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

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! 

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?

 

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What our kids learn when we butt out…

I saw this the other day and loved it because it is so true.

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My favorite times watching my children play are totally organic. Not lead by me. Not in a group classroom. Not during an activity I’ve signed them up for. Not while doing anything I’ve paid for. Not when they know I have a camera hiding around the corner, hoping they won’t really notice enough to stop their magic.

Why? Because that sort of play is the best brain building kind! It’s the kind that is naturally multisensory, usually socially engaging. and belly laughing, child shrieking fun.  It is THE BEST way to really KNOW my children, because they are worried that an adult watching has expectations. They are free to express themselves at the developmental stage where they are and get all those feelings out, let all those creative ideas flow, and pretend they are whoever they wish to be. Yep, magic.

My favorite thing about social media is seeing the children of my friends and family.  I’ll publicly admit that while my parent friends are fuming and post photos of some huge mess, my mind thinks in the way of the child that made the mess. Maybe this is against the parent pact? Like this doozie from my dear friend Jen (Warrior Mom of 4), who shared this of her child’s “artwork” a few months ago.

 

Jen had just cleaned the couch. She was likely thinking, “Someone is gonna die.” I thought as her son and in my mind said, “I’m learning that this cool address stamper works on things besides paper. And it leaves a mark wherever my hand goes. And that doing this really had my mom engage with me.” Of course my mind also thought “Poor Jen,” and “Been there sister,” and “Rubbing alcohol takes ink out of fabric and toothpaste takes it off tables.” (Parent pack renewed).

As parents, we hear these messages.

“Sign them up, and they’ll learn.”

“Take the class, and they’ll learn.”

“Do the worksheet, and they’ll learn.”

Those messages are so loud at times that the message our gut tells us (that “PLAY BUILDS BRAINS! AND PLAY IS THE BEST TEACHER OF YOUNG KIDS”) is often brought to a whisper. Suddenly, it JUST seems like play instead of the many learning opportunities that go on during play. Instead of the magic.

I believe that if WE as parents, teachers, therapists, child care providers, family members want to turn the tide on the message sent to young children and those that love and care for them regarding play, then we need to start SEEING PLAY THROUGH THEIR EYES. Doing so, will not only make us better at our work, but will change the conversation. It s our job to defend play as a right of children.

I’m not suggesting you let your children color all your walls and furniture. I am suggesting, we consciously set the scene, make supplies available, create safe environments that support creative expression and concrete learning, and then we BUTT OUT (sometimes). More on why – HERE.

Yes, a child needs adults to love to them, read to them, nurture them, comfort them, and play with them. They also need time to play alone and with their peers. I’m also suggesting that when we get the gift of being able to peek in on the magic, we remind ourselves to take a deep breath, look past the mess (briefly), and think, “what is he/she learning?” Yes worksheets or classes led by another adult that we sign up for or pay for are cleaner, safer, and easier (and there are benefits to them as well), but child led, child driven play is the BEST way a young child learns.

As an exercise in this, I started searching for some of my favorite pictures of this sort of magical play and decided to caption them accordingly as a self exercise. Here they are…

 

Will you help us change the conversation for kids?

We’d love to see your photos!  Post them to our Facebook or send through Twitter with the caption “I’m learning…” and the hashtag #playbuildsbrains

For more on why we believe in play and ways to encourage early learning through play using 1-2-3 Just Play With Me take a look around this website!

 

Why Moo, Baa and La La La Matter (and crash, boom and bam too!)

I commonly ask the following question when I enter a home for a new evaluation: “What animal sounds does Johnny make?” Or I might ask, “Does he make any car noises or crashing sounds?” Although I know why I ask those types of questions I recently put myself in the parents’ shoes. The parent who most likely doesn’t have a background in speech and language development and might wonder why on earth it matters if Johnny can say “moo” or “vroom”. After all, our goal is real words here, so what purpose does moo or baa (or la la la) have to do with his ability to talk?

 

Environmental sounds, as they are called in the child development world, matter. They are the first sounds that most children produce, long before true words. They are easier to say and offer children the opportunity for practice in producing sounds and combining them into syllables. Environmental sounds (animal sounds, car noises, crashing noises, etc.) are also how little ones let us know early on that they understand associations between objects/animals and the sounds they make. Also, environmental sounds are repetitive which make them easier for little ones to say. “Moo moo”, “neigh neigh”, “baa baa” are all single syllable, repetitive sounds.  Environmental sounds can be learned and practiced through PLAY; you model the sound for the child and they imitate it. Environmental sounds can also be learned and practiced through books.

 

Sometimes I work with kids who make no or very few environmental sounds. Because production of environmental sounds typically precludes word production I make the following suggestions to the family to encourage development of this skill:

 

  1. Work on the skill of imitation. Your child may not be quite ready for verbal imitation so work on imitating gestures instead. For example, if your child doesn’t imiate the “yuck” sound, stick out your tongue while you say it and they may stick their tongue out too. These gestures associated with sounds will bring about the verbal production sooner!
  2. Expose your child to a new experience related to environmental sounds. When a child can visit the cow on the farm or the lion at the zoo it allows them to make the connection between sound and animal more real and the boost in their receptive language results in more verbal expression. Or visit the construction site to hear the loud trucks and diggers, or take a walk outside and listen to the birds.
  3. Read books that have sounds in them that the child can imitate. When you read be silly, exaggerate the sounds, vary your pitch and volume to grab the child’s attention and make them feel more comfortable in attempting to imitate you.
  4. Reward your child’s attempts of saying any and all sounds. Praise, celebrate and recognize their attempts to make car, animal, and all environmental sounds. When they know they were heard and understood, kids feel more empowered to attempt more communication.

 

As I mentioned before, PLAY affords a child the best opportunity to learn what sounds animals, cars and other toys make. But books can also be an important tool in learning early communication skills. Here are some of my favorites for teaching imitative sounds:

 

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So now you know why those silly sounds are SO important.  Fun to say, even more fun to imitate, environmental sounds play a part in your child’s communication development!  Now that you know, you must feel empowered,  so go “moo, baa and la la la” with confidence! 🙂

 

 

 

Avoiding the label – and why it matters

When I was a graduate physical therapy student at West Virginia University, I was blessed with some incredible professors. I learned from, worked side by side with, was challenged by, and inspired by some amazing professionals that taught my classmates and I about the many basics and specialized area of the practice of physical therapy. This morning, I was thinking about of my favorites. Dr. Mary Beth Mandich was (and is) the chair of the PT department and is a pediatric specialist. She inspired me through the research she did, the collaboration and influence she had on the NICU department at our university’s medical center, and her deep knowledge in many pediatric interventions. And while I remember all of that, it is something different that I remember most about her. Often times, when discussing a case, or teaching, it becomes automatic for a therapist (or other medical professional) to describe the patient by their diagnosis. For example, “I had a 54 year old right hemi,” to describe someone who had a hemiplegic stroke. This was a NO-NO in Dr. Mandich’s code of ethics. I remember her passionately explaining to us, that these people, OUR patients, were people, not diagnoses. She firmly but passionately explained that “that hemi” could be a father, a son, a golfer, a dreamer, a wood maker, a friend, and a sports fan. Labeling them by their diagnosis lessened their individuality and lessened the focus on WHY it was so important for us to do the best job we could to rehabilitate them. When someone would slip and label their patients by diagnosis, Mr. Mandich wouldn’t lecture or belittle us. She, like a seasoned Mom, would give us “the look” until we caught our own mistake and corrected ourselves. That lesson of love has stuck with me for 13 years of practice.

I am married to an occupational therapist. This is helpful when we can support each other with knowledge and experience in out own fields and quirky and weird when we have conversations on the beach about people’s gait deviations as they walk by. Yes, most couples might comment, “Wow, look at those abs!” Brent and I say, “Wow, what an antalgic hip…it needs replaced!” Strange, I know. Anyway, Dr. Mandich’s lesson has even permeated our marriage! When my husband comes home and says, “I had this below knee amputee today,” I now give him “the look,” and he quickly corrects to “I had a man today who had a below knee amputation.” He’s gotten pretty good at avoiding the label over the years himself!

So I was thinking about Dr. Mandich and labels today. Is it human nature to label people? Is it easier for us if we can put them in clearly defined little boxes? I think it might be. We do it all the time, but it doesn’t mean it is a good thing. We label other mothers….”Type A, Anti-vax, homeschooling, drill sargent, stage mom, granola cruncher”…whatever. We do it to professionals in our lives…”the grouchy teacher, the inattentive doctor, the crazy post lady.”  We even do it to our kids! “This one is lazy. That one is high strung.”

Here’s the thing. It’s true that these labels might be ONE describer of an individual (or maybe not). But would you want to be identified by just ONE word? I would not. Especially this morning because it would be GRUMPY!

So here’s my Monday morning challenge to myself…and to you.  When you encounter people this week, anyone from the clerk at Target to your spouse, the child you work with to your own child,  try to avoid the label…even in your mind.  And together let’s see what consciously doing so does to change US!

Need a visual inspiration to do so? I love this one!  Have a great week!

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Print or Digital? Which version is best for you?

From the beginning of our business, we have enjoyed sharing our visions and dreams with you – our friends and family personally, professionally, and those who we have connected with through our shared passion for play as the best way for a child to learn and bond with a parent.

For those reasons and more, we are very excited to share with you the next step in our journey to support those who love and interact with children by truly understanding their development in the early years and encouraging the pairing of it with purposeful play.

We are proud to announce that 1-2-3 Just Play With Me is now available for purchase as an E-book!

To give you a glimpse into why we decided to expand our product to a digital offering and how it can be used, we decided to share with you some questions we are asked repetitively (and some answers too!)

“I love your product, but are you going to make it into an app? E-book? Some digital form? Paper is going to be extinct soon!”

While we both still love the feel of an actual book or product to hold, and the opportunity to give a beautiful gift to someone, we realize that many people prefer a more compact version of 1-2-3 Just Play With Me! We both embrace the qualities of printed work and the convenience of digital work. As soon as we created our product, it was a goal to create a digital version so that we could meet the needs of all customers. We chose an e-book vs. an app because 1-2-3 Just Play With Me has enough information and text that it could be a book, but we wanted the convenience as parents of quickly accessing only the information we needed at a time in card form. The E-book was the best option to present the information digitally in the format we wanted to preserve.

“Which option is best for me? E-book or print version?”

Of course, this is personal preference, but in our opinion, if you are purchasing it for yourself to use with your baby, or as a gift, we recommend the print version. Here’s why. The cards can be physically placed in a useful place like the refrigerator door. This allows you (or another parent or caretaker) the opportunity to focus on only the age/stage where the child currently is, while doing all the other things we do as parents (cook, clean up dishes etc). The cards were purposefully made to be quite durable for these reasons.  Our sturdy, decorative box also makes a lovely addition to a nursery.

We do sell a great number of units to therapists, child care centers, and early childhood professionals. Depending on the professional use, the E-book version may be more practical. For example, Lacy & I both work in early intervention, so we will be loading the E-book on our individual devices to take daily into the homes of the families we serve to use as a quick reference (as a PT, I LOVE this option to reference the areas of development other than my familiar motor area. It allows me to give the parents a comprehensive and appropriate look into which milestones we are working on and how we can tie together goals in several areas of development into a few activities).  The E-book is obviously easier to transport for work purposes than the print version for us, but if you work in a clinic where you want parents to view the cards themselves in a waiting area or interactively with you during therapy sessions or parent conferences, the print version may work best.  Additionally, the eBook version has a table of contents, search engine, and hyperlinks to additional resources that the print version doesn’t have.

“I really like your product. I wish I had it earlier, but my child is 2 years old, so I’m not sure I can justify buying the whole set. Have you considered splitting it up into sections?”

Why yes, we have! We considered this in the early development phases of the print version, but doing so initially would have increased our production costs making it difficult to sell to our customers at a fair price. With the E-book version we were able to meet this request! You can purchase the cards in the first, second, or third year of life separately and each comes with the detailed resource section at the end of 1-2-3 Just Play With Me, including common topics such as potty training, discipline, sleep. sign language, and book and toy recommendations. Simply search for each individual year at the ebook store of your choice!

“I really like the design of the cards. Is that lost in the E-book conversion.”

We do too, so absolutely not! 1-2-3 Just Play With Me is color coded to quickly reference what domain of child development you are looking for and sequentially by age. That was part of our essential original design so we could not lose that in the conversion. In fact, we actually added a table of contents so you can search by age or area and a search engine to look for specific topics and milestones. The only difference is, that in the e-book version, you will not see our colored scalloped borders, but you will still be able to use the color coding system to identify which of the 5 developmental domains you are exploring. The font in the headings of the e-book sections will maintain the same system as the printed cards (red for cognitive, navy for social/emotional, green for gross motor, gray for fine motor, and light blue for speech and language). Here’s a screen shot to give you a sneak preview!

 

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“So how can I find 1-2-3 Just Play With Me digitally?”

We are excited to offer our e-book through Amazon/Kindle, Barnes and Noble/Nook, iTunes.

Simply click the hyperlink above to find the version of your choice and to read a sample.

There you have it. What you need to know about our next step. As with all of our previous steps, we are humbled by your encouragement and support. For reviews of what others are saying check out these reviews and these too! If you share our vision for a world where adults understand what real development looks like and embrace their children through play, will you share with a friend or colleague that might benefit from knowing  about our E-book? Whether you are a paper fan or a digital fan, we know you’ll be a 1-2-3 just Play With Me fan once you experience the detailed developmental information, purposeful and fun play strategies, and practical and unique format we are proud to offer you! Remember you can always order the print version at Amazon, Pro-Ed, and right here at Milestones & Miracles (we’ll happily ship for free and include a gift card for you). You can also visit these lovely spaces that may be local to you to purchase one in person.

WILL YOU HELP US KICK OFF THIS EXCITING NEW ADDITION TO OUR BUSINESS? SIMPLY SHARE THE FACEBOOK ANNOUNCEMENT FROM OUR PAGE AND WE WILL ENTER YOU TO WIN A FREE DIGITAL FULL VERSION OF 1-2-3 JUST PLAY WITH ME! DRAWING WILL BE HELD ON FRIDAY 9.19.14. THANKS!

 

The Question Most ALL Parents Have Had to Answer

IS HE READY FOR KINDERGARTEN?

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It’s a well-intentioned question, rhetorical in a sense because most, if not all, people are expecting you to respond, “Yes!” But what if you answered, “No”? Well, I have and I can tell you it’s not what people expect you to say!

 

My son begins kindergarten in a short 6 weeks. This spring as he finished up preschool several acquaintances asked me the above question. If I didn’t have much time to answer or felt they were just asking to be polite, not really interested in my response, I gave them what they wanted to hear, “Yes, I think he’s ready.” For those that asked with genuine concern in their voice, I answered honestly by saying, “I’m not sure.” Their puzzled expressions begged me to explain myself.

 

Why am I not sure? It’s not that he doesn’t appear prepared or that I don’t think he will be successful. It’s just that I’m not sure he’s “ready” per the kindergarten readiness checklist of most people. Does he know all his letters and their sounds? I don’t know. Is he able to write his first and last names, count to 30 and recognize some sight words? I don’t know. Can he sit for extended periods of times, undistracted enough to complete a structured, academic activity? I don’t know.

 

My son attended 3 preschools between the ages of 2 and 5. The first was very academically structured, the second very traditional and the last (and my most favorite, read why here) teaches children how to think, not what to think. Upon his graduation from preschool, he has matured in ways I didn’t think possible a year ago. I consider his growth and maturation over the past three years as preparedness for kindergarten but by most school systems standards that’s not what constitutes a child being “ready”.

 

I had a very short but impactful conversation with Lisa Murphy, The Ooey Gooey Lady, about my son entering kindergarten. I explained to her I didn’t think he was ready because he couldn’t do X, Y and Z. She looked at me and said, “Well, he shouldn’t. He’s only 4.” She went on to explain that sometimes we just have to trust the natural trajectory of development. Instead of pushing unrealistic expectations on preschoolers, expecting them to perform, act, think and behave like kindergarteners let’s expect of them what’s developmentally appropriate for their age. And trust that when the time is right, when they are developmentally ready, then they will be where they need to be…not too soon, not too late, but just on time.

 

I had that conversation with Lisa in February of 2013. O turned 5 that spring and my husband and I decided we would wait a year on kindergarten and give him one more year of preschool. That decision was quite possibly the best decision we have made for him (aside from our decision to go FEINGOLD)! But I was careful in my decision. Because of my work and research on play and developmentally appropriate age expectations, I didn’t want to send him to preschool 5 mornings a week so that he could get “ready” for kindergarten. He continued attending only 3 mornings a week. After all, if I was giving him another year at home, I didn’t want it to be boot camp for kindergarten; I wanted him to enjoy it and I wanted to enjoy more time with him! And we had a wonderful year! He happily attended school, loved being there, learning and exploring. He also enjoyed his down time at home just playing, just being a 5 year old. I’m so thankful I was able to give that to him.

 

So when people really want me to answer their question, when they have a minute to spare and appear genuinely interested in my answer, I tell them I’m not sure he’s ready by most other people’s standards, but I know he’s going to be okay and figure it out. I trust that when the time comes, when he hops on that bus and waves bye to me, I will be smiling trusting my decisions and the miracle of development that is him. He will be okay and when he needs me, I’ll be here to catch, encourage and support him like I always have been. It’s just another time in his life when he’s going to have to use his SUPERPOWERS to succeed without me.

 

So if you see me and ask me that age-old question, “Is he ready for kindergarten?” Just be prepared to hear my answer… and it may take a while! J

 

 

The Day My Little NINJA Drop Kicked the ANGEL on My Shoulder – MY MESSY BEAUTIFUL

Like so many others my life is MESSY and BEAUTIFUL but I wouldn’t want it any other way.  As a speech-language pathologist I am privileged to serve young children in their homes getting to know their families on an intimate level.  It’s incredibly rewarding to work so closely with those who want to impact their child positively and celebrate every ounce of progress they make.  It is BEAUTIFUL.  And then there are families I work with who are afraid and unwilling to accept their child’s unique challenges, have misinformed and unrealistic expectations for their baby and are dealing with more than just a child with developmental delays, like relationship woes, financial hardships and/or personal illness.  It is MESSY.  But in my 10 years working as an early intervention therapist I have come to love both the MESSY and the BEAUTIFUL.  Because often times in the middle of the MESSY emerges the BEAUTIFUL.  And I am beyond proud to be a part of that!

 

My life as a mom to my 3 children can be somewhat like my work.  BEAUTIFUL are the days I feel confident in my job as their mom, days when everyone is happy, I’ve played with them, everyone is fed and clothed and dinner is made and on the table (somewhat close to dinner time!).  MESSY are the days when I raise my voice too often, days when I feel incompetent, guilty and tired, days when I go to bed at night feeling defeated.

 

The jaws of MESSY about to swallow O and I up!  *Notice the clueless smile on my face!

The jaws of MESSY about to swallow O and I up! *Notice the clueless smile on my face!

 

You know that saying, “You’re preaching to the choir”?  That’s how I feel most days.  Inside my head is the therapist voice saying, “You know they shouldn’t watch more than 2 hours of television a day,” “They need at least 90 minutes of exercise everyday to regulate their sensory system, of course they’re acting up because you didn’t take them outside,” “Why are you yelling, AGAIN, you know that method of discipline isn’t effective”.  The voice that won’t stop!  The voice is like an angel on my shoulder reminding me of what a “good”, well-educated parent should do in each tough situation according to the textbooks.  This voice adds to my guilt and makes me feel my parenting is nothing near BEAUTIFUL but just a hot MESS!

 

My second child, my Owen, challenges me beyond my wildest expectations.  He makes the angel on my shoulder shout even louder, “Why can’t you figure this child out?”  “Where is your expert knowledge now?”  Which in turn makes me feel like I am failing as his mom.  But there came a time in my journey with parenting Owen when even the angel didn’t know what to say.  It was as if my little ninja boy had dropped kicked her right off of my shoulder!  My mommy instincts and my therapist knowledge were both stumped.  With the look of a deer in headlights I thought, “What now?!?!”

 

At my wit’s end, realizing I no longer had any more tricks left in my (parent or therapist) bag I humbly turned to my family, friends and coworkers.  What I saw as only MESSY, my failure to know what to do with my own child, with time and lots of help turned into something BEAUTIFUL.  I struggled to get out of bed, afraid to face another difficult day of battling Owen’s strong will and control seeking behaviors…MESSY.  My coworkers offering their expertise out of the goodness of their hearts, giving me behavior modification and sensory strategies to make our days easier, allowing me to enjoy my son again…. BEAUTIFUL!  Being scared to take on the challenge of beginning a new diet that may or may not help Owen’s behavior, attentiveness and health…MESSY.  Being encouraged by friends that I could do anything for 30 days, council and guidance offered freely by friends who had tried the diet…. BEAUTIFUL!  Navigating the new diet with every outing, birthday party, school and church function so that Owen wouldn’t get anything he shouldn’t have…MESSY.  Owen’s preschool and Sunday school teachers offering to serve snacks that were approved for his diet so that he didn’t feel excluded…BEAUTIFUL!  The guilt that I had messed up and there was no fixing it, that my failure as a mom to my son had ruined him forever…. MESSY.  Kind words from family and friends that we all do the best we can, that we all learn along the way and are forgiven…BEAUTIFUL!   Taking the chance, putting in the extra time to consult with others, the effort required to follow through with suggestions, the headache of staying strictly on the diet to test its effectiveness…hard and MESSY.  The fact that all our hard work paid off, our family has less stress as a whole, and I have been given the unexpected opportunity to personally relate to other moms….ABSOLUTELY BEAUTIFUL!

 

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BEAUTIFUL!

 

In the BEAUTIFUL MESS of my life as both a mom and a therapist I have learned over and over again that we are all in this together, that we all belong to one another, and together we can do hard things.  It was difficult for me to share with others my struggles with figuring out my own kid despite my education and training as an early intervention therapist.  I feared judgment; I felt like exposing my MESS would make me look like a failure as both a mom and a professional.  But once I began putting myself out there to ask and accept help, once the feeling of vulnerability melted away, I felt proud, honest, authentic and more at peace.  Feeling alone, denying yourself the opportunity to be helped by others, pretending to be something you’re not feels MESSY.  Reaching out, accepting help and forgiving yourself feels BEATIFUL.  My hope and prayer is that my confession of my MESSY BEAUTIFUL life will inspire others to embrace their own MESSY BEAUTIFUL life.  That they too will forgive themselves enough to see that from the MESS comes something BEATIFUL if they will only give it a chance.

 

My BEAUTIFUL MESS!

My BEAUTIFUL MESS!

 

This essay and I are part of the Messy, Beautiful Warrior Project — To learn more and join us, CLICK HERE! And to learn about the New York Times Bestselling Memoir Carry On Warrior: The Power of Embracing Your Messy, Beautiful Life, just released in paperback, CLICK HERE!

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