In the realm of speech-language therapy, engaging clients in meaningful activities that foster communication skills is paramount. However, maintaining motivation and enthusiasm throughout therapy sessions can sometimes be challenging. By infusing elements of play and competition into therapy activities, gamification not only makes learning more enjoyable but also enhances participation and accelerates progress. 

This is where gamification comes in as a powerful tool, a new term for something that most therapists have been using for decades.  Just about every pediatric therapist uses games like Bingo, “Feed the Monster”, and various board games to help motivate students.  But let’s really delve into how gamification can transform speech-language therapy into a dynamic and effective journey towards improved communication skills.

Goal of the Game

Before diving into gamification strategies, it’s crucial to establish the goal of the game in the therapy session.  Are we wanting to use the games to simply keep the student(s) motivated and engaged during the session, as a reward at the end of the session, or to help them take responsibility for their learning by tracking their correct vs their incorrect answers?  

Motivation and Engagement

For many of our kids, the games are simply a way to keep them motivated and engaged. These may be a range of various board games or free online games like four-in-a-row or snakes and ladders. These can be found at various websites such as calculators.org or coolmathgames.com. abcya.com is a favorite for younger games like making a cookie (following directions or using adjectives) or saving chicks (following/using positional words).

There are some modestly priced subscription sites as well, such as pinkcatgames.com, or ultimateslp.com. These are nice because the speech and language stimulus materials are integrated with the games.  You can make your own Jeopardy style game on Bamboozle for just about any subject (check out my growing collection), or use one of the many pre-made ones.  Educaplay also has many styles of games under the free tier that you can make or search for.  Genially is another platform that has many free game and lesson templates and is FERPA compliant.  Even simple push-button buzzers that kids can use when they know the answer makes question and answer activities more “gamey”.

Self-monitoring or effort

However, some students do really well with a bit more of a “push” in which they are given both positive and negative points (or teacher gets points).  Jeopardy-style, tally score, or scoreboards might be best for these students.  These work amazingly for those kids who are working on self-monitoring skills, or who are not giving thoughtful answers.

Additional Benefits

The beauty of gamification lies in its versatility. You can create a custom folder game based on student interests, if you are working in-person, or you can find free games online easily.  Open-ended games such as snakes and ladders can be used with mixed groups and create friendly competition.

Gamification can also promote collaboration and healthy competition among students. Group activities such as word games, role-playing scenarios, or collaborative storytelling encourage peer interaction and communication exchanges. Additionally, friendly competitions, whether in the form of timed challenges or team-based quizzes, inject an element of excitement and camaraderie into therapy sessions, and great opportunities for practice of social skills.

Gamification holds immense potential to make learning enjoyable, engaging, and effective.

Happy playing!

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So a few years ago I started hearing raves in continuing education about how many targets you could reach from reading a picture book or short story in speech therapy.  And I thought, “yeah, but you’d only  maybe get one or two practices out of each book for most of those language goals.  Drilling is far superior.”  Plus…it would take a whole session to read a book.  You wouldn’t have time for anything else.

I kept on with my drilling.  And my students made progress on their little goal chart.  Good progress.  And sure, sometimes teachers would say, “but they can’t do it in my room,” And I’d say, “well, that’s because I’m working on a discrete skill, to make sure they have the ability.  Now we have to broaden it to a longer text.”

Literacy Units – Language in Context

But I started hearing more and more about using literature as an SLP.  I started taking these continuing ed classes that were talking about using a picture book as the anchor for a month of therapy. And it was like there was an actual lightbulb in my head.  “You mean we can use the SAME book for a whole MONTH?!!”  Now THAT, that seemed workable.  In fact, that seemed downright awesome.

Because – context. While my drills were great, and they reinforced the skill, they were like practicing a sound in isolation, and would only take a student so far.  And honestly…sooooo boring. So going over a fun picture book for a month, that sounded like just the thing.

Pick the “Just Right” Story

But I was in a middle school setting now.  And sure, there are picture books that are higher language that would fit the bill for middle school. But it was October.  And now your head is probably going straight where mine went.  How could I not introduce my middle schoolers to “The Tell-Tale Heart”? (OK, it was a draw between that and “Ichabod Crane” but they rolled their eyes and said they read that every Halloween).

Well, first, let me tell you: success hinges on finding the “just right” version.  The middle-schoolers who you see for language are probably not going to do well with the original version of the story.  But you don’t want a version too watered down either, or you lose so much of the lovely language-teaching opportunities.  Another key: do not have the students read the first time.  It seems like a good idea, but if you are reading for meaning, you want an advanced reader who has read the story at least once to read it aloud for the group.

Decide the Order of Teaching

And then…do you pre-teach every vocabulary word and turn of phrase, or do you do a read-through first, then go back over it?  Or, maybe watch a video that had most of the text first, that gives meaning to words they don’t know?  I did a little of everything that first time, each group a little different.  I think it was best when I gave a little minilesson first, then we watched the video, which I would pause every so often to allow them to predict or make sure they knew the big picture of what was happening.  Then we went back, closely, over the text.  This may differ depending on the text you read, too.

Language Skills Galore!

I didn’t spend a month on “The Tell-Tale Heart.”  We spent two, maybe three 30 minute sessions.  Partially because I still have a hard time reconciling my old drill mindset.  But I also only have two in my groups (don’t hate me – it’s a rule for teletherapy where I am).  I also was winging it in large part.  If I had been thoroughly prepared, I would have had more and better questions. 

I’m writing my questions down and keeping documents so next year, I will be better prepared.  If you are interested, you can find my completed guides in my TPT store, Mrs. Speech.  They contain questions addressing context clues, figurative language, sentence writing, predictions, inferences, story craft, story arcs, prefixes and suffixes and other language and literacy skills.

Appreciation of Literature

But the engagement of the kids!!  They LOVED it!  So much that I went out and hunted down short stories in a number of genres, based on what they requested, and found so many lovely stories! 

They are requesting stories now – and they remember exactly where we were in the story from one week to the next.  They ask for more from the same author (yes, they are asking for stories).  And most of these stories I am using are at least 50 years old, some, like Poe, are in public domain.

And I love that I am fostering a love for literature.  Even though when I ask, they say they wouldn’t read the longer version, LOL, they still are listening and responding to these stories with enthusiasm and asking for more.  Which is far more than my drill cards ever got!

Want to see what stories I’ve been using in my therapy sessions?  Find my FREE list on TPT!

Check out more on short stories in therapy with my other articles:

• Activity Magic: Short Stories for Multi-Goal Mastery in Speech Therapy
• Unlock Student Engagement: The Magic of Short Stories in Middle School Speech Therapy
• Level Up Literacy Teletherapy: Unleash FREE Online Resources to Captivate Students!

Subscribe below for a FREE bookmark to help students generalize articulation while reading!

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Motivators

Just like our younger clients, older students love a good reward at the end of a challenging session. The beauty? They’re experts at navigating YouTube, so they can easily cue up their favorite vids. But wait, there’s more! I love introducing them to some lesser-known gems that pack a powerful punch:

Flexible thinking and how the mind learns new things:

Backwards bicycle: this was mind-blowing to watch!

How mistakes are okay and help you learn:

OK Go Rube Goldberg Machine (I talk about how you can see the evidence of how many previous tries – 85 to be exact – they had to get it right, but how awesome it was when they got it right.  BTW, the song itself has a great message of how bad things are only temporary.) It’s also useful to see the TEDTalk on how it was engineered. (Caution, the TEDTalk has one minor cuss word and the band is having a drink of champagne at the end.)  If you don’t know what a Rube Goldberg machine is, it is a YouTube rabbit hole.  I warned you.

The Power of a Stutter

A TedTalk on how accepting your insecurities and even embracing them allows us to become better communicators.  How it frees us from worrying about hiding them to think about how we can speak to and help others. (BTW, she has a very noticeable stutter so this is an excellent video for your fluency students.)

Teaching Support

How to make sounds

I’m probably not alone when I say that I turn to these when I have a kid I just can’t get to make the sound, especially now that I am wholly teletherapy.  My camera just isn’t as professional as what I can find on YouTube.  The two best sources for sound instruction I’ve found are Sharon Turner, who has a animated video model of the tongue inside the mouth for each sound, and Peachie Speechie, who has great teaching videos for each sound.  But there are many, many options to choose from.

Read-Alouds

I’m using short stories in most of my older groups.  When we first read a story, I want it to be a dramatic, cohesive reading, so I actually don’t want the students to read it.  I want them to listen and be drawn into the story.   But you know, a day of that and my voice gets tired.  Cue YouTube read-alouds!  You can find an audiobook of most popular short stories on YouTube pretty easily.  And bonus – most you can turn on Closed Captioning so students can read-along if you don’t have a text that matches well.  And the students actually love being read to.  If I have a student who needs to read for a goal, then I can stop and have them read a paragraph or so, then return to the read aloud. I have playlists of some of my favorites at http://www.youtube.com/@Mrs.Speech-wk4mr.

Background Knowledge

To go along with the read-alouds, a well-made video to give background knowledge is worth so much more than me droning on about what life in a lighthouse is like.  You know what they say, “A picture is worth a thousand words.”  Well, a video must be worth a million, right?!  And they are so much more willing to watch a video than listen to me (and let’s be honest, it gives my voice a break).

Movies

And if at all possible, I like to find at least a clip of a movie or animation to go with the story.  It provides so many opportunities for language-rich discussion, with opinions (Which did you like better, and why?) comparing and contrasting, and inferencing (Why do you think the director made this change?).

Social Skills

There are SOOOO many social skills videos out there.  Some of them are tailored toward our autistic population, some are more for introverted young adults, and some are for the ESL population.  Don’t just stick to the videos that tell how-to do something.  Sometimes the awkward videos offer great teaching moments too.  This one is one of my favorites.  While I do touch on what he does wrong, I mainly use it to talk about other people’s responses, and how they are generally kind about it and make an effort to not make him feel bad even though everyone feels awkward.  People are typically kind, so you might as well go out there and try.

Pro Tips 

Now, I mentioned in Read-Alouds to turn on the Closed Captioning if you don’t have a text that matches the reading.  It might be useful to do so with the other videos as well, to make the speech/text connection and fill in any missing gaps in the auditory information.  

I also suggest you turn the speed to 75%.  This is usually not noticeable to the kids, but it allows them more time to process what is being said so they get a better understanding of the information.  

I have more tips in my previous post: Unlocking Language Learning with YouTube: A Speech Therapist’s Guide.

Update 12/24

I recently found the free internet browser Brave and have been using it the past couple of weeks.  It was simple to move my Google bookmarks into Brave, and I am using it solely for use with the kids, so it streamlines my therapy sessions too.  I haven’t had a single youtube ad, and I haven’t noticed other ads popping up on websites.  I will say that, while it does block the ad on a website, there is often still the space where the ad would be.  Often, a reader extension like ReadBee will remove those spaces and focus on the text.

So, there you have it, folks! These are just a few ways to leverage the power of YouTube in therapy sessions with older students. But hey, the possibilities are endless! Got some killer ideas of your own? Drop ’em in the comments below!

Until next time, my e-speechies – keep on clickin’!

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Ways to Use Pinterest Pictures

Now, we all know the drill with Pinterest – it’s the go-to hub for all things DIY, recipes, and yes, even therapy ideas! But let me tell you how I’ve been using it to spice up my therapy sessions.

Picture this: I’ve got boards filled to the brim with stimuli. They cover everything from articulation practice to critical thinking and social skills. We could get into a 10 minute discussion on whether it is photoshopped or real on some of these. Or discuss what makes it interesting, or brainstorm what you would do if you were walking around and saw it in person.

So MANY speech and language goals can be addressed with these open-ended materials. They are so much more fun than reading a card or doing a worksheet. Your kids may not even realize they are “working.”

Seriously, my Picture Prompts boards are like a treasure trove for your therapy sessions. Once you get used to using them, and the types of questioning you can use, you will find yourself using them more and more. For now, I have them separated into just a younger board and an older board. However, I have so many pins, I am going to have to separate them further. 

You guys have to come take a peek! Just make sure you set a timer because you will seriously get sucked into the rabbit hole – LOL!

Multiple Meaning Words

One thing my kids LOVE is when I open up the Visual Puns board. It’s a great way to work on multiple meanings and figurative or non-literal language. Not to mention the sheer fun of figuring out what makes each pun tick. The engagement and comprehension seems to skyrocket when I address language goals this way. And the best part – it’s so effortless it seems like a free day for both me and my students!

Tech Tips

Here’s the kicker – using Pinterest in therapy takes a bit of tweaking. But once you get the hang of it, it is smooth sailing, I promise. First, make sure your view options are set for Default, not Compact. You can choose this by using the little slider button in the top left of your board, as you can see in this screenshot.

I like to zoom in until only one or two images are visible. This makes those images pop and limits what my kiddos are focusing on. Ctrl and + on Windows, Cmd and + on Mac – you get the drift. Most browsers also have their own zoom controls.

Why Pinterest for Your Speech Sessions?

Now, why go through all this trouble instead of just hitting that good ol’ Save button? Well, for starters, it saves me from diving into the murky waters of copyright laws. Ain’t nobody got time for that! Plus, who wants to spend hours copy, pasting, and formatting when Pinterest does the heavy lifting for you?

And as we all know, adding to our boards is as easy as pie. I’m constantly stumbling upon gems while tumbling down the internet rabbit hole. With a click here and a pin there, my collection keeps growing faster than I can say “therapy time.” So much easier than trying to add to a document or slideshow or however else you try to organize saved images.

So, there you have it – Pinterest in speech-language therapy. Who knew? But hey, when it works like magic, who am I to argue?

Happy pinning, my fellow e-speechies!

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I put this on my board one school day. See, for the last 5 or so years, I’d had a poster-size white erase board in the hallway of my school. It was beside the entrance to the cafeteria. Therefore, every student would have a chance to see it during the day. I then sit in my room and listen to the conversations in the hallway. The children, I think, would have voted this joke as the best one that year.

But my board had a purpose beyond the amusement of everyone in the school. Not only did it lighten the mood and start the day with fun, every child in that school knew who I was. I wasn’t just an unknown adult that pulled kids out of classes. I raised the bar for vocabulary for the entire school. It gave everyone a common thing to talk about, and (let’s be honest) identified students that likely would need my services at one time or another.

The Therapeutic Value of Humor

Most of us feel better after a good laugh, and it’s not all in your head. Laughter increases those feel good chemicals in your brain. It boosts the immune system and relieves stress.  It gives us a social connection and helps shift perspectives into a lighter side of life. It even improves circulation and gives your tummy a bit of a workout. I have no doubt it created a happier, more connected school environment than there otherwise would have been.

Academic Benefits of Humor

Most of us have thought about how jokes can address multiple speech and language skills. To understand humor, students have to understand nuances, multiple meanings, and wordplay. Often jokes rely on figurative language. They involve cognitive processes like inference, prediction, and abstract thinking. 

Jokes help students practice social skills such as turn-taking, perspective taking, and understanding social cues. They build rapport. When telling a joke, students are practicing fluency skills like pacing and intonation, as well as articulation skills. Students are encouraged to commit the joke to memory so they can retell it. This helps them work on memory skills as well.

Building Rapport and Engagement:

Humor builds a bridge between students and teachers. It makes school a more light-hearted place.  Having a joke to share gives shy or anxious children a low-pressure way to engage in conversation.  The kids would tell the jokes to each other, and talk about whether it was funny or not. They discussed what made it a joke. I often heard teachers using the jokes as a teaching opportunity in the hallways.

As I talked with others about why I had the joke board, it raised awareness with teachers. They realized that what I did with students inside my little room wasn’t just working on /r/ and /s/. When I called it my “school-wide intervention,” it highlighted how essential speech and language skills are for daily communication.  Students in the school knew who I was, and saw me as a positive person in the school.  I had teachers and students alike bringing me jokes.

Addressing Challenges and Limitations:

So, what is the problem with using humor? I did have to be careful that the jokes were school appropriate, of course. No jokes about “two guys walk into a bar.” They had to be age-appropriate as well, so I skipped over a lot of jokes. Some of these the students at my school might not have the context or vocabulary for. And some kids just didn’t get the jokes (and they were usually on my list for MTSS interventions).

Finding enough jokes for the entire year was a bit difficult the first year. I then had to keep track of them somehow. Now I have It’s So Punny, a document that is over 50 pages long, full of jokes appropriate for school, which you can find in my TPT store.

The board itself was an issue at some points through every school year.  There is always that one student who finds it entertaining to erase it with their fingers. I would switch from dry erase to wet erase to whiteboard crayons throughout the year. Having a transparent cover might have helped that problem. I had to get permission to hang the whiteboard on the wall (I used removable adhesive strips).

Two Thumbs Up

In conclusion, though, I would highly recommend a joke board in your school or classroom. There are so many reasons to incorporate humor in the school day. The conversations I heard outside of my room were often the best part of the day. Hearing the students comment as they walked by was truly enjoyable. 

If you’d like to hear more about what skills a simple joke can address, see my article Why Jokes Are the Best Zero-Prep Language Tool You’re Not Using.

Keep that funny bone tickled,

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Building Blocks of Language

Pictures can serve as the building blocks for a myriad of language goals. Here are some ideas:

• Vocabulary Development: Use pictures to introduce new words, reinforce meaning, and encourage expressive language.
• Grammar: Target specific grammatical structures through picture-based activities, such as sentence building, verb tense practice, or pronoun usage.
• Narrative Skills: Create engaging stories using picture sequences, prompting students to sequence events, identify characters, and predict outcomes.
• Social Skills: Use pictures to teach social cues, emotions, and appropriate conversational skills.
• Articulation: Target specific speech sounds by selecting pictures containing target sounds.

Interactive Activities with Pictures

• Picture Description: Encourage detailed and descriptive language by asking students to describe pictures in depth.
• Sequencing: Use picture cards to practice sequencing events, telling stories, or following directions.
• Categorization: Sort pictures into categories based on various criteria (e.g., size, shape, color, function).
• Comparisons: Use pairs of pictures to practice comparative language (bigger, smaller, taller, shorter).
• Problem-solving: Present challenging picture scenarios and ask students to come up with solutions.

Technology Integration

• Digital Picture Books: Explore interactive digital picture books for added engagement and accessibility.  Your local library is a great starting point!
• Photo Booth Fun: Take pictures of students engaging in activities to create personalized therapy materials.
• Online Resources: Utilize websites and apps offering free or low-cost picture sets for therapy.
  • Tip: I’ve created many Pinterest boards filled with hundreds of picture ideas and activities to help you implement these strategies in your therapy sessions. Check it out for additional inspiration!
  • See my article: Pinterest in Therapy, No Way!

Conclusion

By incorporating pictures into your speech therapy sessions, you can create a dynamic and engaging learning environment. Remember to adapt activities to meet the specific needs of your students and celebrate their successes! 

Let me know your favorite picture resources in the comments below!

Picturing you perfect,

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Hey there, fellow parents and educators! As a Speech-Language Pathologist (SLP), I get to witness the incredible journey of language development in young children every day. It’s truly amazing to see how these little minds grow and learn! In this post, I want to share some tips on nurturing language growth that can help you support this wonderful process.

Here are a few tips to nurture those curious minds and support your child’s language development:

Fuel Their Curiosity: 

Children are born explorers! Follow their interests. If they’re fascinated by bugs, head to the park with a magnifying glass. If they love trains, visit the train station and talk about the sounds and the different types of trains. This not only sparks their curiosity but also strengthens your bond, expands their vocabulary, and broadens their world knowledge.

Consider including them in your own interests (at an age-appropriate level) to show them that conversation and relationships are built on shared experiences and mutual understanding. This is a vital step in promoting communication skills

Connect Through Conversation:

• Give them your full attention: Put down your phone and truly listen to what they have to say. Make eye contact and show genuine interest. This teaches them that their thoughts and feelings are important. They will remember this when they are older, even if it is subconscious. ?
• Answer their questions honestly: It’s okay to say “I don’t know!” This teaches them that learning is a lifelong process. Then, you can hypothesize together and look it up, again teaching them how to make “smart guesses” as well as how to find out information.
• Talk about feelings: Help them understand and label their emotions. Acknowledge their feelings, even if they seem small to you. For example, “I see you’re feeling frustrated because you can’t build the tower.” One phrase I use a lot is “It’s okay to be angry, but it’s not okay to hit.”
• This requires you to dig deep to find the true feeling or reason behind your feeling. So often, we only recognize anger, but in reality it is fear. You aren’t angry because your child didn’t put on their shoes, you are worried that you will be late and the doctor will have to wait on you. And you aren’t angry that your child ran in front of you, but you are scared because your child could have been hurt.

Model Healthy Coping Mechanisms: 

Children learn by observing. Show them how you cope with stress and frustration. It’s okay to say, “I’m feeling overwhelmed right now. I’m going to take a few deep breaths and come back to this later.” Model and cultivate those crucial verbal skills!

Nurture Language Development:

• Play word games: Turn everyday moments into learning opportunities. Play rhyming games in the car, make up silly stories, have an opposite day, categorize items, or play I Spy. I like to play a version of Hedbanz, where the objective is for the other person to guess with as few clues as possible, and the points go to the describer!
• Focus on sounds: Talk about the sounds in words. For example, “Listen to how the ‘s’ sound hisses in ‘snake’.” Talk about how your mouth makes sounds, like “you stick your tongue between your teeth for ‘th’, but it is behind your teeth for ‘s’.” This provides a tactile layer to phonological awareness by helping children connect the sounds they hear with the movements of their mouths. Not only that, it also helps to build a strong foundation for clear speech production, which may support their speech development and potentially reduce the need for future speech therapy.
• Explore the world of print: Point out letters and words everywhere you go – on signs, in books, on food packaging. Talk about the logos of brands your child recognizes, and why the logo fits the brand. For example, “why does McDonald’s have a giant ‘M’ as their sign?”

Make Reading Fun:

• Read together: Even 15 minutes a day can make a significant difference. Use funny voices, point to the words, and talk about the pictures. Make guesses about word meaning, infer character feelings and motivation, predict what might happen next, and connect the story to your child’s own experiences. These interactions not only make reading fun but also strengthen their comprehension, critical thinking, and expressive language skills.
• Use technology wisely: Video read-alouds and interactive reading apps can be valuable tools, especially when you’re short on time or feeling out of energy. The best read-alouds highlight the word as it is written, helping to connect the written word to the spoken word. Even when using technology, make it an interactive experience. Pause the story to ask questions, make predictions, and discuss the story together. Remember to balance screen time with traditional book reading and other hands-on activities.

Take care of health concerns:

• Pay attention to snoring. Snoring is a symptom of an obstruction in the airway that is likely impacting their sleep, which is crucial for brain development and learning. Consult a doctor or dentist if your child regularly snores or breathes through their mouth instead of their nose.
• Vision & hearing screenings – it is vital that your child can see and hear the world around them. Make sure their yearly wellness visits include these important screenings. Hearing loss, even mild hearing loss, can affect their speech, language, and even reading. The earlier it is caught, the less impact it can have. Hearing screening might need to be done more frequently if your child has frequent ear infections.
• Bite and oral posture – things like an overbite, underbite, or tongue thrust can also significantly impact speech. Make sure your child sees a dentist as soon as teeth begin to emerge.

Don’t Wait, Consult an SLP: 

If you have any concerns about your child’s speech, language, or communication, consult with a Speech-Language Pathologist. Early intervention can make a significant difference in supporting those crucial language development years. Even if therapy is not recommended, the SLP can give you tips on how to help at home.

Remember, every child is unique and learns at their own pace. Celebrate their successes, be patient with their challenges, and most importantly, have fun!

By implementing these tips, you’re actively cultivating communication skills and setting your little learners up for lifelong success.

Helpful Links for Boosting Language Learning

• Typical Speech and Language Development – American Speech-Language-Hearing Association
• Ages & Stages – healthychildren.org from the American Academy of Pediatrics
• Handy Handouts – great resource for quick tidbits and tips on speech and language

Best Wishes!

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