Comments for Therapy Ideas blog http://therapyideas.org/blog The blog of therapyideas.org Fri, 13 Jan 2012 18:48:20 +0000 hourly 1 http://wordpress.org/?v=3.2.1 Comment on An Englishwoman in New York by Maria http://therapyideas.org/blog/2009/05/17/englishwoman-in-new-york/comment-page-1/#comment-29344 Maria Fri, 13 Jan 2012 18:48:20 +0000 http://therapyideas.org/blog/?p=74#comment-29344 Hello, I'm a UK trained SLT and I am now looking for ways to do my CCC's in the states! Im now in the course of finishing my masters degree from Sheffield uni and I don't have a clue where to start from :S I would love a chat about changes in practice and the accreditation process if possible Hello,

I’m a UK trained SLT and I am now looking for ways to do my CCC’s in the states! Im now in the course of finishing my masters degree from Sheffield uni and I don’t have a clue where to start from :S
I would love a chat about changes in practice and the accreditation process if possible

]]> Comment on Two communication approaches for children with Autism: Intensive Interaction and the Attention Bucket by Phil Harris http://therapyideas.org/blog/2008/10/26/intensive-interaction-attention-bucket/comment-page-1/#comment-28881 Phil Harris Wed, 04 Jan 2012 17:39:01 +0000 http://therapyideas.org/blog/?p=12#comment-28881 I think Dave has got it exactly right. The world has gone target-mad. Our children's learning is so much more complex than that, and a linear appoach and the use of targets (yawn), just doesn't meet their needs. Targets are all about teaching and little about learning. We, as a profession, are obsessed with our own accountability (thanks for that, OFSTED)and the use of targets and the organisation of knowledge & skills using p scales and systems like B Squared merely fit in with that model. As Penny Lacey says, PMLD pupils are poor consumers of SMART targets. How right she is! The world is changing ... people like Penny, Dave, Keith Park, those fantastic people down a the Bridge School in Islington and especially Peter Imray, are leading the way in developing a whole new paradigm for looking at fresh epistemological issues for our PMLD pupils. And about time too. I think Dave has got it exactly right.
The world has gone target-mad. Our children’s learning is so much more complex than that, and a linear appoach and the use of targets (yawn), just doesn’t meet their needs. Targets are all about teaching and little about learning. We, as a profession, are obsessed with our own accountability (thanks for that, OFSTED)and the use of targets and the organisation of knowledge & skills using p scales and systems like B Squared merely fit in with that model. As Penny Lacey says, PMLD pupils are poor consumers of SMART targets. How right she is! The world is changing … people like Penny, Dave, Keith Park, those fantastic people down a the Bridge School in Islington and especially Peter Imray, are leading the way in developing a whole new paradigm for looking at fresh epistemological issues for our PMLD pupils. And about time too.

]]> Comment on An Englishwoman in New York by Sarah http://therapyideas.org/blog/2009/05/17/englishwoman-in-new-york/comment-page-1/#comment-24565 Sarah Thu, 04 Aug 2011 00:21:44 +0000 http://therapyideas.org/blog/?p=74#comment-24565 Hello! I am delighted I came across this blog. I qualified in the UK with a BSc in SLT and want to move to NY but am having so many problems with getting licensed there! I would really LOVE to chat to you guys who have been through the process! Hello!

I am delighted I came across this blog. I qualified in the UK with a BSc in SLT and want to move to NY but am having so many problems with getting licensed there! I would really LOVE to chat to you guys who have been through the process!

]]> Comment on Therapy Ideas Live: “Enlighten us, but make it quick!” by Leigh Green http://therapyideas.org/blog/2011/06/05/therapy-ideas-live/comment-page-1/#comment-23872 Leigh Green Wed, 06 Jul 2011 15:31:08 +0000 http://therapyideas.org/blog/?p=474#comment-23872 Great Work being done by you. I've followed the tweets for #therapyideas and they were quite interesting - wondering if you would be putting the presentations' film on this website? Great Work being done by you. I’ve followed the tweets for #therapyideas and they were quite interesting – wondering if you would be putting the presentations’ film on this website?

]]> Comment on The challenge of discharging children with lisps by Annie http://therapyideas.org/blog/2011/04/29/challenge-discharging-lisps/comment-page-1/#comment-20913 Annie Mon, 16 May 2011 22:11:38 +0000 http://therapyideas.org/blog/?p=459#comment-20913 I just found your website. Your ideas and insights are so fun. I am an SLP in Utah. I am just starting a blog of my own to try to compile some of the resources I have found useful. Feel free to visit anytime. I would love some feedback and ideas from other SLPs. the site is slplearningcurve.blogspot.com I just found your website. Your ideas and insights are so fun. I am an SLP in Utah. I am just starting a blog of my own to try to compile some of the resources I have found useful. Feel free to visit anytime. I would love some feedback and ideas from other SLPs. the site is slplearningcurve.blogspot.com

]]> Comment on The challenge of discharging children with lisps by Mary http://therapyideas.org/blog/2011/04/29/challenge-discharging-lisps/comment-page-1/#comment-20129 Mary Sun, 01 May 2011 22:53:38 +0000 http://therapyideas.org/blog/?p=459#comment-20129 We have support from administration to carry out the law regarding whether or not a child meets the criteria for intervention. That being said, I can't just leave those families without some support. As you mentioned. I teach the parents how to help their child and ask them to come back in 3 months to see what kind of progress they've made and to offer additional suggestions. Many of my families seek private therapy but I know that is not an option for everyone. I'm currently planning on an after school class for next year. The original focus will be the parents of students in therapy. But, my hope is to expand that to any parent who wants suggestions on how to build language and good speech with their children. Getting back to the original question, How do I deal with the parents? I offer support and empathy and do what I'm able to do within the regs of the public school system. We have support from administration to carry out the law regarding whether or not a child meets the criteria for intervention. That being said, I can’t just leave those families without some support. As you mentioned. I teach the parents how to help their child and ask them to come back in 3 months to see what kind of progress they’ve made and to offer additional suggestions. Many of my families seek private therapy but I know that is not an option for everyone. I’m currently planning on an after school class for next year. The original focus will be the parents of students in therapy. But, my hope is to expand that to any parent who wants suggestions on how to build language and good speech with their children. Getting back to the original question, How do I deal with the parents? I offer support and empathy and do what I’m able to do within the regs of the public school system.

]]> Comment on The challenge of discharging children with lisps by Sean Sweeney http://therapyideas.org/blog/2011/04/29/challenge-discharging-lisps/comment-page-1/#comment-20023 Sean Sweeney Fri, 29 Apr 2011 20:48:07 +0000 http://therapyideas.org/blog/?p=459#comment-20023 You bring up an important issue, and I agree with all of your points, which mirror what most school-based SLPs in the states struggle with. My district has a written policy that is similar to yours. If a student has a speech problem that can not be considered a disability, we offer some short term intervention as you do, home practice (I usually facilitate this through a graduate intern), and then recommend they consider private therapy. Yes our training would allow us to address these issues but as you say our caseloads do not allow for it, and we have to triage. In the schools I believe in the mandate that we are there to address the disabilites that affect academic progress, and a lisp does not. Fact is, a parent should not expect the community to pay for, say, braces on their child's imperfect teeth. It's a harsh reality but I think a good analogy. You bring up an important issue, and I agree with all of your points, which mirror what most school-based SLPs in the states struggle with. My district has a written policy that is similar to yours. If a student has a speech problem that can not be considered a disability, we offer some short term intervention as you do, home practice (I usually facilitate this through a graduate intern), and then recommend they consider private therapy. Yes our training would allow us to address these issues but as you say our caseloads do not allow for it, and we have to triage. In the schools I believe in the mandate that we are there to address the disabilites that affect academic progress, and a lisp does not. Fact is, a parent should not expect the community to pay for, say, braces on their child’s imperfect teeth. It’s a harsh reality but I think a good analogy.

]]> Comment on The challenge of discharging children with lisps by Jennifer http://therapyideas.org/blog/2011/04/29/challenge-discharging-lisps/comment-page-1/#comment-20021 Jennifer Fri, 29 Apr 2011 19:41:23 +0000 http://therapyideas.org/blog/?p=459#comment-20021 If the child has not been seen by a dentist with a lateral lisp..that would be the first place I would start to help ease the parent's mind. This is hard for me to comment on further because I am in private practice and so I would 1) offer to consult once per month to give home program ideas so they didn't feel completely slighted. (2)I would suggest that they seek a second opinion which would either calm their concern or allow them to receive treatment from a private therapist who is not bound to the guidelines you are with regard to caseload. :) Good topic. If the child has not been seen by a dentist with a lateral lisp..that would be the first place I would start to help ease the parent’s mind. This is hard for me to comment on further because I am in private practice and so I would 1) offer to consult once per month to give home program ideas so they didn’t feel completely slighted. (2)I would suggest that they seek a second opinion which would either calm their concern or allow them to receive treatment from a private therapist who is not bound to the guidelines you are with regard to caseload. :) Good topic.

]]> Comment on An Englishwoman in New York by Vicki http://therapyideas.org/blog/2009/05/17/englishwoman-in-new-york/comment-page-1/#comment-17585 Vicki Mon, 14 Mar 2011 22:19:42 +0000 http://therapyideas.org/blog/?p=74#comment-17585 I would like to chat with Kerry and hear more about working as an SLT in the US. Am likel to be relocating later this year and not really sure where to start! I would like to chat with Kerry and hear more about working as an SLT in the US. Am likel to be relocating later this year and not really sure where to start!

]]> Comment on Clinical Risk vs. Clinical Need: managing workload and throughput by Mark Harrison http://therapyideas.org/blog/2009/02/22/clinical-risk-vs-clinical-need/comment-page-1/#comment-15767 Mark Harrison Thu, 13 Jan 2011 23:56:44 +0000 http://therapyideas.org/blog/?p=48#comment-15767 I work within a trust that has adopted the care aims approach, and I am now undertaking training in order that I can train staff new to our trust. I have been usung the model/approach for approximately 9 months and find that it is enabling our team to manage referrals more efficiently (i.e. reduce inappropriate referrals), manage patients expectations more easily (by patient centred, transparent goal setting with a clear care aim) and facilitating timely discharge from our service. For Clare who asked about assessment tools, I am trialing Therapy Outcome Measures as both a baseline assessment and outcome measure, its domains include both medical and social aspects of function. e.g. impairement and participation are two. By the way, I am an Occupational Therapist on a Falls Prevention Service and address environmental, cognitive, ADL and confidence issues. I work within a trust that has adopted the care aims approach, and I am now undertaking training in order that I can train staff new to our trust.
I have been usung the model/approach for approximately 9 months and find that it is enabling our team to manage referrals more efficiently (i.e. reduce inappropriate referrals), manage patients expectations more easily (by patient centred, transparent goal setting with a clear care aim) and facilitating timely discharge from our service. For Clare who asked about assessment tools, I am trialing Therapy Outcome Measures as both a baseline assessment and outcome measure, its domains include both medical and social aspects of function. e.g. impairement and participation are two. By the way, I am an Occupational Therapist on a Falls Prevention Service and address environmental, cognitive, ADL and confidence issues.

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