Marco was recently referred to early intervention (EI) due to suspected global delays. His family is living in a homeless shelter and only has one more week left before they must leave. His father is trying hard to find employment but is challenged by his lack of childcare. He is the sole caregiver for three …
Writing an Interim IFSP
The Challenge of Electronic Toys on Visits
This will come as no surprise to you as an early interventionist…findings from a new study in the online journal JAMA Pediatrics suggest that electronic toys are not so good for toddler communication development. Shocked? I knew you wouldn’t be.
Electronic Toys & Play Interactions
I often found this to be a big challenge on intervention visits …
Using Baby Steps to Address Challenging Behaviors during Real Routines
“Emma runs away every chance she gets. Open a door and she bolts. Try to walk with her into a store and she screams until she wiggles free. We can’t take her anywhere!”
This is how Emma’s mother describes one of the family’s main concerns. Emma’s behavior is difficult for them to manage, and one of …
Milestone or Modern Convenience? – Part II: What to Do When the Convenience Becomes a Hard to Break Habit
If you haven’t read it yet, be sure to check out the first blog post in this 2-part series, Milestone or Modern Convenience? – Part I: Overuse of the Sippy Cup and Pacifier, to learn important information about an infant’s need for sucking and the risks involved with overuse of the pacifier and sippy, cup!
Now that …
Milestone or Modern Convenience? – Part I: Overuse of the Sippy Cup & Pacifier
Although shocking to many, the sippy cup is NOT a developmental milestone. Nor is sucking on a pacifier, for that matter. But why do we (therapists, parents and caregivers) celebrate these acquired “skills” as developmentally appropriate achievements? Why do we allow these “skills” to happen for much longer than they should? Is it just easier …
Ditch the Animal Sounds! – Who’s Ready for the Next Talks on Tuesday?!
It is hard to believe but it is almost May! The final Talk of the two-part series, entitled “Ditch the Animal Sounds: Writing Appropriate Outcomes that Lead to Effective Implementation,” will be presented live on May 5th! In anticipation of the upcoming webinar, I am excited to share with you just a few of the …
ICD-10 Codes and Insurance Reimbursement in EI: The Fun Stuff?!?
We definitely have challenges in getting specific-to-speech-related services paid for in early intervention (EI). And we should! Targeting specific speech sounds in isolation before the age of three years does NOT make sense on a developmental level—and this is exactly why insurance companies tend to question the claims. We know, however, that we need to …
Abby’s Mother Asks Again: “Is it my fault?”
Abby has significant motor delays. Her mother asks you some version of this question during every visit: “Is it my fault that Abby isn’t walking yet?” or “What did I do to cause this?” The question itself makes you uncomfortable, because you can’t really answer it well and because you feel like you’ve tried to answer …
Address the Language: The Speech will Follow!
Joey is 25 months old. He was referred to his local early intervention intake coordinator by his parents secondary to their concerns about his intelligibility and inability to effectively communicate his needs or wants. They reported that he uses approximately 15 words but “talks in such a garbled manner” that both parents and Joey’s older …
Watch Me! – Using Modeling as a Caregiver Teaching Tool
Lynn meets Devon and his mother, Janae, at the grocery store for their visit this week. When she arrives, she finds them trying to walk into the store. They are struggling because Devon is having a tantrum and Janae is trying to carry him while he kicks and screams. Lynn goes up to them and asks if …