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Wednesday, January 15, 2014

Go-To Early Intervention Naturalistic Strategies

Happy Wednesday! Listed below are a few naturalistic strategies to consider. These are also strategies that I religiously implement into my sessions, and are super easy for me to teach and model to parents in order to facilitate sufficient carryover. Enjoy!! :)

*Environmental Arrangement:

-observe your environment upon your arrival at the home
-make yourself apart of the routine
-pick an activity, present choices that are highly motivating, and begin to play, interact, and engage the family
-make sure to provide explanations for techniques and strategies you are using, ways to illicit responses,  etc.

*Modeling

-be sure to capture the child's attention, using turn taking, hand over hand, motivating toys/objects & activities
-show the child and parent what you want them to do, allow them to imitate you, and continue to practice throughout the session, providing and fading models when necessary
-provide corrective feedback
-expand on responses; ex: the child makes a word approximation for "bear" you could respond "brown bear", or use other descriptors to increase vocabulary and expand on concept knowledge

*Mand-model

-similar to modeling, however, you are being more insistent about being provided with a response
-provide choices "do you want cereal or fruit?" and model and provide verbal prompts/cues "I want_____" or "______ please"
-be consistent and make sure the child knows your expectations, be sure to explain to the parents how to implement this into their routine, and why it is important for communication skills growth

*Time Delay

-model the sound, word, gesture, phrase,  etc. at least 3 times; be sure to wait for a response
-observe the child and ask yourself, "are they engaged?" and "do they understand?"
-when presenting an item, allow the child to make comments or requests, instead of speaking first

***Coaching***

-provide an opportunity for the parent to demonstrate their usual activity and interactions with their child; ask what they would like to see happen
-demonstrate how to make the behavior and/or communication happen & allow them an opportunity to practice
-give direct instruction and feedback
-brainstorm ideas and plan ahead for various trials/test it out
-explain the behaviors, techniques, etc. and how they directly relate to the speech and language goals
-summarize the session, make measurable and reasonable recommendations for the week
-ask for feedback; "was it helpful to you?, what do you need from me?, if you could change something in the therapy session, what would it be?" etc.
-follow up during the next session and be consistent with practice and instruction




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