Making Therapy Fun

Motivation, Expectation and Structure

Advanced Bionics Web Course June 20, 2006

Mary E. Koch Auditory Education Consultant

Making Therapy Fun Motivation, Expectation and Structure

G*A*M*E!

Make it a

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

*A = activity

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

*M = motivator

*A = activity

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

*M = motivator

*A = activity

*E = evaluation

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

*M = motivator

*A = activity

*E = evaluation

Making Therapy Fun Motivation, Expectation and Structure

of Learning to Listen

Basic Principles

Making Therapy Fun Motivation, Expectation and Structure

Auditory First

Basic Principles

In order to optimize the emerging sense of hearing, it is important to manage visual cues appropriately.

Making Therapy Fun Motivation, Expectation and Structure

Auditory First

Basic Principles

Variety of containers
Containers provide a sense of intrigue and motivation, plus the opportunity to provide auditory information first.

Making Therapy Fun Motivation, Expectation and Structure

Auditory First

Basic Principles

Hide objects or pictures behind the listening hoop.

Hiding Hoop

Making Therapy Fun Motivation, Expectation and Structure

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.

Basic Principles

No Peeking!

Making Therapy Fun Motivation, Expectation and Structure

Basic Principles

Turn taking

Making Therapy Fun Motivation, Expectation and Structure

Basic Principles

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.

Talking Sticks

Making Therapy Fun Motivation, Expectation and Structure

Motivation and Reinforcement

Basic Principles

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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 Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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 Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Magic Window Window

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.)

Kim Kiernan, SLP

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Magic Window Window

Move the opening around the picture, gradually reveal details of picture underneath. Provide descriptions, clues. Reveal picture once the child guesses the identity!

Kim Kiernan, SLP

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Object Race

Play closed set listening game with small toys. Line up choices on race track. Whoever reaches the finish line wins!

Dave Sindrey

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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 Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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 Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Magic Matrix

Dave Sindrey

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Magic Matrix

Dave Sindrey

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Magic Matrix

Dave Sindrey

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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 surprisessome big, some small. Keep child on his toes!

Making Therapy Fun Motivation, 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 Fun Motivation, Expectation and Structure

Auditory Attention
Attending to the presence of sound, either spontaneously or in focused task.

Making Therapy Fun Motivation, Expectation and Structure

The Listening Hoop

Use decals, stickers, appliqus, buttons to dress up and personalize listening hoops.

Auditory Attention

Making Therapy Fun Motivation, Expectation and Structure

Auditory Attention Conditioned Response Activities

Should be: Motivating without being distracting Quick Repeatable

Making Therapy Fun Motivation, Expectation and Structure

Fostering Peripheral Attention

Making Therapy Fun Motivation, Expectation and Structure

Developing peripheral listening peripheral

The ability to:
attend to sound in the environment, process auditory figureground, and respond appropriately.

Auditory Attention

Making Therapy Fun Motivation, Expectation and Structure

Developing Auditory Antennae Antennae

Making Therapy Fun Motivation, Expectation and Structure

Tuning in to the environment

Making Therapy Fun Motivation, Expectation and Structure

Sorting out sound.

Making Therapy Fun Motivation, Expectation and Structure

Developing auditory figure ground. ground.

Making Therapy Fun Motivation, Expectation and Structure

Billy! Come for dinner!

Paying attention to what matters!

Making Therapy Fun Motivation, Expectation and Structure

In the classroom

Sounds for Transitions

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production
la la la

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production
la la la la la la

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production

WASP pictures

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production

Creating nonsense words

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production
Look what I am making for Daggy!

Minimal pairs for speech correction

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production

dy Dad

Minimal pairs for speech correction

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production

Dad

dy

Dagg y

Minimal pairs for speech correction

Making Therapy Fun Motivation, Expectation and Structure

Perception/Production
Puppets may engage the reluctant participant.

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

14395

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

14395 14395

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

3 8 1

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

3 7

68 4 10

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

3 68 4 10 7 9 6 3 5 1

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

Making Therapy Fun Motivation, Expectation and Structure

Sequential Auditory Memory

Making Therapy Fun Motivation, Expectation and Structure

Closed Set Listening Activities

Picture-object sets Picture pairs Barrier games Drawing directions

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Objects for hiding

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Hiding Places

Have child cover eyes. Hide a sticker, paper clip, bingo chip under picture or object.

Hide object/sticker

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

Picture Pairs

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.

Pairs Games

Making Therapy Fun Motivation, Expectation and Structure

Make your own Picture Pairs

Make your own picture pairs using: Stickers Pictures from catalogs (Get 2 copies.

Motivators and Reinforcers

Making Therapy Fun Motivation, Expectation and Structure

Motivators and Reinforcers

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.

Barrier games

Making Therapy Fun Motivation, Expectation and Structure

The ultimate pairs!

Making Therapy Fun Motivation, Expectation and Structure

Integrating Listening and Language

Books with props

Making Therapy Fun Motivation, Expectation and Structure

Language rich (portable!) activities

Making Therapy Fun Motivation, Expectation and Structure

Integrating Listening and Language

Interactive books

Making Therapy Fun Motivation, Expectation and Structure

Therapy Framework:
Structured Expectations Language Content

Making Therapy Fun Motivation, Expectation and Structure

Structured Behavioral Expectations MAXIMUM

Auditory Attention Perception/production Sound-Object Association Sound Listening/language integration

Minimum

Making Therapy Fun Motivation, Expectation and Structure

Language Content
Minimum
Auditory Attention Perception/production Sound-Object Association Sound Listening/language integration

MAXIMUM

Making Therapy Fun Motivation, Expectation and Structure

Behavioral Expectations
Auditory Attention Perception/production Sound-Object Association Sound Listening/language integration

Language Content

Making Therapy Fun Motivation, Expectation and Structure

Shared planning of therapy activities

Making Therapy Fun Motivation, Expectation and Structure

Shared Planning
Providing choices Selecting Activities Sharing the plan for the session Demonstrating progress Reinforcing success

Making Therapy Fun Motivation, Expectation and Structure

Organization of Materials
Language & Listening Sound-Object SoundAssociation Listening Kit and Fiddleys, Fiddleys,

Perception Production Auditory Attention

Making Therapy Fun Motivation, Expectation and Structure

Number Stickies
1
2
4

Making Therapy Fun Motivation, Expectation and Structure

Number Stickies Stickies

1
Auditory Attention Perception/

3 Association
4

Sound-Object SoundListening & Language Int.

2 Production

Making Therapy Fun Motivation, Expectation and Structure

Choices

Auditory Attention

Making Therapy Fun Motivation, Expectation and Structure

Choices

2 Perception

Production

Making Therapy Fun Motivation, Expectation and Structure

Choices

Sound3 Sound-Object Association

Making Therapy Fun Motivation, Expectation and Structure

Choices

Language/Listening Integration

Making Therapy Fun Motivation, Expectation and Structure

THERAPY TIPS:

Flexitivity Flexitivity
Organization of goals and activities while maintaining responsiveness to the energy and moods of the child.

Making Therapy Fun Motivation, Expectation and Structure

Tips for Flex-itivity

Circle Activities: Up and moving Square Activities: At the table
Dave Sindrey

Making Therapy Fun Motivation, Expectation and Structure

Basic Supplies Listening hoops (2) with decorations Play microphone Egg timer Plain paper 3x5 index cards Crayons W ashable markers Pens, pencils Folders Tape
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THERAPY TIPS:

Listening Kit

Record Keeping Rehabilitation History forms Baseline Auditory Skills W *A*S*P assessment forms Therapy notes MAPchecks Phonologic Observation Therapy Observation _______________________ _______________________ _______________________
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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 ________________________
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Distractors and Fiddleys Puppets W ind-ups Bubbles Miscellaneous novelty toys Puzzles Kosh ball Crayons and paper _____________________ _____________________
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Principles and Practices of Cochlear Implant Rehabilitation

From Bringing Sound to Life:

Detection Activities Noise makers Musical instruments Mechanical banks Small pegboards Ball track Large beads & string Connect Four (Travel size)
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Syllable Approximation W *A*S*P objects W *A*S*P cards Nonsense cubes W ord maker activities ____________________ ____________________ ____________________
! ! ! ! ! ! !

Sound-Object Association Picture pairs Object pairs Lotto games Color + object figures Puzzles Picture Bingo Guess Who ________________________
! ! ! ! ! ! ! !

Language & Listening Integration Animals, barn & fence Family & furniture Food & dishes Picture books Story books with props Sequence pictures Cars and trucks _________________________
! ! ! ! ! ! ! !

Making Therapy Fun Motivation, Expectation and Structure

THERAPY TIPS:

Fiddleys Fiddley
Simple, independently engaging activities to provide distraction and down time, and to allow the therapist to converse with parent.

Making Therapy Fun Motivation, Expectation and Structure

Make it a G*A*M*E!

*G = goal

*M = motivator

*A = activity

*E = evaluation

Making Therapy Fun Motivation, Expectation and Structure

Remember
Therapy needs to have structure and specific goals goals

Making Therapy Fun Motivation, Expectation and Structure

but should always have the element of

FUN!

Making Therapy Fun Motivation, Expectation and Structure

but should always have the element of

FUN!

Questions and Comments