Showing posts with label early childhood intervention. Show all posts
Showing posts with label early childhood intervention. Show all posts

Tuesday, June 22, 2010

Hidden Treasures in My Neighbor's Trash

I pride my self in not being a pack rat. In fact, I donate unwanted items to charities on a regular basis. Anyone who knows me well knows I organize everything: my desk at work, my closets in our home, the garage, the kitchen, the kids' toybox, and the list goes on. I've been this way since I was young; I credit my mom who is also a natural organizer. So, it is not a natural instinct for me to tell someone I want to keep what they are throwing away. For me to say that means I must really think it is special! Typically, in my eyes another person's trash is just that, trash!

Today at work (early childhood intervention) the developmental specialist (EIS) who has a desk next to mine was clearing out all of her belongings from her desk shelves and drawers. She is only going to be my co-worker until the end of June, and then she is going into another field of work...sob, sob, sob because I enjoy her company! She won't be working with kids any more, so she has no interest in numerous inservice handouts and journal articles on children with disabilities. Of course I was touched that she saved handouts from my inservices as far back as 2004, until I realized she saves EVERYTHING...not sure she knows we have an industrial sized shredder in the next room over! Yet, I feel like the manuals and journal articles that I rescued from the trashcan were worthy of my reading one day. I took home two inservices manuals that looked particularly interesting; the subject of one is working with infants with auditory impairments and the other is on infants with visual impairments. I started reading the handouts (from 2002) and was impressed with the information except for the "resources" on the back page because many of the listed websites aren't even up on the internet anymore...what a shame! But at least the activities, checklists, and technical explanations are still accurate. But one website was up and running and it linked to all of the state's (USA) schools for the blind. Then, those sites linked to many other sites. If you are like me, you may begin reading one website and then ten minutes later you realized you've clicked on so many links that you aren't even sure where you began. The following link on babies with visual impairments was one of the links that seemed interesting:


http://www.wonderbaby.org/articles/reaching-for-toys.html

Well, I'm off to go get my 3-hole hole puncher and 3" three-ring binder from upstairs so I can file all of these handouts that I consider as "hidden treasures from my neighbor's trash."

Tuesday, January 5, 2010

What Ever Becomes of the Children I Work With?

Recently, I have bumped into families that I had previously worked with. Each time, I recognized the mom first, not the child. And it was just a fluke that I was even in those places, because they weren't stores or times that I would have been typically shopping. It was meant to be that I ran into them! I have been an occupational therapist in this city for 12 1/2 years, so I should expect to be "wow-ed" to see what my young clients have grown into. It is a good thing that I don't forget faces and names very often. However, when I do forget a name, it usually comes back to me after talking to them for awhile.

The most amazing encounter was this young man who is now a teenager; I provided occupational therapy from pre-K through first grade with him. Wow, what a handsome young man he has become. He is now over 6 feet tall! Just think, he was once small enough for me to toss around over a therapy ball! This young man has a diagnosis of cerebral palsy and he continues to walk with a reverse walker. I had hoped that one day he would ambulate without any devices. But I think by watching him walk, his leg muscles are just too tight, especially since he is so tall. Often kids who walk briefly on their own when they are small, can't walk independently once they have grown because of tight tendons. On the happier side, it was nice to see how bright, articulate, and handsome he is!

Three times this past year, I have ran into families that have a child diagnosed with autism. These children that graduated the ECI program I work with at the age of 3 years are now in pre-K or kindergarten. All of them have made amazing progress in either the private or public school programs they have attended. All of them have made massive progress with their language skills, behavior, and attention span. All but one are in a regular education classroom. The one common thing with these families was that they work with their child at home, enroll them in a program while the child is 3-5 years old, and are on "special" diets. This really makes me smile, because when I quit working with children at the age of three years there are so many roads that family and child could go down.

Up intil 2004, I worked primarily in outpatient settings with children birth to 18 years of age. So, I know what children with autism, down syndrome, cerebral palsy, and other developmental disorders look like as babies, children, teenagers, and adults. There is such a wide range of how these children look and function. But once again the common thread of the children who make the most improvement is families who are willing to work with their child...not just take them to a clinic or school and let someone else do all the work. After all, their are seven days in a week which can also be thought of "there are 168 hrs in a week". Even if therapies total 10 hours a week, school totals 40 hours a week, and the child sleeps 70 hours a week, there is still a remainder of 48 hours in the week. What is the child doing during this time? Well, hopefully a little bit of rest and relaxation mixed in with family time in the home and community.

Friday, December 11, 2009

Take Your Child's Therapist Holiday Shopping With You!

Since I work for an early intervention program, I have the luxury of going into the family's natural environment whether it be the home, daycare, relative's home, or the community. The community settings could be anywhere the family naturally goes and where "typically developing infants and toddlers" would go. This could be the library, park, restaurant, or store. I may go into these public places to help figure out some strategies to make the routine more functional for the child and family. So, if the child is scared of the playground at McDonald's, but the family goes there on a weekly basis, then I can justify doing a therapy session at that setting. An occupational therapy visit in the grocery store may be to figure out ways to help the child balance in the front section of the cart. The list goes on and on of ways that I can help the family in the community.

The biggest way I can help this time of year, is to go holiday (AKA Christmas) shopping with the family. Maybe I am going with the child and family because of typical therapy reasons such as helping reduce sensory stimulation, transitions, following directions, balance, etc, etc, etc. But I can also use my expertise and background in "activity analysis" to help the parents pick out appropriate toys for the child. When a child has a developmental delay or medical diagnosis, it is not always so simple to pick out toys. My experience is that families tend to purchase toys that are too easy for the child as opposed to challenging the child.

Toy ideas for a child with ASD (Autism Spectrum Disorder) might be geared toward improving social-emotional, sensory processing, cognition, or language skills. For example, a doll and stroller set or textured formboard puzzles. In comparison, toy ideas for a child who has suffered a stroke (AKA hemiparesis or hemiplegia) might be the ones that encourage both sides of the body to work together such as a ball, t-ball stand, golf set, wagon, tricycle, and Mr. Potato Head (R).

If your child is too old for the local early intervention program because of being over the age of 3 years or if he receives therapy services privately, then see what kind of deal you can make with the professional seeing him. Maybe since insurance wouldn't pay for a shopping trip, you could pay privately. If this is not an option, then maybe the last 20 minutes of the therapy session could be used for the parent and therapist to go to websites for the stores they will shop at (e.g. Target (R), Toys R US (R), Wal-mart, or Amazon (R)), and discuss toy ideas and why they would be good for that child. If that is not an option either, then maybe call the therapist a few days in advance of the therapy session and ask her for a list of toys that would be good for your child to have; not just a generic list of toys, but one that is indivualized to your child.

Don't be afraid to ask! This is my favorite time of year for more than one reason, but one of those reasons is shopping with my clients and their families!