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Traveling With a Child Who Has Autism

The word “travel” can bring a sense of excitement and joy, because you are going on a vacation or to visit relatives or to explore something new. However, the word “travel” can also bring feelings of anxiety or stress. Blog-Traveling-with-Autism-Main-Landscape

Traveling with a child with autism spectrum disorder (ASD) can seem overwhelming, especially when it comes to flying.

Here are some tips that can help a family prepare for flying with a child on the autism spectrum:

  1. Call the airport prior to your travel date and see if you can schedule a “trial run” to acclimate your child to the surroundings. During one of my therapy sessions I took a child to O’Hare with his parents to prepare for the many transitions involved in navigating an airport. We were able to start from the beginning of pulling up to the parking lot, riding the train and walking up to the security desk. We took pictures of each step so the child had a schedule and felt comfortable the day of the flight. Many large airports have guides to assist families with special needs children through the airport experience. Call to find out how to set up a guide for your family on your travel day.
  2. Provide your child with a schedule of “what’s going to happen, once you are on the airplane.” Make your child aware of what boarding the airplane will look like, what your seat number will be, what waiting for the plane to take off is like, the pre-flight security guidelines, take off and what to do during the plane ride.
  3. Have your child help plan activities during the plane ride. Bring favorite toys and games to help keep your child occupied.
  4. Have your child watch videos and listen to sounds of the airplanes. This is especially important for those kiddos who are sensory avoiding. Prepare your child for all the sensations he or she may experience on the airplane including the noise, ears popping, the vibration of the plane, what the seats will look like, what standing and going to the bathroom may feel like, etc.
  5. Finally, prepare your child for what happens when the plane lands and collecting your luggage.

Talk to your therapists and ask them to participate in the planning process. Talking about the process a few sessions before the travel date can instill confidence and help eliminate fear. Call the airports that you are flying in and out of for any resources and help available for your family.

Lastly, enjoy the vacation!

Check out these valuable resources for popular vacation spots and how they accommodate families:

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140.

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Parenting vs. Technology: Helpful Strategies to Combat Electronic Overload

Chromebooks, iPads, Nooks, oh my! It would not be surprising if your child has access to more than one piece of technology in your home. With that said, the struggle to balance technology needs for school with the games and activities that take over your child’s night and weekends is real. BlogParents-vs-Technology-Main-Landscape

Although it may be frustrating to accept that technology is not going away, it’s important to recognize these moments as learning opportunities and a way to become a more creative parent.

Below are some helpful strategies to implement when combating technology:

Reward Responsibility – Create a system in which your child can earn ‘technology minutes’ for completing chores. Similarly to earning an allowance, this can be a great way to get your child more active in helping around the house.

Limit Bingeing Behaviors – Allowing your child to play on technology for multiple hours at a time on the weekend will likely make shorter episodes more difficult to transition out of. When your child has more time available, limit play to 30 minute or 1 hour increments, with other family activities in between.

Practice Transitions – Turning off the iPad, Xbox, or computer is a great opportunity to practice transitions. Provide your child with time warnings, clarify expectations, and work with your child to plan for the next opportunity to use electronics. Remotely turning off the family Wi-Fi can also be a helpful way for children to recognize that their time is up.

Become a Minecraft (or fill in the blank of which game your kiddo likes) expert! – Many of the games and activities your child plays can be a great way for you to spend quality time with your child in “their world.” Ask questions about the games. Read up on the latest news. Show interest and join in!

NSPT offers services in Bucktown, Evanston, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140.

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Help! My Child is Wetting the Bed

Wetting the bed is a very common issue that occurs with many children. Below are some preventative and reactive strategies to help decrease bed wetting from occurring. Blog-Wetting the Bed-Main-Portrait

Preventative Strategies for Wetting the Bed

Liquid Intake

It is important for children to drink liquid throughout the day to stay hydrated, but it is best to stop drinking liquids before bed time. This may prevent the bladder from having to be emptied while the child is asleep.

Bathroom Schedule

Scheduled bathroom breaks help empty the bladder when it may need to be emptied. Many times when children are engaged in a preferred activity they choose to not use the bathroom when it is needed. Bathroom breaks/schedules throughout the day can prevent other issues like infection or wetting pants during other parts of the day. Using the bathroom multiple times or at least one time right before bed may help the child from needing to empty the bladder while he or she is sleeping. Parents can also wake their children up when they are getting ready for bed and have them use the restroom one more time.

Reactive Strategies for Wetting the Bed

Waterproof bedding

When a child does wet the bed, use waterproof bedding, blankets, and padding to prevent any damage to mattress. Clean up will also be easier.

Alarms

Sometimes children are in such a deep sleep that the signal of wetting the bed does not wake them up. There are alarms that can be bought to help signal/wake the child when he or she needs to use the bathroom in the middle of the night.

Open Communication

It is important to not embarrass your children or make them feel bad when they wet the bed. This can be a sensitive topic and it is important for open communication and to make you child feel comfortable when it happens.

NSPT offers services in Bucktown, Evanston, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140.

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Help for Defiance

Life can already be busy enough making sure your child gets through all of the tasks he or she needs each day. The last thing you need is your child refusing to follow directions. Here are some proactive and reactive strategies for when you need help with defiance. Blog-Defiance-Help-Main-Portrait

Preventative Strategies for Defiance

Clear Directions/Expectations

When asking your child to complete a task, make sure you are crystal clear with the directions. For example, if you ask your child to clean their room, your child may go pick up their clothes off of the floor and then say they are all done. When you go to check the room you say, “Your room is not clean.” This may cause an argument/conflict. To your child, a clean room means there are no clothes on the ground. To you, a clean room is a made bed, clothes folded and put away, and a clean desk. Clearly state your expectations to leave no room for confusion and make success more achievable for your child.

Offer Choices

Sometimes, your child may get overwhelmed and become defiant if they have numerous tasks to complete. Giving them the option to choose what tasks they need to complete each day may make them more compliant and successful. For example, give your child the option of making the bed or cleaning the clothes off the ground. Another example is giving your child the option of which homework assignment they would like to complete first.

Shortening Tasks

I know many teachers who use this tip when working with students who refuse to do their work. For example, they might give a student a math worksheet of 20 problems and ask them to complete 15. Another way to use this tip is asking them to work on one problem or one part of the task and then increasing the number of problems/parts of the task over time. Following strategies like this may feel like you are giving in to them, but in the end they are still completing part of the task, as opposed to refusing to address it at all.

Offer Rewards

Many children are motivated by rewards. When stating your expectations, ask them what they would like to earn after they complete the task or give them options of what they can earn. You want to make sure you do this while stating the expectations. If you do not, and your child engages in defiant behavior and you then offer the reward, it becomes a bribe. Bribes are dangerous for growth because they teach children that if they refuse to do something at first, they will eventually get something extra. We want them to learn that they get a reward by complying with the task.  For example, “What do you want to earn when you complete your chores? You can get 15 minutes on the iPad or a candy bar.” Make sure the rewards are activities or items that your child enjoys and will motivate them. If earning a reward is not enough, you can also present the consequences of what will happen if they refuse to do the task.

Reactive Strategies for Defiance

Reassess Motivation

After the child decides what they want to earn, they still may not complete the task. Their behavior shows that the reward may not be motivating enough for them. You can offer new choices or remind them what they are earning if they complete the task.

Stay Calm

When your child is engaging in defiant behaviors you want to stay calm. Use a neutral tone when you speak to them and make sure your facial expressions stay neutral, too.

Stay Consistent and Follow Through on Expectations

If you offer your child a reward after they complete a task, make sure you give it to them immediately. If you do not, your child may not be motivated by rewards because they will become skeptical. Additionally, you can’t give them the reward at a later time if they do not complete the task.

Deliver Verbal Praise for Appropriate Behaviors

When your child is being compliant instead of showing defiance, please deliver verbal praise!

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140.

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How Do I Find a Special Needs Planning Lawyer?

This guest post is from Benjamin Rubin.

Let me begin by asking you a question. If you needed heart surgery, would you go to a general practitioner or an internist? Of course you would not entrust your heart surgery to anyone but an Blog-Special-Needs-Lawyer-Main-Landscapeexperienced heart surgeon. Likewise, when you need special needs planning, you shouldn’t be considering a general practitioner, or even a general estate planning attorney.

So, what is special needs planning?

The attorney should be experienced not only in drafting the two kinds of Special Needs Trusts, but also be experienced dealing with the Social Security Administration and the state when they review the trusts upon application for SSI and Medicaid, or upon redeterminations. The attorney should also be familiar with guardianship and the alternatives to guardianship, as well as how to navigate successfully the state’s children and adult services system for individuals with special needs including intellectual and/or developmental disabilities, mental illness, or those with significant physical disabilities. We often refer to it as the Illinois “maze” for services.

In addition, you want an attorney who will know, and advise you promptly, when new laws, rules, or procedures occur that impact your planning. You want to find an attorney or firm that can assist you, with compassion and understanding. Many special needs planning attorneys are themselves parents or siblings of individuals with special needs and “get it.”

I suggest that the first place to visit is www.specialneedsalliance.org, The Special Needs Alliance (SNA) is a national, not-for-profit, association of experienced special needs planning attorneys, a majority of whom are fellow parents or siblings. Membership is by invitation. I was honored last year to be invited as one of the youngest members to ever be invited to join the SNA and my father is honored to serve as President-Elect of that national organization. In fact, three of the four attorneys in our office are invited SNA Member Attorneys, and the fourth is an Affiliate SNA Member attorney.

Another source is www.specialneedsplanners.com. The Academy of Special Needs Planners (ASNP), a national group, is owned by three attorneys and is open to all attorneys, regardless of experience. My father was a charter member of that group and I remain a member of this group. There are many excellent special needs planning attorneys that are members of ASNP.

However, if you are considering an attorney who is not a member of Special Needs Alliance, I suggest you ask some questions such as:

  1. How many “third party special needs trusts” have you prepared in the past month? Six months?
  2. How many “first party special needs trusts” have you prepared in the past month? Six months?
  3. If the Social Security Administration or the State of Illinois has questions about the trust(s) you drafted, will you “handle” those questions without any additional cost/fees?
  4. How many adult guardianships have you handled and powers of attorney have you drafted for individuals with special needs in the past year?
  5. What other areas of practice does that attorney handle (check his or her web site)? That is, are they also doing business law, traffic, divorce, bankruptcy, personal injury, etc.? If they are practicing in other areas of law, then they will not be able to adequately stay current with the constant changes that take place in the area of special needs planning.

Finally, you are not just looking for someone to draft a document, but you are looking for a relationship with a firm that will be going down that road to peace of mind with you for many years.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

New Call-to-Action
bnrbarmjrBenjamin Rubin limits his law practice, as does the firm of Rubin Law, to Special Needs Legal and Future Planning for his fellow families of individuals with special needs. Benji serves as Vice-Chair of the American Bar Association’s Special Needs Planning Committee, is a member of both the Academy of Special Needs Planners and, by invitation, the Special Needs Alliance, the national not-for-profit association of special needs planning attorneys, is President of SIBS (Supporting Illinois Brothers and Sisters), the Illinois chapter of the national Sibling Leadership Network, which is an organization of adult siblings of individuals with intellectual disabilities, developmental Disabilities, mental illness, among other special needs, is a member of the Board of Directors of The Arc of Illinois, is a member of the Clearbrook Associate Board (Clearbrook is an agency serving over 7,000 children and adults with intellectual and developmental disabilities, one of whom is Benji’s brother Mitchell), is a member of the SEDOL (Special Education District of Lake County) Foundation Board of Directors, and serves on the Advisory Council of Encompass a joint venture that in partnership with Jewish Child & Family Services, Jewish United Fund, JVS Chicago, JCC Chicago, Keshet, and The Center for Enriched Living and Center for Independent Futures, seeks to provide adults with I/DD a full array of financially sustainable, community-based services and supports.Having Mitchell as a brother profoundly shaped who Benji is today, and thus the type of law he chose to practice. His personal experiences as a sibling offer a unique perspective into the responsibilities that come with caring for a sibling with special needs. Now, as an adult, those sometimes present and future responsibilities he will share with his older sister regarding his brother’s care, are a concern that he shares with all brothers and sisters of individuals with special needs.

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How to Make Financial and Legal Decisions for My Child with Special Needs

This guest post is from Benjamin Rubin.

Estate planning for parents of a child with special needs is, regretfully, a very complex process. In order to provide for a “special needs” child’s financial security to assure that he or she remains blog-legal-and-financial-main-landscapequalified or able to qualify in the future for government benefits such as S.S.I. and Medicaid, and to protect any inheritance or gift from claims of the government for reimbursement for benefits provided to him or her prior to our death or receipt of the gift, parents must properly plan now. More importantly, we must plan differently than other parents who do not have a child with special needs.

The facts are that in Illinois, as is the case in most states, without proper wills and trusts, a child with special needs may inherit property or receive gifts only to be then disqualified from receiving government benefits. Additionally, without proper planning and drafting of estate plan documents, the government may claim reimbursement from the child’s inheritance or gift for benefits provided to the child prior to the parent’s death or receipt of such a gift. This result is true even with “traditional” family trusts with “spendthrift” provisions that many attorneys use for all parents. One of the primary objectives in estate planning for parents of a child with special needs is to assure that the child remains qualified and eligible for government entitlement programs, while protecting the family’s assets, and the child’s inheritance, from seizure by the government as “reimbursement.”

My parents, like nearly all parents of a child with special needs, do not want my brother to rely solely upon the government to provide the level of care that they, my sister and I desire for him. The good news is that there are viable alternatives. A special form of a trust has become the appropriate and preferred estate planning document for families such as mine. Illinois law provides that such a trust established for the benefit of an individual with special needs shall not be liable to pay or reimburse the State (and by current regulations, the Social Security Administration), or any public agency for benefits received. Illinois law also provides that property, goods and services purchased or owned by such a trust for and or used by or consumed by the beneficiary, are not to be considered assets of the beneficiary.

The second type of trust “option” is commonly referred to as an OBRA or “pay-back” trust. This second form of a special needs trust is needed to preserve government benefits and still receive personal injury or medical malpractice settlements, inheritances left directly to a child with special needs, or assets already in his or her own name.

As family members we must become familiar with the laws concerning “guardianship of an adult disabled person.” Parents must also attempt to educate their “chosen” people who will act as Custodial Guardians and Trustees about the relevant laws, regulations, programs and entitlements affecting or benefiting their child with special needs, as well as about their “plans” and desires, including the estate plans.  Parents must consider the school district, “residential alternatives,” special recreation association, religious programs available to individuals with disabilities and vocational or workshop opportunities available in the vicinity of their chosen custodial guardians.

Parents must also convince grandparents and other relatives that they are not doing their “special needs” grandchild or relative any favor by treating them the same as other beneficiaries in their own wills and trusts, but that they should leave the “inheritance” to the special needs trust that parents have created for such purpose.

There are many, many other topics that a family of a child with special needs may need to consider which we plan to cover in future blog topics, including:

  • When using the newly permitted ABLE Accounts might make sense and what states currently make them available to Illinois residents.
  • If the parents are divorced and child support is being paid to an adult child with special needs, how must the child support be paid to ensure benefits are protected and what other considerations such as life insurance and health insurance even after age 26 might need to be brought up in the marital settlement agreement?
  • If one or both of the parents has a public pension such as TRS, SURS, the Judges Retirement System Pension, police pension, fire department pension, and the US Military retirement pension, among others, many are permitted to be left as a continuing annuity to a special needs trust for the benefit of an adult child with special needs for their entire lifetime so long as there are certain, sometimes very specific, provisions in the trust.
  • What if the parents need skilled nursing care and are worried they will spend all of their assets and have nothing left to leave to their child’s special needs trust? How can the special needs trust be drafted to allow the parents to use their child’s trust to qualify themselves for Medicaid to pay for their own skilled nursing care?
  • What should be in a “letter of intent” document to educate the “future team?”

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

New Call-to-Action
bnrbarmjrBenjamin Rubin limits his law practice, as does the firm of Rubin Law, to Special Needs Legal and Future Planning for his fellow families of individuals with special needs. Benji serves as Vice-Chair of the American Bar Association’s Special Needs Planning Committee, is a member of both the Academy of Special Needs Planners and, by invitation, the Special Needs Alliance, the national not-for-profit association of special needs planning attorneys, is President of SIBS (Supporting Illinois Brothers and Sisters), the Illinois chapter of the national Sibling Leadership Network, which is an organization of adult siblings of individuals with intellectual disabilities, developmental Disabilities, mental illness, among other special needs, is a member of the Board of Directors of The Arc of Illinois, is a member of the Clearbrook Associate Board (Clearbrook is an agency serving over 7,000 children and adults with intellectual and developmental disabilities, one of whom is Benji’s brother Mitchell), is a member of the SEDOL (Special Education District of Lake County) Foundation Board of Directors, and serves on the Advisory Council of Encompass a joint venture that in partnership with Jewish Child & Family Services, Jewish United Fund, JVS Chicago, JCC Chicago, Keshet, and The Center for Enriched Living and Center for Independent Futures, seeks to provide adults with I/DD a full array of financially sustainable, community-based services and supports.

Having Mitchell as a brother profoundly shaped who Benji is today, and thus the type of law he chose to practice. His personal experiences as a sibling offer a unique perspective into the responsibilities that come with caring for a sibling with special needs. Now, as an adult, those sometimes present and future responsibilities he will share with his older sister regarding his brother’s care, are a concern that he shares with all brothers and sisters of individuals with special needs.

 

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Helping A Child Cope Who Has A Parent in the Military

When a family is coping with a caretaker’s absence, it can be challenging and emotional, especially when it is due to deployment and military service.  The emotions, concerns, and needs of each family are unique but here is some information on what to expect from children when one of their caretakers are away on deployment, and some information on how to answer difficult questions children may have.blog-military-main-landscape

Here are some helpful hints about what to tell your children regarding their caretaker’s deployment:

  • Emphasis that the child is not at fault in any way for the parent leaving.
  • Let the child know where the parent will be. This can help reduce some anxiety about their absence.  You can show them where it is on a map, learn about the country where they are (language, customs, etc.).   In addition,  it can be helpful to talk about the parent’s schedule when they are gone and what they will be doing when they are there.  Remember to keep that information age appropriate.
  • TALK about it! Encourage your child to talk about their feelings regarding the deployment and acknowledge that it’s okay to feel that away. A child has a right to be sad or angry about the recent change.  Also, talk about the parent who is gone.  It is important to talk about the parent to help keep their presence at home and to help the adjustment when the parent returns.
  • Limit the outside information (news, papers, movies, and internet) that the child can access about war or military action. Make sure the information they do get is accurate and age appropriate.

Each child and family is different and their reactions can have a wide range of feelings and behaviors, but here is a few common reactions children may experience when coping with a parent on deployment.

0-2 years old: One of the biggest changes for this age group will be when the caretaker returns from deployment.  It is important to allow the child to warm up to the caretaker and understand that they need to get know the parent again.

3-5 years old:  At this age, children have difficulty understanding why the caretaker had to leave.  They also may be scared that the at-home parent may leave as well.  Being consistent in their schedule prior to deployment can help them feel calm and secure.   Adjusting to life after deployment can be difficult for this age group as well.  They may feel angry at the parent for leaving.

6-12 years old:  Be on the lookout for increased aggression or behavioral issues at home or school, or physical symptoms like stomachaches or headaches.  Children who are older may want to help out more around the house and take on that parent role.  Although there are still some concerns with adjustment after deployment, children in this age group are usually excited and proud of the returning caretaker.

13-17 years old:  Teens express emotions and feelings in a wide variety of ways and that is even truer of teens coping with a parent being deployed.  Teens may want to help out more, or act indifferent to the change.  It is important to look out for behavioral or mood changes.

The most important aspect of everything discussed in this blog is COMMUNICATION.  Allow your children to discuss their feelings and let them know it is okay for them to feel the way they do.

References:

http://militarykidsconnect.dcoe.mil/parents/coping/behaviors

http://www.military.com/spouse/military-deployment/dealing-with-deployment/help-child-cope-with-parents-deployment.html

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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A Small Break from Therapy – What’s the Big Deal?

A major struggle in the therapist world is achieving consistent client attendance. Attendance consistency is needed to build relationships, identify challenging skill areas, make progression within areas of need, create a home program and make modifications to treatment based on the individual’s needs. Without consistency, it can be difficult to achieve long-term goals, and ultimately celebrate with course completion, or therapy graduation! blog-therapy-consistency-main-landscape

We all acknowledge that life happens and sometimes the regularly scheduled appointment time just does not work. Children deserve to have sick time, enjoy a day free of responsibility and schedule, or a chance to play outside on the first nice day. Additionally, summer and holidays are an exciting time to make memories and for the child to learn through experience (us therapists agree-cherish these moments!). When there is an occasional missed therapy day or a break is initiated, the time away can be harmful to their progress. Additionally, it can also be very difficult for the child and family to transition back into the routine of a weekly therapy session. Although it’s an exciting time for families, it’s important to remember how to maintain the progress that’s already been made in therapy.

Think about it this way- there are 7 days or 168 hours in a week. If you are scheduled for one appointment that is an hour long, the child has therapy for 1 out of 168 hours. When it is put into these terms this does not seem like a significant duration, does it? Now if the appointment is missed for just 1 week, then the child will receive therapy for 1 out of 336 hours. Therapy is just a small fraction of their life so their time in the clinic is critical for growth.

What can be done to increase progress and decrease our overall time attending therapy?

  • Increase your frequency to the therapist’s recommendation
  • Be consistent and on time!
  • Make a commitment to your home program and request for updated materials as needed!
  • Reschedule days that are missed (sometimes it may need to be on another therapist’s schedules- this is okay).
  • See if there is an appointment time that better meets yours and your family’s needs
  • Plan ahead and add in extra session if you know of an upcoming vacation

**Please keep in mind cancellations should be done at least 24 to 48 hours in advance, so other families also have the chance to reschedule.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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What Exactly is ASHA?

As a parent, do you ever wonder what all those letters mean after your therapist’s name? To a speech-language pathologist, these letters represent years and years of hard work and ultimately they confirm certification to the American Speech-Language Hearing Association (ASHA). blog-asha-main-landscape

So, what exactly is ASHA?

ASHA is the national organization and governing body for speech-language pathologists, audiologists and speech/language/hearing scientists. In 1926, ASHA became the first organization to initiate the development of national standards for these two professions. Today, ASHA represents more than 181,000+ professionals; 148,105 of which are certified speech-language pathologists (SLP’s), 31,964 of which are certified audiologists and 931 of which hold dual certification as both audiologists and SLPs. These two rewarding professions have shown immense growth over the years and continue to require a governing body to further detail professional standards.

ASHA has been certifying both speech-language pathologists and audiologists since 1952. These standards are established by audiologists and speech-language pathologists, respectively, who are members of ASHA’s Council for Clinical Certification in Audiology and Speech-Language Pathology (CFCC). ASHA’s certification standards are based on assessment of academic knowledge, professional and clinical skills by professors, employers and leaders in the discipline of communication sciences and disorders. This certification requires graduate level coursework and clinical practicum within a variety of settings and populations.

These populations span the lifetime and can include:

  • Early Childhood
  • School-Aged Children
  • Adolescents
  • Adults
  • Geriatrics/Elderly

Clinical Practicum explores various settings for an SLP to work including:

  • Schools
  • Private clinics
  • Outpatient Facilities
  • Skilled Nursing Facilities
  • Hospitals

In addition, ASHA collaborates with the Educational Testing Service (ETS) in developing national examinations for both professions. Both speech-language pathologists and audiologists must obtain a passing score on the Praxis examination.

Now, back to the letters after your child’s therapist’s name. Being “certified” from ASHA means holding a Certificate of Clinical Competence (CCC). This is a nationally recognized professional credential that represents a level of excellence in the field of Audiology (CCC-A) or Speech-Language Pathology (CCC-SLP). Individuals who have achieved the CCC-ASHA certification have voluntarily met academic and professional standards, typically going beyond the minimum requirements for state licensure. In order to maintain their knowledge, skills and expertise to provide high quality clinical service, individuals who are certified with ASHA are required to engage in ongoing professional development courses.

North Shore Pediatric Therapy requires all speech-language pathologists to hold and maintain ASHA’s CCC Certification. This is a crucial aspect of ensuring that all our therapists continue to uphold high standards of clinical service to the clients we serve.

As an organization, ASHA provides an abundant amount of resources. Each year, ASHA holds a nationwide convention and invites professionals to come, attend lectures, network and earn CEU course hours. In addition, the ASHA website contains insightful resources, such as the Practice Portal. This online resource offers one-stop access to guide evidence-based decision-making on a variety of both clinical and professional issues. This resource contains direct research articles and resources on a variety of clinical topics and disorders, as well as professional practice issues.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Fostering Independence in Your Teens

Working with your teenage children towards growth and independence can sometimes be a tug-of-war between providing guided support and allowing the right amount of freedom. This is blog-independence-main-landscapeespecially the case when it comes to children with special needs. Recognizing that it’s important to do a little bit of both is the key to success in independence!

Here are some proactive and reactive strategies to try that will allow you to foster independence in your teens:

Proactive Strategies  

  • Determine the Current Level of Independence

By looking at the many different areas of independence, from social interactions to daily living, figuring out where your child lies is a great starting point. By doing this you set yourself and your child up for success with directly pinpointing their areas of strength and deficit. From here, you can determine what they’ll need more support with and what they can begin completing independently.

  • Model the Behavior

One of the best ways for children to learn any behavior is through imitation. By modeling what a task looks like it gives your child the exposure and opportunity to imitate it. This can range from conversation skills and socialization to completing household chores and purchasing items.

  • Set Expectations

Setting clear expectations prior to emerging independence will give your child a set of rules to follow. With this, everyone will be fully aware of what the guidelines are when it comes to added responsibilities and freedom. Involving your child in the creation of these rules allows for an added bonus of independence and control. If they understand and discuss the ‘why’ behind the rule, they’re more likely to follow it!

Reactive Strategies

  • Provide Prompts

Providing the right type and amount of prompts will allow your teen to achieve the ultimate goal of independence, if utilized in the right way. Sometimes, too many prompts can teach your child to become prompt dependent. When this occurs they rely on the prompt to complete a task or activity and independence becomes less likely. On the opposite side, not enough prompts may teach your child the incorrect way to complete a task or activity.

Trying for independence first and then utilizing least to most prompting (below) is usually a good way to start:

  1. Vocal – Direct and/or indirect statements provided vocally
  2. Gestural – Physical movements indicating desired response (e.g. pointing, nodding, etc.)
  3. Partial physical – Minimal physical guidance using a light touch
  4. Full physical – Hand over hand physical guidance
  • Provide and Ask for Feedback

Much like including your child in creating expectations, providing and asking for feedback gives them accountability and control of their own development. Providing your child with feedback throughout their learning experience allows for progress and mastery to occur faster. It takes out guessing games and gives them exact corrective and positive information regarding their own behavior. Asking for feedback allows for growth in communication and relationship development. This gives your child a chance to be the one dictating what they need more or less of from you. Be willing to listen! When the experience is collaborative, the result is long lasting.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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