wordsofhisheart

An extradorinary little boy, the ordinary people who love him, and their journey together through the world of visual learning and speech acquisition.

Free Printable Cutom Book for Target Speaking Words

bye bye moon

Finding different ways to have children with speech delays use some of the words they are drilling in speech therapy can be a challenge, but it’s necessary in order to have those words integrated into each child’s vocabulary.

The Lovely Miss L, Noah’s former speech therapy was a genius at coming up with ways to do just that.  One technique she used was making PEC books out of Noah’s target words.  His first book was a story about a bee, a blue boat, a mommy and a daddy.  Now that Noah has mastered those words, I tried my hand at making a new PEC story book for him, and I have it here to share as a freebie:  Bye-Bye Moon PEC book

Just cut the pages into horizontal strips, assemble the book according to the text below, and staple it together in the top left corner.

Text:

Bye bye moon.  Hi sun.  Time to wake up.  Listen.  Daddy up.  Mommy up.  Noah up. Out of bed.  Noah eat cookie?  No no Noah.  Noah eat oat?  No no Noah.  Yes, yes, Noah.  Daddy go bye bye in beep beep.  Noah in beep beep?  No no Noah.  Bye bye Daddy.  Bye bye beep beep.  Mommy home.  Noah home.

This doubles as a social story, because the text reminds Noah to stay in his bed until he hears Mommy or Daddy moving around in the morning .  Also it reminds him that although he can’t go to work with Daddy, Mommy will be home with him – oh joy!

And yes, I am a little narcissistic when it comes to Noah – someday he’ll have his own line of children’s books, I’m sure.  If you’d like to exchange Noah’s name and picture for your child’s, you can find the editable file over at www.mrsriley.com at http://mrsriley.com/app/#fileID=64593.

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PROMPT Therapy – Session 2

Noah had another session with Marcus today. Noah is trying soooo hard to do the things Marcus wants him to do. I have to remind myself that Marcus doesn’t know how far Noah has come, nor can he really tell how difficult all this is for Noah. Part of what Marcus works on with Noah is getting his mouth positioned in exactly the right position for each sound. Then Marcus fine tunes the sound so that Noah’s sound productions sound 100% normal. It’s been amazing to hear some of the sounds and words that come out of Noah’s mouth without any impairment whatsoever. Noah has to work very hard with Marcus to get them out, but they are definitely in there.

I have a couple questions floating around in my mind. One is how much of this will carry over into Noah’s speech outside of therapy. If he can make a good word approximation for, let’s say, go, won’t he choose to make that word approximation that is obviously easier for him than going to the trouble to shape his lips correctly in order to form the word?

I think the answer to this will only come with time. I feel like my hands are tied behind my back because I can’t really replicate the kind of therapy Marcus is doing with Noah at home. I don’t have the know-how. Marcus says in time he will show me things that I can do at home with Noah, but for now the articulation therapy stuff all has to come from Marcus. He says we have a lot of work to do. Every individual sound that Noah is making he makes a compensatory ending sound to that is of equal force. We have to get rid of those compensatory sounds because they affect his intelligibility. He needs to move his jaw less and his lips more. I suppose the bigger feature, the jaw, is easier for him to control than his lips.

I am thrilled that Noah is getting this therapy now, even though it looks like he is going to have to unlearn some of the speech patterns he picked up over the last couple years.

Marcus did say something today at the end of the session that nearly took my breath away. He said something along the lines of if he did diagnose apraxia even when there were other underlying neurological issues, he saw a lot of evidence that would support that diagnosis in Noah. (Can you tell I’m trying really hard not to exaggerate anything?) He is seeing a lot of sequencing issues that are typical of apraxia now that he’s had a couple sessions to get to know Noah. I noticed today that he used some hierarchy approximations that reminded me very much of the Kaufmann apraxia cards Noah has done so well with. It was bittersweet to have my suspicions confirmed, and it just confirmed to me that Marcus is the right person to treat Noah, because he is identifying what I have been seeing for so long. PROMPT therapy is a very effective treatment for apraxia as well as other speech disorders, so at this point the diagnosis is not important – Noah is getting appropriate treatment either way.

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Free Printables for Peekaboo Morning, A Predictable Book by Rachel Isadora

peekaboo morning

One of Noah’s favorite words these days is

Boo!

In hopes of working in some additional sounds, I was eager to leap to peekaboo.  That’s how I came across this classic children’s book.

peekaboo morning pg 1

Image (67)

So many language concepts and so many opportunities for extension activities in this adorable picture book!  The first page shows the child looking at a clue (the puppy’s tail) and saying “Peek-a-Boo I see . . .”  Turn the page to find the item the child was in pursuit of along with text that names the item:  My mommy, my daddy, me, my puppy, my train, my grandma, my grandpa, a bunny, a butterfly, my friend,  and you.

American Sign LanguageAll these phrases Noah just happens to know in American Sign Language (ASL), so we were able to sign the entire book.  Click below for ASL printable flashcards for family names.  The graphics are from www.babysignlanguage.com.

ASL - Family Names

And for the other words in Peekab00 Morning in ASL, click here:  Peekaboo Morning ASL.  If you are not familiar with these signs, you will want to use a free ASL site with video clips like www.lifeprint..com or www.aslpro.com to learn the sign and just use the flashcards as prompts or reminders.

Target Words: My, mommy, daddy, me, puppy, train (choo choo), and bunny are all words Noah can say.  We used reading this story as articulation practice by me reading the words and pausing before the words associated with the pictures.  Noah takes those cues well and will usually say the target word as I point to the picture.  Depending on the mood he is in, I will often then repeat it back to him and wait for him to say it again two more times, refining his articulation as needed.

Language Concepts:  This is a fabulous book for reinforcing the names of family members.  Mommy, Daddy, me, Grandpa and Grandma are all used within the text.  (Make sure to read the end of this article for a Family member extension activity.)

Sequencing: The nature of this book makes it a great opportunity for sequencing practice.  Here are free printable PEC cards based on the story to use in a sequencing activity:

Peekaboo Morning Sequencing Cards

DSC08504

I cut, laminated and stuck a magnet on the back of these.  Same idea as using Velcro for a PEC story board – just spicing it up a bit.  As we read the book, Noah finds the PEC that matches the object on the page and places it in order on a metal cookie sheet, refrigerator or (metal) door.

Repetitive Phrases: “Peekaboo, I see . . .” appears on each two-page spread, prompting lots of hits on this target word.  To help elicit speech from Noah, I would cover my eyes and then slowly spread my fingers apart and say “Peek-a-Boo.”  He would join in and say “Boo!” Then I would go back and say “peek” until he attempted the longer utterance of “peek-a-boo.”

Predictable Language: This is my favorite aspect of this adorable book.  On most of the “Peek-a-boo, I see . . .” pages, there is a small visual clue as to what will be on the next page, a puppy’s tail, a grandma’s hat, a newspaper hiding a grandpa, etc.  By drawing your child’s attention to that small detail, he can very excitedly guess what will be on the next page.  Noah loved this, although he started signing butterfly halfway through the book, knowing it would be coming up soon.  I love that he was so excited about what he knew was coming.  His love of books is so encouraging to me!

Extension Activity: Make your own Peekaboo Morning book based on your child’s target words using photographs.  Take pictures of his favorite people and things, and create pages with text that read “Peek-a-Boo, I see . . .” alternating with the pictures of the object and appropriate text labeling.  This is a fun way for parents to make books about family life as well as for teachers and therapists to make books about friends. activities, and teachers at school.

For other language-rich picture book ideas for speech therapy, please visit my Language-Rich Picture Books and Extension Ideas page at http://wordsofhisheart.wordpress.com/wp-admin/post.php?post=2647&action=edit.

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