference on April 4th and 5th, 2022! Pyramid’s international team of behavior analysts, and dually certified speech pathologists, led by Andy Bondy and Lori Frost, the developers of PECS, have created all new and expanded content that includes a broad range of practical information related to the field of behavior analysis. Day one will focus on content related to educational programming and program development. Day two of the virtual conference will present information related to behavior analysis and communication. Earn up to 8.0 BACB CEUs including one ethics and one supervision credit when you attend the full virtual conference. To learn more about attending the FUNctional Behavior Conference on April 4th & 5th, visit pecsusa.com!
ScenicView Academy
As Speech-Language Pathologists, it can be overwhelming to create a therapy plan for learners with no speech at all. Where do you get started? In this episode, I talk with Terri Smith. She is an SLP and the founder and owner of Bluebird Speech Therapy and Consulting Services.
Help Me Find My Voice and Start Communicating Now are two courses I offer online for professionals and parents. Terri shared with me how she found ABA Speech and has attended and utilized these resources. She describes her takeaway from these courses as a “Road Map” for therapy with autistic or nonverbal learners. These courses provide real actionable tips, step-by-step ideas for therapy, and most important assessments that focus on communication skills that are crucial for nonverbal learners.
Requesting is an important skill that Terri focuses on in her therapy. She finds that this gives her learners power by realizing their communication means something! Additionally, it's all about the fun, child-led activities built into social and gameplay that make a big difference, especially when working with nonverbal students. One rule she works by is planning therapy based on learners' developmental age, not their chronological age.
Terri works with students with autism to support functional communication and behavior strategies through play-based activities. As a consultant, she also supports other professionals in the field. Oftentimes, SLPs and BCBAs work together simultaneously with families and clients. Even myself as both can sometimes disagree on treatment plans. It’s important to remember when it comes to speech that the SLP is the expert, but also to continue to have that professional dialogue. Regardless of the points of disagreement when a professional is passionate about something it is obvious that their intention is just what's best for the learner.
Every student we see is very different with very different needs, it is important for therapy to match that and change client to client. This is such a great interview in which Terri and I talk about some great tips, tools, and guidelines for getting started with therapy, as well as the big difference my online courses can make!
What’s Inside:
**Mentioned In This Episode:
Thank You To Our Sponsor:**
Don’t miss Pyramid Educational Consultant’s Second Annual FUNctional Behavior Conference on April 4th and 5th, 2022! Pyramid’s international team of behavior analysts, and dually certified speech pathologists, led by Andy Bondy and Lori Frost, the developers of PECS, have created all new and expanded content that includes a broad range of practical information related to the field of behavior analysis. Day one will focus on content related to educational programming and program development. Day two of the virtual conference will present information related to behavior analysis and communication. Earn up to 8.0 BACB CEUs including one ethics and one supervision credit when you attend the full virtual conference. To learn more about attending the FUNctional Behavior Conference on April 4th & 5th, visit pecsusa.com!Pecsusa.com
bluebirdspeechtherapy@gmail.com
Bluebird Speech on Facebook
Facebook: @TerriSmithSLP
Instagram: @BlueBirdSpeech
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ABA SPEECH Your Autism Resource
I always love to get parents' perspectives but it’s not often I get to hear the unique view of a parent turned professional. In this episode, I interview Emily Estades, my friend, graduate student, parent, and SLP. Emily is the mother of two children, her daughter, the oldest, has a dual diagnosis of Autism and Rett Syndrome, and her son with Anxiety and ADHD. Her journey started with her daughter's many appointments, meetings, and therapies, eventually inspiring her career as an SLP.
Prior to dealing with speech therapists for her daughter, Emily remembers speech therapy as something kids got pulled out for in the middle of class but not much else. Through attending therapy with her daughter, she got an inside look at what it really was and she began to question and learn. She feels that the time period in which they were first attending therapy with their new diagnosis was a transitional time for the profession and her initial experience was really affected by this. Everyone was working in the best interest of her child, but it felt like they were learning right alongside them. That has really influenced how she works with families now as an SLP. Trying to keep an open mind, provide support wherever she can, and provide information and resources if they are wanting to learn too.
Emily really gets it as a parent and SLP. As someone who attended IEPs on the other side of the table long before she became a professional, I wanted her advice on how providers can keep parents as a vital part of the team. She had some great tips!
How can providers lead parent-inclusive IEP meetings?
•Be mindful of the perspective and language you are using with the parent.
•Be compassionate and be empathetic, parents are doing the best they can.
•It is the professional's job to build the bridge between home and school or home and therapy.
•Not everyone likes to be called mom and dad. Give them their identity, use their name or ask for their preference.
•Do not doubt parents when they talk about positive behaviors that are happening at home. •Take that opportunity to learn and build rapport.
•Encourage parents to take part in the team, provide videos, write in the daily notebook, etc.
•Build rapport and be gentle. Diagnosis is only the beginning for a parent, this is the hardest thing for them to talk about.
These are some great things to keep in mind for professionals out there wanting to be sure their parents are included. And for parents, remember these are things you and your family deserve, be sure to advocate for them during IEP meetings. Emily is a dear friend and it was great to hear her perspective on this. You can learn more about her and her practice at The Inspired SLP.
What’s Inside:
Mentioned In This Episode:www.theinspiredslp.net
inspiredslp@gmail.com
ABA Speech: Home
ABA SPEECH Your Autism Resource
FREE Masterclass- Best Strategies in 2022 To Reach Your Autistic Students
Is ABA therapy the right choice for your autistic child? Today Rebecca Shellito, mother, wife, nurse, and non-profit organizer join me to share her family's autism journey.
Rebecca’s son Nico received his autism diagnosis shortly before his third birthday and by 4 years old he was in full-time ABA therapy. They were incredibly lucky to find a local provider, covered by insurance that they were comfortable with. I know some clients and friends personally that drive to see their preferred provider outside of their local area. Wherever your provider is, comfortability is key. Speak up. Ask questions. Don’t stop until you feel comfortable.
ABA comes with so many logistics and scientific terms. As a parent, it can feel like a foreign language and be both overwhelming and intimidating. Rebecca took my online course, Help Me Find My Voice, early on in Nico’s ABA journey, and she said it changed the game. The course gave her the confidence to interact with Nico’s therapists and truly understand everything that was happening. No longer did she feel like a sidebar they had to break things down for but more of an active participant in her son’s therapy team.
Starting full-time ABA at the age of 4, Nico is now 9 and has seen some real progress. Beginning in a developmental preschool and then regular preschool with an ABA aide, he has now fully moved into a traditional elementary school. Nico is in 3rd grade and participates in general education for half his day and a more restrictive environment in special ed the other half. Rebecca plans to enroll him in some ABA after-school programs and playgroups in the future.
No matter how prepared you are, getting the diagnosis of autism for your child can be overwhelming. Rebecca shares some great advice for parents and families just beginning their journey with autism and ABA. You can learn all about the great things she’s doing through her non-profit Uniquely Nico, where she supports parents and autistic children.
What’s Inside:
Mentioned In This Episode:
Uniquely Nico
Uniquely Nico on Facebook
Uniquely Nico on Instagram
ABA Speech: Home
ABA SPEECH Your Autism Resource
Best Strategies in 2022 To Reach Your Autistic Students
Assessments are extremely necessary for understanding the skill set of your learner, setting goals, and making meaningful progress. As a therapist, administering these assessments can be so overwhelming and frustrating, especially when your students have complex needs and are not able to meet the standardized completion. Today, I am sharing my top 5 tips and strategies for autism assessments to make assessments a positive tool in your goal setting for therapy.
The Functional Communication Profile - Revised
A readily available, informal but thorough assessment. I love this assessment because it looks at a student's ability to attend to a task, receptive language, expressive language, and social language. The FCPR gives a great baseline for your student's overall speech skills. Most speech therapists have it right in their therapy office, it’s been around for a while and it is available through a variety of distributors.
VB-MAPP
The Verbal Behavior Milestones Assessment and Placement Program really streamlined my process for my students who were autistic or had complex communication needs. The information that a VB-MAPP will give you is so necessary for goal setting. It’s broken into three developmental levels, Level 1: 0-18 months, Level 2: 18-30 months, and Level 3: 38-40 months.
Informal Screeners
In my ASHA-approved programs Start Communicating Today and Help Me Find My Voice, I include informal screeners. These have been put together based on my 20 years in the field and what I find helpful to look at. For students with complex needs, these screeners help take a clear look at foundational skills. Also for older students, these screeners can facilitate questions like what have we tried before and how did that go? This is a great supplement for the road map to progress alongside formal assessments.
Observation
Observation makes up a gold standard assessment. Spontaneous communication can be notated just on pen and paper. This can be during structured or unstructured time, preferably both, so you can understand the different modes and attempts for the students' communications in different settings. The most valuable information comes from the questions, what does my student look like as a communicator in these different areas?
Parent or Team Interview
Talk to the team of teachers working with the student and talk with the parent. Sometimes teachers are the lead on a case and may be sending home forms that include really valuable information. Also, talking to the parents is crucial because it's important to understand where they are coming from and what their concerns may be. Communication with the team will also facilitate understanding progress being made across the students' environment.
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
ABA SPEECH Your Autism Resource
If you’ve been listening for any amount of time, you know that I am all about keeping therapy fun and functional. In this episode, I have some great examples of games for your therapy or at home with your child that you can put into practice right away. These games are all about leisure skills. We spend the majority of our lifespan participating in leisure skills so it is so important to work on these skills with our learners.
Two of the best assessments for identifying and understanding the needs for leisure skills with your students are the Assessment of Functional Life Skills and the Functional Communication Profile Revised. Both of these have direct sections and questions that pertain directly to leisure skills as life skills and clue you into what your learner needs to work on. Observation is also key. My favorite thing to do is take a look at my students' gym classes and see their communication, leisure, and social skills at work in a less structured setting.
When planning for therapy you really have to ask, what skills can we work on in therapy that will help them with their overall engagement, peer interaction, social skills, and most importantly their joy and happiness? Modified leisure skills are so fun to work on and really make a difference beyond therapy and into their shared time with family and for older students when they join the general community.
What we do every single day is important. Not just in therapy but also when they go home with their family. Today I share a few of my favorite modified games for working on leisure skills. I go into how I make them accessible for my students and where to find resources for these games. Many of these games highlight skills like turn-taking, imitation, duration of the task, direction following and so much more.
Activities and Games for Leisure Skills:
These are just some examples of really functional and exciting ways to take on social and leisure skills. I really urge you to take a look at your therapy and the skills you’re working on and ask yourself, why am I working on this? What purpose do the skills and activities you’re currently working on serve? What we are doing every day needs to transcend beyond the classroom and be important across their lifespan!
#autism #speechtherapy
What’s Inside:
—What are modified leisure activities?
— Why are leisure skills important?
— How are your therapy practices transcending the classroom?
— How do skills build across the lifespan?
— Can therapy be fun and functional?
— How can therapy activities be generalized for family time?
Mentioned In This Episode:
Social skills for students with autism - MODIFIED UNO
Social skills for students with autism - Modified Scrabble
Social skills for students with autism- The Grocery Store Game
Social skills game for mixed groups - ABA Speech
Word Generator - The Game Gal
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ABA SPEECH Your Autism Resource
As we close out the year, I wanted to highlight my most popular episode. This week, I’m re-sharing Episode 3, where I break down IEPs and discuss everything that goes into creating goals in speech therapy for autistic learners.
Setting IEP goals for autistic learners can be incredibly difficult, especially when you’re working with emerging communicators. At the beginning of my career, assessment tools were limited and I found out along the way the goals I set for my students were unclear and hard to measure. Assessment, collaboration, and functional goals are all important pieces of the puzzle for setting up your student and the therapy for success.
Standardized tests are commonly used in the classroom, but they are so tricky because they often do not give us the snapshot of skills we need for autistic learners. Assessment tools I recommend if you have access are the VB-MAPP and the Functional Communication Profile. If you don’t yet have access or need to start on a more basic level, I like to look for specific early learner skills. These are those small basic skills that lead to learning bigger skills and tasks. These are measurable communication skills that start in even really young learners such as labeling, verbal imitation, intraverbal skills like filling in the blank, matching, and group listening.
When you have brought all the pieces together, it’s time to set the vision for their communication programming. I have 5 questions for you to ask as a part of my practical and systematic approach to establishing functional goals for your autistic learner.
No matter the skill level, the age, or the context of your therapy practice, this approach will help you consider all the important pieces behind each goal. If you’re a parent, this can help you know what questions to ask your therapist and IEP team to ensure the right goals are being observed and measured for your child. As a part of this episode, I have included a downloadable link for my IEP Goal Bank, be sure to check it out as you work with your team and parents to set specific, actionable IEP goals for your autistic learners.
What’s Inside:
Mentioned In This Episode:
IEP Goals for Students with Autism - ABA Speech
Working with toddlers and preschool aged autistic learners- learn more about our Start Communicating Today Autism Course
Working with school aged autistic learners- learn more about our autism course- Help Me Find My Voice
ABA Speech: Home
ABA SPEECH Your Autism Resource
Is autism really different in girls and is that affecting reliable diagnosis? I had the opportunity to chat with Robin Roscigno, founder of AuTEACH, former teacher pursuing her PhD, and autistic mother to her autistic daughter. As she speaks from her education background and personal experiences, Robin gives a really great insight on a deeper look into how we are evaluating and educating autistic students.
The CDC website reads that autism is 4 times as common in boys as it is in girls. Why are we still saying that? Is it more common in boys or are their crucial elements being missed when it comes to diagnosing females? The thing is autism is not different in girls, it just presents itself differently.
When looking at autism in girls, we are talking about internalized experiences vs. externalized behaviors. With girls, a lot of their repetitive thoughts or fixations are happening internally, or they present in somewhat typical female expectations. This could be a little girl playing the exact same scripted play scenario multiple times daily for weeks with no deviation or insensibly organizing and caring for her barbies. At the core, if the behavior is an “expected” or “traditional” female activity within normal gender roles, parents of girls can expect to get push back on an autism diagnosis. Boys and girls are socialized very differently and in fact many of the hallmark signs of autism can be disguised as socialized behavior for women. This makes it easier for girls with autism to hide their symptoms and prevent a reliable diagnosis.
Social skills and navigating social situations can be an area where autistic girls are ill-equipped. Robin highlights the typical socialized behaviors of how girls interact with one another and it can be very difficult for girls with autism to operate within that. Her reminder for parents and teachers is to stop assuming children don’t want to socialize. In fact, it can involve a lot of shame and internal pain, especially when the student has a desire to be a part of the group. To combat this, Robin talks about a whole school approach. This means not only talking to students with disabilities but to students without disabilities as well. It’s not that one group has all the social skills and one none, it’s that they have different skills and they can learn on both sides. It’s an opportunity for double-sided empathy.
Robin shared some great suggestions and potential resources for parents of girls with signs of autism. Taking data at home and finding a reputable doctor are some key points for making an evaluation fair and accessible regardless of gender. Advocate for your child and what you as a parent are seeing that raises concerns is so important.
You can find out more about Robin and AuTEACH on her TikTok, Instagram, YouTube, and on her website. This was an awesome chat, I hope you got something great out of today’s episode!
What’s Inside:
Mentioned In This Episode:
AuTeach
AuTeach (@auteachofficial) • Instagram photos and videos
Autism Education (@auteach) TikTok
AuTeach - YouTube
Wow, Episode 050! This is amazing. I want to start by saying thank you for listening, this so far has been an incredible experience. 1 year ago, my own kids had a snow day and I had just finished up my podcasting course. I was super nervous but I came into my little walk-in closet and pressed record. Throughout these last 50 episodes, I have learned so much and I want to share with you these important lessons.
Nathan taught me that the autism community prefers the term autistic, rather than a person with autism. School for a long time has taught people their first language with all disabilities, but this has really changed and autistic people are letting their voices be heard. It's still important to ask people their preferences, but the majority of the community aligns with that language.
Chris shared the quote, “How you do anything, is how you do everything”. I had never heard this before but it gave me pause, and really taught me to stop rushing through even the little things, and give my best.
Braxton uses a framework of 5 Ps for reflection on IEPs. These are Process, Purpose, Possibilities, Progress, Peace. Focusing on the person at hand and these “Ps” is so important, and I am so glad he shared that!
Mary shares her personal experience and journey in the autism world beginning with her son’s diagnosis in the 1990s. She has a book, podcast, and some incredible online courses that really help parents be their child’s best advocate and work on so much more than speech. This perspective is so important as a professional, to hear from parents and their stories. She is a great friend and mentor.
Kate and I discussed The Communication Bill of Rights. This is an incredible resource located on the ASHA website. This is such a powerful tool that anyone can access and it really reinforces the work we do as professionals.
Crystal shares the importance and supports an advocate provides for parents. It was great to learn as a professional what exactly an advocate does because it can be such an area of contention in the IEP room. Since this episode, I have actually signed up to start doing advocacy work and will be offering it very soon as a service through ABA Speech.
Kayla is a play-skill expert. In this episode, we discussed play milestones, including pretend to play and at what age that is supposed to happen. One great thing she reminded me of is to take away the need to be perfect. Your lesson or activity does not have to be perfect to be helpful or effective.
This is a wonderful opportunity to hear a variety of perspectives that are truly so important. I have always loved to talk, so this podcast has been perfect for me. I love people, I love being around them, I love helping them. This show is an extension of what I really love to do personally and professionally. Thank you again so much!
What’s Inside:
Dr. Megan Miller is a thought leader in the field of behavior analysis and special education. In this interview, she and I discussed the Early Start Denver Model and its importance to early learners. Play is such a critical piece to communication and this model sets up parents and providers to build joint attention skills.
Imitation is such an important skill, many individuals look to this as a way to learn things and copy skills. However, it is so much more, it is a skill in which communication begins. If we are missing that piece, higher level communication is not going to take place. Where does imitation most naturally occur? Social interaction. Joint attention activities are often child led activities and this is where the most AHA moments occur.
If natural social interaction isn't developing, parents often don’t initiate unintentionally, they instead substitute their interactions with “formal” language practice. It’s really critical that parents learn to be silly and have fun engaging in a social or play format. It can sometimes be difficult, and it definitely requires a certain element or attitude, but when you’re really into it the kid responds.
Many parents may be intimidated by play based social activity. What is great about the Early Start Denver Model, provides a framework for joint activity routines. The first part is to observe the child to find out what they are interested in. The second is developing the routine, early on this involves imitating the child’s play. The third part is creating variety in the routine, so once you're engaged in an activity the child has started, the adult changes it up. This might mean throwing a ball instead of rolling it, or even just rolling it fast instead of slow. Just small little changes in the play the child is already interested in, which opens up so many opportunities for language and communication for the child to direct the activity. The last part is the closing, preparing to end the activity with a child and move on to the next thing.
Whether it's birth-3 or older, professionals and parents alike have to set aside our intentions or vision for the interaction with the kids. Dr. Miller brings up a great point about how aversive it can be if kids are always redirected to play the way the adult wants, because communication really begins with the child’s preference and slowly teaches flexibility. Oftentimes we miss the obscure playful interactions non-neurotypical students may be showing us because we have these ideas of what “fun” should look like, and with that we miss great opportunities for communication with the child.
There is so much information online, as well as providers who practice very differently, which can be a good thing but also has some negatives. Parents have certain ideas about structured, table centered activities and can at times not understand the purpose of play based interactions in therapy. Dr. Miller drives home that research is there for naturalistic communication and that it comes from spontaneous play. The Early Start Denver Model book backs up the need and importance of social activity and this can be used to help parents and even providers understand the need and importance of play.
Dr. Miller’s advice is for more people to understand that students who are not neurotypical do not have to communicate the same way as neurotypical individuals. She says, “We are more comfortable, learn better, and are less stressed when we are accepted”. My wish is that we can all spontaneously communicate in a way that makes sense to us, so I find that so profound! Be sure to check out Dr. Megan Miller and all her work with the Do Better Movement!
What's Inside:
Dr. Lisa Audet is an extremely knowledgeable special education teacher, SLP, and professor at Kent State. In fact, over 20 years ago she was my professor! She specializes in communication and independence for autistic adults, works with these individuals on her campus, and has a unique viewpoint for those of us working with younger adults with autism at the middle and high school level.
Because socially and academically the needs are very different from high school to college or work-based settings, it can be hard for parents and professionals to identify the needs of students preparing for transitions. Dr. Audet identifies these needs as learning a sense of self, self-care skills, and understanding their strengths. As therapists, we often focus on students' needs and teach them new skills, but approaching therapy with a strength-based model can help students self-identify and determine jobs and settings that best suit them.
Self-monitoring is so important for everyone. For autistic individuals, this can provide success in a variety of ways. This means understanding when they are uncomfortable, when they have a need, or how to understand and repair a relationship or situation when they’ve missed a boundary. Dr. Audet uses the Stop-Think-Make a Plan method for her students to teach them to assess their situation and determine solutions before a problem arises.
Older autistic students in high school may be preparing for college or for placement in a work setting. Dr. Audet talks about the ways we can not only set up the student for success but educate employers on the individuals in the work environment. Students should be entering work environments that align with their interests, strengths, and desires, not what “makes sense” to the providers they work with. Alternatively, there is work to be done in the education of employers because many times fear of hurt feelings prevents great learning and developmental opportunities from taking place.
As a professor at Kent State, Dr. Audet has a great understanding of what Ohio has to offer its young autistic adults as well as other individuals with other disorders. The Office for Ohioans with Disabilities has a vocational counselor on every state campus. She shares all of the great resources they can provide to students who voluntarily seek their assistance. The Organization for Autism Research has a book that is a great resource for college-bound individuals with autism.
There is a lot to be done to support and initiate success for young autistic adults, especially with their varying places on the spectrum. Every state varies on the resources they provide, so be sure to look into all of the resources and options available locally to you!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:
Working with toddlers and preschool-aged autistic learners - Start Communicating Today Autism Course
Working with school-aged autistic learners - Help Me Find My Voice
ABA Speech: Home
One out of four typical children will develop a pediatric feeding disorder. Does that statistic shock you or does it feel extremely relatable? Melanie Potock of Munch Bug is an SLP and Pediatric Feeding Expert. She has written 6 books on feeding, speaks around the world, and is a coach to parents and children struggling with picky eating.
Picky eating is a wide, all-encompassing umbrella term that spans many many feeding issues from babies to school-aged kids. A point Melanie really drives home during this interview is that feeding is developmental. Just as you would be concerned if your child was not hitting their other milestones, feeding issues should receive the same concern. So much goes into feeding including cognitive, motor, and even parenting skills.
How can you start strong? Can feeding be a joyous experience? Feeding when speaking about food variety and solids begin at 6 months old. This is a really crucial time to learn babies' cues; when are they hungry? When are they done? When are they satisfied? This type of communication between baby and parent is called responsive feeding. A topic in which Melanie has devoted an entire book to!
For toddlers and school-aged children who may be showing signs of picky eating are not ruined by good eating habits, remember to shift your mindset. Children grow at an extremely rapid rate from birth to about 18 months when it begins to slow down. A child who may have been eating everything in sight may suddenly not need as much to fuel their body. This is OK. The key at this age is to continuously try new things, in a positive way.
What about the age-old trick of sneaking veggies into dessert? Have you ever made avocado pudding or black bean brownies to get that extra nutrition in for your toddler or young child? Melanie’s advice is to take the words trick or sneak out of your vocabulary when it comes to feeding. Did you sneak the black beans in or did you try a fun new recipe? Let kids know what’s in their food and tell them that you are just as surprised as you are that it tastes so yummy. It is okay to experiment with foods and recipes, it's even normal, and that sets the stage for adventurous eating.
So what are some characteristics of picky eating that need intervention? Look for rigid patterns such as not tolerating new food on their plate, not eating at the table most of the time, and not eating in a new environment (school, classroom, restaurants). Sometimes kids are being kids, but these are things that happen more frequently than not. You may also see irritability before, during, or after each feeding, taking a long time for feeding, coughing and gagging, more frequently, gurgling, or frequent vomiting. Any stall in the development of feeding warrants intervention.
If you are feeling stressed about feeding, get help now. Even if it's just a consult or a few extra tips and slight changes to your existing feeding routine. The longer you wait to get help or make changes, the more unlearning that will need to take place and the chance of extensive feeding therapy in your future. Talk to your pediatrician, reach out to Melanie, or seek out other forms of feeding support.
What’s Inside:
Mentioned In This Episode:
Melanie Potock
Melanie Potock on Instagram
TalkTools Virtual Conference Feeding First
Do you ever walk into a new gym class and feel uneasy or nervous? If you do, you're not unlike many kids who hesitate or resist transitions. Not all children with autism experience difficulty with transitions, but it is something many struggles with. In this interview with Dani LoVecchio from Bridge Kids of New York, we discuss tips and advice for making transitions smoother.
Whether it be starting a new school or service, being away from the caregiver for the first time, or smaller transitions throughout your child’s day, there are ways to make it better for the parent, professional, and the child.
Dani’s Tips for Smooth Transitions with Autistic Learners:
Routines and schedules are great for kids, especially kids with autism. They teach the learner what to expect and to trust what will be next. However, we all know there is no such thing as perfect and life happens. As the child gets older, be sure to prepare them for flexibility and what to do when a schedule change or a transition isn’t the same.
Dani and I also touched on communication between providers and parents. This is always so important but even more so when working on new transitions. Be sure to have a clear communication plan in place so as the parent or professional, you’re on the same page and continuing support.
Transitions are part of every single person's day. They aren't always big scary new ones, but they can feel that way to some autistic learners. I loved getting to talk to Dani today and hope you can put some of her great advice to use!
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Bridge Kids of New York
Bridge Kids NY on Instagram (@bridgekidsny)
Bridge Kids NY on Facebook
Whether you're working with a young child, teen, or adult, executive functioning skills are among the most critical and practical skills we need. In this interview with Sara Ward, an SLP specializing in executive function, she shares the unique background that makes this work so special to her, as well as some really interesting approaches to assessment and intervention.
Many people have different explanations for executive functioning. Sara defines executive functioning for young children in the most basic form, sequencing. As you reach middle and high school, you’re continuing to plan with a window of time and space that is continuously growing. It’s very easy for parents and professionals to be a child’s “prosthetic frontal lobe”, we visualize the students through space and time and we at times over prompt.
So in a neurotypical brain, this is the ability to visualize where you are in a future time or space. 90% of the time, task planning happens in a different place from where you execute the plan. Naturally, as you might plan your day and anticipate the tasks necessary to accomplish your daily routine, you may use gestures to prompt your steps.
An intervention Sara uses that is really successful in young children is teaching them to gesture. So a child with really great executive functioning skills would use very specific verbs to describe the steps necessary for their future plans. With a child who is lacking in executive function, you might prompt them to show you with their hands. Oftentimes, when students are able to feel the steps with their hands, the attached verb comes. So there is this language and movement attached with task execution.
How do you determine the need for executive functioning? Assessments are tricky because SLP’s are not licensed to administer tests related to neuro-capability. Evaluators tend to look at Executive Skills through observation and rating scales. Sara recommends the Barkley Attention Deficit Executive Function Scale, because of the way it differentiates between attention deficits in comparison to executive skills in the individual. CEFI, Clinical Executive Function Inventory, is an online tool that Sara suggests to accurately characterize kids' behaviors related to executive functioning. She also mentions several other tests and scales that can be used, in addition to looking at existing speech and language assessments with an executive functioning lens.
Sara provides so many great suggestions and tools for working with students on executive functioning and the program she developed. As an experienced SLP, I myself found this information so enlightening. I cannot wait to take these tools to my next IEP meeting and to my therapy. I hope you found this just as helpful.
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Cognitive Connections: Executive Function
Welcome back to part 2 of my interview with Dr. Edythe Strand. If you haven’t listened to part 1, be sure to go back and listen to get the full scoop.
Edythe is a very important leader in her field. In addition to the Dynamic Assessment, she also researched and developed a critical treatment for children with severe apraxia, Dynamic Temporal and Tactile Cueing. DTTC, as it is known, is an innovative treatment in which a hierarchy of cues is used to demonstrate and initiate motor-speech skills in children with apraxia.
In most therapies, we are constantly taking data, every meeting or every session. However, the Dynamic Assessment and DTTC is such an involved, hands-on, and therapist-led treatment data and scoring doesn’t need to take place at every visit. In Edythe’s work at Mayo, they would take data every 3 visits using multidimensional scoring. She notes that the importance of data is not as prevalent during an intensive treatment like this as opposed to when she is doing research.
When working on something as important to communication as language, whether the child is typical or has autism, the type of language, the number of words, and the words that are chosen to work on are so important. Especially in the cases of students with severe apraxia and autism, functional and fundamental words during practice and DTTC are crucial.
In this episode, Dr. Edythe Strand touches on the commonalities between apraxia and other diagnoses and disorders such as autism. She explains all of the research, practice, and genuine desire to help kids with severe apraxia that has gone into her work. She is such a wealth of information and has provided so many great links and references for this episode, so be sure to check them out!
What’s Inside:
Mentioned In This Episode:
ABA Speech: Home
Child Apraxia Treatment
Apraxia-kids: Home
Videos for Parents and Clinicians:
Overview of possible causes and types of problems in speech development
Definitions and Descriptions of Childhood Apraxia of Speech (CAS)
Examples of different levels of severity in Childhood Apraxia of Speech (CAS)
Differentiating Childhood Apraxia of Speech (CAS) from other types of speech sound disorders
Diagnosis of Childhood Apraxia of Speech (CAS)
Treatment of Childhood Apraxia of Speech (CAS)
How parents can help their child with Childhood Apraxia of Speech (CAS)
Childhood Apraxia of Speech (CAS): Other resources
Childhood Apraxia of Speech: Information for Parents
5-hour general course on CAS or the Once Upon a Time Foundation, through the University of Texas, Dallas.
Childhood Apraxia of Speech -- by Dr. Edythe Strand, Ph.d. View video FOR FREE and receive ASHA CEUs! www.utdallas.edu/calliercenter/events/CAS/
Welcome to part one of my interview with Dr. Edythe Strand. Edythe was a professor at Mayo College, former head of Division of Speech Pathology, Department of Neurology at the Mayo Clinic, and a practicing Speech Pathologist and clinician. Her research has focused on developmental, acquired, and progressive Apraxia speech.
What are the characteristics of Apraxia? Edythe noted that Apraxia is not a medical diagnosis but rather a label for a speech sound disorder. Different from other speech disorders, Apraxia affects the movement needed to make a sound. Characteristics might include, difficulty programming and planning, movement gestures, awkward movement through a movement transition, mistiming, blending of manner, distorted sounds, intrusive schwa, inconsistency in the context of repeated production.
Therapy for students with Apraxia looks a lot different than other language disorders. Speech-Language Pathologists typically go straight for phonemes and articulation. However, Edythe further drives home that Apraxia treatment is focused on movement. So instead of enunciating letter sounds and syllables, the clinician is going to emphasize the movement that creates the sound. This is called Dynamic Temporal and Tactile Cueing, or DTTC, treatment.
Dynamic Assessments are the best evaluations for students with Apraxia and are really different from a lot of the typical assessments in speech pathology. It involves a hierarchy of cueing, and scoring is based on response to that cueing. Versus in Static Assessment, typically there is a picture or a question; the child responds once and the clinician notes the response. Edythe Strand developed her own Dynamic Assessment, DEMS (Dynamic Evaluation of Motor-speech Skill). She shares some examples of who and how this assessment would be used. The benefits of Dynamic Assessment include knowledge of a child's preferred cueing and an understanding of the severity of the disorder.
Be sure to check out the amazing resources from Dr. Edythe Strand and stay tuned for part two of this really interesting interview!
What’s Inside:
Mentioned In This Episode:
Child Apraxia Treatment
Apraxia-kids: Home
Videos for Parents and Clinicians:
Overview of possible causes and types of problems in speech development
Definitions and Descriptions of Childhood Apraxia of Speech (CAS)
Examples of different levels of severity in Childhood Apraxia of Speech (CAS)
Differentiating Childhood Apraxia of Speech (CAS) from other types of speech sound disorders
Diagnosis of Childhood Apraxia of Speech (CAS)
Treatment of Childhood Apraxia of Speech (CAS)
How parents can help their child with Childhood Apraxia of Speech (CAS)
Childhood Apraxia of Speech (CAS): Other resources
Childhood Apraxia of Speech: Information for Parents
5-hour general course on CAS
Childhood Apraxia of Speech -- by Dr. Edythe Strand, Ph.d. View video FOR FREE and receive ASHA CEUs! www.utdallas.edu/calliercenter/events/CAS
In this interview, Dr. Kerry Magro, one of the first speakers who is also autistic, shares his communication journey. Kerry was non-speaking at 2.5 and received an official autism diagnosis at 4. Despite not speaking in full sentences until 7 and facing a variety of sensory challenges, the support of his loving family and over 15 years of a multitude of therapies helped him overcome many of his barriers. All of these paved the way for his achievement in a degree in sports management before he realized his true passion for disability advocacy and received his Ph.D. We discuss how, with the right support in place, anyone can find their voice.
Kerry describes his early speech behavior as non-speaking versus non-verbal because of the sounds he was making. While they weren’t words, these sounds turned into pronunciations and through speech therapy broke ground to start communicating, in any way possible. I work with a lot of students who are not yet spontaneously communicating, and it is always my focus to create budding communication. Kerry describes the two biggest things that helped him grow from non-speaking to a professional speaker were speech therapy and music therapy.
When you receive a diagnosis of autism for your child, sharing this information with them can seem scary or overwhelming, especially when a child is young. Kerry shares how his parents told him after a fun game at school where the teacher told him he was special and wanted to know why. His parents told him that he has autism and that it meant he learned differently, but that he was no less of a person than others. While that may seem simple, Kerry says it was life-changing for him as he grew older and began to understand his disability, sit in on IEP meetings, and become an advocate for himself.
Leaving the support of the elementary, middle, and high school and moving on to college is quite a transition, whether you’re a typical learner or not. Kerry says for him, the best support for him as he entered college was understanding his accommodations, understanding his needs to succeed academically. For him specifically, he needed more time on tests, a private room due to sensory needs, and a note taker due to his dysgraphia. He is actually working on a book about the transition from high school to college with advice and experience from many autistic voices.
As a professional in this field, my goal is always to support my students, but sometimes it can be hard to know what language is preferred. Kerry talks about the importance of letting neurodivergent individuals and self-advocates identify themselves. It’s really not up to a professional to dictate the preferred language of someone else. Many are taught to use the label, a person with autism, but Kerry prefers the language, autistic individual. He also stresses that parents and professionals should stop using functioning labels. The best way to describe your child is to list their strengths and weaknesses. Autism is such a wide spectrum, so person-centered approaches are essential to the autism community. If you’ve met one autistic individual, you’ve met one.
Be on the lookout for Kerry’s contribution to the book Life After the Lockdown: Resetting Perceptions on Autism, just released this September. This fall, he is gearing up for many speeches for National Bullying Prevention Month and National Disability Employment Awareness Month, as well as the spring release of his book Autistics on Autism for World Autism Month, in which 100% of the proceeds will go into his scholarship fund.
#autism #speechtherapy
What’s Inside:
How are you utilizing effective communication with parents? Parents, how are you effectively communicating with the educators in your child's life? Ria Reive from HiMama is a former early childhood educator. She shares actionable tips to improve communication with parents and teachers. As well as the overall benefit from effective communication in a school setting. You may not see how impactful parent engagement can be in the day-to-day, but down the road, there is going to be an immense benefit when both the parent and the educator have the knowledge on both sides.
What are Ria’s three big strategies for effective parent communication?
So what kind of daily information are you providing parents on a day-to-day basis? For Ria in the classroom working with younger kids, that's going to be feeding, naps, diaper changes, etc., and then kind of how their day went, did it go amazing, or maybe they had a rough day and some of that daily info can clue in on that. So when she was in the classroom, that was translated via paper. However, we talk a lot about how parents do not need one more piece of paper, and that's where HiMama comes in. HiMama provides a digital piece of communication for efficient, direct, dissemination of information between teachers and parents.
What happens when there may be a problem or disagreement? Ria and I talk about the benefits of creating an action plan. Decide how you’re going to handle problems with parents and remain professional and supportive. Remember, there is a time and place, during drop-off at the classroom door, probably isn't it.
It takes a team to educate and support students with autism, and all students. Parent engagement and communication from both sides is a skill really integral to the success of the child at hand.
What's Inside:
Mentioned In This Episode:
HiMama - The Best Childcare App for Daycare Centers
ABA Speech: Home
Have you ever wondered about how your child should be playing? Today Kayla Chalko, SLP from Walkie Talkie, talks with me today about the importance of play for learning. We talk all about play milestones and the importance of parent-to-child connection in building up to those.
What are the benefits of play? The amount of time that someone could spend doing formal instruction, versus the time spent playing while introducing content, much more information will stick. Shared activities with an adult and child or multiple children also bring impactful connections and social skills.
Parents can get nervous when hearing the word milestones, especially if they find their child isn't measuring up. Milestones are a guideline and a point on which to work from. So what are some basic play milestones?
6 months - 12 months: Engaging in social games such as peek-a-boo or patty cake, usually paired with words and songs. Silly games involving back and forth and imitation.
18 months: Using tools to pretend actions like hammering, pouring and mixing. Playing with sensory items. Developing their imagination with more pretend play, they may pretend to feed dolls or mom.
2 years: Continuing pretend play. They may imitate normal activities from their home. They may play house, clean up, and imitate the caregivers. At this brainstage, they are ready to pretend based on their environment. Beginning to try joint play with other kids.
Change your mindset from working specifically on milestones to genuine connection. Play can be an intimidating word for parents, but make it all about connection. What makes you and your kid feel silly? Start with something like that, loosen up and feel silly. Mindset is the most important piece; this is how you create connection with the child, and that's where those play skills will come through.
Therapy should be fun for the child and for the clinician. Creating an atmosphere that is fun and functional is important. A lot of therapists are eager for a list of toys for their therapy room. Kayla’s go-to toys are her balloon pump, a ball, markers, puppet books, and bubbles. However, she says regardless of toys, it is all about the mindset and connection. Sometimes your best toys are your hands, voice, and facial expressions. It doesn't matter what you’re playing with; it's how you're playing with it.
Kayla’s closing advice is to get rid of the pressure and perfection. Stop worrying about milestones and connections. She says that if parents can focus purely on connection with their child for just a week, she guarantees that they will improve and learn so much more over the course of that time!
What’s Inside:
Mentioned In This Episode:
Walkie Talkie Speech Therapy | Speech Therapy in San Diego
Ineffective communication in all humans, will affect how we behave. Children who cannot communicate, do not have the life experience to handle their feelings and situations and that presents in their behavior. Ashley Scott, SLP-BCBA, shares in this episode the ongoing and intentional processes of building expressive language in children.
There is a difference between having vocabulary and functional language skills. A child may be able to count, say their ABCs, or identify color, but they may not be able to communicate. So they may know the color orange, but if they want an orange, can they say “mommy I want an orange”. Functional language is not just talking but using words to request, negotiate, and communicate with their parents and peers.
It is not cut and dry, “a kid can talk so they start talking”. If you are working on getting a child to talk, there are so many things that need to be in place, so it is important to have less focus on words and more focus on foundational skills as simple as learning to sit. Ashley’s advice for parents is to ask fewer questions. Narrating is a key to building language skills and understanding the meaning behind words. Ask less questions and comment and narrate everything as you and your child are doing it. Pair everything you’re doing with real words, to build connections between the activity or item and the word.
We want to expose kids to a rich vocabulary, but when kids aren't communicating, keep words simple. They don’t have to be long sentences, but instead small phrases and keywords. For example, you don’t need to say “you’re putting on your shoes” instead hold and point to the shoes and say “shoes on” or you don’t need to say “let’s open the door now” instead say “open” but say it a few times, clear and exaggerated.
One of Ashley’s big questions for therapists and parents is, “how much are you facilitating?” Wait time is a big piece. It is critical to give children time to process and respond. One thing Ashley said that makes so much sense is working on language is an art form, a unique balance between foundational skills, modeling, narrating, and allowing silent time for processing language.
Another key part of therapy is that the skills a child can perform in therapy should be able to be performed, across all of their environments and with all people they interact with. It's important to create opportunities for communication. This differentiates the difference between can’t do or won’t do. Reinforcement is critical, modeling what it looks like to respond to a request. Repeating a request over and over is not effective. Say it one time, and if they do not comply, physically complete the request with them. For example, you don't need to say come here over and over. If they do not come the first time, show them what coming here looks like.
Building expressive language is about building independence. There are so many teaching opportunities that are missed because as adults we meet the child’s needs that they can do themselves and we do not give them the opportunity to ask for help or demonstrate their knowledge. The biggest takeaway for parents and professionals here is language and communication is more than just talking.
#autism #speechtherapy
What's Inside:
Mentioned In This Episode:
FREE live webinar- Autism Therapy Strategies for Toddlers and
Crystal Sanford is an SLP, Autism Mom, and owner of Sanford Autism consulting. She is sharing her professional and parental journey. Crystal’s focus is on IEP advocacy and parent support.
It's really integral to include parents as part of the team. The whole process can feel daunting for parents. To begin with, parents can feel isolated in dealing, and navigating the special ed process can make it especially hard. Therapists can feel defensive and nervous, but parents can be really overwhelmed and advocates play such an important role. IEPs are really a different language for parents. Advocates go in as a liaison and support person to bridge the gap between school and parent. They will ask some of the parents’ concerns, discuss goals, and make sure the parents’ voice is heard.
One thing about the pandemic was the creation of Zoom IEP conferences. I don’t think we’ll ever go back to 20 sweaty people sitting around a room. The addition of Zoom conferences has allowed the setting to be more flexible and collaborative. In the past, it's been very “us against them” in some cases, now we’re all together and we're focusing on the success of the child.
Parents should always trust their gut and ask questions. For parents that are new to the process, think about your child and what works well for them. Use that information. If things are coming up that you’re not sure about, ask those questions. Be persistent in what you want for your kids, but also be a listener. The law requires special education staff and therapists to provide what is appropriate for your child, not what's best. Crystal works with parents on understanding the difference, and how to find balance.
It is so important for parents, therapists, and other professionals that are involved in the IEP or service process to remember that the key focus is the child. Parents really are the expert on their child. Crystal’s tip to convey this is to develop a “Parent Input Statement”. Every year they should draft a statement to include who their child is, their diagnosis, what works well at home, focus points for the school year, and the best way to contact them. As the child gets older, include them in that process as a segue to self-advocacy.
It is okay to think out-of-the-box for kids. It’s important for therapists to advocate why they are teaching things and how they are working for them. Oftentimes, skills and therapy gets generalized; it's necessary to get therapy into real situations, especially in older grades in middle and high school when you're working on big life skills.
Crystal has such a great perspective on therapy and parent involvement as a professional and parent. I hope that by listening to this episode, you’ve found some tips to put into action in your next IEP meeting or therapy session, whether you’re the parent or the provider! If you have any questions, please reach out to me and be sure to sign up for my free webinar, Autism Strategies for Toddlers and Preschool Aged Students.
#autism #speechtherapy
What’s Inside:
Mentioned In This Episode:
Register for my new FREE live webinar- Autism Therapy Strategies for Toddlers and Preschool Aged Students
Knowledge is power. When you know more, you’re going to understand more. If you are listening in real-time, my brand new toddler course launches this week! I have created the course, Start Communicating Today, for parents and professionals to help their toddlers and preschool-aged students with Autism communicate.
This ASHA-certified course, from the set-up to the material, is parent-friendly. With Covid, there are a lot of families on waitlists or who aren't able to get the service level they need because of safety concerns. This is a great course for anyone with a child with Autism, a struggling communicator, and even those waiting for a diagnosis. By signing up, you gain access to the course AND access to a private Facebook group full of members of both this toddler course and my school-aged course. This page is a place of community, dialogue, and feedback.
Start Communicating Today is a 5-hour course broken up into 7 Modules. This course is full of great information you can actually use in your everyday therapy practices. I was very systematic in the creation of this course. You will see these modules build upon each other in a flow of importance. Every single module comes with a printable, to reference as a resource in everyday therapy.
I created this course to answer the question; what do we work on with students who are early learners and not communicating on their own? These modules provide detailed information, resources, examples, and even video tutorials on implementing these best practice tools.
The Seven Modules:
Assessments: The “Gold Standard” Assessments, what assessments do I find helpful, and all of the points that make up a good assessment.
Goal development: How to set goals that drive the success of intervention for toddler-age students.
Foundational Skills of Communication: Expressive Language, Communication, Play, and Joint Attention.
Materials: The language developing materials I use with preschool and toddler-aged students.
Group skills: How to frame group therapy and resources and ideas for planning.
Training: Creating a cohesive team for parents, paraprofessionals, and therapists.
Data Collection: How to capture and use data while maintaining engagement.
I have been able to connect with amazing parents and therapists who have taken my courses through the Facebook group. I am so excited to be able to share this information with you. Please reach out to me if you have any questions, and be sure to sign up for my free webinar, Autism Strategies for Toddlers and Preschool Aged Students.
What’s Inside:
Mentioned In This Episode:
Free Webinar - Autism Strategies for Toddlers and Preschool Aged Students
Allison Fors is an SLP, blogger, and product creator. She has worked in both a school and private setting and is now a stay-at-home mom focusing on her resource creation.
Today we’re discussing the big word in the development world; milestones. What does that even mean? A milestone is a skill that 90% of children are doing at that age. The problem is, we often treat milestones as averages when an average is about what 50% of children are doing and that is where you see a bigger gap.
When looking at milestones, it's important to understand the difference between expressive and receptive. Expressive is how the child communicates, whether verbally with words or through signs and gestures. Receptive is what the child understands. Children will typically have a higher receptive communication. If you have a pre-verbal child, determine how they are expressing physically and the amount they can show they understand.
It’s not just about the milestones, you have to look at the whole child. Figure out what their speech looks like, physical development; you really need the big picture. Allison, as a product creator, has developed easy-to-read graphics for the milestones and all of the areas that Speech-Language Pathologists cover. It has such a broad scope of practice and this can be helpful for determining what SLPs can help with and how. Allison has also created a grammar resource for older children where there isn't a lot of guidance in the SLP world.
The more charts there are for guidance to help parents and professionals, the better. Looking at milestones, If you have concerns, do not wait. Get your child assessed by a pediatrician or in a clinic. If you’re on a waitlist like so many families, there are always options out there if you're able to pay for private care. There are also online options.
Allison's advice for professionals to look at the whole child. Do not get sucked into these developmental marks. There are so many pieces of the puzzle that could really change the direction of therapy or the level of concern. Her advice for parents is don’t wait, time is precious and it is better to be safe than sorry when talking about the development of your child.
I am coming out with a toddler course that you can find on my website. It’s going to be great information for parents and professionals. In this episode, I share some important information that will be included. Be sure to get on the waitlist!
What's Inside:
* What are milestones for speech and language?
* How to analyze the milestones, whether you’re a parent or professional.
* How to look at the whole child to understand the whole scope.
Mentioned In This Episode:
ABA Speech - Join the Waitlist!
Jaclynn Bosley is a great friend and colleague who I have worked with across many different settings over the years. She is the owner and operator of Thrive Early Learning Center. We discuss the importance of family involvement, some ideas for parents as they’re seeking the support of ABA therapy, and what early intervention looks like in Jaclynn’s center.
Getting a new diagnosis can be overwhelming for parents. Jaclyn reminds parents to take a deep breath and go to the expert and have them provide you with the road map of where to go next. Also, steer clear of Facebook groups and internet forums, it can often be a scary place if you don’t have the right questions or all the information. Trust your gut with your providers and do your research on the program that's right for your family.
We discuss some things to look for and think about when looking for and starting therapy.
Indicators of a good program:
Funding sources for therapy:
For the Thrive Early Learning Center, Jacylnn starts with the initial intake. This will be in a scheduled block of time when no other students are in the building so that the child can have a full roam of the space. Parents and the clinical director will be present to observe and take down lots of anecdotal information. Assessments will take place once a child starts. At Thrive, they use ABLES or VB-MAPP. ABLES is great for students with more communication needs. VB-MAPP works for students with more language skills.
For group therapy at Thrive, it is typically a small group of 3-5 kids. One person is giving instruction as the students are participating, other therapists will come over and quietly prompt and redirect individuals if they get off task. One-on-one support can be a barrier layer because the therapist becomes the interpreter. Teaching students to cue into their environment by looking around to see what their peers are doing. Fading out prompts. They practice watching and listening to a leader during circle or story time. Then allow for shared activity during literacy centers, craft time, and gross motor play.
Jaclynn’s advice is that navigating therapy is a marathon, not a sprint, you don't have to be perfect coming out of the gate. Give yourself the grace to change and adapt. There is always time to make progress. When you first get a diagnosis, put yourself on narration mode, to keep your child immersed in the language, talk to your kids like you would even if they don't have a disability, and watch the journey unfold! You’ll get there together with your providers, and it will keep that journey happy!
What’s Inside:
As we prepare to go back to the classroom for face-to-face education, I think it's important to talk about play and social skills for our younger students. Unstructured play time can be something students with Autism or other complex communication issues really struggle with.
Often these students do not independently engage so it's important to ask, “What can I do to help these kids engage?” As a therapist, my goal is to facilitate peer-to-peer interaction and encourage shared activity. One of the ways I do this is by implementing modified games at the end of group therapy. These games look very different from their original counterparts. This is because they are more accessible for students with Autism and other complex communication issues by eliminating the need for strategy and putting the emphasis on a shared group experience.
Modified Games
Musical Chairs
As opposed to traditional musical chairs, I never take a chair away. I give the directions, “when you hear the music you walk when it stops you sit down”. This is fun because the students are moving and you can use popular music or themed music. All you need is a device to play music like your cell phone, chairs, and the students.
Memory
Cards of all different types to play this game are usually readily available. This game can typically take an hour or more, so to cut time and make it more accessible, I remove the majority of matches. I go through and pick the matches, and put one part of the matches in a pile face down, and then line up the other part of the matches face up. This way they can see all the pictures. They take turns picking a card and finding the match. What’s great about this is that it is a game that they can definitely play at home with their parents or family too!
Simon Says
I modify this game by ALWAYS saying “Simon says”. Essentially I am the leader (Simon) and I am giving directions and demonstrating and they are following directions by imitating. This is not only great practice for leisure skills but also imitation.
GoNoodle
This is a free website with amazing dances and brain breaks. If you have a smart board, you can let students go up and pick the video. All the dances have motions to imitate and cooperate with the group, they are so fun and interactive that you’ll want to move along too!
The Grocery Store Game
I've been playing this game for 20 years, it is super fun. You write different letters of the alphabet down. The sentence starter for this game is “I bought…”. Go around the room and start with the letter and have students say what they bought with the corresponding letter, i.e. “I bought apples...I bought bananas...etc.” I have even created a resource with visuals to help students who are having difficulty recalling a word. A great thing about this is that it is also accessible to students using AAC devices.
There are a lot of things you can work on as a therapist in group settings: Greetings, engaging in the group, student engaging in a variety of tasks, expanding leisure repertoire, joining others in play, and sustained social time. All of these are accessible for students who are yet verbally communicating, up to students who are fully conversational.
I put these resources together to provide real tips and strategies to put to use to increase communication in play and social skills across all environments. I really want you to feel comfortable and ready to get to work helping your students and children. There is so much communication involved in interaction and fun that should be explored!
What's Inside:
Dual certified SLP-BCBAs are rare in our therapist community, so many providers find it very difficult when collaborating with other professionals who overlap the scope of care. I am discussing a great professional article that tackles this hot topic with my former supervisee and fellow SLP and BCBA, Eleyonzettah E. Bonilla. The article, Interprofessional Collaborative Practice Between Behavior Analysts, and Speech-Language Pathologists, is available on ABAI.
For many SLPs or BCABs, it is difficult to see when other people are doing what you are trained to do. It can often feel like you're being encroached on. This is bound to happen when many times the care requires an overlap. Eleyonzettah and I talk about how crucial it is to embrace this overlap. The article actually discusses the importance of highlighting the strengths of the different providers. When working with two providers who have knowledge about multiple different points of care, you have an advantage.
Training can be a great aspect of collaboration. When working with other providers, you can facilitate role extension and role release. While you may not ask another provider to teach a skill from scratch, you can release an extension of practicing a skill by training the other provider on what you need from the learner. We do not own these skills, the skills are there as points for teaching.
When facilitating a collaborative relationship, professionalism is key. Eleyonzettah and I both relate to having poor encounters with other professionals. We feel that many other SLP or BCBAs also encounter other professionals they do not care for, this does not mean every encounter has to be negative. It is important to keep language and communication clear and productive. When you're speaking with another provider during collaborative work, the patient should be first. You are a team with the goal of helping the learner.
Discussing this secret problem in the ABA community, Eleyonzettah and I kept coming back to a common theme. The child, learner, or patient comes first! Our job is to facilitate learning and quality of life for our learners and collaborating with other professionals can sometimes be the only way to do that!
I enjoyed this discussion with Elenyonzettah greatly and it is my hope that you found some tips or beneficial information in today’s episode that you can put into practice right away!
What's Inside:
We should inspire and not require students when on our journey to beginning communication. Anne Page emphasizes this as she joins me today to discuss her role as an Assistive Technology Lead and the importance of how we use AAC with our students.
Alternative Augmentative Communication (AAC) is a tool that can be used for students with varying needs and accesses. We discuss the wide variety of applications on the market for use as AAC. Anne gives us some points of thought for parents and professionals as they are choosing AAC for their students.
In addition to applications, we discuss the physical device used by our students. There are many AAC apps specifically designed for use with an iPad. However, there are still dedicated devices in use out there. The type of device is really important when considering the access point of the child and the insurance coverage of the device. As iPads are becoming more common as AAC, Anne has noted that some apps with heavy-duty iPad cases are now being approved via insurance.
It doesn’t have to all be high tech. There are many low tech options out there that can be used in addition to devices. These can be great to overcome the barriers AAC can have such as use in an outdoor or pool environment, a problem with the device’s battery, and so on. Anne tells us about the Core Board she created that is available free on her website!
When beginning AAC, start with preferred activities. Use AAC with things that bring your students joy. Once students are successful using their device and applications, then teaching using non-preferred activities can start.
AAC should help our students find their voice because communication is a human right. Anne highlights throughout this episode that this should be a positive experience that inspires our students. I hope you found this show informative and can put these ideas and strategies to use with the AAC users in your life!
What's Inside:
AAC is a special space that crosses over through many shared professional settings. Kate Granbois joins us on the episode today to talk about her job as an AAC specialist, the ins and outs of Augmentative Alternative Communication, and getting comfortable with the process. Kate warns about her title of “AAC Specialist”, while it's a real job and title, and she holds a lot of knowledge on this topic, it's important for many other professionals in the AAC user’s life to be empowered in this skill set as well.
The most important part of AAC is the user. The Communication Bill of Rights is a great resource and really highlights the fact that communication is a human right. So when collaborating, it's important to recognize that no one owns just one environment. The AAC user needs to be supported across all environments to remove barriers. Taking the AAC user's family and friends values into consideration is a critical and ethical piece that is crucial to the success of the user across their life. AAC is not just important for accessing curriculum in the school. There are social aspects and basic need aspects, and the environment needs to revolve around the whole user, not just the professional's therapy room.
AAC is more than just communication, it is also knowledge on equipment, vendors, the law, and documentation. Kate gives us some broad steps for getting started with AAC assessment.
Know and understand the documentation and the legal requirements.
There is never a perfect set up when it comes to therapy and AAC, but it's important to not let an AAC device disrupt therapy implementation. Kate says it's a science and an art, and it's okay for everyone’s therapy to look different. She also shares some resources for how to get more comfortable with your therapy with an AAC user and their device. At the end of the episode, Kate reminds professionals to be compassionate because everyone is coming from a different place. Our job is to help communication skills, and communication is a lot more than learning how to ask for things.
I hope that you were able to gain some new information or will utilize the resources discussed today to empower communication with your clients and better improve your therapy!
What's Inside:
The family-centered approach is a key component of therapy at Nikki McRory’s facilities, McRory Pediatric Services. Nikki is on the podcast today, sharing how she uses a transdisciplinary approach for speech therapy. She uses the Behavior Skills Training framework in her early intervention programs with both the parents and the learners.
What are the steps for Behavior Skills Training with parents?
Step One: Information
Explain what the skill you're working on is and why it is important. This can be verbal and written.
Step Two: Model
Model and discuss this skill. While demonstrating the specific skill, talk about what you're doing and provide further clarification.
Step Three: Practice
Role play with the parents to give them the foundation for the skill, but also allow them to practice with their child.
Step Four: Feedback
Be sure to let parents know what they are doing well, but also let them know what to change or improve on. Keep repeating steps 2 and 3 until they are where they need to be.
When working with parents, Nikki looks at the whole picture for the family. This means taking into account their cultural, linguistic, and social-emotional differences. Her formula to train parents is directly embedded into her early intervention programs. Every Friday, parents are pulled from the therapy to work on a new skill together with clinicians and will practice with their child in therapy the following week.
If you’re a professional feeling nervous about telling parents what to do, remember that parents are the expert on their child, but you are the expert on speech and language. You are in the best position to help parents help their children. Nikki leaves us with a special sentiment for parents about the long haul of therapy and the importance of self-care!
Be sure to check out the resources we’ve shared, I hope this has helped professionals get an idea of how to facilitate parent coaching and given some inspiration for parents to get involved in their child’s therapy!
What's Inside:
Social Skills are more than just etiquette and manners. Ashley Rose, founder and clinical director of Mission Cognition Social Skills Development Center, is here with me sharing about the importance of social skill instruction. Ashley describes social skills as the inner workings of social interaction. She takes a very individualized approach when deciding exactly what to work on by learning what exactly is making it difficult for an individual to have positive interactions with themselves or others.
Ashley’s centers provide the perfect atmosphere for individualized groups. She has three leveled groups, Group A being the developmental play group, for individuals with emerging language. Groups B and C are best suited to individuals with more language skills, and is her more signature Behavior Skill Training group.
The planning for Ashley’s groups focus on individualization. Ashley has developed 15 Global Focus Areas that she uses to target training in her groups. She has also developed an in-house assessment tool to identify these areas. For each group, she uses templates such as Group at a Glance, Student Snapshots, and Goal Sheets. The idea behind all of this is rationale, every group facilitator should be able to explain the ‘why’ behind the goals selected for any individual. The end goal for every play group, whether it be developmental play or behavior skill training, is to give the participants autonomy and allow ease of social interaction in their natural environment.
We also touch on the topic of Masking. Autistic voices are speaking out against this practice as harmful and unethical, and Ashley tells us why. At one point, the idea of teaching Masking was to help individuals with Autism reduce the appearance of self-stimulatory behavior to help them “fit in”. However, this behavior is actually a self-regulation tool. Another way Masking has been used is to teach scripting in social situations. Instead of relying on scripting, Ashley teaches language use in a more natural template. Her goal is always to give her students the most autonomy and individuality as possible.
Self-advocacy and Independence are the words of the day that Ashley leaves us with. No matter the age, it is important to give your child the tools to communicate what they want and need, but equally what they don’t want. Ashley shared some great resources today and gave some awesome tips for parents and professionals for creating ease in social situations and interactions that will affect their children or students every day.
What's Inside:
Play-Based Speech Therapy can open the door to so much interaction. My guest, Emily Cohen, talks about using Play-Based Therapy with her clients and all of the benefits it can provide. Emily Cohen works with families with children as young as 15 months old, coaching the parents. We talk about all the elements of play, interaction, and language and I share some pretty cute anecdotes from my therapy experiences with play.
Engagement is such a huge part, and the more they are engaged the more meaningful their learning will be. Imitation and nonverbal imitation can be the start of engaging in play. Emily shares the idea of a mirror “game”, sitting in front of a mirror practicing making large body movements, and even using hand over hand when needed.
Patience, flexibility, and following the child’s lead is key when creating an engaging play space for therapy. Kids may not always use or interpret toys or activities in the way we expect things which can make for even more enriching experiences.
Stay away from toys that have batteries. When we are interacting with a child and a toy that has all the bells and whistles, moving and making noise, the toy ends up doing the work. Go back to basics and allow the student to use the toy as a prop so that you can truly build new and meaningful interaction.
Interaction comes before language, so there are so many opportunities for skills in play even nonverbally. As a speech therapist, Emily coaches parents on playing with their children and working with their kids to find these opportunities. Her advice for parents is to remind them that they are their child's best teacher, every time their child is watching them is an opportunity for learning.
What’s Inside:
* Play-Based Speech Therapy
* Following the child’s lead
* Open-Ended Toys
* Facilitating social, play, and language interaction
* Interaction before language
We have school-based SLP, Marisha Mets with us today. Marisha talks with us about the benefits of using language samples, her tips and tricks, as well as resources from her blog SLP Now. She talks about the origin of these resources, that many teachers and SLPs can relate with. A heavy caseload and a necessity to be efficient led Marisha in the direction she is now to share these tips with other SLPs.
We discuss the basics of what a language sample actually is, snapshots of the students' use of language in a functional manner in their natural environment. Marisha highlights that we can use many types of samples including play, conversation, story retell, story generation, expository, and persuasive. All of these samples will elicit varying levels, giving unique information on student performance according to the context.
When looking at language samples versus assessments, Marisha talks about the differences in the data. She tells us the importance of knowing not only what students can do and say but if they are making it functional. Task-based assessments can too often lead to confusion when a student can do something on paper but not in their natural environment. We share some times and places to check-in and get a look into a student's natural language function.
We talk about how language functionality is a key point in setting goals for students with autism. Students may have the words but not know how to use them. Using language samples can pinpoint this as well as set goals and targets on what we can plan for them.
Marisha also shares ideas about how to get these language samples and how to track them. She shares resources she's found along the way as well as those she's created and can be found on her blog. Marisha answers my end-of-episode question with her best advice for other SLPs!
What's Inside:
Today I have Kimberly Scanlon, licensed and certified speech-language pathologist, best-selling author, and fellow busy parent. She has written two great books in the world of speech therapy, Toddler Talks and My Toddler’s First Words. Kimberly works as a private practice speech therapist doing primarily home-based visits and she is here giving us some tips on how to build early interventions into day-to-day life.
Because Kimberly is a home-based therapist, she has less barriers in communicating with parents and families. This allows her to relate to being busy and just trying to fit that language development in.
The ideas and advice Kimberly shares today focus around these central questions:
What does your day look like? What is your typical routine? What do you like to do with your child? When is the best time of day for you to reach your child?
We discuss ways to embed language and early intervention into your routines by finding connection-building activities that don't take away from your daily life. This makes each activity symbiotic with various parents’ personalities, cultures, and what they are at a base level comfortable with.
If you’re already cooking or doing laundry, think twice about setting your child in front of a screen. Instead, think about how you could be getting them involved. We discuss how there are so many language opportunities in everything we do and our toddlers just want to be with us. Make chores fun and make them learning opportunities with these tips! Don't be afraid of this undertaking, you don't have to have them participate in the entire chore just a small part.
Kimberly leaves us with this special advice, reminding parents to do the best they can and not worrying about being perfect. Take several moments throughout the day every day to just enjoy your child, judgment, and worry-free to be fully present and enjoy the moment!
What's Inside:
Speech and language development is more than just the words being produced and children need to be emotionally supported and encouraged to communicate. Parental involvement is critical, but professionals are often so focused on the kids that they don’t notice the parents are depleted. Lindsey Nitake uses her Help Me Grow Speech social media accounts to get information out there.
Every family is different and unique and the tools we offer need to be adapted to fit with a family’s style, so listening to feedback from parents is important. Sometimes parents are overwhelmed by the wealth of information. They need help to figure out which resources will work for their child.
Social media is a great way to provide parents with educational support. It’s the most effective and efficient way to spread the information because it allows you to share resources more widely. It’s particularly useful when in-person sessions are not possible. Lindsey uses TikTok, Instagram, and YouTube to share information.
To be better professionals, we need to listen to each other and support each other as well. As a profession, we can be quite combative with each other. It gets very emotionally charged. BCBAs and SLPs may have different approaches but collaboration is important so professionals need to have a team-based mentality.
New SLPs have to learn a lot on the job. It’s really hard being a new SLP. Oftentimes, when you start working with kids, you find out that it’s not what you learned in graduate school. You need support to figure out a treatment strategy to help them. Social media is a nice way to provide mentoring.
When you’re working on communication, don’t lose sight of the bigger picture. Communication is more than just words. It’s the environment and relationships with people. You have to consider the child and their environment as a whole, and the family unit is a big part of that, which is why having parents on board is so important.
What's Inside:
Lori Frost is a traditionally trained speech-language pathologist who has spent most of her 40-year career in public schools working with preschool and elementary kids. She met Dr. Andy Bondy when she was working in the Delaware Autism Program and that’s when she began learning about applied behavior analysis. This fundamentally changed her practice and made her more aware of what was leading to good outcomes and what was leading to poorer outcomes for the students she worked with.
When she was working with Dr. Bondy in the Delaware Autism Program, they were helping a little boy who was non-speaking. They tried a range of things including speech imitation, sign language, and picture point systems but he made little progress. When he wasn’t able to communicate, he displayed challenging behaviors. It was only when Lori presented individual pictures carefully selected to be of interest to the child, let him touch the picture, and pass it to his communication partner, thus doing something very overtly to communicate, that he made progress. This was the beginning of PECS or the Pyramid Educational Consultants in 1992 where it grew to have 6 phases in its protocol, offices in 15 countries and made the manual available in 16 languages.
The long-term goal for the kids is to be as independent as possible and independence is only possible if you initiate, so teaching the kids to initiate communication is the first skill taught in the PECS protocol. The starting point always has to be tailored to each student’s likes and the things they enjoy. It can take time to figure this out.
If kids start with PECS at the right time, they usually transition to a speech-generating device quite easily. This normally coincides with phase 4 of the PECS protocol when the kids have mastered the following skills:
Even after this transition, PECS remains a useful backup for when technology fails or is misplaced or forgotten. PECS has great results with younger kids. Around 80% of kids who are six and younger who are on PECS for nine months to a year start to talk.
Lori’s most important advice for parents or professionals supporting autistic kids is to listen to the kids and be guided by their wants and needs.
What's Inside:
Laura Smith was a speech-language pathologist, mostly in elementary education, before her children were born. After her daughter was born, she realized that she wasn’t reaching her developmental milestones. She crawled and walked late and feeding, dressing, and speech were also delayed. When her daughter was diagnosed with apraxia, she focused her professional interest on learning everything she could about it and started her private practice specializing in childhood apraxia.
For many parents, the diagnosis of apraxia feels devastating. They wonder if their child will ever speak. What does the future hold? It’s normal to feel sad and to grieve and there should be no guilt about having these feelings. Once you have a diagnosis, you can have a plan.
Early Signs of Apraxia:
How to find an appropriate therapist:
Resources for speech therapists and parents:
Laura’s most important advice for parents of kids with apraxia:
What's Inside:
Whether you’re a professional or a parent, you can use these strategies from Chloe Hill in the classroom, in therapy, or at home. As a pediatric Speech-Language Pathologist, Chloe’s focused on pre-reading or emerging reading skills. She works with students to help them develop phonological awareness. For young readers, it can be as simple as:
Chloe and I also cover some of our favorite reading strategies in the classroom. Chloe loves the CROWD strategy which stands for:
C- Completion prompt
R- Recall prompt
O- Open-ended prompt
W- Wh questions
D- Distancing prompt
What if a book is too hard for a child to understand? We also cover strategies you can use to adjust it for a child’s level. This episode is chock-full of so many early learning resources that can help any parent or professional who is looking for inspiration. Check out Chloe’s TPT store or follow her Instagram account for more ideas too.
What's Inside:
Michele’s oldest daughter’s first word was “calculator”. Because she was highly verbal and seemed to need less intervention, Michele struggle to get a diagnosis for her. Her second son’s presented quite differently, but Michele suspected that he too had autism. Knowing that early intervention was key, Michele was so disappointed to realize that it took until they were pre-teens to get help. She just wanted to understand why her children behaved the way that they do, and this sent her on a journey to get a Master’s in Behavioral Therapy.
Michele speaks directly to parents in her podcast Navigating the Spectrum. As a mom and an ABA therapist, she knows that an autism diagnosis can have an emotional pull on parents. For her though, the diagnosis was a relief since it means that she could get to work helping her children.
In this episode, we have a great conversation about some of the negative perceptions about ABA therapy, and how she approaches those challenges in her practice. She points out that you can do speech all day when you’re in the office, but that it only starts to click when the child also does speech at home with their family. One of the major reasons that she approaches therapy as a whole family event is that she knows exactly what it’s like as an autism mom herself. She practices inside Colorado, and outside the state, she provides teletherapy services.
We are putting together a top-notch teacher of ABA therapists and SLPs to provide teletherapy beyond Ohio. I am so excited for this new venture that will be able to help more children and parents around the world. Check out my website for more information.
What's Inside:
After Kelsey’s son started seeing a speech regression at 15 months old, she started on the journey to have him diagnosed. Pretty soon she realized that her second son was also exhibiting many of the same signs. Kelsey moved from Alaska to Canada because she hoped that universal healthcare would help her, but the waitlists in Canada were so long that she soon saw that without taking a more active role in therapy, she wouldn’t have good services for her sons.
When the local therapy center told Kelsey, “Brentley cannot come if he doesn’t wear a helmet”, that was the last straw for her. Because there was no plan for how a helmet was going to help him or what the plan was to eventually remove the helmet. It was just their quick solution to an immediate problem. That’s when Kelsey decided that she could use Mary Barbera’s courses and her own strategies to help Brentley.
I’m really into teaching my students lifelong leisure skills for maximum life enjoyment. For families, there can be a lot of barriers to enjoying activities together. I love following Kelsey on Instagram because she’s made it her goal to teach her sons to enjoy the outdoors safely. There are a lot fewer social rules outside and it’s a low-barrier activity.
There are parents like Kelsey all over the world. Parents who want the best for their children with autism, but don’t have access to resources or services. Whether it’s a waitlist that’s holding you back, a rural area, or any other of the dozens of reasons that parents can’t get the help they need, I want you to know that I see you. We’re going to be offering more teletherapy services very soon. I’m putting together a dream team so we can expand and help even more people. Check out my website for more information!
What's Inside:
How do you differentiate your speech therapy work from your autism work? Does it even matter? Serving the whole child, Braxton Baker, an SLP, and BCBA is a huge advocate of the big picture approach to therapy. For him, ABA gave him the vocabulary to describe what he's doing, which he can, in turn, apply everywhere. For me, after ten years of being both an SLP and BCBA, I can agree with him. ABA is just how my brain works now, and it helps me approach life with a better understanding of the learning processes.
In this conversation today, Braxton shares some of his therapy philosophy. He starts off IEPs and therapy goals with what the end result needs to look like in the natural world. Because he believes that if you’re not focused on the end result, then you miss the entire point of therapy services. You’re going to hear about how he brings in what he calls the 5 Ps into creating better goals and IEPs for his clients:
Sometimes emotions can run high at an IEP meeting, so Braxton’s approach is to diffuse the situation with “Do you think that this person or anyone here would have intentionally done something to be harmful?”. If the answer to this question is yes, then you have more than a communication problem; you have a trust problem.
Braxton’s approach is authentic, and it fits well into the real world. You can connect with him on Facebook. And if you love social media, check out my new TikTok channel!
What's Inside:
Since July 2010, Erin Long has been the president and founder of Worldwide Speech. Parents who are living abroad may find themselves seeking specialized speech therapy, but for whatever reason, they’re struggling to find speech-language therapists in the countries they’re living in. That’s where Erin’s company steps in. Her services have expanded over the last decade, and she calls herself “a special ed company for anyone living abroad”. Erin spent a lot of time proving that teletherapy can work, but now it’s what people want.
Have you ever dealt with the paperwork for moving an IEP abroad? Erin says that it loses its status as a legal document since it’s created under the auspices of American law. Sometimes companies are reluctant to send employees overseas if there’s a child in the household with an IEP because complying with it in a foreign country can be incredibly hard. Erin’s company provides speech therapy, OT, and special education for children all over the world, no matter where their parents’ jobs take them.
Even for rural Americans, teletherapy is a viable option. Children with mobility issues can benefit from virtual services, and older teens who may be reluctant to admit they still go to therapy can see a therapist privately from their home. For some of Erin’s clients, virtual services offer support and a lifeline for the main caretaker who was previously isolated in a community that had no services of any kind.
Therapists and teachers have had to adjust in the last year, and it’s been inspiring to watch that pivot! If you want more tips and strategies on how to use teletherapy effectively, sign up for my FREE webinar on supporting children with autism virtually.
What's Inside:
Landria Seals Green’s mother says, “A child’s education is as good as the adult in front of them.” With that as her mantra, Landria became a medical-based SLP. For 20+ years, she’s focused on AAC technology, and she’s done a lot of AT work. At a Verbal Behavior workshop, she saw Dr. Vince Carbone present what she describes as speech therapy on steroids. She felt confident about her work as an SLP, but in order to become the best kind of therapist and to improve her marketability, she knew that she needed the BCBA certification.
What really drew Landria to the dual certifications was the method of collecting data. Becoming a BCBA made her more finite in her methodology and gave her more tools to help her students. And as a therapist who is looking for any tool that will help her understand the child and see where they’re at, Landria has loved the possibilities that have opened up for her students.
Are we working with families to make sure that all of the funds and services they receive actually benefit the child? Landria sees the therapist’s role as a bridge to the child’s future. She listens to the family’s dreams for the child because she has what you might call a “greeter” theory. Is everything that you’re working on with the child only going to land them a job as a greeter at the store? And is that what the family wants for that child?
I think you’ll love this big picture approach to therapy that sees the child as a whole person rather than the small parts you might see in your weekly sessions. For more inspirational and fun-filled ideas about SLP and BCBA strategies, follow Landria on her social media channels as SLP Guru.
What's Inside:
Chris Wenger, whom you might also know as Speech Dude, comes from a family of educators. He started off as a special ed teacher, but he moved into the speech-language field when he realized that the tools he needed to help students were in speech pathology. Because he’s been on both sides of the IEP table, and because he was a teacher first, he’s seen a wide variety of students and he knows how to write an IEP that ropes in parents. Today we have a fantastic conversation about creating a curriculum that teaches older students how to interact online or with their peers on social media.
Starting with the phrase “How you do anything is how you do everything”, Chris’s interactions with his students online often inspire his TikTok videos and Instagram posts. Students need to be able to make inferences and they need the ability to perspective-take. If you see a picture that you like, you comment once on it. But five times? People will wonder what’s going on with you. If you comment on a really old video or post, it can give away that you’re doing a deep dive on a person’s profile. These are the kinds of scenarios that Chris identifies so he can teach his students how to interact appropriately online.
What’s a digital footprint and why should students care? Even for kids in the AP classes, they still need some explicit instruction on online “netiquette” so that they understand that what happens online can affect their offline life. The idea that kids today instinctively understand online behavior doesn’t help kids who actually don’t. That’s where Chris tries to fill in that gap.
Chris’s best advice for a future or present SLP is simple: You don’t have to be a perfect SLP; just do your best to be a happy one. Your positive vibrations can be felt throughout your classroom. Check out Chris’s social media channels or his Boom Learning store for more strategies or curriculum for older students.
What's Inside:
As a young child, Nathan Morgan was diagnosed with autism. Along his journey of speech therapy, IEPs, and occupational therapy, he felt inspired to give back to his community so he went into social work. Today, through his day job and his self-advocacy work, Nathan supports families who are trying to navigate what autism means.
Within the autism community, people have different ways they like to interact with other people. Some may prefer a blend of verbal and sign language, or only verbal, or some verbal but mostly some form of technology. Unfortunately, verbal communication is still the communication that most people want to push, and this leads to some tension over how to encourage inclusivity when everyone may prefer a blend of communication methods.
The pandemic has been an awesome opportunity for individuals with autism to connect with others in ways that make them feel the most comfortable. Nathan approaches this with the question, “What can we take moving forward that will help us improve our community?”. From virtual conferences to Facebook groups to face-to-face game nights, Nathan shares a variety of ways that the autism community is interacting and communicating with each other throughout the pandemic.
If you’re looking for more ways to engage and communicate with your students, check out my FREE April webinar called 5 Strategies to Help Your Students with Autism Engage and Communicate. Everyone who attends the live session will receive free therapy material and a certificate of participation. See you there!
What's Inside:
Are you nervous before a therapy session because you don’t know how it will go? Let’s make therapy fun and functional again by giving you the tools you need to reach every single one of your students. If you have students with autism and they’re not making a lot of progress, or you’ve used every trick in the book to help a student and you’re stumped, my course Help Me Find My Voice is a great next step for you.
Inside Help Me Find My Voice, you’ll learn:
You’ll also have lifetime access to this course, plus access to a private Facebook group where you can collaborate with other SLPs.
This course is geared for speech-language pathologists, but it also benefits anyone who’s working on communication issues with students. Enrollment is open now, but it will close on April 14th. And I don’t know when I’ll open this course again.
We’ve had over 400 people join us already for this 5-hour ASHA-approved course because the bite-sized modules mean you can fit your learning into your busy day. The cost is $99, and we will send you the proper CEU certificates upon completion.
I also have a FREE webinar on April 6th, 7th or 13th called 5 Strategies to Help Your Students with Autism Engage and Communicate. If you attend live, you’ll receive free therapy material and a certificate of participation.
What's Inside:
Recently, Deidra Darst was able to take her son who has autism to get his first big haircut in four years in a salon. Using tips she learned in my Help Me Find My Voice course, Deidra’s son has really grown in his communication abilities. As a Speech Language Pathologist, Deidra has seen first hand how ABA techniques can blend or enhance the work she does with clients. You’re going to love hearing how BCBAs and SLPS can collaborate to help students find ways to share their voices.
In her work as an SLP, about half of Deidra’s caseload was students with autism. But it wasn’t until her own young son was diagnosed that she got a true window into what a parent was experiencing. She realized that 30 minutes of therapy a week just wasn’t enough, and she wanted to help parents take a more active role in therapy. Since then, she’s learned how to support parents better in her SLP practice, and she leads with the phrase, “If you have questions, ask”.
How can SLPs and BCBAs learn from each other? This idea of collaboration is one that Deidra and I really explore. What we’re doing is similar, but we’re calling it different names. And we miss out on the chance to collaborate positively when we can’t understand each other. Deidra and I talk about some techniques in each of our respective fields that can enhance the work each professional does for a child with autism.
Be sure and check out the Help Me Find My Voice course that helped launch Deidra’s success, and send her an email if you have any questions.
What's Inside:
How do we help our students generalize their language skills in the community and the larger school environment? Fellow “unicorn”, BCBA, and SLP, Katie Castro is an alumni of my Help Me Find My Voice course, and she’s also a clinical director of speech therapy at Children’s Autism Center.
You can’t just hope that a student figures out how to generalize on their own. As therapists, we can build a system that helps lead them to generalize. Generalization is teaching students to apply skills in different environments and circumstances. We may not realize that when we teach a word, there are many different examples of that word. For example, how many kinds of dogs are there? If we show a picture of a Labrador and only that kind of dog, it doesn’t teach a child the variety that is inside the word “dog”.
It’s hard for therapists to have the resources they need to teach generalization which is why I ended up creating some. Katie talks about how she uses multiple examples and teaching loosely to help a child learn a less strict definition of a word.
It’s important to keep really specific data when you’re working with students, but when you combine specific data with IEP goals and first trial data, it can be difficult to keep track of where a student is progressing. If you want to make your progress reporting easier, then Katie and I have some techniques to streamline the process.
For more SLP strategies, be sure to check out my FREE webinar 5 Strategies to Help Students Engage and Communicate. Register now for this April event.
What's Inside:
There are times I feel stressed as a therapist because I want to get through all of the goals for my therapy session, so that’s why I love Liz’s playful approach to therapy. Liz Willis is an SLP who went back to school for her BCBA so that she could provide speech therapy and ABA services. Her dual degrees have made her feel more confident in the services that she provides, and you can really see how they inform how she structures her therapy sessions.
It can be tempting to jump straight into the language piece of an IEP, but Liz suggests that you consider focusing on the social and play piece first. Every interaction begins with social engagement, and when therapists nail down the basics of engagement first, expanding into other skills can reap dividends.
Liz is passionate about supporting teachers and providers, and she shares some of her favorite strategies including:
As an educator or service provider, there are going to be times when you just don’t have the skills your students need. Liz says that you need to recognize when you don’t know something and refer your clients out to someone else. There are so many pieces to the therapy puzzle, and collaborating makes your job easier. If you’d like to connect with Liz, you can reach her at her website, on Instagram, or at Liz@communicationandbehaviorsolutions.com.
What's Inside:
Have you ever worked with a student who needs an AAC, but you don’t know which one would work best for them? If you have, then you’ll appreciate this episode. Annabeth and Mara from The Fanny Pack Therapist have found that their respective therapy styles, as a speech language pathologist and an occupational therapist, mesh so well that they teamed up to help more students.
Annabeth and Mara love how AACs empower students to find ways to communicate their thoughts and needs with the people around them. They’ve found that AACs don’t prohibit verbal speech, but simply give a child a way to communicate while they work toward verbal speech. You don’t want to miss their ABCs of AACs on their Instagram page from October 2020.
By collaborating together, SLPs and OTs can get a more holistic view of a child. While the SLP is evaluating a child’s expressive and receptive skills, an OT can come in and see where a child’s fine motor skills are. And once they’ve passed the initial evaluation, together, the SLP and OT can try signs, low-tech options, verbal speech, and just about anything else to see what works.
I hope this episode gets your wheels turning on how you can work with other professionals or how you can help your students or clients use AACs to meet their therapy goals. Make sure you check out The Fanny Pack Therapist for more ideas on collaborating with other therapists.
What's Inside:
Something I find so inspiring is to watch a student find a way to communicate with the people who exist in their world. For over 47 years, Susan Berkowitz has been helping students with autism learn to communicate by whatever means are necessary. Using Augmentative and Alternative Communication (AAC), Susan is reaching students who are complete non-speakers or who struggle to communicate the full range of their thoughts and feelings.
Susan has a wealth of knowledge, and she’s passionate about helping teachers, parents, and fellow Speech-Language Pathologists find the tools they need to teach their students. She tells the amazing story of one of her students who stopped his self-injurious behavior after she created a POG book filled with 120 pages of pictures that he was able to use to communicate that he wanted to run outside.
There are so many options for AACs, and since the technology for this field is so new, there will continue to be new options every year. Susan has found it helpful to become good friends with the AAC customer service reps so that she has direct insight into this industry.
If you think one of your students would benefit with an AAC, or you’d like to learn more about apps, games, or strategies that you can use in your therapy sessions, Susan is really a wealth of information. Check out her book, her websites, or her TPT store for more resources.
What's Inside:
Can you imagine if someone stood over you and evaluated your behavior with a clipboard while you were trying to act naturally? Organically evaluating your student or client’s progress while they participate in group activities can be a challenge, but it’s one that Shayna Gaunt happily takes on.
There are a variety of assessments that are available to use to help you figure out where a student is at, and Shayna often combines assessments because none of them are completely perfect. She’s rewritten the VB-MAPP to help with some of the more abstract skills that students have to learn, and she shares with me how she creates groups for in-person or telehealth therapy sessions.
Shayna and I know that it can be lonely and overwhelming for therapists, especially since so many of us are virtual now. I am so excited to announce The ABA Forum, which will be a free virtual conference for SLPs, RBTs, and ABA therapists to help give them resources to support their clients. On March 2nd, 3rd, and 4th, we invite you to join us from 7:00-9:00 pm for a chance to network with other experts. And while this event is free to attend, CEUs will be available to purchase if you need them.
What's Inside:
The day before his 3rd birthday, Dr. Mary Barbera’s son Lucas was diagnosed with moderate-to-severe autism, and she felt like she’d fallen into a hole. Even though she had a nursing background, she still felt completely unprepared to help her son. Lucas wouldn’t keep his clothes on, he only spoke pop-out words, and she had no idea how to even start helping him.
Like many other parents, Mary took on the role of the lead therapist as she worked to find proven therapies and techniques that would help Lucas. In the early 2000s, it was like the Wild West in the ABA world. Inspired by her work trying to find solutions for Lucas, Mary went on to get a BCBA-D, and wrote her dissertation on The Effects of Fluency-Based Autism Training on Emerging Educational Leaders.
Mary is passionate about helping families help their young children. She believes that the sooner we can get to the parents and teach them how to help their children, the better their families will be. Today, 1 in 6 children have some kind of developmental disorder. The increase in this population puts stress on the medical community that hasn’t quite caught to the demand. Many of these parents are sitting on a waitlist because therapy places are backlogged.
The information that Mary shares help parents get a headstart on how to help their children, and it puts tools into their hands that help them become their child’s best advocate. Her newest book Turn Autism Around: An Action Guide for Parents of Young Children with Early Signs of Autism will be published on March 30th, and if you sign up now, you can join her book launch team.
What's Inside:
Lisa Chattler works with middle school and high school students as an SLP. In this podcast, we talk about how to teach conversation-based skills to students who are struggling with asking and answering questions. All of us learn some form of “faking it”, where we pretend to be interested in casual small talk with strangers or acquaintances. For children with autism, this back-and-forth can be even harder as they learn to ask and answer questions while actively listening to their conversational partner.
Lisa’s strategies cover different learning styles for students, and include:
Students who are confident in therapy can sometimes stumble during tests or in classroom discussions. Why do some students avoid asking for help? Lisa shares her thoughts on the self-advocacy piece of asking questions that we may be overlooking as we work with our patients.
What's Inside:
Pediatric speech-pathologist Cari Ebert’s passion is the birth to three stages where she focuses on laying the foundation for children to begin to speak. And even though my focus is on middle schoolers with autism, we have a similar approach to teaching children. I loved hearing how Cari lays down a solid foundation of nonverbal skills before she moves on to teaching speech.
A big focus of Cari’s therapy work is setting a child up for success by teaching them how to “learn to learn”. Speech therapy isn’t about making the child less autistic; it’s helping the child learn how to engage with the important people in their life. With that in mind, Cari shares how she uses these 5 foundational skills to prepare a child to learn.
Cari's 5 Autism Early Intervention Foundation Skills
Cari is passionate about helping children with autism communicate in any way possible. Listen carefully to how she uses PIE, or participation, independence, and engagement, to move children forward with her goal to help them find a way to communicate with the people they care about.
What's Inside:
Working on social skills virtually presents its own special challenge, and I am so excited to talk with Tricia Detig from Detig Dialect about strategies she uses in her virtual therapy sessions. Tricia works with children in grades 6-8, and she really feels like these students are thriving academically with virtual work.
However, being at home and away from constant peer interaction means that students are even more distracted by phones and everything going on around them, and their therapy sessions focusing on social skills have taken on a new challenge.
Tricia has restructured her therapy session so that in small chunks of time, she’s able to:
Because her students are older, Tricia is able to use virtual games like Baamboozle and Among Us to reinforce social skill goals. There are some other expectations that she just doesn’t have for this age group, like letting them sometimes leave the camera off, but by explicitly giving instructions, she’s able to control the session’s outcome much better. More than ever, middle school students with autism need someone they can trust, and that has continued to be a focus for Tricia throughout the pandemic.
What's Inside:
Have you ever worked with students who have trouble engaging in a session? If you have, then you’ll love this conversation with Jessie Ginsburg. As a speech pathologist and the CEO of Pediatric Therapy Playhouse in Los Angeles, Jessie helps young kids on the autism spectrum build foundational skills.
For SLPs, one of the biggest misconceptions is that we’re supposed to immediately start working on speech when a child walks in the door. But without foundational skills in place, we won’t be able to have an improvement in speech. That’s why Jessie focuses on three areas first before diving into speech therapy. You’ll hear how she uses regulation, engagement, and motivation to build that foundation for her clients.
Therapy can’t occur in a child until they’re in the optimal level of arousal. Think of the challenge of teaching an “Eeyore” energy level child, or a “Tigger” energy level child. Using alerting or calming activities, Jessie talks about how she gets a student’s energy centered just right so that work can begin.
Motivation is so specific to each student that it will take some sleuthing to uncover what makes a student want to learn. Jessie loves involving parents to help her get the low-down on what students like, and she often collaborates with parents to see a child’s sensory preferences.
Collaborating with other speech-language pathologists can help you strategize when you’re stuck on how to help a child with autism. Connect with Jessie’s Facebook group, or visit ABA Speech for more tips and advice.
What's Inside:
For emerging communicators, defining goals can be so stressful. I want to help relieve that overwhelmed feeling for you that I often had at the beginning of my practice. As you create speech therapy IEP goals, I want you to keep in mind how assessment, collaboration, and functional goals all work together to support and sustain the student as they work with you throughout the year.
One of the common tools used in the classroom is a standardized test, but for students with autism, this may not give us the best information. Oftentimes, children with autism may not be able to answer, or their manding may not be assessed. Instead, I prefer to use the VB-MAPP test or the functional communication profile.
As you set the early learning goals for your students with autism, you’ll need to consider measurable communication skills they may already have like labeling, verbal imitation, filling in the blank, matching abilities, or group listening skills.
Once the initial assessment has been given, and the team collaboration has produced a good picture of where the student is and where the team would like to send him, then it’s time for you to apply a practical and systemic approach to establishing the year’s goals. In this episode, I’ll share with you why these questions are so important to ask as you write the IEP:
Please take a minute and download my IEP Goal Bank to help your team as you write specific and actionable IEP goals for your students.
What's Inside:
I have a great routine established for my students when we’re in person. I love working on yoga with them because I think it’s a lifelong leisure skill. I use cards to demonstrate the yoga pose we’re going to practice and then together we hold the pose for ten seconds. This year, as so many of my tools have had to be adjusted to fit into teletherapy, I’ve been happy to see that I can still do yoga with my students virtually.
For many of us, flexing into the teletherapy space has proven to be a challenge. In addition to dealing with unfamiliar technology, we’ve also had to come up with creative ways to teach the same skills without being in person. And we’ve had to find how to get around new barriers for therapy, including the challenge of scheduling and having students at home without parental support.
My five favorite autism teletherapy strategies can help you set up boundaries and expectations for students that will help them thrive in this challenging season.
Despite the challenges of this year, I’ve found that teletherapy has made it easier to communicate with families, and it’s led to more frequent communications as well. This opportunity can help us build stronger relationships with our students’ families.
What's Inside:
One of the most meaningful moments I had as a speech therapist was as I was watching a mentor work with a student over the age of 18. She was teaching him to use a static device to request the things that he enjoyed, and it was such a joy to watch him find a way to communicate with the world.
In this podcast series, I’m going to teach strategies that help children with autism learn to communicate. As a Speech-Language Pathologist and a board-certified behavior analyst, I love working in both public and private settings. It gives me an opportunity to see many different kinds of situations and students and adjust my communication techniques to reach each one.
Whatever setting a Speech-Language Pathologist is in, you can find them working on a variety of tasks like:
No matter the tasks, the setting, or the age of a patient, if a topic touches on communication in any way, I’m going to address it here with my guests. Don’t miss the preference assessment that I use to engage with my patients who are on the autism spectrum that immediately helps you connect with them.
What's Inside: