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Marisha

#185: A Month of Therapy Using a Fiction Article

April 16, 2024 by Marisha Leave a Comment

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We’re back at it with another episode of the SLP Now podcast!

This week, we’re taking the next step in our six-episode learning journey all about planning a month-long literacy based therapy unit — with comprehensive plans for your entire school-aged caseload.

So far we’ve talked about planning for an early language unit using the book Lola Plants a Garden, and a picture book unit using Spring is Here!

Today, we’re talking about therapy plans for a fiction article: Miss Johnson’s Plant Experiment.

This unit is specifically designed for older students who still benefit from narrative support. There is a lot of research showing us that targeting narratives through high school has a positive impact on learning!

Miss Johnsons Plant

Miss Johnson’s Plant Experiment is a fiction article about some students who conduct a plant experiment. We’re going to walk through this article using Dr. Ukrainetz’s five step literacy based framework, and talk about activities that you can use to target your students’ goals in each step.

The great thing about using the literacy based framework and text is that you can target literally any language goal. It offers a contextualized practice, which makes the activity more meaningful and helps to facilitate generalization — the ultimate goal!

🗣️ What happens in speech shouldn’t stay in speech.

📚 The units in this series are structured using Dr. Ukrainetz’s literacy based therapy framework, and can be used to target multiple goals with mixed groups.

To brush up on those topics or learn more about the nitty gritty of structuring sessions, check out the links and resources below!

Marisha frequently get questions about the timing of sessions when it comes to planning literacy-based units — specifically how long the unit actually takes, and how much time is spent in each step.

The short answer is… it depends. When working with mixed groups and a school-aged caseload, Marisha recommends you plan for each unit to last a month, but the actual implementation and session timing requires your clinical judgment.

For the purpose of this episode we’re going to plan for a month of therapy, and we’ll get into how much time Marisha would spend on each of the steps as we go through them. 👇

Step one: Pre-story knowledge activation

There are four strategies Marisha likes to use for pre-story knowledge activation, but she encourages SLPs not to think of them as a structured four steps—more like a menu of options to choose from based on your students’ needs and goals.

1. Do an article walk together

Start with a quick review of the article, skimming through the paragraphs to see what your students already know about the topic.

It’s difficult to learn a new concept if you don’t understand the subject matter at all, so it’s important to make sure students have some foundational knowledge—like what a plant or an experiment is. This helps to reduce the cognitive load of the activity, making the whole learning process easier.

This initial exploration of the text is simple, but can be super powerful. It gives you the opportunity to gauge your students’ background knowledge, discuss what they already know about the topic, and sets the stage for the next steps in the session.

2. Fill out a KWL Chart

If your students need more support developing background knowledge about the topic, Marisha recommends using a KWL chart.

👉 A KWL chart is split into three segments: in the first column, we write what we know about the topic, in the second column we write what we want to know, and in the third column we write what we learned.

You can fill in each column of the KWL chart with your students, discussing their existing knowledge about the topic, what they’re curious to learn more about, and what they’ve discovered throughout the session.

At SLP Now we love to work smarter, so we want to point out that this activity is language rich! Filling out a KWL chart helps to build background knowledge and targets various language goals like vocabulary, questioning, and grammar. 💪

3. Take a virtual field trip

This is a great activity on its own, and, taking a virtual field trip is also helpful if you’re filling in a KWL chart!

🔍 Looking for a virtual field trip to pair with Miss Johnson’s Plant Experiment?

Try this one!

You can choose the “trip” based on your students’ needs, and it usually involves watching a video or sourcing some images to help provide more visual background knowledge for the test.

A virtual field doesn’t have to be fancy — you can use free resources like YouTube, Google image search, or reference books from the library.

4. Pre-fill a story grammar organizer

The final pre-story knowledge activation activity for this unit is to have students fill a story grammar organizer, which will be put to use again later in the unit. 👀

After going through the previous activities, you can have students do some inferencing and guess what’s going to happen in the article. Based on the knowledge they have so far, they can fill in the organizer with their best guesses about the characters, setting, and the problem they’ll face.

After the article walk, KWL chart, and virtual field trip, your students should have some really good context to help them fill in the story grammar organizer. This activity sets your students up for success by giving them meaningful exposure to the story grammar elements and a framework to work with.

💡 Keep this first story grammar organizer to compare with the second story grammar organizer they create later — based on what actually happens in the text. You can use these visuals to do some compare/contrast or syntax activities!

And that’s a wrap for step one of the literacy-based framework: an article walk, KWL chart, virtual field trip, and pre-filling a graphic organizer.

Remember, you don’t have to do all of these activities to complete step one. Use your clinical judgment, and make choices based on your students needs and goals.

All of these activities are language rich, so you can target any goal — even with mixed groups! There are so many ways to embed practice for grammar skills, vocabulary targets, questions, describing activities, and more. ✨

Step two: Read the article

This is the easiest step in the whole framework, and it’s pretty straight forward. Pull up the article and then read through it!

With this age group, you have a few reading options to consider. Your students may be able to read the article independently, or you can do popcorn reading and have each student read a paragraph. Maybe it makes sense to play an audio version, or for you to read the whole article. You can decide what makes the most sense and what is most engaging for your group.

This step is by far the shortest in the whole unit, and will likely take you about five minutes. Don’t worry about adding any extra activities here — just focus on reading the article and keeping the students engaged. 🙌

Step three: Post-story comprehension.

Like pre-story activation, there are a few different approaches to this step—and each activity is language rich, meaning you can use it to target any goal.

1. Literal questions

It’s common to use literal questions when students have a goal to work on answering WH, but that’s not the end of their application. You can ask basic questions about the article, and target other goals like grammar or vocabulary with the students’ responses.

2. Inferential questions

This is a great activity for elementary students because they’re able to tap into their prior knowledge and reference the text to successfully answer these types of questions. They have an opportunity to build on what they already know, and integrate the new learning.

Inferential Questions

3. Fill out a story grammar organizer

Pull out the story grammar organizer and run through the elements, asking some WH questions:

  • Who was the story about?
  • When did the story happen?
  • Where did it happen?
  • What was the problem?
  • Why was that important?


Filling out the story grammar organizer is a language rich activity that you can revisit in multiple steps, and it’s a great bridge to steps four and five. 👇

Step four: Structured skill practice

There are an unlimited number of activities you can use for structured skill practice, and you may spend several sessions on this step. The timing of the sessions and choice of activities depends on your students’ goals and needs — so use your clinical judgement!

One of the activities you can work on is cause and effect questions, because a lot of students have goals in this area. You can generate your own cause and effect questions, or hit the easy button and use the pre-written questions within the SLP Now membership!

You could also do some compare and contrast activities using vocabulary from the article with the story grammar organizers from steps one and three, or identify some fact and opinion statements from the article.

Regardless of the path you choose, this is a language rich activity and can be used to target a wide variety of goals, even in a mixed group. 💪

💡 Within the SLP Now membership, we have materials that identify two tier vocabulary words, multiple meaning word activities, and evidence-backed vocabulary activities. You can target prefixes and suffixes, and we’re in the process of adding syntax activities for all of them.

Start your two week trial membership today!

Of course, there are some limitations within this framework: Marisha admits that she doesn’t love targeting articulation within this unit structure. In a mixed group, she prefers to target articulation separately using a speedy speech model — but that’s not always possible.

In that case there are articulation activities that you can embed in a literacy based unit, like the bundles in SLP Now! We’ve created materials specific to each text, so if you search for Miss Johnson’s Plant Experiment, you’ll find a link to the articulation bundle with specific targets for that article.

SLP Now Miss Johnsons Plans A Garden

The best part about these material bundles is that you can use the articulation targets for your students working on those specific goals, but you can also use them for grammar and vocabulary targets — whatever other goals you’re working on! #WinWinWin

Step five: Create a parallel story.

Throughout this unit, we’ve been revisiting the story grammar organizer again and again. First, we pre-filled the organizer based on the information the students already know. Then, in step three we started filling it out based on what actually happened in the text.

We get another opportunity for exposure in step four, and now in step five, we’re going to work with the structure of the story grammar organizer one more time as the group creates a parallel story.

1. Fill in the story grammar organizer

This time, we’re going to fill the graphic organizer based on the students’ new story, which means the first step is to choose what the story is about!

You can draw inspiration from conversations that happened during the unit: maybe pre-story knowledge activation revealed that a student has done a plant experiment for their class, and we can draw on that for our parallel story. Or, maybe no one has done an experiment but based on what you learned from the article, the students can make up their own plant experiment story.

There are lots of options here, and the best choice is usually the one students are most excited about!

2. Practice retelling the story

Once your students fill in the graphic organizer with their version of the story, everyone in the group will practice retelling the story — even if they don’t have a narrative goal! Remember, these are language rich activities, and story retell is a great opportunity to embed the vocabulary (and other goals!) they’ve been working on throughout the unit.

3. Publish the story

When everyone has practiced retelling the story and hit mastery, we hit publish!

“Publishing” the story can include acting it out — maybe recording a little video — and students can take turns narrating that final story. You can also grab a stack of paper, bind it, and have them illustrate it, or create a digital version using a resource like Google Slides.

This is the part students get most excited about, because they’re so proud of the end result! It’s especially motivating if they’re able to take the end product home and show it off. ☀️

There are so many options to choose from here, and the “right” one is the one that works for your students.

And that brings us to the end of our fiction article unit!

You can find the links to all of the resources mentioned below, and we’ll be back at it next week with our non-fiction article unit.

Happy SLPing!

 

Links and Additional Resources

Therapy planning and materials

  • Spring therapy materials quiz
  • Virtual field trip for Miss Johnson’s Plant Experiment

 

Literacy-based therapy

  • Five tips for working with mixed groups
  • Pre-story knowledge and reading
  • Post-story comprehension
  • Focused skill activities
  • Create a parallel story

 

Research articles

  • Gurney, D., Gersten, R., Dimino, J., & Carnine, D. (1990). Story grammar: Effective literature instruction for high school students with learning disabilities. Journal of Learning Disabilities, 23(6), 335–342.

At SLP Now, we are hard workers… but we also like to work smarter.

That means we’re constantly improving our materials, therapy planning resources, and the ways we support SLPs like YOU — so you can skip the hard work part and just work smarter. 👇

Inside the SLP Now membership, you’ll find 400+ therapy plans and an organized library of 6,000+ (and counting!) evidence-backed speech therapy materials to help you differentiate your therapy in a matter of minutes.

How is that possible, you ask?

Because we analyzed all the books, identified the targets, and created unit plan pages that suggest activities based on the skills you’re targeting and your students’ needs. This is the one stop shop for all your literacy-based therapy needs, including resources for virtual field trips and visuals to help those concepts stick. All you have to do is click! 🥳

We’re always hard chill at work building out our materials library and adding resources that will save you even more time, so you can spend it doing the things that matter most to you. (Not paperwork. 😅)

You can absolutely implement literacy-based therapy without SLP Now — there are so many free resources out there! — but if you want to cut down the time spent planning and get support from a community of SLPs who are in the trenches with you, it might be the right time to try a membership!

You can sign up for a two week trial that is risk-free and free-free → We won’t even ask for your credit card so there’s no worry about an unexpected subscription!

We’ve talked about so many activity options during this series… but there are even more literacy-based ideas and evidence-based resources waiting for you on the other side of SLP Now. 🤗

Screenshot 2024 04 11 at 10.11.00

🌻 Not sure where to start, or which unit best suits your caseload? No problem!

Take a quick two-minute quiz, and we’ll send you a personalized list of recommended units based on your specific caseload needs — plus resources to help you implement the activities we talk about in this series.

Click here to get your recommended therapy plans

 

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Transcript

Transcript
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00:00
Hello there, and welcome to the SLP now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode. This week we are diving into another month long therapy unit. We are doing a series of six episodes where we break down month long units for your entire school age caseload from preschool through 12th grade. And this week we are diving into a fiction article. This unit is ideal for older students who still benefit from narrative support, and there is tons of research supporting targeting narratives even through high school. There's been some really cool studies, and I will share a couple of resources in the show notes so you can learn a little bit more.


00:58
And then if you're not quite sure which unit type is ideal for your caseload as you're listening to these episodes, check out the show notes and those [email protected] 185 again slpnow.com 185 and you will find a link to a two minute quiz that once you take that we will send you a recommended list of units for your specific caseload. And like I said, there will be resources about targeting narratives and tons of other resources as I mentioned them throughout this episode. So hopefully that is super helpful. And now we get to dive into the actual unit. We are going to be reading Miss Johnson's plant experiment. It is a fiction article that is available for free on read works and I will share the link to that resource in the show notes as well.


01:58
And again, they [email protected] 185 and it is an article about some students who conduct a plant experiment. And we'll walk through the five steps of the literacy based therapy framework. Doctor Ukraine it's framework and I will share different activity ideas for each of the five steps. And the cool thing about this framework is that you can target any goal, literally any goal, using this text. And the cool thing about this is that it's very contextualized practice and it's very meaningful for students and that can really facilitate generalization and all the things I could talk about literacy based therapy for hours and hours. So in the show notes, I'll just share some quick resources that will be helpful. Anyway, let's dive into step one, which is pre story knowledge activation.


02:59
There are four things that I like to do, like a menu of options that I generally choose from. And this list is not comprehensive, but they're just some of my favorites. So the first step is to do an article walk where we'll pull up the article. They typically have a little photo at the top and then the title, and then we might skim a couple of the paragraphs. And then I will just ask the students what they know about the topic and kind of ask a couple questions and see how much background knowledge they have. If they really struggle with the article walk, then I will take a step back. And I really like to use a KWL chart.


03:43
So this is where you split a piece of paper into like, you draw three columns on a piece of paper, and the k stands for what they know, w stands for what they want to learn, and l stands for what they learned. So as we're going through, we can kind of fill in the k column about what they already know. So what do they know about plants? What do they know about plant experiments? What do they want to know about plants and plant experiments? And then as we go through the next steps, we can fill in the l column about what they learned. And this is a great way to build that background knowledge, which will be critical as we dive into the different language skills as we go through.


04:29
It'll help with their grammar, it'll help with being able to make inferences, all of that good stuff. So that's what we've got for the KWL chart. So one thing that we might do to help fill in that chart is to do a virtual field trip. I will include an example of a virtual field trip that you might use for this unit in the show notes. But I like to pick out a virtual field trip based on my students needs and just to take a quick step back. A virtual field trip is typically just a YouTube video. There are some other resources that you can use for those quote unquote virtual field trips, but it's just a video that gives students a little bit more background knowledge.


05:15
You could also pull like research articles or not research articles, but you could pull non fiction picture books. Or you can do a Google search and find some educational resources there as well. But I really like the YouTube video because it helps they get to experience it a little bit more than they might just by looking at some pictures. So I really enjoy those. And then the last activity that I like to do is to have students pre fill story grammar organizer. So after doing those different activities, I will have them guess what is going to happen in the article. So they'll fill in like who the characters are, what the setting is, what they think the problem will be, and it's really an inferencing activity.


06:01
But after doing that article walk using the KWL chart, filling them with a virtual field trip, they'll have some really good context to help them with that activity. And I like this because it gives them increased exposure to the story grammar elements and it helps give them a little bit of a framework before we dive in. And especially with older students, we'll keep this first story grammar organizer and compare it to the actual story grammar organizer for the actual story, like what actually happens. And there's some really nice compare and contrast. This is great for some different syntax activities. Oh my goodness, so many good things. That is step one. So just to recap, we do an article walk, a KWL chart, the virtual field trip, and then we pre fill the story grammar organizer and use your clinical judgment.


06:52
You don't have to do all these activities. And you may need to do multiple virtual field trips depending on the student's needs. And remember, all of these activities are language rich, so we can target any goal throughout all of these activities. And sometimes that might just look like modeling and recasting the grammar and vocabulary targets, but other times they're responding to questions, they're using vocabulary words. There's so many opportunities to embed practice for those skills. So that is step one. And if you're curious about kind of more of the nitty gritty details of how each session is structured and how do you know which tips like, especially if you have a mixed group with a bunch of students and a bunch of goals, how do you know what to target?


07:44
I will share some resources in the show notes as well on how I structure a session and how I decide what to focus on and kind of how I organize that. Like if you have a group of three students and they all have four different goals, how in the world would you target those twelve goals in the context? I get that would be overwhelming. So check out the show notes for the link to some session structure resources to help you with that. And now we get to dive into step two, which is reading. That's the easiest step in the whole framework. You would just pull up the article and then read through it. And at this level, students may be able to read these independently.


08:28
Maybe you want to do popcorn reading where each student reads a paragraph, or maybe it just makes sense for you to read the whole paragraph or the whole article. You can decide what makes the most sense and what is most engaging for your group. And in this step, you just read through the article. This is by far the shortest step in the whole unit. It will likely take you about five minutes. You don't want to add a bunch of extra stuff here. Just focus on reading the article and just making sure that students are engaged during the reading, but you don't need to add anything else. So then that brings us to step three, which is post story comprehension. And there are three main areas that I will focus on for step three. The first one is literal questions.


09:19
And again, I'm going to emphasize this again, every activity that I list is language rich and you can use it to target any goal. So yes, we may have students in our group who have a goal to work on answering WH questions about a story, but we may not. But this is still a helpful activity because we can use it to when they're responding to these questions, we are able to target those grammar, vocabulary, articulation, any of those types of goals we can still use. So literal questions are just basic questions about the story. Then we can also ask inferential questions. I really like this activity for this age group too, because we did do that prior knowledge and so that'll give them, they're able to reference the text and use the prior knowledge that they've built to successfully answer these types of questions.


10:16
So I love this combination in the structure of the unit. I think it works out really well. Another idea for a comprehension activity is story grammar. So you can pull out that story grammar organizer and just run through the elements and ask wh questions. Who was the story about? When did the story happen? Where did it happen? What was the problem? Run through those questions and I often revisit the story grammar story retell in step four and step five of the unit. So this is a great kind of bridge activity to lead them to that. And again, we can target all of our students goals throughout this activity as well. Then that brings us to step four, which is the structured skill practice. And there are an unlimited number of activities that we could use in this step.


11:11
We can spend several sessions diving into all of the student skills. So I am just going to share a couple ideas. And then one cool thing about the SLP now membership is that we have a bunch of activities linked. We have a page for every therapy plan. We have over 400 therapy plans. We've been working really hard. And then we have a unit plan page that lists activities. So it will list all of the different things you could do for step one, step two, step three, step four. And then we also have activities linked. And there's a mix of just click and go like Google Slides types of materials, some of them are PDF's, some of them are interactive materials. There are lots and lots of options for you to have easy access to those activities.


12:05
But for the skill section, we've analyzed all of the books and identified all of the targets. So like all the articulation words, all of the prefixes, suffixes, all the grammar structures, all the syntax stuff. And we're constantly building this out and adding more resources to save you tons of time, because implementing literacy based therapy really isn't very difficult. But it can make a world of a difference to have easy access to all of the activities to target your student specific goals. It just makes it so that you don't have to reinvent the wheel every time, and it cuts down your planning time significantly. So you can absolutely implement this on your own.


12:50
But if you are looking for a little bit of support, head to slpnow.com unit and you can sign up for a totally free trial, no credit card required, and you can go to therapy plans tab. Type in Miss Johnson's plan experiment, and then you will have access to the unit plan, all the targets, all of the materials, and you'll have everything that you need to implement this right away without any prep. So like I said, we'll dive into a couple activity ideas, but know that there are way more ideas and resources waiting for you. Some ideas are working on cause and effect questions, so this can a lot of our students might have goals around this, and so there are some pre written cause and effect questions. I'm sure you could generate your own cause and effect questions.


13:43
We also have some compare and contrast activities, so we in terms of vocabulary. So we've selected some vocabulary from the article and created some compare and contrast activities. And then you can also compare and contrast your story grammar organizers from step one and step three. So that's a great activity. We've also identified some fact and opinion statements from the article, and that can be a really fun activity for students working on those types of goals. But again, it's also a very language rich activity, so you can still pull this activity and target your students other goals as well. We've identified tier two vocabulary words and have multiple meaning word activities and evidence backed vocabulary activities to help you work through those. We've identified the prefixes and suffixes and have really cool activities to help you target those.


14:39
We're working on adding syntax activities for all of them. So if you need support with embedded clauses and all of that good stuff, you'll have some ready to go resources for that as well. And then I don't always love when I have to target articulation in a mixed group. I really prefer to target articulation separately, using like, a speedy speech model or something like that. But we know that's not always possible. And so we have articulation activities, like little articulation bundles that are specific for every article and book. And so you can, if you go to Miss Johnson's plant experiment, you can find the articulation bundle there, and it has article specific targets.


15:28
And again, you can use these articulation targets for your students working on those articulation goals, but you can also use them for grammar and vocabulary targets or whatever other goals you're working on. And then that brings us to step five, which is creating a parallel story. So throughout the unit, we've been revisiting the story grammar organizer, and in step three, we kind of started filling it out. And then in step four is when we would have continued to practice that. And then in step five, we would revisit the story grammar organizer for the article, and then we would work as a group to create our own story. So the first thing I would do is have them fill in the graphic organizer for their new story, and they get to choose what the story is about.


16:19
If throughout the unit, a lot of stuff will come up. And so maybe they did a plant experiment in their class, or maybe they want to do a plant experiment, and they can make up a story about what that would be like. So there's lots of options there. And then once we fill in the organizer with their version of the story, then everyone in the group will practice retelling the story, even if they don't have a narrative goal. This is a really great opportunity to embed all of their vocabulary and just all of the goals that we've been working on throughout the entire unit. Everyone works on retelling the story until they hit mastery, and then we publish it. And publishing the story can include acting it out and maybe recording a little video.


17:09
And then students can take turns narrating that final story, or we can grab a stack of paper and kind of bind it and have them illustrate it, or we can do a digital version using like, Google Slides or anything like that. I did a whole podcast episode just on parallel stories, so I will share that in the show notes as well. So that wraps up the ideas for our fiction article again. Head to SLP now.com 185 to check out all of the resources that I mentioned, and we'll see you next week. Thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you. See you next time.

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Filed Under: Podcast

#184: A Month of Therapy Using a Picture Book

April 9, 2024 by Marisha 2 Comments

Listen on Apple Podcasts Listen on Spotify

Welcome to another episode of the SLP Now podcast! 🎊

We’re getting ready to dive into the second of a six-week series about literacy-based therapy plans that you can use across your entire school-aged caseload.

Over the next several weeks, we’re going to explore various units that are designed to engage and support your students across multiple age groups and skill levels.

Whether you’re an experienced speech-language pathologist or new to the field, we hope that these episodes will provide valuable insights and practical strategies that you can put to work right away.

Last week we talked about early language unit, which is perfect for preschool and kindergarten students. This week we’re diving into a picture book unit, which is great for that K through grade 2 range.

Throughout the unit, we’re going to touch on a handful of goals including articulation, basic concepts, grammar, syntax, vocabulary, phonological awareness, and comprehension — but you can use this unit to target literally any goal that you are working on with your students.

All of the activities in this unit are language rich, and they provide the perfect context for therapy.

Now let’s dive in!

👉 If you’re listening to these episodes, and you’re wondering which units are ideal for your caseload, we have the perfect resource for you: a two minute quiz! Answer a couple questions about your caseload, and we will send you a list of recommended units plus resources to help you implement. Stop wondering, start planning >> Take the next step to easier therapy here!

 

Literacy-based therapy plans for a spring picture book

For this week’s unit, we’re going to be reading the book Spring is Here, which is a super cute story about a mole and a bear.

The Mole wakes up because he’s done hibernating and Spring is here, but the bear is still asleep. The Mole really wants his friend to wake up, and he does a bunch of problem solving to get the bear to wake up. And that’s the story!

👉 Marisha likes to structure my units using Dr. Ukrainetz’s literacy based therapy framework. If you’re not familiar with that or you need a refresher, check out our literacy-based therapy boot camp series on the podcast!

When it comes to planning literacy-based units, Marisha always get questions about the timing of sessions, specifically how long the unit actually takes and how much time is spent in each step. The answer is… it really depends on the group.

When Marisha is working with mixed groups and has a school-aged caseload, she usually plans for each unit to last a month—and we’ll get into how much time she would spend on each of the steps as we go through them. 👇

Step One: Pre Story Knowledge Activation.

The amount of time you spend on step one really depends on the student’s level of background knowledge walking into the unit.

Sometimes it might just take one session—or even a little bit less than a full session. Other times we might have to spend a couple of sessions filling in that background knowledge. There are four activities Marisha likes to use to assess and fill in that information:

1. Do a book walk.

If you have the actual book, you can show your students the cover, look at a couple pages, and observe what they’re able to tell you about what they see.

If they’re able to put together beautiful sentences, describe all the things, demonstrate a lot of knowledge about hibernation and how the seasons changes—then you might be able to skip some of the activities we’re going to talk about.

2. Create a KWL chart.

This activity is really helpful if you want to take an inventory of what your students know about a topic, what they want to learn, and, what they end up learning. Marisha likes to fill this chart out with her students, taking their goals into account as they decide what they want to learn.

👉 A KWL chart is split into three segments: in the first column, we write what we know about the topic, in the second column we write what we want to know, and in the third column we write what we learned.

Creating a KWL is a language rich activity, and it’s the perfect context for working on our students’ goals. Whether they’re targeting vocabulary, answering questions, or using grammatical structures, this activity allows us to target all of those goals in a really beautiful and meaningful way.

3. Take a virtual field trip.

For Spring is Here, Marisha likes to use this video to do a virtual field trip that explains the seasons. That concept is a little bit tricky for some students, so that virtual field trip is a really great activity to embed here.

It’s helpful to find some content is about spring and what we might see in this season, or talks a little bit about hibernation. The goal is to find an activity that illustrates some of those vocabulary concepts, or helps students understand why the bear is sleeping and why the environment looks the way that it does.

Virtual field trips like this one are really great for targeting a lot of the common concepts that students may struggle with when reading this book, which helps with overall comprehension.

4. Fill in the story grammar elements with a graphic organizer.

Marisha almost always uses a prefilled graphic organizer as part of step one because the visuals are such a great way to integrate what the students are learning. She’ll ask them to infer the story grammar elements like the characters or the problem they’re facing, and incorporate the targets the students are working on.

This gives the students exposure to the grammar elements, and it’s a great way to tie in the pre-story knowledge activation from the book walk, KWL chart, and virtual field trip. In one activity, we’re able to embed vocabulary, create sentences, work on concepts, and more!

SLP Now Summarizing Graphic Organizers

🔗 Check out the graphic organizer in the SLP Now materials library!

And that’s step one! Let’s move on to…

Step two: Read the book

This step doesn’t have to take long because picture books can usually be read in just a few minutes. You can read the actual physical book if you own a copy or can borrow it from the library. Alternatively, you can find a free read-aloud version on YouTube!

👉 Pro tip: Unlock ad-free YouTube by [ insert hack here ]

Told you step two was short and sweet! Now let’s get into…

Step three: Post story comprehension.

After we finish reading the book, it’s time to check-in and see how the story landed with our students.

One of Marisha’s favorite ways to do this is with question cards! Whether the students have specific goals for literal and/or inferential questions, she likes to use little cards that have questions and options for visual answer choices. #ScaffoldingFTW

Whether or not Marisha uses the answer choices as part of the activity it depends on the skill level of the student and if that support is necessary. Either way, the question cards are more than just a comprehension activity because they’re also language rich! As you ask questions and the students respond, you can incorporate those vocabulary and grammar goals that they’re targeting.

After we’ve gotten through our literal and inferential questions, it’s time to review the story grammar. That means we get to pull out our pre-filled graphic organizer!

In the SLP Now membership, we’ve created little icons that can be used with the organizer, and every book in our materials library has corresponding icons. They’re super cute, and students have a lot of fun putting them together while working through comprehension questions, like what happened? Who was in the story? When did it happen? Where did it happen?

Students have a ton of opportunities for meaningful exposures in this step, and there are so many ways you can scaffold the support to meet them where they’re at. 💪

Screen Shot 2022 06 02 at 12.23.40 PM

🔗 Check out the question cards in the SLP Now Materials library!

As the students continue to work on that narrative structure, we can move on to…

Step four: Focus skill activities, or skill practice

In the last episode of this series we spent a lot of time talking about activities for step four because our early language book, Lola Plants a Garden, was a very play-based unit.

It’s hard to believe, but there may be even more skills to target and activity ideas to implement for Spring is Here — so buckle up! 😆

👉 Marisha references SLP Now a lot because it’s her go-to resource for easy-peasy therapy planning and low-prep materials — but the goal is that you can implement the strategies and activities from these episodes with whatever you have at your fingertips. You can do so much with a pen and paper!And, if you want to try SLP Now, why not start a free 14-day trial?Take our super quick caseload quiz to get recommendations for your students age group and needs, then head to your member portal and download the materials.You’ll find everything you need to make some literacy-based therapy magic happen, including a list of age appropriate activities, corresponding targets, and links to related resources… and it’s all in one place. No more searching and material prep!You’re just a few clicks away from your easiest therapy planning yet — start here!

 

Targeting Multiple Goals in Mixed Groups

 

Articulation, describing, and grammar goals

One of the ways to target articulation goals during a group session is to identify the highest frequency words and incorporate them into the activities.

In SLP Now, you can search for books that specifically target articulation, and within the unit you’ll find activity packs that include targets from the book! For example, the activity pack for Spring is Here includes S blends, vocalic Rs, and some SH words on the articulation cards.

Working smarter means getting more life out of the materials you prep, which is exactly what we’re going to do with the articulation cards. These visuals are so versatile!

If there are students working on describing goals, you can use the pictures from the articulation cards; if someone is working on syntax or grammar, we can create sentences using the cards. The opportunities really are endless, and the materials can be used in so many ways! #WorkSmarter

Basic concepts, modeling, and recasting

Let’s say we’re working on some basic concepts. We’ve consulted the research, identified the basic concepts in the book, and structured the activities based on our research findings. (Evidence-based or bust, baby!)

For example, some of the basic concepts in Spring is Here are direct instruction activities like “open” and “close”. In SLP Now, we have some slide decks that you can you to teach those basic concepts in a structured way—while also targeting skills like creating sentences, describing, and vocabulary!

Just because it’s a basic concepts activity doesn’t mean we can’t use it to target a number of goals!

One of Marisha’s favorite visuals in the SLP Now membership is the sentence pack with icons. You can print the icons out or use them digitally to help students build sentences, because they are a super helpful support—especially if students are persistently producing errors after multiple models and recastings. They really benefit from the visual activity to practice that skill, and of course, it’s language rich.

There are so many options available for focused skill practice here! 💪

And then the last step…

Step five: Create a parallel story

At this point, Marisha likes to grab a fresh story grammar organizer, and she reviews the initial story grammar organizer with her students. Then, they get to make their own story!

✨ You can use the book as inspiration, but the events that unfold are up to you and your kiddos. ✨

Marisha likes to give the students a few ideas, asking questions that get their imagination going — like maybe there is a time that they struggled to wake up? Maybe they did something fun during the springtime? Maybe there is a hibernating animal that they’re interested in? The point is to get them invested in the story they’re about to tell, and use those details to fill in the fresh story grammar organizer!

To fill out the organizer, we practice retelling the story. Sometimes that means recording an audio note, other times that may look like acting it out. The goal is that the students are able to retell the story independently — without support from you or the visuals.

Remember: it’s totally fine if the story is really simple! The purpose of the activity is to go through the steps of outlining the story and practice the retell, then, when they get really good at it… we go to the presses and publish!

Whether it’s a physical book put together with staples and a stack of paper or a digital version created with PowerPoint or Google Slides, this is the part of the unit that students love. It is so much fun to bring their story to life in a more permanent way, and they’re always super proud to share their creation outside of the speech room… which is exactly what we want.

What happens in speech shouldn’t stay in speech.

And that brings us to the end of this unit!

You can find the links to all of the resources mentioned below, and we’ll be back at it next week when we dive into a fiction article! 🤿

Happy SLPing!

 

Links and Additional Resources

#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)
#183: A Month of Therapy Using an Early Language Picture Book
Spring Is Here Virtual Field Trip
SLP Now Trial (Your first 5 downloads are free! Grab your Narrative Visuals today!)

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Transcript

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00:00
Hello there, and welcome to the SLP now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode. I am recording a series of episodes where I share month long therapy units for your entire school age caseload from preschool through high school. And last week we talked about the early language unit, which is perfect for those preschool kindergarten students. And this week we're diving into a picture book unit, which is great for that k through two range. And I'm really excited to dive in. And if you're listening to these episodes and you're wondering which units are ideal for your caseload, we have the perfect resource for you.

00:59
We have a two minute quiz that once you take that, we will send you a list of recommended units for your caseload so you don't have to keep wondering. And it'll be a nice little email with all of the resources all bundled together. And you can find the link to that quiz in the show [email protected]. And the show notes will also include any other links that I share during this episode today. So again, you can find [email protected] 184 now, throughout this unit, we are going touch on a handful of goals. So we'll talk about articulation, basic concepts, grammar, syntax, vocabulary, phonological awareness, comprehension. So we'll focus primarily on those goals. But you can use this unit to target any goal, literally any goal that you are working on with your students.

01:59
All of the activities in this unit are language rich and they are the perfect context for therapy. So now let's dive into the actual unit. So we are going to be reading the book. Spring is here. It's a super cute story about a mole and a bear. The mole wakes up because he's done hibernating and spring is here, but the bear is still asleep and the mole really wants his friend to wake up and he does a bunch of problem solving to get the bear to wake up. So that's the story. Now let's dive into the steps of the unit. So step one, and just to take a step back first, I like to structure my units using Doctor Ukraine, it's literacy based therapy framework.

02:47
If you're not familiar with that or you need a refresher, head to the show notes and I'll link some resources there to get you up to speed. But I will do my best to explain all of the steps as we go through. So hopefully you can still follow. There will be additional [email protected] 184 okay, so that brings us to step one. Prestory knowledge activation. There are four different things that I like to do in this step of the unit, and I always get questions about the timing of all of, like, how long does this unit actually take? How much time do you spend in each step? And the answer is, it really depends on the group.

03:30
But I find that with a school age caseload where I'm working with groups, I tend to spend about a month on a unit, and this tends to match up. So if I see students once a week for 30 minutes, it ends up taking about a month. If I see students a couple times a week for those 30 minutes sessions or whatever the length is, it also ends up taking about a month, because with how I do my scheduling, the students who are being seen more frequently have more needs. And so we just need more time to get through the unit. So that's how long the entire unit ends up taking. And then we'll talk about how much time we would spend on each of the steps as we go through them.

04:13
But for step one, this really depends on the student's level of background knowledge walking into the unit. So sometimes it might just take a session or a little bit less than a session, but other times we might have to spend a couple sessions filling in that background knowledge. So there we go. In terms of what we would actually do, the first thing that I like to do is a book walk. So if I have the actual book, I'll show them a cover, maybe look at a couple pages and just kind of observe what they're able to tell me about what they see.


04:49
And if they are able to put together beautiful sentences and describe all the things, and they demonstrate a lot of knowledge about hibernation and spring and all the season changes, then I might skip some of the activities that I'm going to tell you about. But if they struggle with this activity, which more often than not is what happens, then I will use a KWL chart to help kind of take an inventory of what we actually do know and what we want to learn about the topic. So a KWL chart is just basically a piece of paper split into three segments. And then the first column, we write what we know about the topic. In the second column, we write what we want to know, and then in the third column, we write what we learned.


05:40
And so I usually try to match that up with what we want to learn. But again, this is a language rich activity, so it's not just a fluff activity. It is the perfect context for working on our students goals. Whether they are working on vocabulary or answering questions or using grammatical structures, as we're discussing and writing questions, answering questions, we're able to target all of those goals in a really beautiful and meaningful way. And then another activity that we can use is a virtual field trip. So we're able to fill in a lot of the KWL chart as we're doing the virtual field trip. So for spring is here, and I would choose a virtual field trip based on the needs of my group. But one field trip that I came across that I really liked was about it kind of explains the seasons.


06:33
And that time concept is a little bit tricky for some kiddos. So I think that's a really great activity to embed here. But then the video continues to dive into spring, what we see in spring. It talks a little bit about hibernation, and so it helps illustrate some of those vocabulary concepts, and it also helps us understand, okay, like why is the bear sleeping? And why do things look the way that they do? It's just, I really like that video to target a lot of the common concepts that my students struggle with when we're reading this book. Then the fourth activity that I like to do, I will almost always do a book walk, and I will almost always pre fill the graphic organizer.


07:17
And then the KWL chart and the virtual field trip are maybe kind of dependent on the needs of the group. So the fourth thing that I like to do, again, is that graphic organizer. So I will print off or I will pull up a digital version of my story grammar organizer. And based on what we discussed, I will have students infer the characters in the story, the problem in the story, and all of those story grammar elements. This is a really great activity for a number of reasons, because, one, it gives them exposure to the story grammar elements. It is a great way to tie in all of the pre story knowledge learning that we did across the three previous activities. And it's just, again, a great language activity. We are creating sentences, we're embedding vocabulary concepts, all of that good stuff.


08:11
So that is step one. And the four activities that I like to use here are book walk, KJBL chart, virtual field trip, and then pre fill that story grammar organizer. And then that brings us to step two, which is to read the book. And the book can be read in just a few minutes. Like, I found a YouTube video, and the video is three minutes long. And that is a tip. If you are not able to purchase the actual book or your library doesn't have it in stock or whatever the case might be, you can access the book on YouTube. I do have a little trick to access YouTube without ads, so I will add that to the show notes as well. So that brings us to step three, post story comprehension.


08:57
So after we finish reading the book, whether or not the students have specific goals for literal and or inferential questions, for the literal questions, I have little question cards that have questions and then visual answer choices. And so I may or may not use the answer choices if it's not necessary for the students. But I find that's a really nice way to scaffold this. So we'll run through the questions, and again, it's a language rich activity. It is not just a comprehension activity because I ask the questions and then the students respond. So we can use this to target vocabulary, grammar, all of the things. And then the second thing that I like to do, well, I guess literal questions is one, inferential questions is another.


09:46
The units in SLP now include lists of inferential questions, but where slps, we can come up with list of questions too. Then the third thing is story grammar. So I've created story grammar organizers that include pre little icons for spring is here, and for every book that we have in our library, it has a little icon for the characters and the setting and all of that. And then that can be a way to scaffold this activity. And it's a great comprehension activity because who was in the story? That's a question. When did it happen? Where did it happen? What was the problem? Those are all wh questions, and it's just a really nice, meaningful activity to work on comprehension.


10:33
And then we can shape that into if the students are working on narratives, then we can continue to target that in step four, which is focus skill activities or skill practice. So in the last video, I spent a lot of time talking about activities for step four, and I feel like there are even more skills and activity ideas for spring is here because the early language book was a lot more play based, but here we go. I'm going to try and keep this as succinct as possible while still giving you really nice, concrete examples. And I keep mentioning SLP now, and you can absolutely implement this on your own if you go to the show notes. I have linked a bunch of the resources that I've mentioned throughout this episode, and I really hope that you have what you need to implement.


11:28
And if you want a little bit more support inside SLP now, we have the unit plan that lists all of these activities with related resources. And for step four, we also have a tab under, like, there's a page for the unit that lists all of the targets. And for each target, we have linked activities to help you teach those skills and do some really structured practice with them. And then you have access to all of the different materials in one spot without having to do any prep. So I think that is a huge time saver. I needed this when I was managing my caseload in the triple digits. And if you are wanting some support and you're like, okay, I don't want to put this together myself, just give me the resources. You can try it completely free, like no credit card required.


12:20
And we have this unit plus 400 more. So if you had to slp now.com unit, you can find information about the free trial and sign up. Go to therapy plans tab. Type in spring is here. And then you'll have access to all of the activities. But I'll walk you through some now, and I'll just pick a handful of them. Okay, so one of the goals that I mentioned was articulation. So I prefer to target articulation separately, but sometimes we just have those mixed groups. And it is what it is. We have gone through all of the books and identified the highest frequency words and articulation targets. And then we have made book specific articulation activities.


13:07
And so for each of our books, you can go through and you can find, like, for spring is here, we have an articulation activity pack, and it includes a bunch of different targets. This one had, like, a lot of s blends and vocalic r and sh. And so we have book specific lists and articulation cards. So it is a language retractivity still, even though it's articulation. And so we can use those cards for our articulation kiddos. But if someone else is working on describing, we can describe the pictures. If someone is working on syntax or grammar, we can work on creating sentences using those cards. These opportunities are endless. And then let's say we're working on some basic concepts. So we've identified the basic concepts in the book as well. And there, this is based on a research article.


14:00
Like, we structured these activities based on how the research told us to or what the research indicated. And we have some direct instruction activities, like, for example, open and close is one of the common concepts in the book. And then we have a slide deck that you can use to teach that basic concept in a very structured and evidence backed way. So that can be some of your very structured teaching, but you can still, again, you know what I'm going to say, it's a language rich activity, and as we're going through that, our students can work on, like creating sentences and describing the vocabulary and all of those things. So just because it says it's a basic concept activity doesn't mean we can't use it to target a number of goals.


14:47
We also have a printable sentence pack with icons, but we also have digital ones. If you don't have the time to prep and print. So you can, in the unit plan, you can literally just click to open up the sentence pack, and then you can use that. There's little icons that students can use to build sentences. This is really helpful if students are, because I like to model and recast the grammar targets and the vocabulary too. But if students aren't picking that up, I find that they really benefit from a visual activity to practice that skill. So, like with students who I've modeled and recasted irregular past tense verbs a million times, but they continue to produce errors with that, I find that having those icons makes a world of a difference. So that's an example of how you can do that.


15:41
And again, it's language rich. We can target a bunch of goals using that. Then we have describing activities which you can use for categories, object functions, synonyms, antonyms, as well as grammar, all of those things. We also have a smart deck which includes more drill based practice for describing categories, plural nouns, past tense verbs, and phonological awareness. If you're trying to sprinkle that into your sessions. So lots and lots of options there, and we can spend a huge chunk of the unit in step four. And then the last step five, is to create a parallel story. So I grab a fresh story grammar organizer, and I'll pull up our initial story grammar organizer. If the students are like, oh, like, I wish the story was more like the one that we made in step one versus the actual story, then we can do that.


16:38
But I grabbed the story grammar organizers that we made in the previous steps, and then we grab a fresh one. And then I ask the students, I explained that they get to make their own story, and we get to choose how we structure it, and we're just going to take this story as inspiration. So they then get to fill in the story grammar organizer with their own story. Maybe there was a time that they couldn't wake up, or maybe they have a favorite story from the springtime, or maybe they did something really fun at school that's related to the spring, or maybe they want to pick another hibernating animal.


17:12
Whatever they're interested in, they get to make the story and then just use the previous organizers as so the first thing they need to do is fill out that organizer and then we practice retelling the story so they can record themselves telling the story or we can act it out. And they eventually have to be able to act it out independently, without my help or without referencing the organizer. But it ends up being a really simple story. But we go through the steps of outlining it, practicing the retell, and once they get really good at that, then we publish it. And we can do this by just like grabbing a stack of paper and stapling it together and making a little book. We can make a digital book on using like PowerPoint or Google Slides, whatever makes the most sense.


18:05
Sometimes we will just record us acting out the story and the students will take turns narrating it, or each student will narrate their own story. You can decide what combination of these makes the most sense for your group, but yeah, that brings us to the end of the unit. So again, if you want to access any of the resources that I shared during this episode, head to slpnow.com 184 and I can't wait to see you next week where we'll dive into a fiction article. Thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you. See you next time.

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#183: A Month of Therapy Using an Early Language Picture Book

April 2, 2024 by Marisha Leave a Comment

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Welcome to another episode of the SLP Now podcast! This week, we’re kicking off a six-week series about literacy-based therapy plans that you can use across your entire school-aged caseload. 💪

Over the next several weeks, we’ll explore various units designed to engage and support students across multiple age groups and skill levels. Whether you’re an experienced speech-language pathologist or new to the field, we hope that these episodes will provide valuable insights and practical strategies for your caseload.

Today, we’re going to start with an early language book!

These resources offer simpler stories tailored to young learners who may be developing foundational language skills. Our goal is to create a play-based approach that fosters engagement and facilitates language acquisition in a fun and interactive way.

For our early language unit, we’re going to use a very Spring appropriate book called *Lola Plants a Garden*. We’ll walk through each step of Dr. Ukrainetz’s literacy-based therapy framework, providing you with actionable guidance and plenty of ideas to implement in your sessions.

Let’s get started! 🌸

Step 1: Pre-Story Knowledge Activation

Before we dive right into the book, it’s essential to take stock of your students’ prior knowledge and familiarize them with key concepts related to the story. This step sets the stage for comprehension and engagement throughout the unit, and it gives students the knowledge they need to be successful.

One of my favorite activities is to do a book walk, where you can familiarize the students with the book before you start reading.

If you have the physical book in your hand, you can show students the cover and then flip through a few pages to identify any familiar objects and actions. For example, do they recognize flowers or understand the concept of planting a garden?

Depending on your students’ language abilities, you can adjust the level of support and scaffolding provided during this activity.

It can also be really helpful to incorporate virtual field trips or hands-on play-based experiences to enrich students’ understanding and vocabulary. Whether you’re watching videos of children gardening on YouTube or actively exploring nature, there are so many ways you can introduce the book and its main themes while setting students up for success with the rest of the unit.

When working with younger students it might be helpful to do more play-based activities, especially if they need a little more information to engage with the content. In that case, you could find a song on YouTube about flowers or gardening, and incorporate movement or act things out to help ingrain those vocabulary concepts and give your students lots of exposure.

You could also bring in pictures of flowers and do different activities around describing them, or asking questions about the flowers and modeling utterances. If your students learn with tactical activities or sensory play, you can even bring in a little plastic or felt garden kit. There are so many options!

Throughout this step, the goal is to model vocabulary, basic concepts, and grammar targets while also encouraging students to express their thoughts and observations—and recasting their productions as needed.

The opportunities for language-rich activities are endless, and by building a strong foundation of pre-story knowledge, you pave the way for deeper comprehension and meaningful interactions during the reading and beyond. ✨

Which brings us to step two of Dr. Ukrainetz’s framework:

Step 2: Read the Book

Once students are familiar with the story’s context, it’s time to read the book!

Whether you have access to the physical book or take advantage of online resources like YouTube videos, ensure that all students can follow along and actively engage with the text. 💪

One of the great things about using a YouTube version of the books is the ability to share the links with parents, teachers, or other members of the students’ support team. There is a lot of research demonstrating that multiple readings improve comprehension, and the YouTube links mean our students can get exposures to the book outside of the speech room.

Reading aloud offers so many benefits including exposure to new vocabulary, comprehension practice, and auditory processing skills.

As you read, be sure to pause to discuss illustrations, predict what might happen next, and encourage students to make connections to their own experiences.

And, for students with visual impairments or other accessibility needs, consider providing alternative formats such as tactile books or digital versions with audio descriptions. The goal is to make the reading experience inclusive and enjoyable for all learners.

Step 3: Post-Story Comprehension

After completing the book, we’re going to take some time to assess students’ comprehension and reinforce key concepts through targeted questioning and discussion. This step gives us valuable insights into students’ understanding of the story, and helps to reinforce their learning.

Using question cards or prompts tailored to different comprehension levels, you can use step three to guide students in recalling details, summarizing the plot, and making inferences about characters’ motivations and actions.

By offering multiple-choice answers or visual supports, you can scaffold the task and accommodate diverse learning needs—which makes this perfect for working with mixed groups.

You can encourage students to share their thoughts and opinions, fostering critical thinking and communication skills. Through meaningful dialogue and reflection, students have the opportunity to deepen their engagement with the text and develop confidence in expressing themselves.

Step 4: Focused Skill Activities

Now that our students have a solid understanding of the story, it’s time to dig into focused skill practice and start targeting specific language goals. This step allows you to customize activities and interventions based on students’ individual needs and areas of growth.

For Marisha, step four tends to be the longest section of the unit because that’s when we are really digging into our students’ goals. It’s not uncommon for her to spend several sessions on focused skill activities.

Because we’re working with early language skills here, it’s helpful to incorporate a variety of play-based activities, like vocabulary games or role-playing scenarios, to keep students involved and engaged.

In SLP Now, we have a whole list of receptive and expressive language skills—and we have them leveled—plus a handful of play-based ideas to help you target those goals at all the different levels.

Let’s walk through a few examples:

  • You can use vocabulary cards or actual tangible props and supports to reinforce word recognition and categorization skills
  • Get creative and play hide-and-seek! Move items around the room to make the activity more engaging for your students
  • To target basic vocabulary, like body parts, you can put a flower (from Lola’s garden of course!) on your head, shoulders, or even under your feet
  • You can also work on responding to questions or describing goals by using different types of flowers and asking which one is small or which one is yellow—or ask your students to describe the size and color of each flower if you’re offering various levels of support

The possibilities really are endless!

Of course, it’s important to consider the pacing and structure of your sessions, making sure you have enough time for direct instruction, guided practice, and independent exploration.

By providing multiple opportunities for repetition and reinforcement, you support your students’ skill acquisition and generalization across contexts. 🙌

Step 5: Parallel Story

Let’s wrap up the unit with Marisha’s favorite step: creating a parallel story! This activity encourages creativity, language production, and narrative development as students reimagine the story through their own perspectives.

You can provide students with prompts or visual aids to help them generate ideas and organize their thoughts. Encourage collaborative storytelling and teamwork to foster a supportive and inclusive learning environment.

Whether students choose to write, draw, or act out their parallel stories, emphasize the importance of narrative structure and the key components of storytelling—like setting, characters, and plot progression.

Honestly, students have so much fun with this step. They get really involved with choosing images, and are super proud when they have a finished project to take home and show off.

The very best part? You get to do your favorite thing: celebrate each student’s unique contributions and creativity, highlighting their strengths and achievements. 🎉

And that wraps up our early language literacy-based unit, Lola Plants a Garden!

Remember: the framework outlined here is meant to serve as a flexible guide for to help you put together effective therapy plans that will carry you through an entire month. By incorporating elements of play, exploration, and meaningful interaction, you can create engaging and impactful learning experiences for your students.

While our favorite therapy planning resource is SLP Now, know that you can absolutely implement this without investing in our membership!

Our goal is to offer you ideas to consider, and we hope that you have access to the resources you need to make this literacy-based magic happen without making any purchases. YouTube and a solid Google image search can be your best friend.

Whether you’re working with early language learners or students with more advanced communication skills, the principles of literacy-based therapy remain consistent. So keep experimenting, adapting, and refining your approach to meet the diverse needs of the students on your caseload, and don’t hesitate to seek out additional resources and support along the way.

We hope this unit inspires you to embrace the power of storytelling and play in your speech-language therapy sessions with early learners.

Stay tuned for future episodes in this series, where we explore more evidence-based units and strategies to to help you target your students’ goals—across all the ages on your caseload.

You’ve got this, SLP!

Links and Additional Resources

#174: Literacy-Based Therapy Bootcamp: How to Pick a Book
#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)
#176: Literacy-Based Therapy Bootcamp: Step 3 (Post-Story Comprehension)
#177: Literacy-Based Therapy Bootcamp: Step 4 (Focused Skill Activities)
SLP Now Trial (Your first 5 downloads are free! Grab your Narrative Visuals today!)

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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00:00
Hello there, and welcome to the SLP Now Podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.

This week we are diving into a month of therapy plans for an early language book, and this is the beginning of a six week series where we will dive into units that you can use across your whole school age caseload.

00:40
So I'm really excited. We're going to be doing picture book, nonfiction article, fiction article, even vocational units, science experiments, all of that good stuff. So stay tuned for the rest of the series. And like I said, we are starting off today with an early language book, and early language books include simpler stories that students really love. And this unit type is ideal for students who might not be ready to sit through a longer story, who are working on more foundational language skills, and who benefit from more of a play based approach. And if you'd like a list of recommended units for your caseload. If you're not sure, should I choose early language or should I wait to hear about the picture book? If you're not sure, check out the show notes at slpnow.com/183. Again, that's slpnow.com/183.

01:42
There's also a link in the description for this episode, but you'll find all of the show notes. So any resources or links that I mentioned throughout this episode, you'll be able to find them again at slpnow.com/183. But you will also find a link to a two minute quiz. Super short and sweet. If you take that quiz, we will send you a list of recommended units for your caseload.

02:11
And like I said, if you go to the show notes, you'll find tons of other resources for this unit as well. But without further ado, let's dive in. We are going to be reading, and we won't actually read it in this episode, but this hypothetical unit is for Lola Plants a Garden, which is a story about a girl who plants a garden. It's a very simple read. It can be read in about two to three minutes, so it's really great.

02:41
For those preschoolers or kindergartners who don't quite have the attention span to sit through a slightly longer book. And it doesn't include a complete story grammar episode. So it does not include a complete story grammar episode. But the story includes really nice illustrations and it's a great context to target basic vocabulary, basic concepts. There are lots of actions in the book, plus a number of characters.

03:11
So it's really great for those grammar goals because you'll have lots of great pictures to use to target those goals because there's all those actions. It's really great for verbs, irregular, past tense verbs. There are a lot of those in the book. There's a mom and her daughter, and then she has three friends that come over, and two of them are boys. So there's a mix of characters that you can work on, too. So I listed some of the goals that we can target throughout the unit, like basic vocabulary, basic concepts. This is really great for those early kind of MLU goals as well, answering questions, describing, any of those grammar goals.

03:54
It's just a really great context for a number of goals, following simple directions, early prepositions as well, which falls under basic concepts, and then just naming basic items, which goes under basic vocabulary. So lots of our early language goals, I'll be focusing on the goals that I just listed.

04:14
But you can use this book to target any goal.

04:18
And of course, it helps if the book is appropriate for your caseload. So we'll start there. But if you decide that this book is appropriate, then you can use it to target any goal. You can do social language. There's some nice emotions in here as well, so tons of opportunities.

04:35
So let's dive into the actual unit. So I use Dr. Ukrainetz's five step literacy based therapy framework for all of my units, and so we are going to walk through those five steps. If you need a refresher on the five steps, I'll include a link in the show notes, and then you can get a little bit more context there. But hopefully I'll do a good job explaining it so it still makes sense. So the first step in the framework is pre story knowledge activation.

05:07
So what I would do in this.

05:09
Step is I would do a book walk. So a book walk includes, if you have the actual book, you would look.

05:16
At the COVID and maybe look at.

05:18
A couple of pages just to get a feel for if the students have anything to say, especially if they're not quite combining a lot of words, are they able to name or label any of the items? Or if they are putting together longer utterances, what can they tell us? Do they know what flowers are?

05:39
Do they know any of those actions?


05:42
And depending on how much the students are able to express, I will spend more or less time in step one. But one activity that I really like to do, even if they are able to give me some words and kind of demonstrate some understanding of the topic, I think a virtual field trip is a really fun way to it's a.


06:04
Language rich activity, so we can use.


06:07
That as again, another context to target their goals, but then it helps build the knowledge to set them up for success for the rest of the unit. So an example of a virtual field trip that you might use. There are a lot of YouTube videos.


06:25
About kiddos, like giving tours of their.


06:28
Gardens or planting gardens. And so in the show notes I'll include an example of a virtual field.


06:34
Trip that you could use, but that.


06:36
Is a really fun thing to watch. The kiddos love doing that, and it's also a language rich activity and this is going to be true of every single thing that I tell you throughout this episode. All of the activities are language rich.


06:54
So we can use any of these activities to target any goal.


07:00
So as we're doing the book walk, we can use that as an opportunity to model vocabulary concepts, grammar targets and whatever else comes up. And then the same thing goes for.


07:12
The virtual field trip. And as the students start producing more.


07:17
Targets, we can use recast.


07:19
So all of that has lots of.


07:22
Great evidence around those approaches and we can use them for all of those activities. And if students are working on answering questions, we can have them respond to questions while we're doing that. So opportunities are endless.


07:35
Another thing, because I'm working with younger.


07:39
Students in this series, I might do some more play based activities, especially if.


07:45
They need a little bit more information.


07:48
I might find a song on YouTube about flowers or gardening and incorporating movement and acting things out to help ingrain those vocabulary concepts and give them lots of exposure. I might bring in pictures of flowers and do different activities around that, like describing them or asking questions about the.


08:13
Flowers and modeling utterances and all of that you can bring in.


08:20
If you happen to have a gardening kit, you could do some sensory play around that. I have just a little plastic garden kit, I guess, that has a couple of fake plant pots and a couple of fake flowers and plants, and we're able to put those together so I.


08:37
Can share a link to that as well.


08:40
But there's lots and lots of options on things that we can do, and.


08:43
This might be we can decide whether we want to use it in step.


08:48
One or if it would be a better activity to save for step four.


08:53
Which we'll get to really soon, but I'll share more specific ideas, but just.


08:59
Throwing some ideas out there then. Early language units look a little bit different than the other ones, so I'm excited for you to hear the picture.


09:08
Books and fiction articles and all that, too. And then step two is read.


09:14
So this is when we read the book. And if you don't have access to. If you aren't able to get the book from the library or you're not.


09:22
Able to purchase it, these books are.


09:25
Available on YouTube, and there's like a three minute video of someone reading the book, so you can use that. And I love the YouTube version of.


09:35
The books as well because I can.

09:38
Share it with the parents and the teacher because there's a lot of research.


09:42
Around multiple readings of a book and.


09:45
Sharing the YouTube video. It's really easy for parents to just play that video before bed or when they're doing homework or whatever it might look like.


09:56
So that's a really great opportunity there, too.


10:01
Then step three is post story comprehension.


10:06
So this is where we have the.


10:09
Opportunity to ask some questions about the book to target comprehension. Even if the students don't have comprehension goals, it's a great opportunity to practice that skill.


10:20
And in SLP Now, I was really excited about these when we made them because I always had a hard time finding this. So a lot of times, students have a hard time responding. A lot of activities have a mix of who, what, when, where, why, and the complexity of the questions is all over the board, and it's really hard to target that with students who are just getting all of the words confused and all of that.


10:48
So I wanted a simpler kind of hierarchy of activities. And so we have separate who questions, what questions, when questions, where questions in the materials for this unit. And so there's a page or a section for each of those, and then the questions have multiple choice answers. So it makes it really accessible and really easy to scaffold for a wide range of students.


11:16
So I've used this with all types of students, and it's been a really fun activity. And you can minimize the field of choices if you need to. You can even just give them one of the choices and see if they can label the answers. There's so many options there. So you can use this activity to easily target even those, like any of the goals that we listed before.


11:39
So that would be step three. And then for step four is our focus skill practice.


11:46
And this is the longest section of the unit where we really get to dive into all of the students goals.


11:54
So I'll share a handful of ideas of what this could look like. And that reminds me, too. I always get questions about the timing of the unit. So for this hypothetical group that I'm sharing, we might spend one session on pre story knowledge activation, where we do the book walk, we do the virtual field trip, and maybe we do some play based activities to get familiar with.


12:18
What gardening looks like and all of that.


12:22
Then in the next session, and this is assuming we have, like it's school based SLP, maybe a group of about three students. Then the next session, we would read the book and then do the comprehension activities. And that would probably take me about a session as well. And you can listen to the other episodes. I'll put it in the show notes too, about how I structure each individual session within a unit.


12:51
But just a quick recap.


12:52
I like to start off with a quick probe, and then that takes just a couple of minutes. And then based on the probe, I'll do some initial teaching.


13:01
And then we'll dive into the more contextualized activities, which includes the reading and the comprehension in this case. And then we wrap up the session, I wrap up my documentation and move on to the next group. But yeah, if you have more questions about that, I'll share that in the show notes as well.


13:19
Then for step four, again, like I said, we'll spend several sessions here and I'll share some different ideas. So for this unit in SLP now, we have a list of receptive and expressive language skills, and we have them leveled. And then we have a handful of play based ideas to help you target those goals for all of those different levels.


13:45
And it's broken down again, like I said, by receptive and expressive language. So for some of these, you might be working on understanding words for common items. So we'll start with a receptive language, but then we have little vocabulary cards that we can use. Those are included in the unit. Or if you have access to some of the items in the story, that could be a really fun activity to by just working on identifying those words.


14:15
And if we can make it play, and especially if we have real items, that would be really cool. But we can do like hide and seek type of game. Or if we have a playhouse, or even if we're just playing with a table, even if we're just playing with pictures, we can make it super fun. And then if the students are working on basic vocabulary, like body parts, we can put the flower on our head or on our shoulders or under our foot, and that applies to following directions too. And then we can have them point to the different items that we have.


14:51
Or if we're working on responding to questions by pointing, or if we are working on more of those describing goals, we can have different types of flowers, and we can ask them which one is small, which one is yellow, and it's a great way to work on those concepts. And so I feel like I'm throwing a bunch of activities out there, but the possibilities are endless.


15:14
And in the unit, in SLP Now, we have some basic activities and visuals that you can use to make this a little bit easier.


15:22
And like I said, we also have that play based guide. So if you are running, if you feel like you're not having that inspiration, you have lots of quick activities that you can run to, but hopefully that gives you some good ideas. And then that brings us to step five, which is a parallel story.


15:41
And because Lola Plants a Garden was kind of more a sequence of events, of she decided she wanted to plant a garden. She read a book and picked out the seeds, and then she planted them, and then she had to wait a long time. So it was just a sequence of events.


15:57
So the students could just as a way to practice all of the vocabulary and all of the goals that we targeted throughout the unit, the students can pick their own flower to plant and whether they're planting a real seed. That would be super fun, but we don't always have the resources to do that and purchase all of those things.


16:18
So we could pick a couple of pictures of flowers and then make a little book where they choose which flower they want. They have a picture of planting the seed, and then they have a picture of them waiting, and so they can.


16:34
Tell a story with them as the character, and they can bring that home. And if I can use real photos, I think that's super fun. If we act out the story or we can just illustrate it really quickly. There's tons of options there, and the students in the groups kind of, they get really into it, and they share ideas about how they want to do it. So definitely listen to your kiddos and kind of follow their lead if they come up with ideas, but if not, hopefully you have some good inspiration. So that brings us to the end of our unit, and step five can.


17:11
Also take a handful of sessions, and it’s a really great way to integrate all of the skills that we've worked on throughout the entire unit.


17:20
And I hope that you have enough resources here to implement this on your own without having to make any purchases. Just using YouTube, Google images, you have everything that you need. And then I started SLP Now because I was managing a caseload in the triple digits, and I was majorly struggling with my therapy planning. And so I've built out month long units with activities linked, and we've analyzed the books for all of the targets, and everything is in one place. So if you are feeling overwhelmed and you want a little bit of support implementing this, I would love to help you. And we offer a free trial. So if you're wanting to use this unit with your group and you're like, okay, let's see if this actually helps. Head to slpnow.com/unit and you'll get to see a little bit of information about the free trial. But then you can sign up, you can go to therapy plants page, type in Lola Plants a Garden, and then just check out the unit and download some of the resources and give it a try. It's totally free. We won't ask for your credit card or anything like that, but yeah, let me know if you have any questions at all.


18:37
And then again, if you're wanting to see the resources that I've mentioned, head to slpnow.com and we'll see you next week.


18:48
Thanks for listening to the SLP Now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you.


19:00
See you next time!

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Filed Under: Evidence-Based Strategies, Podcast, Therapy Ideas

#182: How to Use Probe Data

March 26, 2024 by Marisha Leave a Comment

Listen on Apple Podcasts Listen on Spotify

After covering paperwork, data collection, and progress reports, it’s time to wrap up our March podcast series and dive into one of Marisha’s very favorite topics…

How to Use Probe Data!

Before getting into the nitty gritty of this topic, it’s important that we make sure we’re on the same page when we say “probe data”:

A probe is a quick assessment that you administer in a session.

You can do a probe at any point, but Marisha tends to collect probe data at the beginning of the session. She also does the probe without offering any support so that she can get a clear assessment of how the student is able to perform on any given skill.

For example, if the student is working on articulation goals and targeting a specific sound, Marisha may administer a probe that involves giving the student five pictures with initial key words, then ask them to produce the words. She’ll take some notes about how the student performs, and then use that data during the session.

It’s worth noting that while doing the probe, Marisha holds off on offering support and feedback in the moment. This keeps the probes short and sweet so she can collect a couple of quick data points to inform her decision making over the course of the session — without taking up too much of the session time, or taking so long that the student gets bored or frustrated.

Remember: Use your clinical judgement. It’s a very important tool for SLPs!

We’ve talked about collecting probe data a few times on the SLP Now podcast, so if you want a refresher about the collection process be sure to check out this episode: SLP Data Collection 101 – Why Collect Probes.

In today’s episode, we’re going to focus on how to use the probe data you collect, how it can help you in your session, and how it can help you better support your students. 💪

Administer a quick probe at the beginning of the session to set yourself—and your students—up for success.

Let’s bring this to life with the articulation example mentioned above, using a student who is trying to produce a /k/ sound.

When assessing probe data, Marisha tends to split student performance into three categories.

If the probe is five questions, and the student is unable to produce the /k/ sound independently four or five times, it means the student is at less than 30% accuracy. We need to take a step back and teach the skill so that the student can consistently produce the sound.

Remember: It’s important to do more than one probe because it’s possible that the student was able to produce the sound by luck or chance instead of actual skill mastery. And if a student does actually score that low, they’re unable to produce any initial key or they only produce one key, then you need to do some shaping and teaching.

The same applies if you’re addressing categories or producing plural nouns; regardless of the skill, collecting probe data allows you to get a snapshot of where the student is—and the support they need to achieve their goals.

💡 We have a ton of previous episodes of the SLP Now Podcast about specific supports you can use to target different skills, so make sure you check out the archives to brush up on those skills!

If the student demonstrates some mastery of the skill—like they’re able to produce two or three initial key words, or they score 30 to 70% accuracy—it tells you that the student is starting to progress towards mastery of the skill, but they still need a little bit of support.

It may be helpful to review the skill again, but you likely don’t have to spend the entire session teaching because they’ve demonstrated a grasp of it. In this case, it’s reasonable to assume that with a little bit of review, they’ll be ready and able to practice this in context.

Then finally, the third subgroup: if the student is able to produce four or five out of five initial key words, then they’re starting to demonstrate mastery of that skill.

As the student approaches mastery, you want to give them as many opportunities as possible to practice that skill independently. That means you’ll spend less time teaching and trying to break the skill down—otherwise the student is likely to get bored!

⚠️ Remember: If we’re not in that zone of proximal development—the space between what a student is capable of doing unsupported, and what they cannot do even with support—we risk hindering their progress because we aren’t giving them the opportunity to practice the skill independently and demonstrate that mastery.

On the other hand, if we know that the student is at a lower accuracy, then we’re able to go in with the right level of support right off the bat and avoid that frustration.

Collecting probe data helps us find the sweet spot of where the student needs to start a session, which is why Marisha really likes to administer those probes at the beginning. It gives her valuable information about how to best support the student, which minimizes the student’s frustration if there isn’t enough support — or boredom if there is too much!

Of course, it’s important to consider the data within the session and continue adjusting as needed—but having this really quick data point at the beginning of the session really helps to set you up for success.

Even if you’re working with mixed groups, it’s super simple to collect probes efficiently… especially if you use SLP Now like we do!

We’re big fans of working smarter around here, whether it’s implementing routines to free up mental bandwidth, or using tools like SLP Now to make paperwork and data collection easy peasy.

Because Marisha’s students are familiar with her speech routine and know what to expect, it’s easy to move through probes quickly—especially if they have an activity to keep busy, like reviewing their goal cards!

During a session, Marisha rotates between the students in the group. She administers probes, jots down some data based on her observations, then uses the data to come up with a game plan for the session.

If they’re doing a literacy-based unit with one student at 0% accuracy, and another student at 80% accuracy with a different goal, they might start off the session with a quick review of the first student’s goal, followed by some teaching to give them the extra support they need.

Even if the teaching component isn’t directly related to a goal on every students’ IEP, it can be a really beneficial activity for everyone in the group because it’s a language rich with plenty of opportunities for generalization and pure modeling.

Then, Marisha will get into the more contextualized activity so the students can practice their skills independently or use them during the teaching activity.

For example: If one student has a goal to name items and categories, and another student has a goal to produce grammatically correct sentences, Marisha will break down categories for the first student, and give the second student an opportunity to produce sentences in the context of the same activity.

And of course, she loves having easy to grab visuals prepped and ready to go so that she can scaffold and offer support when needed. 🥰

That’s it for our overview of how to use probe data, especially when you’re working with mixed groups, and why it’s so beneficial to collect data at the beginning of the session.

Stay tuned for our next episode, because we’re going to switch gears from data collection to therapy planning—so you can see exactly how to target multiple goals in one session with literacy-based therapy. 👀

Links and Additional Resources

#174: Literacy-Based Therapy Bootcamp: How to Pick a Book
#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)
#176: Literacy-Based Therapy Bootcamp: Step 3 (Post-Story Comprehension)
#177: Literacy-Based Therapy Bootcamp: Step 4 (Focused Skill Activities)
SLP Now Trial (Your first 5 downloads are free! Grab your Narrative Visuals today!)

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
Email Download New Tab

00:00
Hello there, and welcome to the SLP Now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.

00:19
Hello there, and welcome to the SLP Now podcast. I'm really excited to dive into one of my very favorite topics, and that is how to use probe data. And so just a quick refresher and just the terminology, making sure we're on the same page. A probe is a quick assessment that you administer in a session. I personally do this at the beginning of the session, but it's without any support, and it's just seeing how the student is able to perform on any given skill. So, for example, at the beginning of a session, if a student is working on articulation goals and they're working on the k sound, I might administer a probe where I give the student five pictures with initial k words, and I ask them to produce those words, and I don't give any support.

01:20
I just jot down how the student performs, and that gives me some really helpful data to use within the session. So two of the factors here are that I don't give the student support. I just want to see how they do independently, and I also don't give any feedback. And that's why I like to keep the probes short and sweet, very quick and to the point. Just get a couple of quick data points, enough of a sample to help me make some decision making, but not too much where it takes up a huge chunk of the session. The student gets bored, frustrated, et cetera. So that's what that looks like. And we've talked about this a lot throughout the podcast, but today I wanted to just talk a little bit about how to use that data and how it can help you in your session and how it can help you better support your students. So, like I said, I like to administer that quick probe right at the beginning of the session, and it gives me information that I can use to set myself and the student up for success within the session. So if we go back to that initial k example, if the student really struggles, and you'll come up with your own kind of guidelines over time, and you'll use your clinical judgment, it might vary based on the student, based on the goal. There's all sorts of factors that you can use, but I'm just going to give you some rough examples. So for the purposes of this illustration, I split student performance kind of into three categories. So if the student misses, like, if we're doing five questions.

03:06
If the student misses four or five of these questions, or maybe between zero to 20 or zero to 30% accuracy, if you have more stimulus items, then I know that I need to take a step back and teach the skill because the student is not producing k independently, and maybe the one that they produce was just by luck and not a true representation of actual mastery, and maybe they're beginning to master the skill and that happened to be a facilitative context, and we can use that information as well. So if the student scores that low, like if they aren't able to produce any initial k, or if they produce one initial K, I know that I need to take a major step back and we're going to do some shaping and teaching.

03:58
And if instead of articulation, I was looking at naming items in categories or producing regular plural nouns, the same applies regardless of the skill. I'm just going to take a step back and make sure that I do some teaching and do some really structured practice in just meeting the student where they're at. And we have lots of previous episodes about specific supports that you can use for different types of goals. So I would reference those when it comes to figuring out how to teach those skills and break things down. Then if the student demonstrates some mastery of the skill, so maybe if they're able to produce two or three initial k words, or if they score 40 to 60 or 30% to 70% accuracy. Again, these are very rough numbers, and it kind of depends on how many items you give the student.

04:54
But that's telling me that the student is starting to master the skill, but they need a little bit of support. They're not quite at mastery, and we need to continue, maybe review the skill.

05:09
And back up a little bit, but.

05:13
We don't need to spend the whole session teaching. They're already demonstrating some of that mastery. So it's reasonable to assume that with a little bit of quick review, they'll be ready to practice this in context. And then the third kind of subgroup is if the student is able to produce four out of five or all five initial k words, then they're starting to demonstrate mastery of that skill. And I want to give the student as many opportunities as possible to practice that skill independently. If I spend a ton of time teaching and trying to break things down, the student already has demonstrated mastery of it, then they'll be really bored. And we're also not in that zone of proximal development. We're hindering that student's progress because we're not giving them the opportunity to practice the skill independently and really demonstrate that mastery and context.

06:15
And on the other hand, if we know that the student is at a lower accuracy, then we're able to go in with the right level of support right off the bat and avoid that frustration. So it really helps us find the sweet spot for where the student needs to start in a session. So this is why I really like to administer those probes right at the beginning of the session. It tells me how I can best support the student. It helps me minimize frustration by making sure that I'm providing enough support, and it also minimizes boredom by helping me make sure that I'm not providing too much support. And of course, I'm going to consider the data within the session to continue adjusting. But having this really quick data point at the beginning of the session really helps set me up for success.

07:11
And I just alternate between. If I have a group of three students, I'll pull up the probes super efficiently.

07:20
SLP Now makes that really easy, but then I'll just rotate between the students. They know the routine, they know what the expectations are. The probes move very quickly and they have a quick activity to keep them busy. That activity, more often than not, is reviewing all of their goals. So they have goal cards that they'll go through. But, yeah, so I'll just alternate between or rotate between the three students, or however many students are in the group, and then I collect the data and use that to come up with a game plan for the session. So if one student is at 0% accuracy and then another student is at 80% accuracy with a different goal, and we're doing a literacy based unit, we might start off the session with a quick review of the other student's goal and do some teaching.

08:16
And these are all, they'll all be language rich activities. So there's still opportunities for generalization, and there's also opportunities for peer modeling.

08:26
Even if that it's not a goal.

08:30
On every student's IEP, it can still be a really beneficial activity. So I may spend some time teaching that one goal, and then when we get to the more contextualized activity for the day, then this other student will have the opportunity to really practice their skill independently, and they can even use it independently during the teaching activity. So if one student has the goal to name items in categories, student A's goal is to name items in categories, and student B has a goal to produce grammatically correct sentences. When I'm teaching the categories and breaking that down for the student. Student B still has the opportunity to produce sentences because it's language rich and there are going to be opportunities to target all of these skills throughout a variety of activities.

09:31
And yeah, I like to have visuals ready to go so that it is easy to scaffold and support when needed, and it's easy to keep track of which goal we're focusing on within any activity. So yeah, that is an overview of how I use probe data, especially in terms of mixed groups and the rationale for collecting data at the beginning of the session, how I analyze the students performance and what decisions I make in the session based on that. So hopefully that was helpful.

10:05
Overview thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you.

10:19
See you next time!

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How to Write Goals for Childhood Apraxia of Speech as a Speech-Language Pathologist

March 6, 2024 by Marisha Leave a Comment

This blog post discusses how to write goals for childhood apraxia of speech (CAS) for speech language pathologists.

What is Childhood Apraxia of Speech?

Childhood apraxia of speech (CAS) is a motor speech disorder that falls under the umbrella of speech sound disorders. 

Childhood apraxia of speech (CAS) occurs when motor movement and planning is impaired, which results in errored speech sound production. When a child has apraxia of speech, it impacts the precision and consistency in their speech, and is not due to muscles working incorrectly (ASHA, 2007b).

What are the Characteristics of Childhood Apraxia of Speech?

According to ASHA, the following 3 characteristics are typically agreed upon across studies as being connected to childhood apraxia of speech:

1. Inconsistent errors on consonants and vowels in repeated production of syllables/words

2. Lengthened/disrupted coarticulatory transitions between sounds and syllables

3. Inappropriate prosody 

Other characteristics noted are articulatory groping, increasing difficulty with longer/complex words, and vowel errors.

How is Childhood Apraxia of Speech different from a Phonological Disorder?

Determining if a child has childhood apraxia of speech or a phonological disorder can be tricky, because a student can show characteristics of both. However, there are a few ways to distinguish between the two.

Characteristics often seen in Childhood Apraxia of Speech

· Restricted sound repertoire

· Poor differentiation of vowels

· Few/simple syllable shapes

· Atypical error patterns (e.g. initial consonant deletion, voicing errors, epenthesis)

Characteristics often seen in Phonological Disorders

· Consistent patterns of error (think fronting, stopping, etc.)

· Intact prosody

· Vowels intact

There is evidence to support that many children with childhood apraxia of speech will have co-occurring problems. This means a thorough evaluation is necessary for our speech students with CAS or suspected of having CAS (Lewis et al., 2004).

How to Write IEP Goals for Speech Students with Childhood Apraxia of Speech

To start, let’s discuss goals we shouldn’t target when it comes to childhood apraxia of speech. It is not recommended to target nonspeech exercises, for example, tongue strengthening exercises (McCauley, Strand, Lof, Schooling, & Frymark, 2009). Remember, apraxia is a motor movement-based disorder and is not due to muscle weakness.

When thinking about childhood apraxia of speech goals for IEPs and plans of care, consider the following 3 areas (Stoeckel, 2018):

1. The student’s inventory, such as single syllables, varied syllable shapes, syllable sequences, and sound development. 

2. Identify functional vocabulary needs and compare to the student’s inventory.

3. Be aware of typical speech sound development.

Like all speech IEP goals, the IEP goals you write for childhood apraxia of speech should be specific to the speech student. Pay attention to the types of cueing that create success for your speech student.

Need a refresher on goal writing? Click here to learn more about how to write SMART goals.

3 Goal Examples for Childhood Apraxia of Speech

Childhood Apraxia of Speech Goal Example 1: Producing syllable shapes.

Given a direct model, Student will produce CVC and CVCV syllable shapes using existing and emerging sound inventory, given visual and tactile prompts, with 70% accuracy.

Example: If a student has /m/ in their inventory, but not CVC or CVCV syllable shapes, “mom” or “mommy” could be a functional target for this goal. Don’t forget to consider vowel inventory when selecting targets!

Childhood Apraxia of Speech Goal Example 2: Increase syllable shape repertoire.

Given visual, verbal, and tactile models, Student will increase syllable shape repertoire by producing 5 new CV and CVC words using acquired consonants and vowels with 80% accuracy across three consecutive sessions.

Example: If a student has /m, p, d/ in their inventory, targets could include “ma”, “mom”, “dad”, “pa”, “pop”, etc.

Childhood Apraxia of Speech Goal Example 3: Combine existing syllable shapes.

Student will combine 2 existing syllable shapes that include existing sound inventory, provided no more than 1 visual and verbal model, in 8/10 opportunities across three consecutive sessions.

Example: If a student can say “my” and “mom”, prompt the student to produce “my mom.”

>> Need more examples of IEP Goals for your students? Check out our comprehensive SLP Goal Bank!

How to Target Childhood Apraxia of Speech Goals with Speech Therapy Students

Treating speech students with childhood apraxia of speech (CAS) can feel overwhelming, so it is important to remember that there is a ton of research to help us feel more confident! SLP Now has research-backed materials that help guide your treatment of childhood apraxia of speech.

How to Write Goals for Childhood Apraxia of Speech as a Speech Language Pathologist

Dynamic Assessment

By completing a dynamic assessment for apraxia of speech with your speech student, you’ll figure out which stimulus set to start with during speech therapy.

During the dynamic assessment, you will have the student attempt a variety of syllable shapes to see which movements are difficult for them to produce. Examples of syllable shapes include CV, VC, CVC, and multisyllabic words. Remember, apraxia is a motor-based speech disorder, so the focus is on the breakdown on the speech student’s motor planning.

Choose Your Initial Stimulus Set for CAS

Once you’ve completed a dynamic assessment with your speech student, you can now select a stimulus set to target with your speech student with childhood apraxia of speech. 

For speech students with severe CAS, choose a small stimulus set, and provide frequent feedback for accurate productions. 

It is very important to include words that are important to the client and their family!

Determine the Treatment Method

Below are treatment methods to consider when treating a student with childhood apraxia of speech:

→ Dynamic Temporal and Tactile Cueing DTTC (Developed by Edythe Strand)

→ ReSt/TEMPO (Developed by Speech Pathology in the Sydney School of Health Sciences at the University of Sydney headed by Professor Tricia McCabe) 

→ Integrated Phonological Awareness Training (Moriarty & Gillon, 2006)

→ The NDP3 program (Williams & Stephens, 2004)

Click here for a more in-depth walkthrough of how to treat childhood apraxia of speech during your speech therapy sessions.

This is a guest blog post from Rachel, a virtual school-based speech-language pathologist, discussing how to write childhood apraxia of speech (CAS) goals for speech therapists!

Childhood Apraxia of Speech References 

American Speech-Language-Hearing Association. (2007b). Childhood apraxia of speech [Technical report]. Retrieved from www.asha.org/policy/

Lewis, B. A., Freebairn, L. A., Hansen, A. J., Iyengar, S. K., & Taylor, H. G. (2004). School-age follow-up of children with childhood apraxia of speech. Language, Speech, and Hearing Services in Schools, 35, 122–140.

McCauley, R. J., Strand, E. A., Lof, G. L., Schooling, T., & Frymark, T. (2009). Evidence-based systematic review: Effects of nonspeech oral motor exercises on speech. American Journal of Speech-Language Pathology, 18, 343–360.Stoeckel, Ruth. (2018). Building and Expanding Your CAS Toolkit. ASHA. https://learningcenter.asha.org/diweb/home

Filed Under: Evidence-Based Strategies Tagged With: apraxia, apraxia of speech, childhood apraxia of speech, Goals, IEP

#178: Literacy-Based Therapy Bootcamp: Step 5 (Parallel Story)

February 27, 2024 by Marisha Leave a Comment

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Welcome to the final installment of our Literacy-Based Therapy Bootcamp series.

So far we’ve covered choosing a book, pre-story knowledge/reading, post-story comprehension, and targeted skill activities.

Today we’re going to talk about parallel stories — which just might be Marisha’s favorite part of the whole literacy-based therapy framework.

The sprinkles on this literacy-based cupcake is the fact that Marisha isn’t the only one who likes this step. Her students really enjoy parallel stories too!

She has had multiple experiences of working with students who were a little bit resistant to participating in therapy because it can be hard! Working on skills that are challenging can feel discouraging at times.

But once her students were able to create their own stories — and final products related to those stories — they started having fun with the activities and were hooked!

Parallel stories are an incredible way to integrate all of the skills that we’ve targeted throughout our literacy-based units.

The goal of this activity is to pull the vocabulary, sentence structures, and plot elements from the story you’ve been using for the unit, and then use them to create something new.

This is a lot like story generation, but we have a jumping off point to draw inspiration from thanks to the previous story. We can use those building blocks to integrate the skills that we’ve targeted in a fresh — and fun — way.

One of Marisha’s favorite visuals to use for parallel stories is a graphic organizer because it’s super helpful for piecing together the story grammar elements:

Parallel story graphic organizer

Visuals like this give students a framework to follow, so that language learning tasks are less demanding, more meaningful, and more authentic.

The end result is that students’ comprehension improves because they can make more sense of the information they’re taking in.

When they start to gain confidence with the framework and generate their own stories, you can choose to put the organizer away, or keep it out for easy reference; it’s about using your clinical judgment and finding that sweet spot of support, depending on the students’ needs.

🎧 In this episode of the SLP Now podcast, Marisha walks listeners through an example of a parallel story. She uses the story “Snowman at Night” as an example, but replaces the snowmen with cacti. Listen in to get all the details!

When retelling the story, we get to use our grammar, vocabulary, and complex syntax — we’re pulling in all of those targets, and doing it in a meaningful way.

With parallel stories we get to take this one step further, and get even more meaningful practice because of the additional student buy-in; they love it! Plus, you can extend the activity (and increase the fun!) beyond filling in a graphic organizer.

While working on the parallel story, we can create an actual product to tell the story — whether it’s a miniature book or a slide show on the computer.

For some students, you can take some pieces of paper, fold them over into a book, and then transcribe the notes from the graphic organizer and put them into text format. When that’s complete, they can take a little bit of time to illustrate the book.

Remember: the point isn’t to spend a ton of time drawing unless it works out with the overall framework of the group and the sessions… but this is not art class. It may be easier and quicker to pull up images that you can print and glue — do whatever is simplest!

The goal is to spend time talking and using language, not master our drawing skills. 😅

Of course, there are some alternative options because writing can be a big barrier. You can switch it up and have students create a video! Have them tell you the story so you can transcribe it, and then reenact the story — and record it — so that they have a “movie” to share at the end.

No matter which activity we do, the goal for this activity is to create something that the student can take away from their session, and share.

The most meaningful practice they can get happens outside of the speech room, and in the context of their real lives. Our job is to help them develop their language skills — so they can tell (and retell!) a story they’re proud of.

And that’s a wrap in the Literacy-Based Bootcamp series here on the podcast! Stay tuned for next week’s episode, when we chat about how to build your paperwork system. 💪

Links and Additional Resources

#174: Literacy-Based Therapy Bootcamp: How to Pick a Book
#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)
#176: Literacy-Based Therapy Bootcamp: Step 3 (Post-Story Comprehension)
#177: Literacy-Based Therapy Bootcamp: Step 4 (Focused Skill Activities)
SLP Now Trial (Your first 5 downloads are free! Grab your Narrative Visuals today!)

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Marisha
00:00
Hello there, and welcome to the SLP now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.

Marisha
00:19
Hey there. Welcome to day five of the literacy based therapy challenge. And this is a little bit of a sad day because it means the challenge is starting to wrap up. But I really think that parallel stories are one of my favorite parts of the unit. Students absolutely love them. They've made a huge difference. I can think of several students who were just a little bit resistant to participating in therapy because it was a little hard for them. They were working on skills that they knew were challenging, but once they got to create their own stories and create final products related to their stories, they were hooked. And they have a lot of fun with these activities, and I do, too. And it's also just a really incredible way to integrate all of the skills that we've targeted throughout the unit.

Marisha
01:09
It is pretty incredible. Super powerful. I love it. So I'll tell you what a parallel story is. The goal of this activity is to pull the vocabulary, the sentence structures, the plot elements, and pull that from the story and then create something new. So it is basically like story generation, but we have a jumping off point. So we have the previous story, we get some inspiration from that, and then we integrate, like I said, the skills that we've targeted. So what I really like to do is I like to use the story grammar organizer that we've used throughout the framework, and we'll pull up the one that we created for the actual story. So, for example, if we're doing snowmen at night, we would fill in the characters and all of that from snowmen at night.

Marisha
01:58
Then we would take another graphic organizer and pull what we did with. Maybe we would create our own idea. So, I'm in Arizona. We have a lot of cacti. So maybe we would do a story about cacti at night. So we would look at this graphic organizer for snowmen at night, and we would kind of pull over the elements so the character would be different. So instead of snowmen, we have cacti, and then the setting would be different. Well, different, but not. So instead of in the snow at night, it would be in the desert at night. And then we would just keep going through and see, okay, this is what the story had, and pull over what makes sense, and then just make adjustments based on what doesn't fit for the specific character.

Marisha
02:44
But this is just a really cool way to integrate all of those different skills. So when were retelling the actual story, were using our grammar, vocabulary, all of our complex syntax, all of that good stuff. We're pulling in all of those targets, and were doing that in a very meaningful way. But this gets to take it one step further. We get more meaningful practice, and with the student buy in, they love it. So some ideas for things that I like to do to extend this. So after we fill in the graphic organizer, they have to do that work first. Then we can write the story or retell the story.

Marisha
03:25
So for some students, I just take some pieces of paper, fold them over into a book, and we'll transcribe or move over our notes from the graphic organizer and put it into text format, and then they can take a little bit of time to illustrate the book. And we do not spend a ton of time on drawing unless it ends up working out with just the overall framework of the group and the sessions. But it's not art class for the most part. So maybe we'll just pull images and print them and glue them on whatever is quick and easy in terms of that part, I want to spend our time talking and using language and not being artists necessarily, so that's what we do. But there are some other alternative options.

Marisha
04:09
So writing can be a big barrier, and it's a great activity to support. But sometimes I like to switch it up and have students create a video. So I might have them tell me the sentences of the story, and I might transcribe it for them or whatnot. But then we'll focus on using our language in creating a video kind of activity where we reenact the story, and that's a lot of fun, and students love getting to share that. And then the best part of the unit is just being able to take that final product, whether it's a book, a digital book, a printed book, a video, animation, I'll share some links to my favorite resources in the comments.

Marisha
04:51
But no matter what we do, the goal is for this to be something that the student can take home, that they can share in the classroom or with their parents, with their friends, and continue to practice their language skills and being able to retell a story that they're very proud of. So that wraps up our unit, and we'll have a little bit of follow up resources coming your way. But thank you guys so much for joining us for this challenge. I hope it was super helpful, and we'll see you soon.

Marisha
05:22
Thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you.

Marisha
05:34

See you next time.

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Filed Under: Podcast Tagged With: Evidence Based Therapy, Literacy-Based Therapy, Strategies, Therapy Plans

#177: Literacy-Based Therapy Bootcamp: Step 4 (Focused Skill Activities)

February 20, 2024 by Marisha Leave a Comment

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Now that we’ve covered choosing a book, pre-story knowledge, reading, and post-story comprehension, it’s time to get into focused skill activities!

Before we dive into the practice, it’s really important to lay the groundwork for a successful session:

Make sure the students are aware of their goals — and that we have their buy-in.

We can have the most beautiful therapy materials, the most amazing visuals, and work with the latest and greatest in evidence-based strategies… and the session can still be a flop if we don’t have student buy-in and motivation.

It’s incredibly valuable to do a check-in and help them connect to why they want to practice the skill: What are their goals? What matters to them? What can motivate them, and help them see the value in what we’re working on?

Marisha’s recommendation is to create goal cards with your students. You can do printed or digital versions, and the point is to make little cards where they write their goals in their own words.

We do our best to connect the goal they’re working on to their longer term goals, like what they want to be when they grow up, because it makes the activity even more meaningful. Click here to download a free goal card template!

Since using goal cards, Marisha has noticed a huge improvement in her therapy sessions when it comes to behavioral issues. Students are less likely to resist the hard work—because speech isn’t easy!—and do what it takes to make progress towards their goals.

After doing the goal check-in, it’s time to dive into our framework!

Focused Skill Activities

Once your students know what they’re working on, you can start teaching the skills. Visuals can be incredibly helpful when it comes to breaking down the skills and making them easier to understand.

Marisha is a fan of the visuals inside the SLP Now membership, but they are definitely not the only ones out there! You can even draw your own visuals—and no, you do not have to be an artist to create an effective visual!

This process looks different for every skill, and Marisha walks through a couple quick examples in this episode.

☝️Looking for more specific ways to target goals?

Inside the SLP Now membership, you get access to all of the courses in The Academy — and they’re included in the free trial! There, you’ll find videos with really specific strategies to help you target specific skills beyond the examples in this post. If you haven’t had a chance to try SLP Now, now is a great time.

Marisha’s top tip for practicing focused skills is to pick language-rich activities that allow you to target multiple goals.

For comprehension activities, you can ask students questions—and guess what? You’re also targeting the grammar goals of another student by (ideally 😅) producing grammatically correct sentences!

We can tag team that activity by using it to target comprehension for one student, and grammar for another student.

And, if another student is working on vocabulary, we can also throw in some questions that include their vocabulary word—or encourage them to use their vocabulary words as they’re responding. Win-win-win!

There really are so many ways to combine these activities and make the most of the time you have with your students.

A good rule of thumb: If it’s language-rich, we can target any goal. 💪

If you need additional support using language-rich activities to target multiple goals, check out the SLP Now Academy.

When you sign up for an SLP Now membership (or trial!) you unlock access to all the courses in the Academy, as well as thousands of low/no prep therapy materials organized to help you plan your best therapy in minutes.

Start your free trial of SLP Now

And stay tuned for next week’s episode when we talk about the final step in this framework: parallel stories.

Links and Additional Resources

#174: Literacy-Based Therapy Bootcamp: How to Pick a Book
#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)
#176: Literacy-Based Therapy Bootcamp: Step 3 (Post-Story Comprehension)
Click here to download a free goal card template!
SLP Now Academy.

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
Email Download New Tab

Marisha
00:00
Hello there, and welcome to the SLP now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.

Marisha
00:20
We are making some serious headway on this challenge. We're already on step four of the literacy based therapy framework, and I've been loving all of your ideas. You guys are rocking it. This is amazing. So we are diving into some focus skill activities today, and we'll be able to use the same kind of approach that we talked about yesterday on the comprehension goals. So if our students have a comprehension goal, and if they don't, the activity that we talked about yesterday is still very language rich, and we can still embed their practice in a meaningful way. And we'll have a little bonus video coming out next week with all of the details on that because I know that can be a little bit overwhelming. But let's just focus in on today on those focus skill activities.

Marisha
01:10
And the first thing that we want to do is just to make sure that students are aware of their goals and that they have buy in, because we can have the most beautiful therapy materials, the most amazing visuals, the best evidence based strategies, and it can still be a flop if we don't have that student buy in and motivation. So we really want to check in with them. What are their goals? What matters to them? What can we use to motivate them and to help them see the value in what we're working on. So that is huge. I personally really like having goal cards. You can do printed versions or you can do this digitally if you're still in the virtual therapy world. But they're just little cards where they write their goals in their own words.

Marisha
01:55
And we do our best to connect it to their longer term goals. Like, what do they want to be when they grow up? And it's made a huge difference in my therapy in addressing behavior issues and just getting students to buy in and to do all the hard work, because this definitely isn't easy. Then the next step is to actually go in and start targeting those skills. So once they know what they're working on, we can dive in and we can use a number of visuals from inside. I really like the ones inside the SLP now membership, but there are absolutely not required before SLP now. I just wrote out and drew my visuals, and I am not an artist, so if I can do it, you can too.

Marisha
02:42
But just something simple, just to break down a skill and make sure that we're really taking the time to teach something. And I mentioned the academy bootcamp courses before, but inside of the SLP now membership, you get access to all of our courses and they're also included in the free trial. So if you haven't already, go check those out if you want some really specific strategies for any specific skills. I do want to keep these videos nice and short, so I'll just stick to the basics. But that is an awesome resource if you are wanting more strategies to use. And so I would just take the time to teach those skills. Once we know what we're working on, we've done that introduction, then we dive into our framework.

Marisha
03:28
So this looks different for every skill, but I'll just give like one or two quick examples and then you can check out the academy or the video coming next week for more details as well. But just for example, I like to pick very language rich activities that allow me to target multiple goals. So for example, with the comprehension activities yesterday, yeah, if I'm asking them questions, it might look like I'm only targeting comprehension. But the sneaky part is that if a student is so one student has a comprehension goal, the other student has a grammar goal. Guess what? When you answer a question, you are producing grammatically correct sentences. At least ideally we are. So we can tag team that activity and use it to target comprehension for one student, and then use it to target grammar for another student.

Marisha
04:22
And then if another student is working on vocabulary, we can throw in some questions that include their vocabulary word, or we can encourage them to use their vocabulary words as they're responding. There's so many ways to combine these activities. As long as it's language rich, we can target any goal. So hopefully that gives you a good starting point. But if you need additional support, like I said, check out the academy. Stay tuned for the video next week. And that's a wrap on day four.

Marisha
04:52
Thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you. See you next time.

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Filed Under: Podcast Tagged With: Evidence Based Therapy, Literacy-Based Therapy, Therapy Plans

#176: Literacy-Based Therapy Bootcamp: Step 3 (Post-Story Comprehension)

February 13, 2024 by Marisha Leave a Comment

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We’re on Step 3 in our Literacy-Based Therapy Bootcamp series:

Post-Story Comprehension!

Have you heard the first two episodes in this series? Part one is here, and part two is here.

In today’s episode of the podcast, Marisha shares three different strategies she uses to embed comprehension activities into her literacy-based units. She talks about her approach to assessments — plus examples of scaffolding support based on the data collected — so that you know exactly how to put this information to work in your practice. 💪

First up: Marisha likes to start her sessions with a quick probe. Taking an assessment without offering support allows her to determine the student’s baseline levels independently, so she can choose appropriate activities and offer the right kind of support.

☝️ In the episode, Marisha shares examples of how she would change her approach if a student got 0% accuracy on a probe for “who” questions vs a student who gets 90% on inferential questions — so make sure you listen in to get all the details!

Remember: the level of the probe difficulty might not completely match up with the level of difficulty of the questions related to the book. It’s up to us to use our clinical judgment.

By combining internal evidence (like the data from the probe) with external evidence (like literature) and clinical expertise (because your experience matters!) we can arrive at an informed decision about the level of support to offer.

For a student who doesn’t need a tremendous amount of support, one strategy Marisha likes to use is to pull her list of questions from the book unit and present them to the student. If they struggle, she can offer support and prompts by asking more specific questions.

If they’re still struggling, another strategy is to refer back to the book or article and help then find the evidence they need to answer the question. If that doesn’t help them to connect the dots, she’ll back things up a little more and start to use some visual supports.

☝️ In the episode, Marisha shares an example of this strategy using the unit “Just A Duck” — which you can find in the SLP Now membership materials library!

Make sure you listen in to get all the details, and get your hands on these plans (plus many more) when you sign up for a free trial of SLP Now. **

For the unit, “Just A Duck”, Marisha likes to use the leveled question cards from SLP Now. The cards have “who” questions with answers in the form of people or characters, and mixed choice questions which have different options — like location, person, or time — and require a more thorough comprehension of the text to answer.

By starting the session with an activity-related probe, Marisha is armed with the information she needs to determine the best course of action for the session — whether to start the session with a simple list of questions or offer additional support, and how to scaffold that support as needed.

That’s all for post-story comprehension!

See you next time when we talk about step 4: Focused Skill Activities.

Episode Summary

In this episode, Marisha talks about:

✅ Starting the session with a probe. This helps her collect data that informs the course of treatment and the type of support to offer.

✅ Using your clinical judgment as an SLP. Combining internal and external evidence with clinical experiences helps you make an informed choice.

✅ Examples of scaffolding support. Marisha shares a few ideas of how she would scale support during the session depending on probe data.

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
Email Download New Tab

Marisha Mets
00:00
Hello there, and welcome to the SLP now podcast, where we share practical therapy tips and ideas for busy speech language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.

Marisha Mets
00:19
Hey there, and welcome to day three of the literacy based therapy challenge. Today we are talking about different comprehension activities that we can embed in our unit as we're reading through a book or an article or whichever text we choose for our students. So we're going to talk about three different strategies that we can use, and I have a variety of activities that I like to pull in as needed, and I like to start my sessions with a quick probe. It's just an assessment where I don't offer any support just to see what students baseline levels are. So if they have a comprehension goal before diving into these activities, I would pull the probe for their specific goal. So whether it's answering who questions, what questions?

Marisha Mets
01:10
Answering inferential questions, whatever it may be, I'll take a quick probe and see where students are at baseline, like, what are they doing independently? And that helps me determine which strategies will likely be most helpful for the student. And granted, the level of the probe difficulty might not completely match up with the level of difficulty of the questions related to the book, so we'll use some clinical judgment there. But, for example, if a student achieves 0% accuracy on their probe for who questions before we dive into those comprehension activities, I'm going to take a step back and teach what who questions are. We're going to do some very structured activities.

Marisha Mets
01:53
But on the other hand, if a student is working on inferential questions and they get 90% accuracy on the probe, I'm not going to offer a whole lot of support as we go in, and then I would just adjust the level of support depending on their accuracy. And this isn't a hard and fast rule. This is where our clinical judgment really comes in. But I like them being able to combine my internal evidence so the data that I get from the probe, plus the external evidence of what I know works well in the literature, and then just combining that with clinical expertise and all of that good stuff to make a really fun activity.

Marisha Mets
02:35
So one thing that we can do, if the student doesn't need a tremendous amount of support, I like to just pull my list of questions from the book unit, and I'll just verbally present the questions. If they struggle, I can scaffold by asking more specific questions. That's one potential strategy. Another strategy, if they're still struggling, we can refer back to the book or the article to help them find the evidence that they need to answer that question. And then if they're still struggling, I might back things up a little bit and use some visual supports. So, for the student, for example, the student working on who questions, I might just. In the unit for just a duck, for example, we have leveled questions.

Marisha Mets
03:25
So after I go through and teach them what who means, and we do some simple practice, maybe we ask some questions about, like who is wearing red, who is sitting, who is standing, and we'll just practice, get some errorless learning down with just understanding the who question that who is a person? And then the next step would be to give them some question cards. So in the unit, we have leveled question cards and we just have a set of who questions. And then there are who questions that only have who answers. So there's only people that they can choose from or characters that they can choose from. But then another level includes mixed answer choices. So one would be a person, one would be a location, one would be a time, for example. It would have mixed choices.

Marisha Mets
04:14
So then they really have to understand what who means to be able to answer that question. So that's just an example of how I might scaffold that and use the results of the probe to determine which level of support would be most appropriate, and also how I can scale that up and scale that back. So if a student does achieve 0% accuracy on the probe, but I do that initial teaching, and they're achieving 100% accuracy with the visual choices, I might just back things up. Maybe I can just ask them pictures about a page in the book, or maybe I can just ask them verbal questions and scale back that support and have it be a very dynamic process to determine what is the most effective.

Marisha Mets
05:00
So that's what we've got for day three of the framework, and I cannot wait to dive into all of the skill based activities tomorrow.

Marisha Mets
05:10
Thanks for listening to the SLP now podcast. If you enjoyed this episode, please share with your SLP friends. And don't forget to subscribe to the podcast to get the latest episodes sent directly to you.

Marisha Mets
05:22
See you next time.

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Filed Under: Podcast Tagged With: Evidence Based Therapy, Literacy-Based Therapy, Therapy Plans

#175: Literacy-Based Therapy Bootcamp: Step 1 (Pre-Story Knowledge) and Step 2 (Reading)

February 6, 2024 by Marisha Leave a Comment

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Get ready for more Literacy-Based Therapy Bootcamp, SLP!

Last week we discussed choosing a text (go back if you haven’t listened yet!) and in this episode, Marisha dives into steps one and two of Dr. Ukrainetz’ literacy-based therapy framework: pre-story knowledge activation and reading the text.

Pre-Story Knowledge Activation and Reading the Text

If you’re used to skill-based drill therapy, you might find yourself thinking that the steps Marisha discusses in this episode are more fluffy than effective — because that’s what she thought earlier in her practice too! It was hard to see how the exercises would be helpful or therapeutic.

But with time, research, and experience, Marisha began observing how powerful literacy-based therapy can be! (More on that when we get into the skill-based practice component of our bootcamp series. 👀)

💡 There are courses in the SLP Now Academy that cover strategies that you can use to target specific skills. For example, in the Grammar Bootcamp Course, we talk about how to use focus stimulation as you’re going through these pre story knowledge activation activities.

It’s incredibly helpful in building students’ prior knowledge and setting them up for success, while targeting their goals strategically and in a meaningful context. According to the evidence, this will help with generalization! 💡

Episode Summary

In this episode, Marisha talks about:

✅ The value of doing a book walk
✅ Using a KWL chart for pre-story activation
✅ The skepticism about the efficacy of these activities
✅ The importance of background knowledge
✅ How these steps set the stage for drill-based activities
✅ Using a story grammar organizer
✅ Keeping students engaged in the activity

This episode is short, sweet, and jam-packed with practical insights and strategies that set the foundation for literacy-based therapy, fostering engagement, and language development.

Happy listening! 🎙️✨

Links Mentioned

💛 KWL Chart (In the SLP Now Membership)
💛 SLP Now Grammar Bookcamp – Evidence-based Strategies (included in the SLP Now Membership)
💛 Ukrainetz, T. (2007). Contextualized language intervention: Scaffolding PreK–12 literacy achievement. Eau Claire, WI: Thinking Publications.

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Hello there and welcome to the SLP Now Podcast, where we share practical therapy tips and ideas for busy speech-language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.
Welcome to day two of the Literacy-Based Therapy Challenge. Today we are focusing on step one and step two of the literacy-based therapy framework. Yesterday we spent our time talking about how to select a text.
So today we're combining the first two days in one. So if you want to open up your workbook to the page that talks about pre-story knowledge activation, that's where you can find some of our notes. But I just wanted to run through a couple quick ideas on what we can do for step one, as well as just a quick overview of the strategies that I like to use when it comes to actually reading the text and keeping students engaged.
So with the first part, for step one, pre-story knowledge activation, I really like to start with a book walk. So this is where we pull out the book or the article, we look at the cover and then some of the pages and talk about what we see. Or if we're looking at an article, we'll look at any pictures that are in the article, headings. We might skim through some of the paragraphs and have some discussion around what we know about the topic.
A really great supplement to this is using a KWL chart. So K stands for what we know, W stands for what we want to know, and then L stands for what we learned. So if we are reading a book about farm animals, we might just brainstorm all of our ideas, think about what we know about farm animals, and then what are things that we want to know about the farm animals? This can be a really good indicator. If we've got lots of conversation flowing, one of the students has a grandpa who has a farm and has lots of experience, or they grew up on a farm. We would have a very rich dialogue.
But if we're working in a inner city school and the kiddos haven't had much exposure to farms or farm animals, we would be doing a lot more background work. So if that's the case, if they indicate a need for additional background knowledge, because this is extremely, extremely important, I might take the time to do a virtual field trip. For example, we might pull up a National Geographic video or something from YouTube, maybe taking a tour of a farm just to help us build that background knowledge of that concept. That will really set students up for success as we dive into the vocabulary and the comprehension and all of those different aspects. So that's a very important component.
I thought this when I was first starting out, I was very used to doing drill based therapy and I thought this was just silly. I thought it was just fluff. There's no way that this is going to be helpful. How am I going to be therapeutic in these activities? I had all these questions running through my head, as I'm sure you do right now too. So we'll talk about this more as we get into this skill-based practice, day four. But there also are a number of courses in the SLP Now Academy where we dive into specific strategies that you can use for specific skills.
So one example in the Grammar Bootcamp course, we talk about how to use focus stimulation as you're going through these pre-story knowledge activation activities. So it's incredibly helpful in building students' prior knowledge, setting them up for success, but it also enables us to target their goals in a very strategic way and in a much more meaningful context. There's evidence in the literature to suggest that this would help with generalization, and of course, we will still take our internal data and use our internal evidence and clinical judgment to decide what makes the most sense. But I just wanted to bring that up because that is an objection that I definitely had when starting out. But we can absolutely be strategic as we're diving into these activities.
Then the last thing that I like to do in this unit is a little bit of an inferencing activity. So I grab my story grammar organizer, and I have students guess who the characters are, what the setting is, what the problem, like the initiating event and all of that. We fill in the story grammar organizer and guess what the story will be about. I think that's a really nice way, after we've done some of that. It's a great language activity. We can target all sorts of goals within it, but it's also a great way to integrate what we've learned from the KWL chart, the virtual field trip, the book walk, all of that good stuff. So it's a very language-rich, really meaningful activity.
Then once that's all done, this can take several sessions depending on the group. But once we've done that pre-story knowledge activation, we just dive in and read the book. I don't spend a ton of time here. I like to read through it and just make sure that students are engaged. This can look different depending on the age group. For my littles in person, we might have sit spots. If we're doing a virtual session, I might watch a YouTube video and then catch students being good. If it looks like they're attending to it, we'll have some rewards there or stop and ask a couple questions just to make sure they're engaged.
Then the same types of strategies could work with older students, just checking in occasionally and watching their body language to make sure that they're actually listening and taking in the story.
But that's what we've got for day two. We just talked about strategies for step one and step two of the framework, and we'll be back tomorrow with some comprehension activities.
Thanks for listening to the SLP Now Podcast. If you enjoyed this episode, please share with your SLP friends, and don't forget to subscribe to the podcast to get the latest episodes sent directly to you. See you next time.

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Filed Under: Podcast Tagged With: Evidence Based Therapy, Literacy-Based Therapy, Therapy Plans

[SLP Summit Q&A] How to Easily Plan a Month of Therapy

January 31, 2024 by Marisha Leave a Comment

At the SLP Summit on January 30th, I presented 3 simple routines to streamline your therapy planning!

Missed us live? The replay is available until February 19th!

There were a lot of questions, so let’s take some time to answer them here! 💛

Literacy-Based Therapy Framework

First, we reviewed Dr. Ukrainetz’s 5-step literacy-based therapy framework.

Check out this Instagram post for a quick overview of literacy-based therapy.

And now let’s dive into the questions…

Do you write goals specific to this framework? 
I don’t! I write goals based on the skills that my students need support with. Any goal can be targeted using a literacy-based approach.

What ages do you use this with?
This framework applies to school-age children (preschool through 12th grade)!

How would you use the literacy based framework for preschool students as they are not totally equipped with literacy knowledge or letters?
Literacy knowledge is not required! The activity throughout the framework can be done 100% verbally. No reading is required!

Would you collect data in Step 1 (Pre-Story Knowledge Activation)?
The activities in Step 1 (and Steps 3, 4, and 5) are language rich. We can target any goal using these activities.

Where do you find virtual fields trips for Step 1 (Pre-Story Knowledge Activation)?
I find my virtual field trips on YouTube!

How would you use a KWL Chart with younger childrens (ages 3-5) in Step 1?
A KWL chart might not be appropriate for all ages. Semantic mappingcould be a better activity choice!

Do you pause during Step 2 (Reading) to make comments and ask questions to keep them engaged? 
Absolutely! I don’t specifically target goals during this step, but I do use whatever strategies needed to keep students engaged!

During Step 2, do you read the whole book in one day or only a specific number of pages per session? 
I read the whole book in one session! I select picture books/texts that can be read in 5 minutes or less.

During Step 3, do you teach how to answer questions appropriately? 
I use comprehension activities to target the students’ goals. That may or may not include appropriate responses to questions!

During Step 3, do you have any recommendations for older students who struggle with reading?
I may support literacy in my therapy sessions, but being able to read a text is not a necessary step! The text may be read aloud (by me or another student), and all activities can be completed using only oral language.

During Step 4 (Focused Skill Activities), do you go through the book to find vocabulary words?
SLP Now does this for you! All of the vocabulary targets are listed in the “Targets” tab for any given unit.

Do you have a template for Step 5 (Parallel Story)?
Yes! If you are a member, click here to access the template.

Is there a trick to use this with mixed groups when some in the group attend more sessions per week than others in the same group?
The students who are being seen multiple times a week likely need more support! I would use those sessions to dive into the skills that those students need more support with.

What are your favorite picture books?
Here is a list of my favorite picture books!

Do you use the same book the teacher is using in class for that unit?
That is a fabulous idea, and I have had a lot of success incorporating classroom texts in my therapy sessions.

Do you have any recommendations for texts for older students?
Yes! I love using ReadWorks for fiction and nonfiction articles.

What about students you see multiple years? Do you use the same books for multiple years?
I tend to choose different units. SLP Now has over 400 literacy-based therapy units, so you have plenty to choose from!

When working with mixed groups, how do you hit the appropriate number of articulation trials with this model? 
I like to target articulation goals separately (whenever possible) using a “quick articulation” model. (One example of this is 5-Minute Kids.) If that isn’t possible, I get creative! Click here for 6 activity ideas to target articulation using books. SLP Now also has articulation cards (with words from the text) to make this even easier!

I have a bunch of students with social/behavioral goals. How do I target those goals if they are grouped with kids with different goals?
This is the ideal set up! Having access to peer models is one of my favorite benefits of mixed groups. I would target social language just like I would any other goal! I would take time to teach as needed–including the use of visual supports. Students then have the opportunity to apply the skill throughout the unit and across language-rich activities.

What is your favorite way to target grammar when using books?
I have a 3-hour course on grammar in the SLP Now Academy!

You can also check out these grammar blog posts.

How long should sessions be when using this framework? 
The ideal session length (based on my experience) is at least 20 minutes!

Does this framework apply to one-on one or group settings?
You can use literacy-based therapy with individual students or groups. I’ve found that I do best with groups of 3 (or fewer).

Data Collection

Do you collect data each session for each child? 
I do! My goal is to collect data on one goal per student per session.

How long do you spend on the probe during the session?
I have a very streamlined system, so it shouldn’t take more than a minute per goal. Here’s a quick video of the process to collect a probe.

Do you give the same probe every time?
I do! This helps me measure progress in a consistent manner. I rotate through the goals. If a student has 4 goals, each goal would be probed every 4 weeks. I also don’t provide any feedback while administering the probe, which helps reduce “learning” of the probe items.

What are the other students doing when you’re doing the probe with one student?
I recorded a podcast episode about how I like to start my sessions.

Do you give students the same probe? How do you control for them hearing the others’ responses?
If the students have the same goal, I may administer the same probe.

Do you provide feedback when giving probes?
I do not!

What would a daily SOAP note look like in SLP Now?
Here’s one example:
Amelia Bones participated in a literacy-based therapy unit (A Camping Spree With Mr. Magee) on 01/08/2024 from 9:00 AM to 9:30 AM in a group.
Goal: answer questions about narrative elements (character, setting, events)
When given a probe, Amelia achieved 20% accuracy (1/5 trials).
When given visual cues, Amelia achieved 80% accuracy.
Plan: Step 3

Everything was automatically populated. I just filled in the plan at the very end.

You can also customize your note template! Click here to see how that works.

SLP Now

Does SLP Now have Spanish resources?
Yes! We have a few Spanish units and handouts. We are working on adding more!

Does SLP Now have materials for all ages?
Yes! This article lists all of the goals and units that we offer for various ages.

How many therapy plans does SLP Now have?
We have over 400 units, including picture books, reading passages, fiction articles, nonfiction articles, vocational videos, and science experiments.

Where can I find the visuals for teaching story grammar?
If you are an SLP Now member, click here to access the visuals.

How do you use the SLP Now Sentence Pack?
An SLP posted a tutorial video in our member community.

Does SLP Now have a goal bank?
We do! It is built into our site.

Does SLP Now have virtual materials for virtual learning?
Yes! If you are a member, click here to access them.

Does SLP Now have activities for home/carryover?
Yes! If you are a member, click here to access them.

Is there somewhere in the SLP Now program that I would be able to enter the students’ exact goals from their IEP?
Yes! You can copy and paste your students’ goals into the platform. Here is a quick tutorial.

If you are an SLPA working under an SLP, is there a way to share this data together?
Yes! We added a new feature that allows you to share a caseload between an SLP and an SLPA.

Is SLP Now HIPAA compliant?
Yes! You can read more details here.

Is there a way to trial SLP Now?
Yes! You can sign up for a free trial here.

How do I access the Digital Binders?
When you sign up for an annual membership to SLP Now, you will receive the digital binders as a bonus!

If you are already an annual member who attended the SLP Summit, check your email for a link to redeem your binder!

As always, if you have any questions, don’t hesitate to reach out. Email us at [email protected].

Filed Under: Therapy Ideas Tagged With: Literacy-Based Therapy, Therapy Plans

#174: Literacy-Based Therapy Bootcamp: How to Pick a Book

January 30, 2024 by Marisha Leave a Comment

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What keeps an SLP from becoming a tutor? This framework. 👇

Okay, that’s not totally true — using a framework is not the only thing that distinguishes a tutor from an SLP! But it can definitely help, and that’s what we’re talking about in this week’s episode of the SLP Now Podcast:

Literacy-Based Therapy Bootcamp: How to Choose a Book

We want to be really clear that being a tutor is amazing, and being an SLP is amazing. This is not a conversation about one profession being better than another, it’s about understanding the role each person plays in helping a student succeed.

A tutor’s job is to help students learn the material from the curriculum and keep up in the classroom.

As an SLP, our job is to focus on the language underpinnings: phonology, morphology, syntax, semantics, and pragmatics

That’s what we do best, and it’s how we help our students build the skills and strategies that they need to be successful beyond the classroom.

Literacy-based therapy offers a great framework to support the development of language underpinnings, and at SLP Now, we like to talk about one that was developed by Dr. Ukrainetz. Her framework for literacy-based therapy includes five steps:

1️⃣ Pre-story knowledge activation
2️⃣ Read
3️⃣ Post-story comprehension
4️⃣ Focused skill activities
5️⃣ Parallel story

Using this framework, you can target almost any goal — but it’s really important to be strategic when you’re selecting a text. (Especially if you want to create a whole month of therapy plans using just one book!)

If there’s language involved, we can make it happen. 💪

Episode Summary

In this episode, Marisha talks about:

✅ Criteria to select texts that can be used in a functional and therapeutic way
✅ The best length of book to use
✅ What happened when she didn’t follow these criteria
✅ Targeting multiple goals with one book
✅ When to use an expository text versus narrative structure
✅ What to do if the text you’ve selected doesn’t have appropriate targets
✅ Aligning texts with the curriculum

Links + Resources Mentioned

Join our free Literacy-Based Therapy Challenge After you’ve joined, keep an eye out for an email from us and don’t forget to download your workbook! 📕

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Speaker 1:
Hello there, and welcome to the SLP Now Podcast, where we share practical therapy tips and ideas for busy speech-language pathologists. Wrap your favorite beverage and sit back as we dive into this week's episode.

Hey there, I am really excited for this next series of podcast episodes. We are going to be doing a literacy-based therapy challenge. This is the challenge that we've had thousands of speech-language pathologists run through with us. And the goal of the challenge is to help you, either if you're new to literacy-based therapy, come up with a nice easy system and boost your confidence when using literacy in your therapy sessions. And then for SLPs who are already using books and articles, and using some literacy-based therapy strategies, this is a really great way to step up what you're doing and streamline and, again, boost your confidence. So to access the resources, I've created a really beautiful workbook that goes along with this challenge. So if you went to head to slpnow.com/challenge, you'll be able to just pop in your email and we'll send you the workbook so you can follow along with the challenge as we go through.

So that's your first action step. Go ahead and hit pause, go to slpnow.com/challenge and download that workbook. And then before we dive into selecting a book to use and going through the five steps of the literacy-based therapy framework, this challenge is much more helpful when you are able to work with a specific group. It just makes it that much more concrete and actionable. So I suggest that you think of one group that you would like to try this with. So jot down the name of the group or just keep it in your head, which group are you wanting to practice this with, then we'll also talk through selecting a text. And if you need some inspiration and you're not sure which book you'd like to use, just send us a DM on Instagram, message us on Instagram, and we'd love to help you with that step. And if you have any questions along the way, please don't hesitate to reach out. Instagram is a great way to do that. Or you can email us at [email protected]. And without further ado, let's dive into the challenge.

Okay, let's do this. We officially get to get started with day one of the literacy-based therapy challenge. So I've got my workbook printed and ready to go. And our goal for today, hopefully yesterday we picked a group, so if you haven't picked your group yet, open up to this page in the workbook day zero where you just pick your group, write down their goals. That'll be super important. And the next thing that we want to do is to select a text. We are going to pick a book to use for our literacy-based therapy unit. And so I gave you some suggestions in the workbook if you want to check those out, but I wanted to chat about some quick criteria for selecting a book. So the whole framework that we're talking about was developed by Dr. Ukrainetz, and she has a fabulous textbook that breaks down that approach and gives us tons and tons of practical tips and resources.

But one thing that she talks about is selecting a book and being strategic in how we select that book. So she talks about three main criteria that allow us to select texts that we can use in a very functional and therapeutic way. And she talks a lot about her framework to help us be therapeutic instead of tutors. So these criteria, if we're selecting texts in this way, we can select essentially any text and make it work for our students, and we can use a text to target virtually any goal. If there's language involved, we can make it happen and we'll share lots and lots of ideas on how to do that throughout the week. But the three criteria are, one, select a text that can be read in 10 minutes or less.

So when I was starting with literacy-based therapy, I got a little bit ambitious and I selected some chapter books for my older students and I was like, "Yes, this is going to be amazing, we're going to keep up with the classroom, and then with this grade I'm going to help them read their social studies textbook. It's going to be fabulous." But it ended up not being so fabulous. I was turning into a tutor because I was trying so hard to keep up with what they were doing in the classroom. And I found that picking smaller subset of texts, so something that can be read in 10 minutes or less, was much more effective. It let me implement the framework that we'll be diving into this week, and it allowed me to slow things down and really focus on the language underpinnings. That's what our job is. We are helping our students build the skills and strategies that they need to be successful because we aren't going to follow them around forever, even though we would love to do that with some of our students, but we really ultimately want them to be independent.

So that's criteria one, select a text that can be read in 10 minutes or less. The second strategy, or the second tip, is to find a text that has multiple demonstrations of targets. And I feel like we can make a text work with pretty much any goal. Of course, if there's something really specific that we want to target, like if we're targeting summarizing, we probably want to have a text that is an expository text. Or if we really want to target story grammar, we probably want to select a fiction text, but beyond the overarching categories, there's very few exceptions. If I really want to target past tense verbs, even if the book is written in present tense, that still gives me the opportunity. It has verbs in it, so I can still set up some contrastive imitation and use that evidence back strategy even if those past tense verbs aren't directly written in the text.

Or if I really want to target some specific prefixes or suffixes, even if it doesn't have those specific prefixes or in the text, we can create sentences using those words and apply them to the text, but it does help a little bit. So I have gone through and analyzed hundreds of books, and quite a few non-fiction and fiction articles as well, and pulled out their targets. One example is irregular plural nouns. There aren't that many of them. And if a student has a goal to work on irregular plural nouns, I would really like to see them in context. So that's something that I'll look through my book guide to see and to find those targets.

And then the third criteria that Dr. Ukrainetz recommends is that the text aligns with the curriculum. We can simply align the topic to what they're discussing in the classroom, or we can pull from something directly that they're actually using in the classroom. And we'll dive into that a little bit more later. I would recommend just focusing on those first two criteria. You've got your students' goals, pick something that will allow you to target those goals, and select something that's not too long. And if you've got that, you'll be good to go and will learn more along the way.

Thanks for listening to the SLP Now Podcast. If you enjoyed this episode, please share with your SLP friends, and don't forget to subscribe to the podcast to get the latest episodes sent directly to you. See you next time.

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Filed Under: Podcast Tagged With: Evidence Based Therapy, Literacy-Based Therapy

#173: My February Therapy Plans

January 23, 2024 by Marisha 2 Comments

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Stress-Free Monthly Therapy Planning for SLPs

In this episode of the SLP Now podcast, Marisha delves into the process she uses to plan a month’s worth of speech therapy sessions. Her goal: to simplify the planning process for SLPs, and make it less daunting.

Let’s dive in and talk about therapy plans for February!

Quick Probes and Visuals: Simplifying with SLP Now

To kick things off, Marisha pulls together the probes and visuals that she needs to target her students’ goals.

Because she uses SLP Now, Marisha takes advantage of a handy feature that allows you to administer present level assessments, helps you to identify goals for your students, then automagically links goals to relevant assessments, visuals, and teaching activities. ✨

If you’re not a member of SLP Now, you can manually gather your assessments and visuals — or use whichever tool you prefer! The point is that you have the materials that you need gathered in advance instead of scrambling for them right before a session.

💡In SLP Now, we’ve built a tool to make it easy for you to create your assessment binder and visuals binder. If you sign up for a trial of SLP Now, you get that tool as part of your onboarding — so make sure you check it out!

Once those materials are assembled, your bases are covered for assessing and teaching your students’ goals. Check and check! ✅ ✅

Next up is…

Segmentation: Adding Variety to Speech Therapy

Marisha advocates for segmenting the caseload into manageable chunks instead of trying to tackle every individual case on its own. This makes it easier to wrap your head around therapy planning, and identify a context to practice the skills.

She stresses the importance of using your clinical judgment — because you know your caseload best — and reminds listeners that each session will still be tailored to the goals and needs of each student.

Marisha gives examples using a caseload that spans preschool through sixth grade. She decides to use a play-based unit for her preschoolers, a picture book for the K-2 students, and a science experiment for the students in grades 3-6.

If you’re overwhelmed, segmenting your caseload simplifies the planning process, gives context to practice skills, and helps you add variety to speech therapy sessions without planning 5 million activities. 💃

Now that we gathered our essential materials and segmented our caseload, it’s time for…

The Magic: Unveiling Your Therapy Plans

When it comes to planning a month of therapy, the materials you need are just a couple clicks away thanks to SLP Now’s search and filter features — and in this episode, Marisha walks you through the exact process she uses to pull up the plans she needs.

SLP Now’s pre-made therapy plans are Marisha’s (not so) secret weapon.

The first step is to log in to SLP Now, then head to the therapy plan page and find the sidebar that lets you create filters for your search — like theme, age, targets, and more.

For the preschoolers, Marisha chooses some early language books she’d like to use, then sets a filter for play-based units. She decides to go with a transportation theme, and the book “The Little Blue Truck” shows up in the results.

Then… PRESTO PLANS-O — Marisha clicks a button to open the plans. There, she finds a month’s worth of activities, including suggested targets and linked related teaching materials like visuals and interactive decks. One more click adds the plans to her favorites for easy access all month long, and that’s it for the first segment of her caseload!

Whenever Marisha needs to access plans for her preschool groups, she can click into that unit and find everything she needs. Easy breezy SLPeasy! 💅

She repeats the process for her K-2 and 3-6 students, using “The Day it Rained Hearts” and a lava lamp science experiment for those groups. Each time, she finds a month’s worth of activities plus all the resources she needs to implement the therapy and target a wide range of goals.

Structuring Speech Therapy Sessions: Where The Magic Unfolds

Transitioning to actual sessions, Marisha outlines the steps – goal review, quick probes, teaching, and practicing within the chosen activity’s context.

💡For more about how to structure a speech session, check out episode 158

Because you’ve been planning ahead, you should have the assessments you need ready to go at the start of the session — and with SLP Now, you can link the relevant tools and materials to your students’ profiles so they’re super easy to find.

The first thing students do when they walk into the session is grab their goal cards and review their goals. While they do that, Marisha will pull up her probes, select one goal per student, and run through a probe for each student quickly. She uses the data collected from that probe to inform the structure of the rest of the session.

💡To learn more about quick and efficient data collection, check out episode 159.

Once Marisha has given the appropriate level of teaching, she dives into the first set of activities — which are designed to target all of her students’ goals — and then practices the goals in context.

Remember: Speech therapy is a very dynamic process. If your student is struggling with the practice component, you can always go back to teaching as needed! The goal is to meet our students where they’re at.

Rinse and Repeat: Consistency is the Key

This process is repeated throughout the month, bringing a sense of routine and structure to the planning and the execution. Marisha has observed that students thrive on this systemized approach, allowing them to focus on their goals with a clear understanding of what to expect.

And there you have it!

Planning a month’s worth of therapy doesn’t have to be a daunting task. With the right tools and structured planning, it becomes a stress-free and effective process.

Until next time, happy planning, SLP superheroes! 🚀✨

Links + Resources Mentioned

Sign up for a free trial of SLP Now
Episode 163: 3 Steps to Easily Plan Your Speech Therapy Sessions
Episode 158: How to structure a speech therapy session
Episode 159: Tips to streamline your data collection as an SLP

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Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape! 💪

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Transcript

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Marisha Mets:
Hello there, and welcome to the SLP Now podcast, where we share practical therapy tips and ideas for busy speech-language pathologists. Grab your favorite beverage and sit back as we dive into this week's episode.
Hey there, it's Marisha, and today we are going to put all of the things that we've talked about over the last few episodes and put them into practice and share what my planning process would look like if I had a preschool through sixth grade caseload planning for the month of February. In the previous episode, 163, we talked about three tips for easy therapy planning. So we talked about splitting your caseload into segments using pre-made therapy plans and then gathering the essentials. So just to recap what that would look like for my February plans, I would just want to make sure that I have quick probes and visuals ready to go for all of my students' goals.
And SLP Now makes that incredibly easy. We have a feature where you can administer Present Levels assessments to your students, and this helps you identify goals for your students. All of those goals already have probes/assessments linked to them, as well as visuals and teaching activities, as well as structured practice, all of the things. So if you're using SLP Now, that whole process is incredibly simple and easy and pretty much done for you. If you're not, you can still implement this, it's just a little bit more manual because you'll be working on gathering your assessments for your students as well as their visuals. And we've built a tool to make it easy for you to build your assessment binder as well as your visual binder. And if you sign up for a free trial of SLP Now, that is one of your welcome onboarding tools, so definitely go check that out.
We're making sure that we have all of the basic materials that we need, so we've got our bases covered in terms of what we need to assess and teach our students' goals. So we're good to go. Got that. Check. Then the next step is to split my caseload into segments. So let's say I'm working with preschool through sixth grade. I may decide to split my caseload. I'm just going to give one example, but use your clinical judgment for your caseload. You know your caseload best, so just that caveat. But let's say I am planning to use a play-based unit for my preschool students. I'd like to use a picture book for my K-2 students, and then for my third through sixth graders, I'd like to use a science experiment.
So I have split my caseload into segments, that make sense. And as you're looking at a group, just because you've set the segment doesn't mean you can't change up the activity. But the purpose of splitting our caseload into segments is just to make it a little bit easier to wrap our head around therapy planning. And I mentioned this in the episode, but if you're feeling overwhelmed, just make those segments. Use that as your guideline for beginning your therapy. The segments, they help you identify a context to practice your students' skills.
Because we gathered all of our essential materials ahead of time, we have our probes/assessments as well as our visuals and teaching tools. Every single session is going to be individualized for every single student. We're still going to be targeting the goals that they need. The segments just help make it easier to identify that context, and then we're not planning five million different activities for our caseload. We make sure we have the essentials, and then we grab the context.
So we've split our caseload into segments. We know we want a play-based unit, a picture book, and a science experiment. In episode 159, I recommended using SLP Now for the pre-made therapy plans. So I would go onto the therapy plan page inside the SLP Now site. There's a sidebar that lets you filter. So I would just start by filtering for the play-based units. So I would just grab the early language books, I think, are what I would like to use. And then if I want it to be seasonal, I can select a specific month, or I can try and connect with whatever they're working on in the preschool classroom. So let's say they're doing a transportation theme. So I'm looking through the books. I can filter by transportation in the sidebar, and then if I just scroll through the list of all of our early language books, Little Blue Truck shows up, and that's tagged as a transportation book. So I can click into that unit, and then I would just add it to my favorites so that I have easy access.
So those are my plans for my preschool groups, and I can click back into the plan. It gives me activity ideas for a whole month of therapy. It analyzes the book and tells me all of the targets that I can work on, and there's teaching materials linked for each target as well. And then there's a bunch of materials that I can use, like interactive decks and visuals and all sorts of things that I can use. So those are my plans for February. They're saved to my account, we're ready to go. So then next I would look for a picture book, and let's just look at the books for February. If there is a specific skill that I know a lot of my students are working on, I can use the sidebar to filter for specific skills. Or if it's an election year, I might want to do something more election-based or whatnot.
So let's just go with The Day It Rained Hearts because it'll be Valentine's Day, and then we can do some work. It'll be relevant leading up to Valentine's Day, and then we can wrap up the month with our parallel stories and all of that, talking about things that happened on Valentine's Day. So I, again, can click into that unit. I'll just add it to my favorites so that I can remember that's the one that I picked. And then again, it has tons of activity ideas that I can just click and grab for the whole month. It analyzes the book for all of the targets, and there are a handful of materials linked that I can just, again, click and grab, or I can print and prep ahead of time. But that is my planning for my second segment of my caseload.
And then I'll do the same thing. I decided I wanted to do a science experiment for my older students, so I searched for a science experiment in the therapy plans. Then I get to pick which one I want to use. So the one that's standing out to me right now is making a lava lamp. And so when I click into that therapy plan, again, I'm going to add it to my favorites so it shows up in my list every time. Again, it has activities and suggestions for the whole month of therapy. It breaks down all of the targets. And then there's a video of me actually conducting the experiment. There's also steps to actually implement the experiment and tons of supplementary activities to target a wide range of goals. And so that, again, is all of my therapy prepped just with one click for my older students' caseload segment, and I'm ready to go with them.
And then in terms of what the actual sessions look like, we talked about this in episode 158 on how to structure a speech therapy session. So I'll give an example of just one of the groups. So let's stick with the older group, the third through sixth graders. So I have their assessments ready to go, and I have them just linked to their accounts in SLP Now, so they're easy to grab. Then I also have my visuals and teaching tools organized, ready to go, easy to grab for my therapy table, and I have my therapy plans all loaded into the app, or maybe I have some things printed off, but that is the overall setup and what I have.
So then let's say it's the first session in February. The students walk in the door. The first thing that they'll do is they'll grab their goal cards, because that's part of their routine. They'll review their goals. As they're reviewing their goals, I'm going to pull up those quick probes, and I'll select one goal per student and run through a probe for each student super quickly, and then I will use that data to decide how I'm going to structure the rest of the session. So we talked about this a lot in the data collection episode, which is episode 159. If you want more details on the structure, I don't want this episode to get too too long, but I will use the data that I collected to determine which students need teaching on a specific goal before we dive into context.
And then once I give the appropriate level of teaching, then we'll dive into the first set of activities for the experiment. And so it involves more executive functioning, sequencing types of things. It's, again, a very language-rich activity, so I can use that. It'll give me plenty of opportunities to target all of my students' goals within that activity. So we spend as much time as we need practicing our goals in context. I started this session with some assessment, then I do some teaching, then we move into practice. And if we're really struggling with the practice side of things, we can always move back to teaching, and it's a very dynamic process.
But then at the end of the session, we'll wrap things up, and then I would just document in SLP Now super quick how the session went and which supports the student needed. And then I can check off which steps we completed out of the plan, and so when the students walk in next time, we kind of rinse and repeat. We'll rotate through to another goal, and we will then continue on to the next step in the experiment unit. And then again, we just continue to rinse and repeat throughout the whole month.
And this whole process makes for really easy therapy planning. It provides the students with some nice consistency and structure so they know what to expect. And because they're not having to figure out all of the details of what's happening in the session, and this is my hypothesis or my observation just from personal experience, but I find that students have a little bit more cognitive capacity and they're able to use a little bit higher level language and step up a little bit more in their goals because they're not having to figure out all of the things. They know what to expect, and they're able to allocate lots of resources to just doing the best that they can with their goals.
And so that is a wrap on how I would navigate my February therapy planning. I hope that this was helpful, and I hope that it helps you feel relieved that it doesn't have to be a very difficult and time-consuming process. I could have done all of my planning in the duration of this episode, maybe even less. And so that's a wrap on this week, and we'll see you next time.
Thanks for listening to the SLP Now podcast. If you enjoyed this episode, please share with your SLP friends, and don't forget to subscribe to the podcast to get the latest episode sent directly to you. See you next time.

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Filed Under: Podcast Tagged With: Literacy-Based Therapy, Organizing Therapy Materials, Therapy Plans

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