Customized Speech Therapy Approaches

The Hands-On Approach:

No Screen Interaction

The “Hands-On Approach” focuses on what the child wants to play away from the computer screen.  The child doesn’t register there is a computer screen so the interaction is only between client and family member. The parent is asked to follow the child while carrying their phone or tablet and the speech therapist and parent works as a team to create opportunities to elicit language or feeding goals based on what the child wants to play. Therapy can be at the playground, trampoline, eating, or bottle feeding with this approach. Research shows an engaged child will elicit more language.

The Hands-On Approach:

Language Therapy Video Examples

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VIDEO Therapy Example: Playing in a Fort (Teaching the Words "In" and "Out")

Online speech therapy is more then just looking at a computer screen. In this video, the father and therapist worked together to teach the new concept “in” and “out” when eliciting talking opportunities for his daughter in her fort.

VIDEO Therapy Example: Playing in Kitchen (Teaching the Verb Eating)

The “Hands-On Approach” provides a coaching model of therapy to empower parents to encourage vocabulary, grammar, and speech clarity through play. In this particular video the father and therapist worked together to elicit the verb “eating” through food play.

VIDEO Therapy Example: Riding a Bike (Teaching "Stop" and "Go")

Online speech therapy can be anywhere! In this video, the father and therapist worked together to teach the new concept “stop” and “go” while his daughter rode her favorite motorcycle around the house. Fun and interactive activities can make anyone want to talk!

The Hands-On Approach:

Bottle Feeding Therapy Video Examples

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VIDEO Therapy Example: Bottle Feeding (Teaching Nipple Flow Rate)

In this short clip, the speech therapist introduced the concept of nipple flow rate and its impact on bottle feeding.

VIDEO Therapy Example: Bottle Feeding (Proper Bottle Handling)

Online speech therapy is more then just looking at a computer screen. In this video, the mother and therapist work together for proper bottle feeding handling.

VIDEO Therapy Example: Bottle Feeding (How to Assess to Stop or Continue Feedings)

In this short clip, the speech therapist checked in with mom to see if the parent agreed the newborn was tired. Next the therapist introduced how to re-alert and assess if the newborn needs a break or wants to continue feeding.

VIDEO Therapy Example: Bottle Feeding (Answered Common Feeding Questions by Parents)

In this short clip, the speech therapist answered one of mom’s feeding questions. Online speech therapy is a great chance for the parent to ask the therapist fears and concerns that may come up during feedings. The parent and therapist work as a team to improve feeding safety and the overall feeding experience.

A More Traditional Approach:

Mixture of Green Screen Technology and Engaging Online Activities

The “Traditional Approach” involves engaging online activities for school age children or adults. The speech therapist can give remote access to the client for hands-on use. The speech therapist picks activities online that interests the individual. Online examples could be Peppa Pig activities, pretending to feed a monster, decorating a pizza, or interactive green screen activities or life-like therapy interactions where the therapist pretends to interact with the screen. The online activities target language and pronunciation goals.

Online speech therapy can be fun, engaging, and can create lasting friendships through learning

The “Traditional Approach” is what you make of it. The therapist has the ability to use a variety of engaging online modalities to elicit learning. Please excuse this therapist’s whiteboard drawing!

The therapist can use a split screen format to show two different documents up at the same time with remote access. In addition the therapist has annotation capabilites to draw over each document for optimal hands-on learning experience.

Use of Green Screen Technology:

Allows for a Fun and Engaging Online Therapy Experience

The speech therapist uses green screen technology to suddenly become apart of the story! In this story, the therapist follows this boy through a haunted house and all of the adventures that the boy comes across. Suddenly the speech therapist is running away from a monster, mummy, skeleton, and vampire to suddenly find out all of the characters were friends surprising this boy for his birthday party. Children love green screen technology and are excited to see what happens next or even yell at the therapist, “Run away from the monster!”

Green screen technology is a fun way to practice asking questions, responding to who, what, where questions, practice target sound production errors, and even predict what is going to happen next, and much more!

This speech therapist uses green screen technology to fully interact with the background on the screen. The green screen excites children and encourages language development.

In this situation the speech therapist shares a story of different animals swimming past the speech therapist. Each time the speech therapist acts surprised and purposely looks through the wrong window to excite the child to tell this speech therapist where to look. Afterward the speech therapist acts surprised by the shark. Imagine having your child say the complete sentence out of excitement, “Look! There’s a shark!”

This speech therapist used green screen technology in an innovative way. Not only can the speech therapist pretend to point to objects on the screen, but the speech therapist is able to “stick” animals and props on to the green screen. 

In this activity the child was asked to practice animal naming, asking questions, and giving directions when the speech therapist and child worked together to decorate the safari background. Afterward the child was given a choice of 2 props to choose from and practiced asking questions to each animal to find out what food each animal wanted to eat.

Children love arts and crafts and pretending to feed their friends on the green screen.

This speech therapist used green screen technology to simulate a real popping experience. Each time the child said, “Blow Bubbles,” more bubbles appeared on the screen. The speech therapist also introduced the concept “big” vs. “small” bubbles. Afterward the child was asked to say, “pop” or “pop the bubbles” and the therapist pretended to pop each bubble which immeidately disappeared from the screen. 

Children and adults are always shocked by the power and creativity of green screen technology.

The Hybrid Approach:

Mixture of Online and Hands-On Therapy 

The “Hybrid Approach,” is a mixture of the “Hands-on” and the “Traditional” online approach to therapy. Typically the child or adult will socially interact with the therapist and recognize the therapist is on the computer screen through different online or hands-on therapy activities.

During the “Hybrid Approach,” the speech therapist may switch between interacting with objects in the individual’s environment or use online activities within the same session or over different sessions. The speech therapist chooses the approach for optimal child and adult engagement in therapy. The therapist isn’t doing their job if the therapist has to ask the client to walk back to the computer screen!

Hybrid Approach:

Language Therapy Video Examples

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VIDEO Therapy Example: Creating a Hands-On Necklace (Teaching Past Tense)

In this short clip, the child was excited to create a necklace with her therapist on the floor. In this particular situation, the therapist was targeting the verb “took” as the past tense use of “take.”

VIDEO Therapy Example: Completing Jumping Jacks (Teaching Verbs) and Past Tense)

In this short clip, the child had a lot of energy so the therapist integrated exercise into therapy to teach -ing verbs (e.g. jumping jacks) and past tense verbs -ed (e.g. jumped). After filming, the girl was asked to jump, crawl, and leap while practicing different grammar rules.

VIDEO Therapy Example: Playing with Beads (Teaching Adjectives and Formulating Sentences)

In this short clip, the therapist used hands-on objects engaging to the child in the home. The therapist practiced open-ended questions and the use of adjectives to describe her breads for increased communication and vocabulary inventory.

VIDEO Therapy Example: Played with Fruit (Teaching Categories and Vocabulary Building)

In this short clip, the therapist practiced naming food in a fruit category and complete vocabulary building activities using items in her environment. Afterward the therapist asked the child for some fruit and the girl pretended to feed the therapist her food.

Liz Patton, MS, CCC-SLP

Owner & Speech-Language Pathologist

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