Spoiled for Choice 4 - Speech

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Transcript Spoiled for Choice 4 - Speech

Caroline Bowen PhD www.speech-language-therapy.com

PACT Parents and children together

A broad-based approach to phonological therapy Copyright © 2011 Caroline Bowen

PACT  Typically used with children 3;0 – 6;0  5 interacting components 1.

2.

3.

family / education metalinguistic training phonetic production training 4.

5.

 multiple exemplar training homework activities, incorporating 1-4 above Assessment – Quick Screener while parents observe. Additional assessment as required.

Copyright © 2011 Caroline Bowen

Copyright © 2011 Caroline Bowen Quick Screener

Intelligibility Rating

Copyright © 2011 Caroline Bowen

Copyright © 2011 Caroline Bowen

Quick Vowel Screener

Copyright © 2011 Caroline Bowen

Background

 PACT is a family-centred, broad-based intervention that addresses phonemic, phonetic and perceptual aspects of SSD.

 Evaluated with 3-6 year olds; has been used with older children with cognitive challenges.  5 dynamic, interacting components (slide 1) Copyright © 2011 Caroline Bowen

 PACT takes into account the gradualness of phonological change in typical development, and the logistics of accessing adequate SLP/SLT services.

 Planned blocks, and breaks.  Explicitly trained parents continue aspects of intervention in the breaks.

Copyright © 2011 Caroline Bowen

Target Selection

Phonetic, phonemic and perceptual targets. • Traditional & newer selection criteria are used. • Those marked “sometimes” may be used with children unable to cope with more complex targets. • Contrasts may be minimal, maximal or multiple.

Copyright © 2011 Caroline Bowen

Intervention Procedures

1.

 2.

3.

4.

 5.

Parent Education Fifty-Fifty Split Metalinguistic Training Phonetic Production Training Multiple Exemplar Training Listening lists / focused auditory input / alliterative input / minimal pair activities Homework Copyright © 2011 Caroline Bowen

Copyright © 2011 Caroline Bowen Have a cue that means “think” …like Einstein who was a very good thinker!

Intervention Activities – Multiple Exemplar Training

 These activities take place during therapy sessions with the SLT, and then go home (or to preschool / school) for “homework”.

 Pictures on the Freebies pages.

 The child is helped to do the activities.

 Parents are often very innovative in thinking up multiple exemplar games that suit their family “style”.

Copyright © 2011 Caroline Bowen

1. “Point to the one I say” The child points to pictures of the words, spoken by the adult in random order or rhyming order. RANDOM:

key, call, cop, tea, tall, top

RHYMING:

key-tea, call-tall, cop-top

Copyright © 2011 Caroline Bowen 24 April, 2020

2. “Put the rhyming words with these words” 3 to 9 cards are presented e.g.,

seat, sell, sour, sip

The child puts rhyming cards beside them, with as much help as needed.

sheet, shell, shower, ship

Copyright © 2011 Caroline Bowen 24 April, 2020

3. “Say the word that rhymes with the one I say.” The adult says words with the target phoneme or structure; child says rhyming non-target words adult: “flat” child: “fat” adult: “slow” child: “sew” Child says words s/he can already say. Copyright © 2011 Caroline Bowen 24 April, 2020

4. “Give me the word that rhymes with the word I say.” - NB – children are helped with all of these The adult says the non-target word, and the child selects the rhyming word containing the target sound. Adult says (names) “pole” Child selects a picture of “foal” Adult says (names) “pan” Child selects a picture of “fan” Copyright © 2011 Caroline Bowen 24 April, 2020

5. “You be the teacher now! Tell me if I say these words the right way or the wrong way.” The adult says words or phrases and the child judges “right” or “wrong”   

“camera” / “tamera” “candle” / “tandle” “cup of coffee” / “tup of toffee”

Copyright © 2011 Caroline Bowen 24 April, 2020

“You be the teacher and tell me if I say this the right way or the wrong way.” camera tamera 24 April, 2020 Copyright © 2011 Caroline Bowen

“You be the teacher and tell me if I say this the right way or the wrong way.” 24 April, 2020 Look at the camera.

Look at the tamera.

Copyright © 2011 Caroline Bowen

“You be the teacher and tell me if I say this the right way or the wrong way.” 24 April, 2020 I take photos with my camera.

I take photos with my tamera.

Copyright © 2011 Caroline Bowen

“You be the teacher and tell me if I say this the right way or the wrong way.” candle 24 April, 2020 tandle Copyright © 2011 Caroline Bowen

“You be the teacher and tell me if I say this the right way or the wrong way.” Cup of coffee.

24 April, 2020 Tup of toffee.

Copyright © 2011 Caroline Bowen

6. “Silly sentences” The child judges whether or not a sentence is “silly”.

Twinkle, twinkle little star Twinkle, twinkle little dar Copyright © 2011 Caroline Bowen 24 April, 2020

7. “Silly Dinners” The adult says what s/he wants for dinner, and the child judges whether it is a “silly dinner”. I want jelly / deli I want fish and chips / ships I want green peas / bees I want a cup of coffee / toffee Copyright © 2011 Caroline Bowen 24 April, 2020

8. “Shake-ups and Match-ups” The child is shown 4 pictures: e.g., tea-team ; bee-beam The pairs are said to the child rhythmically several times.

The cards are “shaken up” in a container and tipped out onto the table.

The child then arranges them “the same as they were before” (i.e., in pairs).

Copyright © 2011 Caroline Bowen 24 April, 2020

9. “Find the 2-step Words” The child sorts near minimal pair words representing cluster vs. singleton contrasts. plane-pain plan-pan play-pay burst-Bert Beast-beat nest-net Copyright © 2011 Caroline Bowen 24 April, 2020

10. “Walk when you hear the two steps” The child “finger-walks” two steps upon hearing a consonant cluster as opposed to a singleton consonant at the beginning of a word.

e.g., the child “walks” for “true ” but not “two” Copyright © 2011 Caroline Bowen 24 April, 2020