Making Therapy Fun Making Therapy Fun Making Therapy Fun Motivation, Expectation and Motivation, Expectation and Structure Structure Advanced Bionics Web Course June 20, 2006 Mary E. Koch Auditory Education Consultant Making Therapy Fun Motivation, Expectation and Structure G G * * A A * * M M * * E! E! Make it a Make it a Making Therapy Fun Motivation, Expectation and Structure *G = = goal goal Make it a Make it a G G * * A A * * M M * * E E ! !
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Making Therapy FunMaking Therapy FunMaking Therapy FunMotivation, Expectation and Motivation, Expectation and
StructureStructure
Advanced Bionics Web CourseJune 20, 2006
Mary E. KochAuditory Education Consultant
Making Therapy FunMotivation, Expectation and Structure
GG**AA**MM**E!E!Make it a Make it a
Making Therapy FunMotivation, Expectation and Structure
**GG = = goalgoalMake it aMake it a GG**AA**MM**EE!!
2
Making Therapy FunMotivation, Expectation and Structure
**AA == activityactivity
**GG = = goalgoalMake it aMake it a GG**AA**MM**EE!!
Making Therapy FunMotivation, Expectation and Structure
**AA == activityactivity
**GG = = goalgoal
**MM == motivatormotivator
Make it aMake it a GG**AA**MM**EE!!
Making Therapy FunMotivation, Expectation and Structure
**AA == activityactivity
**GG = = goalgoal
**MM == motivatormotivator
**EE == evaluationevaluation
Make it aMake it a GG**AA**MM**EE!!
3
Making Therapy FunMotivation, Expectation and Structure
**AA == activityactivity
**GG = = goalgoal
**MM == motivatormotivator
**EE == evaluationevaluation
Make it aMake it a GG**AA**MM**EE!!
Making Therapy FunMotivation, Expectation and Structure
Basic Principles Basic Principles of Learning to Listenof Learning to Listen
Making Therapy FunMotivation, Expectation and Structure
Basic PrinciplesBasic PrinciplesAuditory First Auditory First
In order to optimize the emerging sense of hearing, it is important to manage visual cues appropriately.
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Making Therapy FunMotivation, Expectation and Structure
Variety of containers
Basic PrinciplesBasic PrinciplesAuditory First Auditory First
Containers provide a sense of intrigue and motivation, plus the opportunity to provide auditory information first.
Making Therapy FunMotivation, Expectation and Structure
Hiding Hoop
Basic PrinciplesBasic PrinciplesAuditory First Auditory First
Hide objects or pictures behind the listening hoop.
Making Therapy FunMotivation, Expectation and Structure
No Peeking!
Basic PrinciplesBasic PrinciplesAuditory First Auditory First
It is a losing battle to ask a child to “close your eyes,”and not have them peek.
Try covering their eyes with a folder.
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Making Therapy FunMotivation, Expectation and Structure
Basic PrinciplesBasic PrinciplesTurn taking Turn taking
Making Therapy FunMotivation, Expectation and Structure
“Talking Sticks”
Basic PrinciplesBasic PrinciplesTurn taking Turn taking
Be sure you place balanced emphasis on receptive/listening and expressive/speaking in all of your activities.
Passing a “talking stick,”microphone or listening hoop will help remind you.
Making Therapy FunMotivation, Expectation and Structure
Basic PrinciplesBasic PrinciplesMotivation and Reinforcement Motivation and Reinforcement
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Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersHidden Puzzles Hidden Puzzles
Take a picture from a magazine or coloring book.
Cut it into 3-8 simple pieces.
Do not show the picture to the child.
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersHidden Puzzles Hidden Puzzles
Hide a piece of the puzzle under the card that you want the child to find.
Repeat until the puzzle is complete.
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersFloat your boat Float your boat
• Fill a bowl with water.• Float a plastic lid or
bubble wrap.• Each time a child gets an
answer right, he places a penny on the float.
• See how many pennies you can place before it sinks!
D. Sindrey
7
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcers““Magic WindowMagic Window””
Kim Kiernan, SLP
Cut a simple shape in the center of a folder. (Laminate if desired.)
Place a picture under the folder. (Do not let child see picture.)
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcers““Magic WindowMagic Window””
Kim Kiernan, SLP
Move the opening around the picture, gradually reveal details of picture underneath.
Provide descriptions, clues.
Reveal picture once the child guesses the identity!
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersObject Race Object Race
Play closed set listening game with small toys.
Line up choices on “race track.”
Whoever reaches the finish line wins!
Dave Sindrey
8
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersEgg Surprise Egg Surprise
• Place treat in one egg.• Place all eggs on table.• Each time child gets
“correct answer,” s/he opens an egg
Kim Kiernan, SLP
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersPay Up! Pay Up!
• List value of activities.• When child successfully
answers question, makes choice or completes activity, Pay Up!
• Cash in for a treat at the end of the session.
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersMagic Matrix Magic Matrix
Dave Sindrey
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Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersMagic Matrix Magic Matrix
Dave Sindrey
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersMagic Matrix Magic Matrix
Dave Sindrey
Making Therapy FunMotivation, Expectation and Structure
Motivators and Motivators and ReinforcersReinforcersSurprise Box Surprise Box
•Select special box
•Gather variety of treats—stickers, small toys, gum, candy. “gift certificates,”
•Place “surprise” in box
•At the end of the session, child gets surprise.
HINT: Vary surprises—some “big”, some small. Keep child on his toes!
10
Making Therapy FunMotivation, Expectation and Structure
Learning to Listen Overview:Activities for Structured Listening
• Auditory Attention • Perception/Production• Auditory Memory • Sound-Object Association• Listening and Language Integration
From Bringing Sound to Life
Making Therapy FunMotivation, Expectation and Structure
Auditory AttentionAuditory Attention
• Attending to the presence of sound, either spontaneously or in focused task.
Making Therapy FunMotivation, Expectation and Structure
Auditory AttentionAuditory AttentionThe Listening Hoop The Listening Hoop
Use decals, stickers, appliqués, buttons to dress up and personalize listening hoops.
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Making Therapy FunMotivation, Expectation and Structure
Auditory AttentionAuditory AttentionConditioned Response ActivitiesConditioned Response Activities
Should be:• Motivating without
being distracting• Quick• Repeatable
Making Therapy FunMotivation, Expectation and Structure
Fostering Peripheral AttentionFostering Peripheral Attention
Making Therapy FunMotivation, Expectation and Structure
Auditory AttentionAuditory AttentionDeveloping Developing ““peripheralperipheral”” listening listening
The ability to:– attend to sound in the
environment, – process auditory figure-
ground, and – respond appropriately.
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Making Therapy FunMotivation, Expectation and Structure
Developing Auditory Developing Auditory ““AntennaeAntennae””
Making Therapy FunMotivation, Expectation and Structure
Tuning in to the environmentTuning in to the environment
Making Therapy FunMotivation, Expectation and Structure
Sorting out sound.Sorting out sound.
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Making Therapy FunMotivation, Expectation and Structure
Developing auditory Developing auditory ““figure ground.figure ground.””
Making Therapy FunMotivation, Expectation and Structure
Paying attention to what matters!Paying attention to what matters!
Billy!Come for dinner!
Making Therapy FunMotivation, Expectation and Structure
Sounds for Transitions Sounds for Transitions
In the classroom
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Making Therapy FunMotivation, Expectation and Structure
la la lala lala
Perception/ProductionPerception/Production
Making Therapy FunMotivation, Expectation and Structure
la la lala lala
la la lala lala
Perception/ProductionPerception/Production
Making Therapy FunMotivation, Expectation and Structure
Perception/ProductionPerception/Production
WASP pictures
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Making Therapy FunMotivation, Expectation and Structure
Perception/ProductionPerception/Production
Creating nonsense words
Making Therapy FunMotivation, Expectation and Structure
Look what I am making for Daggy!
Minimal pairs for speech correction
Perception/ProductionPerception/Production
Making Therapy FunMotivation, Expectation and Structure
Minimal pairs for speech correction
Daddy
Perception/ProductionPerception/Production
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Making Therapy FunMotivation, Expectation and Structure
Minimal pairs for speech correction
DaggyDaddy
Perception/ProductionPerception/Production
Making Therapy FunMotivation, Expectation and Structure
Puppets may Puppets may engage the engage the reluctant reluctant
participant.participant.
Perception/ProductionPerception/Production
Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
1 4 3 9 51 4 3 9 5
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Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
1 4 3 9 51 4 3 9 5
1 4 3 9 51 4 3 9 5
Making Therapy FunMotivation, Expectation and Structure
33 1188Sequential Auditory MemorySequential Auditory Memory
Making Therapy FunMotivation, Expectation and Structure
33 118877 0066 44
Sequential Auditory MemorySequential Auditory Memory
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Making Therapy FunMotivation, Expectation and Structure
33 118877 0066 4411 5599 3366
Sequential Auditory MemorySequential Auditory Memory
Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
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Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
Making Therapy FunMotivation, Expectation and Structure
Sequential Auditory MemorySequential Auditory Memory
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Making Therapy FunMotivation, Expectation and Structure
Closed Set Listening ActivitiesClosed Set Listening Activities
– Picture-object sets– Picture pairs– Barrier games– Drawing directions
Making Therapy FunMotivation, Expectation and Structure
Motivators and Reinforcers
Objects for hiding
Making Therapy FunMotivation, Expectation and Structure
Motivators and ReinforcersHiding Places
Hide object/sticker
• Have child cover eyes.• Hide a sticker, paper
clip, bingo chip under picture or object.
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Making Therapy FunMotivation, Expectation and Structure
Motivators and ReinforcersPicture Pairs
Pairs Games
•Place one of each card face up.
•Place stack of matched cards face down in a pile.
•Pick one card from pile.
•Take turns finding match.
Making Therapy FunMotivation, Expectation and Structure
Motivators and ReinforcersMake your own Picture Pairs
Make your own picture pairs using:
•Stickers
•Pictures from catalogs (Get 2 copies.
Making Therapy FunMotivation, Expectation and Structure
Barrier games
Gather pairs of anything! (pictures, small objects from junk drawer, household items, found items from a nature walk, lots of stuff from the Dollar Store. (2 bucks and you have a set!)
Separate sets, place one of each object in a zip loc bag. (For larger items, use pillow cases.)
Give one set to child, Keep one.
Take turns setting up choices.
Raise barrier to see if they match.
Motivators and Reinforcers
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Making Therapy FunMotivation, Expectation and Structure
The ultimate “pairs!”
Making Therapy FunMotivation, Expectation and Structure
Integrating Listening and Language
Books with props
Making Therapy FunMotivation, Expectation and Structure
Language rich (portable!) activities
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Making Therapy FunMotivation, Expectation and Structure
Interactive books
Integrating Listening and Language
Making Therapy FunMotivation, Expectation and Structure
Therapy Framework:Therapy Framework:
••Structured ExpectationsStructured Expectations
••Language ContentLanguage Content
Making Therapy FunMotivation, Expectation and Structure
MAXIMUMMAXIMUM
Structured Behavioral ExpectationsStructured Behavioral Expectations
MinimumMinimum
•• Auditory AttentionAuditory Attention
•• Perception/productionPerception/production
•• SoundSound--Object AssociationObject Association
•• Listening/language integrationListening/language integration
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Making Therapy FunMotivation, Expectation and Structure
MAXIMUMMAXIMUM
Language ContentLanguage Content
MinimumMinimum
•• Auditory AttentionAuditory Attention
•• Perception/productionPerception/production
•• SoundSound--Object AssociationObject Association
•• Listening/language integrationListening/language integration
Making Therapy FunMotivation, Expectation and Structure
•• Auditory AttentionAuditory Attention
•• Perception/productionPerception/production
•• SoundSound--Object AssociationObject Association
•• Listening/language integrationListening/language integration
Behavioral ExpectationsBehavioral Expectations
Language Content Language Content
Making Therapy FunMotivation, Expectation and Structure
Shared planning of Shared planning of therapy activitiestherapy activities
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Making Therapy FunMotivation, Expectation and Structure
Shared PlanningShared Planning• Providing choices • Selecting Activities• Sharing the “plan” for the session• Demonstrating progress• Reinforcing success
Making Therapy FunMotivation, Expectation and Structure
Organization of MaterialsOrganization of Materials
Perception Perception ProductionProduction
Auditory Auditory AttentionAttention
Language & Language & ListeningListening
SoundSound--Object Object AssociationAssociation
Listening Kit Listening Kit and and FiddleysFiddleys, ,
Making Therapy FunMotivation, Expectation and Structure
Number Number ““StickiesStickies””
11
22 33
44
26
Making Therapy FunMotivation, Expectation and Structure
Number Number ““StickiesStickies””
44
33
22
11 Auditory Auditory AttentionAttention
Perception/Perception/ProductionProduction
Listening & Listening & Language Int.Language Int.
SoundSound--Object Object AssociationAssociation
Making Therapy FunMotivation, Expectation and Structure
ChoicesChoices
11 Auditory Auditory AttentionAttention
Making Therapy FunMotivation, Expectation and Structure
ChoicesChoices
22 Perception Perception ProductionProduction
27
Making Therapy FunMotivation, Expectation and Structure
ChoicesChoices
33 SoundSound--Object Object AssociationAssociation
Making Therapy FunMotivation, Expectation and Structure
ChoicesChoices
44 Language/Listening Language/Listening IntegrationIntegration
Making Therapy FunMotivation, Expectation and Structure
Organization of goals and activities while maintaining
responsiveness to the energy and moods of the child.
THERAPY TIPS:
““FlexitivityFlexitivity””
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Making Therapy FunMotivation, Expectation and Structure
Tips for Tips for ““FlexFlex--itivityitivity””
“Circle” Activities: Up and moving
“Square” Activities: At the table
Dave Sindrey
Making Therapy FunMotivation, Expectation and Structure
THERAPY TIPS:
Listening KitListening Kit
Language & Listening Integration!Animals, barn & fence!Family & furniture!Food & dishes!Picture books!Story books with props!Sequence pictures!Cars and trucks!_________________________
Sound-Object Association!Picture pairs!Object pairs !Lotto games!Color + object figures!Puzzles !Picture Bingo!“Guess Who”!________________________
Syllable Approximation!W*A*S*P objects!W*A*S*P cards!Nonsense cubes!Word maker activities!____________________!____________________!____________________
Detection Activities!Noise makers!Musical instruments!Mechanical banks !Small pegboards!Ball track!Large beads & string!“Connect Four” (Travel size)
“Distractors and “Fiddleys”!Puppets !Wind-ups!Bubbles!Miscellaneous novelty toys!Puzzles!Kosh ball!Crayons and paper!_____________________!_____________________
Motivators & Reinforcers!Variety of containers (bags, boxes)!“Mailbox”!Barrier box!Stickers (small and large)!Play money!Flashlight!Magnets, paper clips & chips!“Troll in a Bowl” reinforcers!________________________
Record Keeping!Rehabilitation History forms!Baseline Auditory Skills!W*A*S*P assessment forms!Therapy notes!MAPchecks!Phonologic Observation !Therapy Observation!_______________________!_______________________!_______________________
Basic Supplies!Listening hoops (2) with decorations!Play microphone!Egg timer!Plain paper!3x5 index cards!Crayons !Washable markers!Pens, pencils!Folders!Tape
From Bringing Sound to Life: Principles and Practices of Cochlear Implant Rehabilitation
Making Therapy FunMotivation, Expectation and Structure
•Simple, independently engaging activities to provide distraction and distraction and down time, and to allow down time, and to allow the therapist to the therapist to converse with parent.converse with parent.
THERAPY TIPS:
““FiddleyFiddley’’ss””
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Making Therapy FunMotivation, Expectation and Structure
**AA == activityactivity
**GG = = goalgoal
**MM == motivatormotivator
**EE == evaluationevaluation
Make it aMake it a GG**AA**MM**EE!!
Making Therapy FunMotivation, Expectation and Structure
RememberRemember……Therapy Therapy needs to have needs to have structure and structure and specific specific goalsgoals……
Making Therapy FunMotivation, Expectation and Structure
but should but should always have the always have the
element of element of FUN!FUN!
30
Making Therapy FunMotivation, Expectation and Structure
but should but should always have the always have the
element of element of FUN!FUN!
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Questions and Questions and CommentsComments
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