I was surprised by the response to my “Shhh…Don’t Tell” article in the Leader a few months ago, when I had many therapists get in touch with me—which I loved. The responders fell clearly into two camps.
The first were also fans of /r/ therapy. (I’m hoping one of them will start a secret society with flashy id badges and a handshake. Let me know.)
The second, larger group, sent messages that could best be summed up by—“help!”
So, to those of you looking for a place to start, I humbly offer some direction.
Issue: “I’m new to this.” Or “How do I elicit this sound?”
Activity Tailor response: These are the techniques/advice or programs I’ve found the most helpful (and I use all of these, sometimes in combination), in no particular order. But…add to all of these a huge dose of patience. It might well take you a month’s worth of sessions to find an approach that has potential for your client.
- Say It Right, Entire World of R: The Advanced Screener is particularly helpful for giving you a starting point, as well as giving you some method of tracking improvement over time, although it’s not standardized. The Book of Elicitation Techniques has some basic suggestions for positioning.
- Pam Marshalla, Successful R Therapy: Loads of practical info and excellent self-study exercises. If you are willing to methodically work through this book, you will be a much better clinician for it! Self-discipline not a strong suit? You can take her on-demand seminar at Advanced Healthcare Education.
- Dawn Moore, Expressions Speech: Dawn wrote a very easy to understand post for me, walking you through her hierarchy of nonsense syllables. She is now offering on-demand webinars. Great for starting a kiddo at the very beginning.
- 2 Gals: These experienced therapists compiled a bunch of elicitation techniques for lots of sounds. All of these “tricks” should be in your repertoire.
- When all else fails: I’ve had luck starting with “tr” or “dr” blends or “ear” words.
Issue: “I’m stuck.” Or “I’m having trouble maintaining momentum.”
Activity Tailor response: This is a real issue for /r/ because the progress tends to be slow. Many therapists find the task of keeping sessions “fresh” exhausting. But there are so many different activities you can do! And there are so many resources out there! I’ve put together two “lesson plans” that you can print out to see how I might organize a session. All of the activities are ones I’ve already posted (I provided the post date and link, so you can refer to the specific article if you need a full set of instructions). The first plan is geared toward the younger elementary aged student. The second is more appropriate for grade 3 and older.
Still have specific questions? Don’t hesitate to post a comment or get in touch with me directly!
Next week I have TWO app reviews with giveaways! Be sure to check in!