Kid’s Books that are NOT Just for Kids

GetAttachment-2.aspxI love kid’s lit.  Probably more than adult lit, if I’m being honest.  I’m a self-confessed kids’ book junkie and I get it honestly from my mother.  My kids own an insane amount of books (mostly purchased by my mom) and we visit the library on a regular basis to borrow more books we have yet to read.  Together my kids and I (and their Daddy) have enjoyed daily before bed books since each were old enough to sit in my lap.  We have read every genre of picture books (if picture books even have genres!):  classics, fairytales, nursery rhymes, comedy, books with moral lessons, books that teach safety, books about friendship, mysteries, kiddie graphic novels and so on.

But amongst all the titles we have enjoyed there are a few (hundred) we could read over and over and over again.  Classics, by our standards, that contain humor, silliness and entertainment for both child and parent alike.  I encourage you to hunt up these titles at your local library to enjoy some snuggles and giggles with your little ones.  You won’t regret it 🙂

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Milestone or Modern Convenience Part II: What to do when the convenience becomes a hard habit to break

Lacy recently wrote a blog for Virginia’s Early Intervention Program – specifically geared for therapists that work for that program, but the information is important for clinicians AND parents and caregivers. We have reposted it here but you can find the original HERE.

 

Written by: Lacy Morise, M.S. CCC/SLP

 
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 you are familiar with the pluses and minuses of pacifier and sippy cup use, what about when the parents are ready to help baby “give up” the sucking habit? Again, as the resource for all things infant and toddler, we can suggest the following tried and true strategies.

 
Cut back – When ready to begin weaning, cut back on the time that the pacifier and/or sippy cup is available to the child. If the pacifier has been available to the child all day, every day suggest cutting back its availability to only nap and bedtime. As for the sippy cup, cut back its use to only when the family is out and about. When at home suggest offering the child a straw or open cup in its place.

 
Go cold turkey…if the child is ready – If going cold turkey is the method of choice pass along this wisdom: if the child is not ready, he may find something else to suck on, like a thumb or fingers. However, if ready, this method may work just fine. Suggest that, if going cold turkey, it is a good idea to rid the house (or at least baby’s line of sight) of all pacifiers and/or sippy cups. If they remain in the cabinet or drawer, baby will know and will want them!

 
Provide additional comfort – In preparation of weaning a baby from the pacifier and/or sippy cup, provide him with an additional comfort item. If the child’s only “lovey” is the pacifier or sippy cup, having a back up “lovey” will still allow the child a comfort when his first choice is gone.
Understand that routines may change – Warn your families that routines may change when weaning baby from the pacifier and/or sippy cup, especially if it is used as the child’s primary comfort item. When the pacifier/sippy cup is gone, the child may need assistance with calming, temporarily; swaddling, rocking, singing and some extra cuddles may be necessary until baby learns how to calm himself without the help of his pacifier or sippy cup.

 
Give the pacifier or sippy away to a new baby – Sometimes parents can convince the child to give up these items with some incentive. However, it is suggested that the new baby receiving the child’s old pacifiers/sippy cups not live in the same house. It will be more difficult for the child not to suck on a pacifier if there is one nearby. Some parents are also able to negotiate a trade with their child: “If you leave your pacifier under the Christmas tree, Santa will take it with him and leave you a present!” If the child is ready, this trick is a gem!

 
Some tips to warn parents to not try are:
Never, ever cut the pacifier nipple and give it to the child – Yes, if there is no nipple for the child to latch onto they will be less interested in sucking the pacifier. However, the risk of choking is too great to ever recommend this as a means of pacifier weaning. Pacifiers have to pass what is called a “pull test” during manufacturing. A cut nipple would not pass this pull test and would be deemed as unsafe for a child to have.

 
Do not shame the child for wanting to suck on his pacifier or sippy cup – Toddlers and preschoolers typically do not respond to being shamed into giving up the pacifier or sippy cup. Telling the child that in order to be a “big kid” he must give up his most prized possession may just make him want it more. And who can blame him, who really wants to “grow up” anyway?!

 
Do not recommend putting something that tastes bad on the nipple of the pacifier and/or sippy cup – I have known families to dip the nipple in chili powder to convince their toddler to stop sucking on his pacifier. One sweet little guy I knew still wanted his pacifier so badly that he licked the chili powder off, little by little, chased it with water and eventually got his paci back. Again, this is a case of the parent wanting the child to make the decision to give up the comfort item. Not gonna happen! Sometimes the parent has to be just that and take control.

 
So we wish you good luck as you head into the magical world of the paci and sippy cup. It holds a strong spell on many little ones, but with the right guidance and when our families are ready, we can help them help their children kick the habit!

 
Do you have any suggested weaning methods to add to this list? What would you say to encourage your families to follow through with weaning their child?
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Lacy Morise, M.S. CCC/SLP educates families on the risks involved with over-use of the pacifier and sippy as an early intervention speech-language pathologist in the West Virginia Birth to Three Program. She guiltily confesses to allowing all of her children to abuse the use of the pacifier! She owns Milestones & Miracles, LLC a company devoted to educating families about child development and the importance of PLAY! Check out her website and blog and follow her on Facebook, Pinterest, Twitter and YouTube.

Milestone or Modern Convenience? Part 1: OverUse of the Sippy Cup or Pacifier

Lacy recently wrote a blog for Virginia’s Early Intervention Program – specifically geared for therapists that work for that program, but the information is important for clinicians AND parents and caregivers. We have reposted it here but you can find the original HERE.

 

Written by: Lacy Morise, M.S. CCC/SLP

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 to always have a pacifier (aka mute button) in the baby/toddler’s mouth? Sippy cups are so easy to take along with us everywhere, how can it be harmful if a preschooler continues to exclusively drink from one?
The pacifier is a great thing for infants. It meets a physiological need to suck and allows baby a way to comfort himself. It may reduce the risk of SIDS as it appears to allow baby’s airway to remain more open and prevent baby from falling into a deeper sleep. Not to mention the other fringe benefits like quieting rowdy babes, helping them sleep longer and making outings and car rides more enjoyable for all. It certainly has a “place” in an infant’s world! And the sippy cup is an awesome convenience must-have. Drinks can be toted everywhere with baby/toddler and a sippy’s use means less spills to stain the carpet! Beautiful!
But aside from these benefits, there are risks associated with the over-use of both. Pediatricians and family physicians recommend weaning or stopping pacifier use in the second six months of life. Shocking I know considering how many toddlers we see with pacifiers in their mouths! The sippy cup can be skipped all together if natural development is occurring with no issue. Created for convenience, the sippy cup now has an entire market (and aisle in most stores) devoted to it! However a baby can transition to a straw (as early as 9 months) or open cup just as easily and drinking from both of these IS developmentally appropriate.

 

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As trusted resources on development, it is our job as early interventionists to inform families of both the positives and negatives of (prolonged) sucking. Some points to keep in mind as you discuss these “milestones” with parents and caregivers:
Prolonged sucking on a pacifier puts children at (a higher) risk for misaligned teeth. As those tiny white pearls are erupting, the pressure of the nipple of the pacifier can cause teeth to move around and shift. Also, the pressure can cause their hard palate, the roof of their mouth directly behind the front teeth, to change. It can push the palate forward, again changing the position of the teeth. In his research, J. Poyak concludes, “The greater the longevity and duration of pacifier use, the greater the potential for harmful results.”
A sippy often allows access to drinks all day long for a toddler. Not necessarily a bad thing, depending on what is in the sippy. If it is a sugary drink, the sugar increases the risk of developing cavities. The Medline Plus article titled, “Tooth decay – early childhood” states, “When children sleep or walk around with a bottle or sippy cup in their mouth, sugar coats their teeth for longer periods of time, causing teeth to decay more quickly.” Also, if a sippy is the only way a child gets liquids the developmentally appropriate skills of drinking through a straw and open cup are inhibited.
If children are allowed to have a drink (in a sippy or other cup) all the time, they may fill up on liquids and not eat meals as well, negatively impacting their nutrition. 

 

Although inconsistent, research suggests a relationship between prolonged sucking and speech delays. Barbosa et al. (2009) concluded in their research of 128 Patagonian preschoolers that, “The results suggest extended use of sucking outside of breastfeeding may have detrimental effects on speech development in young children.” When speech sound development is negatively impacted, so is the child’s intelligibility of speech making it difficult for others to understand them.
Sucking on a pacifier increases a child’s risk of developing otitis media (ear infection). The AAP (American Academy of Pediatrics) and AAFP (American Academy of Family Physicians) advocate for limited to no use of the pacifier in the second six months of the child’s life to decrease this risk.
A pacifier or sippy cup that is always in the mouth of a child, even when the child is walking around, puts him/her at a higher risk for mouth injuries. A 2012 study by Dr. Sarah Keim of Nationwide Children’s Hospital in Columbus, found that “a young child is rushed to a hospital every four hours in the U.S. due to an injury from a bottle, sippy cup or pacifier.” When little ones are just learning to walk, doing two things at once requires a bit more coordination than they are capable of!
Besides the physical risks, beyond the age of 1 a stronger emotional attachment to the pacifier (or sippy cup) makes it increasingly difficult for the child to detach. The pacifier/sippy goes from meeting a physiological need during infancy to providing emotional comfort to the toddler when scared, upset or sleepy.
However, it is our job to know and respect the individuality of each child. Therefore it is best practice to reassure parents that we recognize they know their child best. We all want our children to be happy and if using a pacifier and/or sippy is what’s best for them and their family, that is okay. Our job is to inform the families we serve the best we can. Equipping them with knowledge on why prolonged sucking may be detrimental to their child allows the family to make the final call. Education and Support, that’s what we are there for.
Have you ever had the “prolonged sucking” discussion with any of the families you serve? How might you begin this conversation with a family?
Today’s blog is Part I of a two-part series on prolonged sucking and what we can do to educate families about it. Stay tuned for “Part II – What to do When the Convenience Becomes a Hard to Break Habit” next week featuring ideas you can share with families who are ready to wean their child off of the pacifier or sippy!
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References
Barbosa, Clarita, Sandra Vasquez, Mary Parada, Juan Carlos Velez Gonzalez, Chanaye Jackson, N David Yanez, Bizu Gelaye, and Annette Fitzpatrick. “The Relationship of Bottle Feeding and Other Sucking Behaviors with Speech Disorder in Patagonian Preschoolers.” BMC Pediatrics. N.p., n.d. Web. 20 Mar. 2015. http://www.biomedcentral.com/1471-2431/9/66
EG, Gois, HC Rubeiro-Junior, MP Vale, SM Paiva, JM Serra-Negra, ML Ramos-Jorge, and IA Pordeus. “Influence of Nonnutritive Sucking Habits, Breathing Pattern and Adenoid Size on the Development of Malocclusion.” Angle Orthod.4 (2008): 647-54. Print. http://www.ncbi.nlm.nih.gov/pubmed/18302463
Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents (n.d.): n. pag. Web. 18 Mar. 2015. http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf
Hauck, Fern R., MD, MS, Olanrewaju O. Omojokun, MD, and Mir S. Siadaty, MD, MS. “Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis.” PEDIATRICS5 (2005): E716-723. Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis. PEDIATRICS. Web. 17 Mar. 2015. http://pediatrics.aappublications.org/content/116/5/e716
Keim, Sarah A., MA, MS, Erica N. Fletcher, MPH, Megan R.W. Tepoel, MS, and Lara B. McKenzie, PhD, MA. “Injuries Associated With Bottles, Pacifiers, and Sippy Cups in the United States, 1991-2010.” N.p., n.d. Web. 19 Mar. 2015. http://pediatrics.aappublications.org/content/129/6/1104.long
Natale, Ruby, PhD, PsyD. “Risks and Benefits of Pacifiers.” American Family Physician79 (2009): 681-85. – American Family Physician. Web. 18 Mar. 2015. http://www.aafp.org/afp/2009/0415/p681.html
Poyak, J. “Effects of Pacifiers on Early Oral Development.” Int J Orthod Milwaukee4 (2006): 13-6. Print. http://www.ncbi.nlm.nih.gov/pubmed/17256438
Regulatory Summary for Pacifier (n.d.): n. pag. U.S. Consumer Product Safety Commission. Web. 18 Mar. 2015. http://www.cpsc.gov//PageFiles/120645/regsumpacifier.pdf
“Tooth Decay – Early Childhood: MedlinePlus Medical Encyclopedia.” S National Library of Medicine. U.S. National Library of Medicine, n.d. Web. 17 Mar. 2015. http://www.nlm.nih.gov/medlineplus/ency/article/002061.htm
Zardetto, CG, CR Rodrigues, and FM Stefani. “Effects of Different Pacifiers on the Primary Dentition and Oral Myofunction Structures of Preschool Children.” Pediatric Dentistry6 (2002): 552-60. Print. http://www.ncbi.nlm.nih.gov/pubmed/12528948
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Lacy Morise, M.S. CCC/SLP educates families on the risks involved with over-use of the pacifier and sippy as an early intervention speech-language pathologist in the West Virginia Birth to Three Program. She guiltily confesses to allowing all of her children to abuse the use of the pacifier! She owns Milestones & Miracles, LLC a company devoted to educating families about child development and the importance of PLAY! Check out her website and blog and follow her on Facebook, Pinterest, Twitter and YouTube.
Website: www.milestonesandmiracles.com
Blog: www.milestonesandmiraces.com/blog/
Facebook: https://www.facebook.com/milestonesandmiracles
Pinterest: https://www.pinterest.com/milestonesm/
Twitter: https://twitter.com/MilestonesM
YouTube: https://www.youtube.com/watch?v=HmuWPFDcqZ4

Let them fill in the bubbles and JUST MOVE ON – a mother’s call to minimize standardized testing stress

I debated writing this blog.

It’s one of those situations where as a person who blogs (I still can’t publicly call myself a writer) you internally struggle with putting your family and your beliefs out there publicly, because there will likely be strong opinions and comments of all sort in return.

In the end I decided it was worth it.

So here goes…

First I want to say that children and education and parenting and politics can all be sticky topics. And while my husband and I have choices we believe in, I understand and appreciate that yours may differ from mine and I genuinely appreciate that. One thing working in the homes of families for more than 10 years has taught me is that what works for me might be awful for you and vice versa.

There you go. Now on to the important part.

If you, like us, choose public education for your children, then they likely begin the ritual of standardized testing in the 3rd grade. We believe and appreciate as taxpayers and as parents that there needs to be a way to measure accountability and progress for schools. However, we, like many American parents, aren’t super pleased with the job that the current testing process is doing. We have a current 5th grader and current 3rd grader and can say with confidence that the tests our oldest daughter has taken (and done well on)  have never been able to fully assess the incredible progress we and her teachers have seen through the years or more importantly measure the talent or work performance of her stellar teachers.

A bigger problem to us as parents is the pressure associated with the test. Because the schools here in our state (WV) are required to document to the state how they are “preparing kids to take the test” and “letting them know how important the test is,” there are lots of activities, written and verbal interactions, and general overkill (in my opinion) that this test is a big deal. Do you remember pep rallies for a standardized test when you were a kid? How about signs cheering you on? Or multiple letters sent home to your parents reminding you to go to bed early and eat a great breakfast? Yea – me neither. We showed up, got new pencils, filled in the bubbles completely (not half way now – that was the only thing stressed), and went to recess.  Is all the “hype” needed?

We enthusiastically say NO! Why? Because kids naturally know it matters and they will either try their best or they won’t. I’d love to see a study that proves the letters home about the importance of breakfast increases test scores. You know what I know for sure it does increase? TEST STRESS. You know how I know? My 5th grader started sleep walking and mumbling about standardized testing in the 3rd grade. There is nothing creepier than walking up to a zombie eyed kid mumbling about taking a test while hovering over you in bed. Worse yet, my current 3rd grader, spent the night before her first day of testing dry heaving for 90 minutes. That kind of did me in as a Mom. I’m tough, but not that tough.

My husband and I debated (passionately I might add) about what to do. My mom is a long term educator and past principal. I know the school needs test scores. I also know my kid needs to worry about riding her bike an extra 10 minutes vs. vomiting over a test at night. We want to advocate for our children AND their teachers. The question is how to do that? There’s a large “Opt Out” movement currently, with some state superintendents actually encouraging parents to opt out with the reasoning that educators can’t change legislation so maybe data will. I understand that desperate thought process (to be honest it tempts me), but I also know in the short term, right here in my corner of the world, it may hurt my precious school and teachers. So I communicated with my daughter’s teacher, prayed, and in the end she was fine the next day when she realized it wasn’t as bad as she had imagined.

And then I wrote to my elected officials. To be honest, even though I am a very optimistic person, I have little faith this will help, but I did it, because I have to do something. And when I shared it with my best friend (and co-owner of Milestones & Miracles), she immediately said, “Share it on the blog.”

So here it is. Here’s my letter. I know it will likely be met with comments of how others handled it differently or how they opted out of a test or even opted out of public education all together and like I said before, that is ok and to be expected. We choose these schools and this village for our children for many reasons not mentioned here (even with a crummy test).  This letter might not be the best option of how I can advocate for my child, her teachers, and her school, but it is the best I have right now. So it is what I offer until I have something better. I shared it with her principal and thanked her for leading educators who care about my child’s future more than a test score.

To me, the real question is, for those of us who continue to want to access public education for our children, what is the most effective way to support both our children and our schools?

Dear Senator,


I am writing to share my opinion regarding our current education system and state testing policies in WV.

Let me start by sharing that as a daughter of a life long educator (most of those years in WV) and a parent who is beyond pleased with the education and experiences my daughters have received, I am a supporter and believer in public education. I have seen my mother change and inspire countless lives. I have witnessed teachers pouring their talents into my daughters and their classmates and not just caring but putting concern into action with students who are unsafe at home. When I speak of their creative projects, their involvement with the First Lego League, and the personal relationships with school staff that have fostered a deep love of learning for my children, people assume I send my children to private school. I beam with pride when I can correct them by saying my children actually attend public school in one of the poorest states in the country. The teachers and administrators we have encountered here in Berkeley County can and often do bring me to grateful tears.

Today is the first day that my 9 year old will take a standardized test. She is a confident and bright child that does well in school and has never complained about a test, an assignment, or going to school. On the contrary, she cries when she is sick and has to miss school! Last night, she shook, hyperventilated, and dry heaved for 90 minutes before bed – because she is “scared of the test.” This is a child that competed individually at the state gymnastics meet, played a main role in the school play, and speaks at our church in front of hundred of adults without even a mention of nervousness. My confident bright child was physically ill last night…because of a test.

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As I helped her take deep breaths, reassured her she was well prepared, and promised her that this test will have no affect on her future, I became quite frustrated and angry. What are we doing to our children?

I work for a federally and state funded program (as a Physical Therapist for WV Birth To Three) and so I understand the need for accountability. As a taxpayer I expect it. When we force our teachers to give tests that do not test true knowledge, we place them in a hard position. They feel the pressure and without ill-will pass that pressure on to our children. When we require administrators to document what they are doing to “motivate students to try hard/do well on the test,” we create unneeded stress on children. I would be curious to see if this well-meaning requirement actually hinders their scores. I understand that many children in our state do not have parents at home who are prioritizing or supporting education, but I’m not sure pep rallies for tests, signs cheering students on, and notes and constant verbal reminders on what to feed our children and when to put them to bed will solve that. The extra hype creates hysteria for my child and others. I firmly believe if she could come in and take the test with a good ‘ol “do your best” parents would not be seeing these clear signs of anxiety in our children.
As a home provider of early intervention in many of these at risk homes, might I suggest that working to change that culture in the home 365 days a year vs. the week before testing with community and school support that involves families might be more effective? There are better ways to do what needs to be done. If you haven’t read “The Smartest Kids In The World And How They Got That Way” by Amanda Ripley. I strongly encourage you to. It opened my eyes to the countries that are doing great things with fewer resources than we have here in the US.

I also work as a small business owner dedicated to providing educational support to families, reminding them what typical child development looks like (as a nation we are forgetting this), supporting a child’s need and right for free and safe unstructured play, and encouraging movement and sensory based learning experiences. One way my business partner and I do this is by going into schools and providing continuing education on how the young brain learns best and then problem solving ways for teachers to do this while still meeting state standards.

As a business owner I will continue to do this.

As an early intervention therapist I will continue to try to attempt to strengthen WV families and empower them to be involved with their children’s learning from the start.

As a parent, I will continue to advocate for my child and others, pray for their impressionable minds, and reassure my child that her individualized learning can’t be appropriately measured by one current standardized test. I will also support my child’s hard working and underappreciated teachers and administrators.

What will you do?

Respectfully-

Nicole Sergent

Martinsburg, WV

How to Keep REAL Communication a Priority – Tips from ASHA to manage kids’ screen time.

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This post appears HERE on the American Speech Language and Hearing Associations website.   

 

10 Tips for Managing Kids’ Tech Time

 

The average child age 8 and under in the United States uses more than three personal tech devices—such as a tablet, smartphone, or video game console—at home, according to a new poll of parents conducted by the American Speech-Language-Hearing Association (ASHA). With even the youngest kids now “connected” via such technology, it is important to remember to manage tech time so it doesn’t overtake time for talking with children.

 

Talking to children in their first years of life sets them up for future academic success. The easiest and most effective way that children learn is simply by talking. Studies have proven the link between the number and variety of words a child hears and later academic achievement.

 

May is Better Hearing & Speech Month—a time to prioritize communication. Here are 10 tips for parents on how to manage kids’ technology use to keep communication at the forefront.

 

  1. Create tech-free times. Find at least one or two opportunities during the day—at the dinner table, for example—for everyone to disconnect. Mealtime is a prime opportunity for conversation. Make a commitment and have everyone check their devices at the kitchen door.

 

  1. Resist overreliance on technology to pacify boredom. Fifty-five percent of parents worry that they rely on technology too much to keep their child entertained, according to the ASHA poll. Roughly half of parents say that they are using technology as a means to keep kids age 0–3 entertained. Remember that the best opportunities for conversation and learning are often found in situations that may be viewed as boring, such as while running errands or on a long car trip—particularly for the youngest children. While it may be tempting, try to resist the urge to immediately turn to these devices as a source of entertainment.

 

  1. Don’t overestimate the value of educational apps. Children learn best simply through talking, conversing, and reading. Technology is not the best way to teach, though it can reinforce and allow practice of skills under development.

 

  1. Make tech use a group activity. While it is most often used on an individual basis, tech use can be turned into a group activity, such as while playing an online game. Talk about what you’re doing!

 

  1. Consider whether young kids really need their own devices. It is not uncommon for kids to have their own tablets or mp3 players. Many are designed and marketed specifically for kids. This may lead to more time spent alone with technology throughout the day. On the other hand, devices designed for kids often offer additional features that appeal to parents, such as limited (kid-appropriate) content and extra security options, so this is a balance for parents to consider.

 

  1. Set daily time limits. Certain devices can be programmed by parents to shut off after a certain amount of time, but you can also make a child aware of the time limit and keep track yourself.

 

  1. Be consistent in enforcing the parameters you set for tech use. ASHA’s poll found a majority of parents report setting limitations on their children’s tech use. However, the reality of their children’s tech use often doesn’t line up with the set restrictions, by parents’ own accounts. Moreover, adherence often seems to break down at ages 7 or 8 despite the rules parents say they set.

 

  1. Always practice safe listening, especially when using ear buds or headphones. Misuse of this technology can lead to noise-induced hearing loss. Even minor hearing loss takes a significant toll academically, socially, vocationally, and in other ways, so prevent the preventable. Teach kids to keep the volume down (a good guide is half volume) and take listening breaks.

 

  1. Model the tech habits you want your kids to adopt. Practice what you preach when it comes to tech time and safe-listening habits.

 

  1. Learn the signs of communication disorders. This is important for all parents, regardless of their children’s technology use. Early treatment can prevent or reverse many communication disorders. Parents should not wait to see if a child “outgrows” a suspected speech or hearing problem. If you have any question about your child’s speech or hearing, seek an assessment from a speech-language pathologist or audiologist. Learn more at http://Ideorg.

What does READY for Kindergarten really mean?

Yesterday I volunteered at Kindergarten Registration at my daughter’s elementary school.

As I sat there watching the children march from station to station (either proudly or with nudging) with their parents behind them, I had a rush of mixed emotions. I was excited for the journey they are all ready to start at such an incredible place to learn. I couldn’t help myself from sharing, “Do you know you are going to come to the BEST SCHOOL EVER!? Waves of nostalgia passed over me as I remember exactly what my oldest wore to her Kindergarten Registration and how she went from station to station collecting documents and shaking hands like a 5 year old executive. Small pains of sadness and emotional gratefulness were in the mix too – my youngest will leave that incredible nest in a few months. Where has the time gone? I am going to have a child in middle school next year. Virtual hugs accepted.

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A child’s (and a parent’s) first step into an elementary school is a big deal. I know it and I felt it for those parents yesterday. That first impression plays a large role in a parent’s impression and expectations for their child’s school experience. And we all know that our expectations as parents play a large role in our child’s expectations for themselves.

I have to say that our elementary school does a really great job of this. Friendly smiles. Calm voices. Squatting down to greet kids eye to eye. Fun and festive decorations. These professionals got it going on! But this does not surprise me. They do an incredible job day in and day out so it is natural to share their gifts with families on their first special day.

As a pediatric Physical Therapist, I have a genuine interest in development, and through our work with Milestones & Miracles, I’ve become specifically interested and fascinated with the benefits of developmentally appropriate learning through play or hands on/multi-sensory activities with a purpose.  Lacy & I are so passionate about this that we developed a lecture to support schools with the good work they are already doing, with ideas to feed a student’s nervous system with the movement and activities they need to learn.

At the table next to me, was our school’s reading specialist. She is young, fun, and good at what she does. The little girls idolize her and the boys have big time crushes on her. She’s an elementary rock star. She was handing out a booklet yesterday to help parents prepare their children for Kindergarten. It quickly caught my eye because I remembered it. And when I remembered it, I also remembered my feelings absolute panic….WHAAAT? She has to do this BEFORE KINDERGARTEN? She’s not ready? Maybe I should wait a year? Will she ever succeed?

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When it was our turn to step into that school, I’ll admit this list clearly stressed me out. The self imposed challenge of teaching my child all of this information by September overwhelmed me and to be honest I didn’t want to spend our last summer before school stated drilling her to learn to write her name. To my knowledge she wasn’t doing most of these things at 4. She had gone to a play based preschool and we didn’t do worksheets or flashcards at home. (Side note: After she started school a few months later, her new teacher proudly shared she actually DID know/could do these things….shocking my husband and I…and starting the precious trend she has for refusing to learn most things we try to overtly teach her).

In solidarity with those parents coming to collect the list and learning sheets, I had a wonderful conversation with the reading teacher. It went a lot like many of the valued conversations I’ve had with my children’s teachers over the years…teachers know concepts they must share are often presented too early or in a format they don’t feel confident with…but the national trend for education and policy making is what it is. I shared that brain research tells us that children’s brains are often not ready/wired to read until closer to 7 years of age. She confirmed that she sees this often with students she work with. I shared as a parent of a first time student, that list made me nervous.  We both agreed our shared thoughts that expecting them to do things their brain isn’t ready for isn’t exactly fair (please note I am in no way saying a Kindergarten student should not learn, be challenged, be introduced to literature concepts etc. Just that there is a need to recognize ALL kids are biologically ready for site words the instant they turn 5).

The packet also included some great and relevant follow up information that expanded on the list..including helpful and reassuring information that these things did not have to be mastered by the first day of school (I don’t remember this part of the list when I received it?! So glad it was added).

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But in addition to those tips, I think it’s important to share with parents that PLAY BASED learning is still developmentally appropriate for 4 & 5 year olds….and beyond that, it is this type of learning that makes those essential concepts, imperative building blocks for advanced learned, concrete and real and strong. Without fully understanding these early learning concepts, our children don’t have a sturdy foundation. And yes some students prefer pencil and paper (even at 4 years old), but we know that the more senses (including movement) we involve with learning, the more our children will learn.

Experiencing is learning.

Purposeful Play IS learning.

Just because he/she doesn’t come home with a worksheet doesn’t mean learning didn’t occur.

Because we are so passionate about this for children and their parents, and because we have been so fortunate to have a unique and strong relationship in partnering with my daughter’s elementary school, I felt comfortable creating a short resource that could be shared to back up these principles.

And because I’m sharing it with that rock star teacher today, I thought why not share with you?

If you are a teacher, parent, therapist or just anyone interested in the topic feel free to share this document with anyone who might benefit. You have our permission to print it. You can find it by clicking the PDF link at the end of this essay. We only ask that you respect our time in creating it and cite us as the source. It is short and sweet but provides practical suggestions for developmentally play based in context learning for those getting ready for Kindergarten.

We can all work together to make change by advocating for developmentally appropriate learning and advocating for play as an essential need for all children.

Is he/she ready for Kindergarten is a question we will all ask ourselves as parents. We believe that defining what “ready” really means makes it a much easier question to answer. We hope this list helps you do just that.

Kindergaten Here I Come – Ideas To Learn PDF

 

Have an infant or toddler? Want to support them with purposeful play – check out 1-2-3 Just Play With Me! 

COMMUNICATION FOR ALL – How AAC Helps Children Find Their Voice

This post was originally written for Child Guide Magazine. Check out the many resources Child Guide offers as well as this article and others HERE.

 

clairechase

What comes to your mind when you hear the word “communication”? Do you think of talking? That is what most people consider to be communication. But what if you don’t have a voice to talk? Or if when you talk no one can understand what you are saying? How do you communicate then?

 

Speech-language pathologists help those without an audible voice find their “voice” by introducing them to AAC. What is AAC? Augmentative and Alternative Communication (AAC) is just that; other ways, using high or low technology, to communicate. AAC includes something as simple as a head nod to something as high tech as a speech generating device.

 

The American Speech-Language and Hearing Association defines AAC as all forms of communications, other than oral speech, used to express thoughts, needs, wants and ideas. AAC can be aided or unaided. Unaided AAC is using body language, gestures and/or sign language to communicate. Aided AAC is when tools and/or equipment are used, such as pictures and speech devices.

 

Communication is a right of all people and it is the job of a Speech-Language Pathologist to help children access that right in the absence of the ability to speak. But how does one decide which AAC approach is best for the child? There are recommended criteria that typically have to be met for the child to be considered as an AAC candidate.

 

  1. Does the child understand cause and effect? Cause and effect is the foundation of communication; I do something and get something in return. Sometimes cause and effect can be taught using an AAC device.

 

  1. Manual dexterity and fine motor skills. To be able to access sign language as a means of communication the child must have the fine motor skills to perform two-handed signs. Also, to be able to push a button to activate a speech device, the child must be able to control the motor movement of the arm and hand. Tilt switches (a simple head tilt) and eye gaze systems exist to allow children with minimal controlled movement to access AAC.

 

  1. Motivation! The child has to be motivated to communicate to be successful with any type of communication option. A highly desirable reward just might motivate any child to use their AAC!

 

So what does AAC look like for real kids? How does their voice sound? Meet Claire and Ethan, two AAC user success stories!

 

Claire

Claire Elias, daughter of Mark and Melanie Elias of Frederick, Maryland, is an adorably sweet 4-year-old girl. Claire loves the color pink and hugging her stuffed animals. She loves to watch Minnie Mouse and Sophia the First and her best friend is her twin brother, Chase. Claire has an incredibly happy disposition and a smile that lights up a room. Claire uses AAC to express herself. At the age of 2 she began using an iPad with a communication app to request toys and answer yes/no questions. The fine motor movements necessary to operate the iPad proved to be a difficult for Claire. Now she uses a PODD (Pragmatic Organization Dynamic Display ) book to communicate. A PODD book is a picture system that allows Claire to use visual gaze to make requests, ask questions, comment, etc. Claire will be 5 in June and will attend Kindergarten next fall. Her PODD book goes with her everywhere, just like her voice.

 

 

Ethan

Ethan Judd, son of Christy and Jeff Judd of Inwood, WV, is a 6-year-old kindergartener at Bunker Hill Elementary. Ethan has an awesome sense of humor and a determined mindset. His favorite colors are green and orange and he loves, and often wins, playing UNO. Because of his tracheostomy, Ethan was unable to access his voice during his infant, toddler and preschool years. During this time Ethan used a combination of sign language and an iPad with a communication app. Since then Ethan has gained respiratory strength and now mostly relies on his voice to communicate. Sometimes he accompanies his speech with sign language to increase his intelligibility (the clarity of how he is understood). Ethan’s story is an example of how AAC bridged the gap for him until he was strong enough to vocalize. AAC gave Ethan a voice when his wasn’t available to him.

 

Claire and Ethan’s stories are just 2 of many, many AAC success stories. If you know a child who has yet to “find” their voice, contact an SLP close to you to help. Communication is a right of all individuals, no one should be denied!

 

Lacy Morise, M.S. CC/SLP, better known as Miss Lacy, is a Speech-Language Pathologist with the WVBTT and Loudoun County Schools. She is co-owner of Milestones & Miracles, LLC (www.milestonesandmiracles.com), a company dedicated to educating families about the importance of PLAY. She loves to use verbal and nonverbal language approaches to help kids access their right to communicate!

Making New Ways To Play In Dad’s Old Shop

My Dad is a plumber and a contractor. When I was a kid I loved playing in his shop. I used to stack wooden scraps, bang things together, and pretend copper pipe was my wedding band. (Princesses hang in tool shops too).

Today I got to be a bit of a kid in Dad’s shop again and it was so fun!

I have a few “go-to” gifts that I LOVE giving to my “therapy kids” when they turn 3 and are no longer eligible for my services. They are part “graduation” gift and part birthday gift. Every once in a while though, I have a kid who needs something that is specifically made just for them.

It’s nice having a handy Dad when you are a self employed early intervention physical therapist, creatively making things work for therapy visits in the homes of children. Dear Old Dad has helped me out a few times and today was no exception.

Together (well mostly him), we made this fun board for my special guy and I wanted to share.

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I liked it so much I decided “we” needed to make 2 so I could keep one for work too!

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I’ve always admired these boards and while they are very focused on fine motor work, I’ll be able to incorporate them into sitting and standing play…maybe even as a motivator for my little ones who are almost crawling but need a bit more motivation!

So if you are interested in making something like this, I’m happy to share that it was not overly expensive. Total cost was about $20 each.  I basically strolled up and down the aisles of Lowe’s choosing mismatched things that were interesting to turn, twist, flick, or flip. (This made the regulars at Lowe’s a wee bit nervous I think).  That part of easy. I will say if you are going to try it you need someone handy and with a few basic tools (electric drill, small saw, nail gun), which worked out much better than my original plan to glue gun everything down!

Here are some of the items I used.


I can’t wait to gift my special guy with his “one of a kind, made with love by my Dad” creation and to try mine out too. Even more fun that playing with these might be the fun I had playing today in the shop.

Like my ring?

 

board ring

“NO” and “YES”: How to Teach 2 of the Most Powerful Words to Your Toddler(s)

When your toddler begins answering yes/no questions (accurately) sometime between 19-24 months of age it’s like the floodgates of communication open. Especially so if you aren’t getting much other verbal communication from them up until this point. These 2 small words hold much power for your toddler, they finally have a “voice” (or a head nod) that helps them express themselves.  In most any situation a yes/no question can be asked to figure out what your child wants/or what they are upset about to squash the inevitable tantrum. So how can you get your child to understand and express “yes” and “no” sooner? Here’s a few tips I’ve gathered along the way as an SLP and mommy:

 

Read books that prompt your child to answer “yes” or “no”.

Some of my favorite baby/toddler books are series by Karen Katz, Leslie Patricelli and Usborne Touchy-Feely Books. These books are interesting, interactive and fun for young readers. And you can heighten their interest in the book by over-exaggerating your yes/no response and prompting them to imitate you.

 

 

Ask silly yes/no questions for your child to answer.

Grab some real objects, a stuffed bear, a wooden spoon, a toothbrush and begin asking your child if the object is what it is. For example to work on “yes” you would hold up the wooden spoon and ask, “Is this a wooden spoon?” Or to work on answering “no” hold up the wooden spoon and ask, “Is this a ball?” And let the fun and silliness ensue!!

 

Model saying “yes” and “no” and nodding your head.

If you child isn’t ready to say the words “yes” and “no” yet, chances are they still understand what you are asking. So you may need to model saying the word and nodding your head for them to imitate. Sometimes physical prompts are needed to help with shaking their head “no” and“yes.”  And you typically will get a whole body shake for a head nod as it is difficult at this age to move the head independently from the rest of the body. Enjoy it and video it…it’s so cute!

 

Lastly answering yes/no questions is one of the many developmental milestones we highlight in 1-2-3 Just Play With Me. Here is what we have to say about toddlers who ALWAYS answer “no”:

 

“Your child may answer “no” to all yes/no questions, even when he really means “yes.” Don’t worry. This is very typical. To help your child understand the difference and respond appropriately, encourage him to shake his head and repeat “yes” when you know the answer is “yes.”

 

Childhood milestones are a MIRACLE. Answering yes/no questions is just one of those miraculous milestones. Nicole and I enjoy watching this miracle occur in our own children and our therapy “kids”. 1-2-3 Just Play With Me can help you appreciate the miracle of your child by helping you know what to expect next in each stage of development and provide you with ways to help your child grow, learn and PLAY!

Avoiding The Container Shuffle – Our guest blog post from Starfish Therapies

We were super excited to share over at Starfish Therapies last week about something that we are very passionate about! To see the entire original blog post – Avoiding the Container Shuffle – click Here! Thanks Starfish for the opportunity!

 

Guest post by: Nicole M Sergent, MPT

As a new parent, I was there. Giddy excitement over the news of a baby on the way followed by showering love from family and friends in the form of gift, and gifts, and more gifts. At the time I was touched (and am still forever grateful for their generosity) but shortly after the baby came I quickly fell into a routine many new moms do. As a physical therapist, I like to call it, “the container shuffle.”

“The container shuffle” goes something like this. Sleep (crib), eat (highchair), play (exercsaucer), calm down (bouncer seat), sleep (crib), eat (highchair), play (positioning seat), calm down (swing) etc. As a mother, I related to the thoughts many of my patients’ parents have. Everyone buys us all this stuff…and baby likes them and is happy…so why not use them? As a therapist, I’d like to tell you why.

I can’t tell you how many children I have assessed with general motor delays without significant medical histories or orthopedic or neurologic impairments. These babies are very stable in an upright static position. They often even sit really well, without ever rolling, crawling, creeping, kneeling, or standing. After I have carefully assessed to make sure, nothing more significant is going on, I’ll delicately share my diagnosis: CONTAINER SYNDROME.

I realize it is not rocket science but think of it this way. When a baby plays on the floor, he/she has the ability to wiggle, squirm, and move. Each tiny movement that may seem insignificant is actually exercise. They are beautiful diagonally directed movements. And they are needed. Because our moving transitions from one position to another (floor to sit, sit to stand), require that motion. How can we expect a baby to be able to move and explore if we always have them strapped in a container? Research tells us that babies who spend less time on their tummies on the floor, have delayed motor skills in the first year of life.

In addition to the ability to practice motor coordination, allowing a child to play outside of a “container,” has additional benefits. Play on a baby’s tummy, aids in digestion, assists with hand eye coordination, and promotes typical skeletal development. The hips have the ability to develop into a more stable, mature position and the skull, free from pressure from resting against a surface, has freedom to develop typically. Did you know that 20% of all infants now have plagiocephaly (flattened appearance of the head/face)? While free play time may not prevent all of those cases, I believe the increase in “container syndrome,” plays a significant role.

I once attended a continuing education lecture, where the OT speaking suggested that infants should spend 80% of waking hours on the floor. As a therapist, I could see the benefit of this time well spent. As a mother, I felt myself slumping with guilt. My daughters did not spend that much time on their tummies, especially my youngest that had severe acid reflux. A practical balance must exist for families. And while I realize “containers” are helpful with a fussy baby and so that one can actually shower, I recommend promoting floor time throughout the day. I tell the parents of my patients, “If you find yourself going to put your baby down, choose the floor or pack-n-lay first.”

Many of those children I have evaluated that had delays with mobility and transition skills that I felt came from “container syndrome,” ended up catching up to typically expected gross motor milestones in just a few short weeks by allowing more free play time on the floor. It can be argued that it is not rocket science. My mother (and yours) might argue it is common sense and “what we did with you.” But in a commercialized world where more = better, maybe we do need a dash of common sense to help keep our infants happy and healthy as they develop and grow.

Nicole M. Sergent, MPT is a pediatric physical therapist and co-owner of Milestones & Miracles, LLC. She co-authored a unique developmental tool for therapists and parents that pairs detailed development with interactive play skills, called 1-2-3 Just Play With Me. It is available in digital and print and can be found at www.milestonesandmiracles.com, Amazon.com, and select retailers. Follow Milestones and Miracles online for developmental support & fun!