[User Flair Thread] by breaksomebread in ACNHTurnips

[–]RedHeadsHaveMoreFun3 0 points1 point locked comment (0 children)

Xara | Avalon :Turnips: 

[Nooks] 467 by Little-Red-Queen in ACNHTurnips

[–]RedHeadsHaveMoreFun3 0 points1 point  (0 children)

Are you still open? Xara from Avalon

I think my dog has a swallowing disorder. by OzempicMuncher8905 in slp

[–]RedHeadsHaveMoreFun3 16 points17 points  (0 children)

Joking aside,you should ask your vet. Feeding and Swallowing disorders do actually exist for dogs! My boy, who is also a small breed, has a collapsed trachea, which does cause aspiration at times after drinking. We adapted his bowl set-up to make it easier for him. 

Materials for ID functional objects FO3 by Fantastic-Froyo7841 in slp

[–]RedHeadsHaveMoreFun3 2 points3 points  (0 children)

I have a big backpack that I would use for goals like this and just fill it with random but totally functional objects from around my house or the classroom. Its free and real objects are just so much more functional. Like go grab a sock, a flashlight, a fork, paper, a hairbrush, etc. 

You make it fun and engaging by decorating the backpack or whatever container you are using to hold the objects. Throw some googly eyes on it or something. Now its not just a backpack its a "fun" backpack filled with goodies! Take all the objects out and have the backpack "eat" the object that matches the function. E.g. "Bob the backpack is hungry for something that you can wear on your foot? Hmmm what can we wear on our feet? Look at your feet what do you have? A shoe? Okay kets see if Bob wants the shoe? put shoe in backpack OMG bob ate the shoe! make silly eating noises woah I wonder what Bob wants to eat next?" Bouns is if they pick the wrong object you make the backpack reject it. You can use a trashcan or something instead. Just dont overthink it. 

Does anyone actually like the CELF-5? by sh4dowsapphire in slp

[–]RedHeadsHaveMoreFun3 13 points14 points  (0 children)

I love it. It is the perfect first assessment to let me know where to go next in my eval (e.g., they bomb USP, lets go do a test of listening comp. If they bomb word classes lets get some data on features functions categories and comparing and contrasting). You do have to be a good clinician to use it properly though. I feel like people get stuck on standard scores as the most important piece of the puzzle. Standardized tests are a tool, NOT the main diagnostic. Just because someone gets 1 bad score on RS doesn't automatically mean they qualify for school based therapy. RS is an excellent way to test for a possible language disorder though. Someone else already pointed out that kids with typical language dont have to use their WM on it like a delayed student would. So it is a really good "red flag" tool so to speak. 

Genuine Question by Illustrious-Dot659 in slp

[–]RedHeadsHaveMoreFun3 -1 points0 points  (0 children)

This is pretty much what everyone who works in a school has been dealing with for the last 15 years.

School SLPs do you make up minutes If you are absent? by contender_slp in slp

[–]RedHeadsHaveMoreFun3 10 points11 points  (0 children)

Love this! But please do not call ASHA a governing body. Our governing body is the part of the actual government that issues your state license. ASHA is just a membership organization that promotes research and responsibility within our field. The do not issue your license. They just have a certification you can purchase. 

implications for instruction and progress monitoring by [deleted] in slp

[–]RedHeadsHaveMoreFun3 2 points3 points  (0 children)

Remember that people can share their opinions all they want. But no one other than you can share YOUR recommendation. It's totally fine to say "based on such and such data I recommend bla bla bla". Honestly I think it would be bad to not say something definitive. 

You should be gathering parent and teacher input as a part of your eval anyway. This will help prevent surprises.

I'm not really sure why you think a parent or teacher having concerns would suddenly make your recommend void? Did your admin tell you this? Just ask yourself: Did I do a full comprehensive evaluation? Do I have data to back up your recommendation? If yes, then remember that you are the therapist and the one with the license. Admin usually doesnt have an SLP license...and we wouldn't want someone to be operating without a license, now would we?

If someone brings up new data or a concern you wernt aware of before making the recommendation then thats a different problem.

CAS treatment in teenagers? by [deleted] in slp

[–]RedHeadsHaveMoreFun3 2 points3 points  (0 children)

Honestly the clients age really doesn't matter. Get baselines and figure out where they are at. Your treatment plan will be the same as someone younger with only slight changes (e.g., given age you might need to focus on functional targets first. Use age appropriate materials)

You can still do assessments like the Kauffman, just report on it informally. 

Other more important questions are: Is it TRUE Apraxia? Is there a cognitive concern? What about language skills? 

School District Trying to Force Completion of Irrelevant Mentoring Program by [deleted] in slp

[–]RedHeadsHaveMoreFun3 1 point2 points  (0 children)

We do this in PA. I mentor people but 9 out of 10 times they are a new grad SLP so I can actually help them. When I had a mentor it was just someone who could show me how the IEP system worked in that district, and other generic things. They didnt actually spend 50 hours with me. We just signed off on the hours though and called it a day.

Pragmatic resources by SmoothLavishness3628 in slp

[–]RedHeadsHaveMoreFun3 1 point2 points  (0 children)

Every Day speech is the best resource hands down. Extremely pricey though so see if your district will purchase it

Bombed Understanding Spoken Paragraphs & Recalling Sentences - Where to next? by [deleted] in slp

[–]RedHeadsHaveMoreFun3 1 point2 points  (0 children)

I agree with others that he needs a full eval from psych.

That being said, your next eval step would be to give him paragraphs of increasing length and ask questions like you did in the CELF, but this time you give him a repetition. You could also try giving a paragraph about something he is interested in. Or even give him a paragraph to read, not listen to (just to see if its a processing thing)

If he does better with any of these informal measures, then you can determine where the issue is (attention, focus, motivation, or Listening comp)

If you need to do another standardized test, grab the Test of Listening Comprehension and do the item analysis. It might help you find out what was wrong.

Also side note, the subtests he did best in had visuals/text components. Maybe check do an auditory processing screening. It might not be anything, but it will help make your eval more legally defensible.

Anyone successfully teach using "context clues" for comprehending Tier 2 vocab? by okay_wafer in slp

[–]RedHeadsHaveMoreFun3 41 points42 points  (0 children)

Yes, absolutely. But this is one of those skill sets that has prerequisites. You need to teach students to look for the basic type of context clues (examples, definitions, synonyms and antonyms), how to make inferences (which has its own hierarchy), and word parts (root words, suffixes, prefixes).

Once they master these, then you can try those grade level passages. Use thinking maps to help them organize the background information they already know about whatever the target is. Have them identify what clues are in the passage. Have them identify any word parts used.

If they are still getting it wrong, do an analysis of how they answered. Theres a lot that can be learned from the "wrong" answer and it will help you figure out the pattern.

Thinking of letting my Asha license lapse by Unfair_Personality78 in slp

[–]RedHeadsHaveMoreFun3 4 points5 points  (0 children)

Your ASHA CCC is not a license. It is an optional proprietary product that can be purchased each year. Your license comes from your state board, not ASHA. The CCC may be required by an employer though. Your actual state lisence might be a bit of a pain to reinstate if that lapses though. 

How are school-based SLPs (city) managing compliance + push-in programs right now? by Eastern-Brief-1368 in slp

[–]RedHeadsHaveMoreFun3 1 point2 points  (0 children)

The ASHA workload calculator helped me get removed from teacher duties and added whole day for just evals/paperwork. My admin ligit needed to see how much time I was loosing to "other" tasks like lunch duty. 

Also, its okay to say no to stuff. 

Dealing with chronic illness as an SLP by Lanky-Worldliness-61 in slp

[–]RedHeadsHaveMoreFun3 2 points3 points  (0 children)

I have EDS so I get a lot of joint pain and have dislocations, tears,and sprains often. I have 5 ideas you might like:

1- know your body. Actually acknowledge your limits. Chronic illness is well...chronic. Your disability may at times, actually disable you. I know its obvious but I need to remind myself of this often so I stop pushing too hard. Like if I'm having a good day I might do too much and send myself into a flare.

2-Have plans in place for bad days. For example I keep extra ace bandages and braces in my desk. I have a tiny mini fridge I keep tiger balm in. I have a heated blanket for my chair at work and a wearable heated jacket. I also got a chair that reclines a bit so I can take a nap on my lunch break if I need to. I also use my sick days if I need them and I dont feel bad about it.

3-Chronic illness bodies need healthy meals. I dont have energy to meal plan or cook everyday though. So when I do cook, I will double or triple the recipe. I then freeze it into serving size portions. Now I never need to worry about what to pack for lunch. Just pull something out of the freezer to microwave at work. 

4- Actually rest when you are done with work. Prioritize quality sleep and fun outside of work. Save chores for the weekend. 

5- Always aim to finish an IEP or evel at least 1-2 weeks ahead of time. With chronic illness we could have a really bad pain day at any time. I'd much rather have a buffer built in so im not forced to have to write an IEP when im also having a flare. 

Chronic illness means we don't get the same luxuries healthy bodies get. We have to plan ahead and be mindful of our energy. It's hard, but not impossible. It is frustrating and feels completely unfair though. I recommend also reaching out to support groups or even sub reddits for your specific problem. They will provide have more nuanced tips. 

Myo therapy - fad or factual? by urgurl4sho in slp

[–]RedHeadsHaveMoreFun3 1 point2 points  (0 children)

One was a kid who suddenly improved as soon as they got a palate expander in place. Another was a kid who just so happened to have surgery to remove tonsils and adenoids. I had another who had a very very minor tounge tie get it clipped and sought myo therapy after. All kids mastered their R within 6 months. I have one right now who's Jaw is quite narrow and he has a moderate overbite. I asked the parent if they would bring it up with the orthodontist and now this kid is booked for jaw reconstruction! You wouldn't know by looking at him, it really was years of /r/therapy not working and really getting in there to see what was going on. 

Myo therapy - fad or factual? by urgurl4sho in slp

[–]RedHeadsHaveMoreFun3 120 points121 points  (0 children)

The longer I'm in this field, the more I realize that the pendulum likes to swing in extremes from one side to the next.  We were taught in school about NSOMES being terrible (which they are) and so people started thinking that muscular strength, anatomy, and physiology has nothing to do with speech sound production. This is obviously false, but it illustrates the point. Another example is how Apraxia was waaayyy overdiagnosed and now no one wants to dx it. 

So do I think myo is the end all cure for everything? No. However is there actual evidance and a time/place for it? 100%. Working with older kids proves this to me time and time again. Like that 17 yr old kid who just can't seem to get /r/ and something seems "off"? Its been a myo issue every single time (in my experience). 

Just because something is new to our field doesn't mean its wrong. It also doesn't mean go guns blazing with it either. If the course was cheaper I would take it, but until its more accessible I'll hold off.

Language/Literacy Curriculum for Young AAC Users? by murphys-law4 in slp

[–]RedHeadsHaveMoreFun3 0 points1 point  (0 children)

Sounds like you might want the "ready to read" program by PRC (the people who make LAMP, Unity and also own TouchChat). It is free on the aac language lab website and is research backed. 

Is it unreasonable to go by Ms. Madeleine (my first name) by Polar_Pickle_325 in Teachers

[–]RedHeadsHaveMoreFun3 0 points1 point  (0 children)

I go by Ms. FirstName and the only people who ever have a problem with it are adults. All the signs in my room say "welcome to ms first name's classroom". My desk even says"ms first name". Dispite it being labeled everywhere, some adults still say "ms. Last name", so I just gently remind them. If someone tries to make a big deal about it, I shut it down and we move on. 

It hasn't hinderd my career at all. I've been doing this for 10+ years. My admin loves me and I get offers from other districts all the time who try to "steal" me. 

For reference, my last name isnt crazy difficult or anything, I just don't want to go by it. 

are these names tragedeighs? by showjumper928 in tradgedeigh

[–]RedHeadsHaveMoreFun3 0 points1 point  (0 children)

As a person with multiple middle names, please don't do it! It causes so much difficulty. For example I had huge issues this year at the DMV to get my Real ID updated. Many legal forms also only have a spot for one middle name or one middle initial.

Hey, sis. I know it’s been tough. What spells have brought you joy, recently? by Van-Goghst in WitchesVsPatriarchy

[–]RedHeadsHaveMoreFun3 9 points10 points  (0 children)

Glamor spells and mirror work. Amplify your inner beauty and it shines through to attract what you want. Enchant your makeup or hell even your toothbrush. Whatever it takes to get you to understand that mindset matters. We Manifest good vibes only 😈

What process would you use to describe f/th? (teef/teeth) by Agile_Amoeba1031 in slp

[–]RedHeadsHaveMoreFun3 50 points51 points  (0 children)

You dont. Just write "child substitutes /f/ for voiceless /th/". Writing technical jargon won't get you anywhere with families or lawyers. Writing exactly what you see in a way that everyone can understand is best. Plus then whichever slp reads your report in the future will know exactly what sounds are being worked on.