Showing posts with label voice output device. Show all posts
Showing posts with label voice output device. Show all posts

Sign Me Up



Before I started this blog, I did some writing for the Waterloo Region Family Network. Here's something I posted on the WRFN blog a couple of years ago when Carter was seven. The article was actually written when Carter was five. It was an assignment for a freelance writing course that I took. It tells of another form of augmentative communication that Carter used before he got his talker.


Parents would not be human if they, like everyone else in the world, didn’t follow new trends, especially trends that make life easier. You don’t have to search too hard to find the latest fads in baby gear and accessories. Products in the world of babies and toddlers change so drastically that it is often hard to keep up. Strollers become more compact and car seats become safer, with seat belt systems more elaborate than last year’s model. As the world changes, so too do the tools required for the job of parenting.

A current trend in the world of new parents and tots is to use sign language to communicate.  This consists of mom and dad learning a few basic signs likes more, all done, mom, dad, drink, cookie, etc. When mom and dad model these signs for their little ones, babies imitate what they see, enabling them to communicate with their parents long before their vocal chords are mature enough for speech.
Mom

Dad

Parents of a child with special needs learn to sign out of necessity rather than choice because often along with other challenges, their child has a delay in speech and language. Due to the recent trend of signing with babies, there are a variety of resources available to purchase or borrow from local libraries that assist with the learning of simple, relevant signs.

My husband and I anticipated speech difficulties with our son, Carter because he was born with a cleft palate. However, the cleft palate did not explain why our son was not developing speech and language skills at an age appropriate rate. Over time, we made a gradual discovery that our son has global developmental delay.

Carter’s signing vocabulary grew over time.  We started by teaching him food items and then moved on to his favourite toys. We have since taught him signs to label specific items of clothing as well as colours.
red

Initially a child must be motivated by an item in order to learn to sign for it. It was no surprise to us that Carter’s first signed word was cookie. Although motivated to copy the hand motion that we showed him in order to be rewarded with a cookie, the process was painstaking initially, due to the amount of demonstrations, and repetitions needed before he finally caught on to what was expected of him. In the end it was very rewarding for both Carter and me. Carter got what he wanted because he now had a way to express himself and I was able to provide for him at his request.

It is often very easy to give a child what they want if they point or motion toward the item.  Parents fall into the habit of giving their child what they want before they even ask for it. It was helpful to create opportunities to teach Carter new signs by hiding an item or putting it out of reach so that he was forced to request it.

Carter’s fine motor skills are delayed which created some challenges around certain signs, as some hand motions were too complicated for him. When this occurred, we would revise the sign to make it more manageable for Carter. We also created signs so that he had a way to name certain family members, as well as friends.

At [seven] years of age, our son interacts with a variety of people often away from home.  Unfortunately, it is not feasible for us, as parents, to expect everyone that Carter sees on a regular basis, to learn sign language.  It has been a very beneficial method of communication that has bridged a gap between Carter, his family and his therapists.  However, we’ve recently made the transition to the next level of communication with Carter, a voice output device.  Unlike baby sign, a portable, talking computer device is not all that trendy, but just as strollers and car seats have evolved, so too must my son’s method of communication.

So much has changed in the world of technology over the last few years. We are now in the golden age of the iPad with AAC apps being developed at a rapid pace. If Carter had been born just a few years later, things may have been quite different. I may or may not have gone the sign language route with him. Nevertheless, I'm grateful that he has a back-up method of communication for when his talker is unavailable to him and I'm thrilled that we live in the age that we do because so many high-tech options have become more readily available to those who are non-verbal.

The Little Red Hen: Special Needs Version

Once upon a time there was a boy named, Carter. Things that came easily to other children did not come so easily to him. He did not develop speech in the way that other children do. Instead, he learned to communicate using gestures and sign language.

One day, after 3 and a half years of waiting, Carter came off a very long waiting list and was eligible to receive services in augmentative and alternative communication (AAC) at the local children's development centre.

He was prescribed a high tech voice output device and his family was very happy that he would finally have a voice.

"Who will support my son in learning the constructs of language so that he can become a competent communicator with his speech device?" his mom asked.

"Not I," said the speech pathologist at the local children's development centre. "I am here to help you obtain a device for your son. Then I will provide some basic support with device programming but because our waiting list is so long your son will then be discharged from our services and his school will be responsible for supporting his communication needs."

When Carter went to school that fall with his talker, his mom had a meeting with the school board speech pathologist and the classroom teacher to talk about how excited she was that Carter finally had a voice output device. She provided lots of information about the device as well as suggestions on how Carter could use it during class activities. Carter's mom remembered that a communication disorders assistance (CDA) had worked with Carter the previous school year so she asked,

"Who will support my son in learning the constructs of language so that he can become a competent communicator with his speech device?"

"Not I," said the school board speech pathologist. "I will consult with his teacher and make suggestions,  but then it will be up to her to help your son learn to use his device within the classroom."

Carter's mom looked to the teacher.

"Not I," said the teacher. "Your son's device is very overwhelming and complicated. I am a new teacher and I have all these other students to worry about."

Carter's mom was not happy with the answers she received. She asked about whether the communication disorders assistant (CDA) would work with Carter and was told that he would receive very few, if any sessions with a CDA. She asked if the Educational Assistants could help Carter with his device but was told that their time would be divided equally between all the students in the class with special needs so Carter would not receive any one on one help.

"We will do it ourselves," said Carter's mother and father. "We will do whatever we can to help Carter learn to use his talker. But there must be someone out there who can help us support our son so that he can develop functional communication skills."

************************************

Throughout Carter's childhood I've gratefully accepted whatever professional help that's been available for him and I've done my best to work with those supporting him. But the truth is, the services provided have not always been adequate.

Perhaps the problem lies with budget cuts or a lack of funding for programs, or the fact that Carter has complex needs in specific areas. Or perhaps it's due to the people we've had to deal with. Whatever the reason, I've found that too often the answer to my question, "Who will help us?" has been, "Not I."

Just over two years ago, my husband and I became so frustrated with Carter's school situation, and with the lack of support around his communication needs, that I decided to research other alternatives. What would it take for Carter to be challenged academically while receiving support with his talker?

My search began within our local school board. But, I quickly realized that they could not provide what Carter needed.

So, I decided to investigate private schools and I found a few that warranted visiting.

One school in particular stood out from the rest and after sitting down with the school's administrators to hear about their mandate, about the services Carter would receive, and about the supports that would be put  in place if he were to attend, I came away feeling elated by what I'd learned but at the same time feeling like I wanted to cry.

My husband's reaction as we got in the car after the meeting was one I will never forget. He shook his head, then looked at me and said, "Now what do we do?"

Of the schools we'd investigated, this one was a good fit, no, a great fit, and we both knew it. But there was one major problem - the school's location.

After weighing things out, and exhausting all possible scenarios (and ourselves in the process), my husband and I came to a decision. We had to try to somehow make this work for Carter. We did not want to look back in five, six...ten years and say, "If only we had..."

And that's why, just over one year ago, our family moved from our home town; the area where my husband and I grew up, where our family and friends live, where my husband's business is located, to a place an hour and a half away - on the other side of Toronto.

Some might say that it was drastic to move away from all that we know and love, and from our family's main source of income. Maybe that's true. But, we felt we had to give it a shot.

We've lived here for just over a year and Carter has been attending his new school for that long as well. He even attended during the summer months.

Is the situation ideal? As ideal as it can be. Five days a week my husband commutes back and forth across Toronto for work, to and from the place we used to call home. What should normally take an hour and a half can often turn into a three hour drive (or longer), depending on traffic. Enough said.

Has Carter found success at his new school? So far, yes (thank goodness!). And he is being challenged academically while receiving support with his talker.

I got tired of the "Not I" response that I received when asking for help. But I didn't know where to turn for support. So, my husband and I took things into our own hands to try and solve the problem ourselves.

In an effort to improve the support system for those who are experiencing similar issues, I'm involved in a project created by Kilometres for Communication to develop an AAC network. The network will bring the AAC community - parents, AAC device users, and professionals (SLPs, OTs, CDAs, etc.) together.

Although the project is in its early stages, once up and running, the AAC network will be a place to turn for anyone who has a family member or close friend who needs, but does not have, adequate access to AAC services. For those out there asking, "Who will help us?" the answer will be a resounding "We will!"



Detective Mom

As mom to a non-verbal child, I feel I have a sixth sense about what my eight year old son, Carter is thinking, feeling, wanting or needing. I don't always get it right, especially when he is sick or hurt, which is something that distresses me. That's when my 'detective skills' kick in to high gear. I look for clues and try to interpret what is going on with Carter as best as I can.

Carter is becoming more competent with his voice output device (Vantage Lite) but in some situations he is not able to have his talker with him. And he still has some learning to do in order for him to be fully able to communicate his needs with the device. He still relies on sign language and gestures to help him convey his message.


It's not easy stepping into new situations where someone unfamiliar will be in charge of Carter. I do my best to provide information in an 'All About Me' document that explains, as much as possible, the 'ins and outs' of Carter and some of his quirks and idiosyncrasies. It doesn't always make up for Carter's inability to fully express himself.

As I look back on our family's recent ski trip to Vermont, I find myself reflecting on Carter's communication skills and how they affected his experience.

I've written below what I, as 'Mom detective' could imagine was the running dialogue in Carter's head throughout his 3 day ski experience.

Day 1

Cool! We're going skiing. I love skiing! But I hate the the heavy squeezing feeling in my feet when my ski boots are on...same goes for the helmet. I guess I'm so excited I forgot to freak out this time when Dad helped me get my gear on.

Bye, Mom. Bye, Dad. See you guys after my ski lesson.

Wow, it's hot in here. I wonder why we're still inside the chalet. Mom took a long time talking to my instructor and telling her all about me but I thought we'd go outside after she left. I wish someone would help me take off some of my gear. I'm cooking.

Hmmmm, I don't feel so good. [YAWN] I'm tired from that long car ride yesterday and from not sleeping very well in that new, weird bed. Man, I am sooo hot.

Yuck. There goes my breakfast. Now my jacket's a mess. Well, that got everyone's attention. At least they're cleaning me up. And now some lady is on the phone. I think she's talking to Mom.

Oh, there's Dad. I guess we're leaving. Well, at least we're going outside where it's cooler.

Aaaaah, back in the room. Mom looks worried. She's saying I look pasty. 

Thanks for turning on the TV so I can relax, Mom!

I love this show! I love it so much I'm going to jump up and down! It's so nice to be out of all that ski gear.

Some toast? Sounds good, Mom. My stomach feels fine now.

That afternoon:

Ski gear again? Well, okay but I do NOT want to go back and sit in the chalet again.

YES!!! Dad just said they don't have anyone to give me my lesson for another hour so he's going to take me on some runs with Mom!

Ahhh...I love the chair lift. So much to look at!

Now this is what I call skiing! Dad does all the work and I go along for the ride. Riding between Dad's legs is definitely the way to go. Love feeling the wind in my face!!

I wonder why we're going over to the small hill. 

Oh, this is my lesson.

Well, this is okay, I guess. Riding the magic carpet is funny sometimes. Makes me laugh.

Sheesh...I'm tired. I think I'm pretty much done for the day. I wonder how I can get the message across that I've had enough. If I hold my stomach she'll probably make a big fuss like she did this morning when I threw up.

Yep...she's pulling out her cell phone -- must be calling Mom and Dad. Mission accomplished.

Day 2

Yahoo!! Skiing with Jack and Taylor -- I can't wait!

What? Where are we going? Why aren't we going with Jack and Taylor?

No way! I want to be with them. The little hill? Forget it. I'm not putting on my skis. I'm not going on that baby hill.

Why can't everyone just get outta my face. I'm so sick of hearing that 'It's okay'. It's not okay. I want to be with my brother and sister! This sucks. It's not fair.

Who's this now? A new instructor?Well, at least she's quiet and not trying to convince me to do something I don't want to do. Looks like she'd be willing to wait for me all day.

Fine, I'll put on my skis but I'm not happy about it. Mom and Dad are watching so there's still a chance they might get me outta here if I keep being difficult.

What? They're leaving? 

Guess that didn't work. 

Fine, I'll go down the hill with this new lady. She seems okay.

Cool! I did it and now she's going to take me on the chairlift to a bigger hill!

Yes! I'm doing it! Look at me! Look at me! This is so much fun! 




Day 3

Yes! I'm with my awesome instructor from yesterday! I can't wait to get going.

See ya, Mom and Dad!

This is awesome! I love skiing! 

There certainly would have been less guess work had things started off differently that first day when we dropped Carter off at the chalet for his ski lesson. After he was sick to his stomach, we brought him back to our room and I did my best to figure out what was going on with him. I watched him for a few hours and felt 95% sure that he didn't lose his breakfast because he was coming down with a nasty bug. Overtired, overheated, and a lot of excitement is what I figured was the cause. But as I mentioned earlier, I don't always get it right. And the 5% of lingering doubt really weighed on me.

Thankfully Carter proved me right, quashing my worries over whether he should carry on with his lessons. He was a happy boy once things got rolling with his new instructor.

You can see by the smile on his face that he was very proud to be out on the slopes doing his thing!