The Grind: EBP Systematic Review of the strength of sensory techniques and modifications

In my day to day practice, I am constantly integrating sensory-based interventions.  Many of the students with whom I directly work are preschoolers on the autism spectrum.  I am lucky enough to have an actual treatment room with a ball pit, a doorway platform swing (linear only), a trampoline, tunnels, stairs, balance beams, and a steamroller.  I even purchased light covers to soften fluorescent lighting.  And I use the heck out of this space.  I love watching my students' motor planning evolve so that they freely move and engage through the obstacle courses, vocalize, socialize, and participate in later tasks.  My practiced-based evidence, the results of my sessions and its impact on my students' functioning, supported the continued use of these sensory-based techniques.  But I wanted to know more: What does the research say?

Back to the Grind

Well, Bodison and Parham (2018) published a systematic review that reviewed over 11,000 studies from 2007 to 2015.  Only 8 (out of 11,000!!!!!!!!!) met the inclusion criteria of studies that were peer reviewed, in English, had pre and post-testing related to sensory functioning, and the outcome measures of the impact of sensory techniques and environmental modification on a child's function and participation in daily activities, not just physiological changes noted in a lab.  The included studies focused on the following intervention:

• Qigong Massage
• Weighted Vests
• Slow Linear Swinging
• Sensory Enriched Preschool
• Sensory Environment Modifications

Nitty Gritty

• Qigong Massage has been effective in infant and preschool-aged development and behavior, ***when the occupational therapist has extensive training
• There is limited evidence for use weighted vests with kiddos ADHD; using weighted vests for children with ASD was not recommended due to the lack of evidence
• Slow linear swinging may or may not improve on-task behaviors for children on the spectrum; it is dependent on arousal level
• There is insufficient evidence that embedding sensory rich activities into the preschool classroom improves development over a typical preschool setting
• Other techniques like Wilbarger Brushing Protocols, therapy ball, sensory diets, and sensory listening systems were excluded because the quality of the studies out there were low on the evidence totem pole
• Reducing lighting and sound, paired with a weighted blanket helped children participate in dental cleanings

What do the findings mean to me?

• If I were an early intervention or hospital based therapist, I would consider going for training in Qigong Massage.  But it would be at least 50 hours of training, which is a huge commitment.
• Weighted vests.  How many of us have weighted vests in our closets? Evidence is limited.  Though it is in my tool box, I would try other interventions first before implementing one of these.
• Linear swinging.  Know the reason for using the swing before using. Is it for play and language, reward, balance and strength, or regulation?
• Preschool.  Definitely need more thought and research here.  I have seen a lot, working public preschool for nearly 12 years. Each teacher sets up his or her room differently.  They use different materials, different approaches.  The children, usually between 3-5 years old, are mixed in skill and developmental level.  Collaboration levels and comfort with service providers are all cogs in the multifaceted machine of the the day.  I work with the kids in and out of the classroom to see what may work and how it could be incorporated into the daily routine with the goal that the child can learn to self regulate in his or her natural environment.  And with the push for push-in services, consultation, and modifications, more experience and studies are needed to figure out what is best practice.
• Read up on the other techniques before using them!
• Yes, more research is needed to generalize to a classroom, but it is worth educating teachers and staff to environmental modifications that can help students with ASD.

During my EBP courses I had coincidentally gone through quite a few, if not most of the studies highlighted by Bodison and Parham.  For me, I will continue to use sensory-based interventions as part of treatment for children with sensory dysfunction, but I plan on making more of an effort of keeping better data to see if my practice-based evidence is improving function and on-task behaviors.  

Bodison, S. C. & Parham, L. D. (2018). Specific sensory techniques and sensory environmental modification for children and your thaw sensory integration difficulties. A systematic review. American Journal of Occupational Therapy, 72, 7201190040. https://doi.org/10.5014/ajot.2018.029413

Michael Myers in a Mat Man shirt, holding a box of crayons

It’s coming.  The end of summer.  The end of lazidacial mornings of drinking coffee on the porch in my pajamas with the dog at my feet.  Orientation is around the corner.

Whether you are entering the school doors for the first time or the 12th time, first day anxiety is creeping its way into your head like a bad 80s horror character.  

I like to picture my first day anxiety anthropomorphically, like Michael Myers with a Mat Man shirt on holding a box of crayons.  Chi chi chi, wah wah wah. He sits on my shoulder, like DeadPool on the overpass, coloring an IEP calendar. I ask, he answers.

Wonder what the caseload is going to be like this year?

Comparable to planning a trip to the hairy edge of Saturn

From under what hellish mountain of paperwork will I be shoveling this year?

Somewhere in height between K-2 and Everest

How will I get everything done?

By medicating

How many times will my schedule change? 

If a train is traveling at 80 mph and 30 people are walking in the opposite direction, how many cats would it take to fill the Lake Eerie?

Do I need a swear jar at work? 

Probably

When will I have lunch?

Whenever you damn well please, as long as you can eat it under 3.2 seconds

Don’t get me wrong. I love what I do.  I love my students. I love my co-workers.  But I still struggle with making each year manageable.  So now that I have completed my masters, I want to get back to writing.  It helps me process the day to day quirkiness that is school-based therapy.  

The work-wife (I’ll get into that in a later post) and I thought we would do a podcast about topics, trials, and tribulation of how to survive school-based service provision.  But for now, I think I will start here. Any maybe, just maybe you will come for the ride. Check out the scenery, share your experiences, or just nod your head in solidarity.

A letter to my students transitioning to middle school

Because sometimes, I don't think we prepare our students with disabilities enough during that elementary to middle school transition, I was inspired to write them a little letter based on a variety of posts by people with disabilities talking about their experiences during this oh-so-fun-time.  I wanted to let them know some "things to look for" to help prepare them and to begin to self advocate.  Self advocacy needs to start early.  I don't know if anyone ever sits down with these kids to share these ideas, but someone should.  So I decided I needed to be that person.

Dear __________________________,

I just wanted to take the time to tell you to have an awesome summer and give you some tips to dealing with middle school!!! I am really proud of all you have accomplished and you will be great! The biggest thing is to advocate for yourself.  And if/when you need help, please don’t be afraid to ask. School can be a challenging place for a student who uses a wheelchair or walker. There are all kinds of unexpected barriers such changes to the cafeteria set up, tables and desks that suddenly appear that won't allow a wheelchair in between. It's important to use these challenges as learning experiences in becoming an independent adult.  Wishing you the best!!!

Sincerely,

Ms. Becca, OT

Managing School Supplies

• strapping a large backpack onto the front of you using the seatbelt to hold it can work for carrying bulky items
• a sling under the seat between the wheels and a smaller backpack behind  you to carry big items
• Ask for an extra set of school textbooks to keep at home.
• If you have a locker, make sure you can get into it easily

Navigating the Classroom and School Building

• Make sure there is enough room to get around all of the furniture and that you can reach everything
• Request an orientation before school starts to figure out how to get from one class to another.
• Get access to an elevator key to go from one floor to another if needed
• Talk with your teachers to see if you need to leave class a few minutes early and have a few minutes' grace period to arrive at your next class

Emergency and Safety

• Find out what the plan is in a fire or emergency drill - Like if you are on the second floor and  can't use the elevator for evacuation

Restroom Accommodations

• Find all the bathrooms that are accessible for you.
• Carry bathroom supplies in your backpack.

Support Staff

• Have the physical therapist or occupational therapist make sure that whatever desk you have is the appropriate height for you
• And that you have reasonable space to enter and exit the classroom.
• Check in with your teachers or therapist with any issues that arise

AT in the Classroom: SETTing the Example for using Assistive Technology

Sometimes I take for granted what I have learned about assistive technology, so let me start out by sharing and defining it before diving into examples...

Assistive Technology (AT) is defined in the Individuals with Disabilities Education Act (IDEA) as any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve functional capabilities of a child with a disability. It does not include medical devices that are implanted, such as cochlear implants.

As part of every Indvidualized Education Plan (IEP), Assistive Technology should be "considered" as part as the child's ability to have access to a Free and Appropriate Public Education (FAPE).

With all that in mind, in this alphabet soup of educational acronyms, how can parents, educators, and therapists search, select, and support children with complex needs?

Using the SETT Model, as developed by Joy Zabala who is a leader in Universal Design for Learning (UDL) concepts, it is recommended to look at four components: Student, Environment, Task and Tool.  First, you look at the Student: what are their strengths, needs, and motivating factors.  Then, look at the Envirnoment: where is the student going to be completing the task?  Third, name the Task: what does the student need to do or learn? Last is the Tools: how is this child going to access the task at hand, as independently as possible?

When I am working with students, I collaborate constantly with a group of amazing therapists and educators.  We try to look at all options from no tech to high tech. You don't want to jump to the iPad with ProLoQuo2Go if it's not going to work to the child's strengths and meet their needs.  Let me give you a few examples:

Example: 

The Student: A preschool student with significant physical and cognitive disabilities. S/he is able to reach, grab and release with both hands.  S/he is motivated by sensory exploration, food and music.  

The Environment: Student will be completing tasks in the OT room, the classroom, and academic specials like gym, art, and music.  

The Task: develop a means of communicating needs and wants.   

The Tools: 
No Tech: Incorporating the use of gestures, eye contact and vocalizations into activities

Low Tech Option- pictures, like Boardmaker, SymbolStix, or downloaded pictures from the internet.  

Mid Tech Option- voice output single switch with a picture indicating what it says or a swtich activated toy (available through specialty vendors such as Enable Mart  or Able Net or potentially Amazon).

High Tech Option- iPad with Cause and Effect music based play apps such as Inclusive Tech, with a switch and Blue tooth switch interface for the iPad such as the Pretorian APPlicator

During therapy sessions, I use them all.  The combination of all approaches supports intent, initiation, persistence, and communication needs through motivating play. This student must request a turn using a picture exchange to then activate the cause and effect switch based toy/app, indicate more wanted time on the swing, or use of the rice box.  Notice, I haven't attempted to start an alternative and augmentative communication (AAC) app.  S/he is not ready for it yet.  Maybe in the future, maybe not.  

Example 2.

The Student: Student with significant physical mobility challenges. S/he is very bright but has difficult time keeping up with his/her peers during class activities. S/he can type on average at the same speed his peers write; s/he can write single letters and numbers recognizably but large.

The Environment: regular education setting

The Task: S/he needs to be able to complete math, reading, and writing worksheets independently.

The Tools: 
No Tech: scribing, however this involves an adult or peer to do the work, and the student is dysarthric. Reliability of answers should be considered.

Low Tech: Use a Slant board, built up pencil, and strategic positioning (and repositioning) of materials

Mid Tech:Lap top already available in the classroom with shortcut to a word processing application and a printer

High Tech: iPad with a PDF translation app that takes a photo, turns it into a PDF on which the student can type or draw on, access to email and/or printer

The student uses a combination of all four, again. Now that the student has access to the tech, the need for the scribing is lessened.   Sometimes the child wants to write. So with strategic positioning and his built up pencil, s/he can fill in the blank or draw the lines. But when the writing is more than a few letters or numbers, he can complete his work on either the iPad or the computer.  Is it perfect? Is it up to UDL? No, because in theory, the means of his expressing his knowledge wasn't explored before creating the lesson.  But does it work and give him improved access right now?  Yes.  

Example 3.
The Student: Elementary student with decreased strength and endurance to upper extremities and absent lower body sesnsation.  Also wears glasses.  Enjoys reading and music, but has a hard time comprehending and expressing what she knows.  S/he hunts and pecks on the keyboard.
The Environment: The inclusion classroom
The Task: Reading assignments, comprehension
The Tools:
No Tech: Provide modified educational materials like multiple choice questions
Low Tech: Highlighting strips to visually narrow the area the student needs to which s/he needs to attend. Access to read-aloud accommodations on the ePublished version of the reading program
Mid Tech: Access to laptop with a text to speech app/extension (Read and Write for Google, Readability, etc)
High Tech: iPad with PDF translation app to enlarge the print on the screen and limit visual clutter.  If student has a print disability, may qualify for Bookshare account and could use Voice Dream app on the iPad as well.

Combination of all four.

Notice the trend?  There is no end-all, be-all answer to access needs because depending on the strengths, needs, environment, and task, the tools required will be different.  And it is always a work in progress as the demands of the schoolwork change.  The important thing to take out of this is that you need to ask the right WH questions.  Who? Where? What? and How? Because if you don't know the answer, you can consult with your team or request an Assistive Technology Evaluation from your local AT group, in accordance with your district policies and procedures.  If you're not sure, refer!  

If you want to learn more about SETT, UDL, CAST, AIM, or any of the other Assistive Technology acronyms, there are amazing free and at cost webinars available on-line through AbleNet University, CDT Institute, and AOTA .  And don't forget to make friends with your local AT program!  They can be an amazing resource.

Fun Products to Get You Back to School the Joyful Organizer Way!

It's crazy to think back to school has hit us.  I have the pleasure of sharing  another guest post from the Joyful Organizer herself,  Bonnie Joy Dewkett, a Certified Professional Organizer.  She has a innate knack for organizing whatever life throws at you.  Her tips have been featured in Good Housekeeping and Family Circle (to name just a few). Below are great product reviews that may add a little sanity to your crazy day.

Please note I received samples of some of these items to test out and write the reviews.  My opinions are my own were not influenced in any way.

Summer is fully upon us and while it's not so fun to think about, school is just around the corner.  So, this month I figured I'd bring you some products designed to help you start the school year off on the right foot, and, of course, ORGANIZED!

The Sigg Thermos is something I'm not sure how I lived without previously.  It's not just any thermos.  First of all, its sleek design makes it look amazing on your table or desk.  It's available in a few colors and all models are BPA and Phthalates free.  The model I tried had an attached cup, making packing a lunch SO much easier!  What I love the most is the tea filter.  Finally a thermos that makes it easy to drink loose leaf tea!  The thermos keeps things hot for up to 8 hours.  I tried it and it's true!  I work from home but I still love to gill this with tea in the morning and sip throughout the day!  It's made with stainless and doesn't add any taste to your beverage.  You might want more than one of these.

Not all lunch boxes are created equal.  This metal lunch box is not only stylish (it comes in pink and blue), it's super functional.  Take your snacks in this container and you'll keep them fresh. The top opens up so you can easily grab its contents.  I like that it's not too big and not too small-perfect to avoid container eating.  The contents stay fresh and when you get home, the whole container is easily washable.  This is also for grade school kids who might drop their lunch box.  It's also awesome for older kids who want something cool to carry their lunch in.  I love it for the office because it's sophisticated and just plain cute.  If you don't want to use it for food, it also makes a great container for office supplies!

Okay, this is the year you're going to stop wasting plastic bags.  You just needed the right tool.  It's the (re)zip bags by Blue Avocado.  They are side just like traditional snack and sandwich bags.  However, they are reusable.  They are made of food safe, FDA approved PEVA material.  A pack of two sandwich sized bags is $8.99.  Use these more than a month and you'll be saving money.  They are freezer safe and have a secure "zipper" at the top to keep your food fresh.  They are LEAD, PVC and BPA free too!  I will tell you these are AWESOME for any small item you want to keep organized.  I love them when I travel to snacks on the plane, cosmetics, or even office supplies.  You'll find a million uses for these!

Sigg has some of the CUTEST water bottles out there.  Adults love them too of course, but they offer some adorable and unique kids' patterns.  Not only are they durable to stand up to school's wear and tear, they are unique enough to stand out from their peer's water bottles.  I love the travel series in particular.  They come in a number of countries with both girls and boys featured.  It holds about .4 liters…not too big and not too small.  The cap even has a protective covering to keep it dirt and germ free.  (A much needed feature for little kids!)

If your child is a little too grown up for these bottles, Sigg has a design series, perfect for young adults.  Check them out here.  Don't forget the cleaning tablets and Sigg brush!  Just drop a tablet in and let it do the cleaning for you.  Your bottles are sparkling queen, fresh smelling and the fear of germs is gone!  I tried cleaning my Sigg bottles for years without these tools.  When I got them, they rocked my world and I wonder why I struggled with inferior cleaning products for so long!

If you are going to be washing water bottles, lunch boxes and other food storage conners after sending them to school with your child, you need Name Bubble's water proof labels.  The small rectangular labels are easily affixed to just about any surface. I thought they would have trouble sticking to silicone or the bottom of a coffee cup, but they stick firmly and stay in place even with washing (both hand and dishwasher).  These are awesome to know what belong to you among the other kids and even in the break room refrigerator. Protect your investments and label things!  They come in adorable colors, and can even be customized with designs!

This next product has to be the cutest way of reminding someone to do something that I've ever seen.  It's a customizable wrist band from Knock Knock that boasts a small prewritten message and a spot to record your reminder.  Some of the messages on the bands are; friendly reminder, you got this, checkboxes for to do or to don't and even one that says pssst..  These are great for husbands and kids alike.  They can be put around a wrist but they also work for the handle of a purse or work bag.  They come in sets of 25 and are just $6!  You'll love these!

The first item is inexpensive, adorable and will keep your water bottle (or anything else you stick it to) safe all year through.  It's a customized sticker from Etsy seller, MNWMonograms.  The sticker includes your choice of initials and your choice of color.  It's 4.5" by 4.5" and it won't come off in the dishwasher or if your water bottle condenses. It's a pretty awesome way to customize your great while looking cute doing it.  And, it's just $5!

For packing lunches to head to school or the office, do it the healthy way with Frego.  While plastic is durable, glass is the least toxic and an old reliable friend.  Frego takes it one step further and protects the glass with a  silicone casing.  It's colorful and fun, but it adds a level of durability.  It won't slide out of your hands and when you want to heat up its contents, you can put the silicone sleeve on to protect your hands.  I love these for snacks, road trips, lunches or even leftovers.  I want a whole set of them!  Oh and all pieces are dishwasher safe :)

School means germs.  And germs mean lots of hand washing.  I'm in love with Beesential's All Natural Grapefruit and Lemongrass Foaming Hand Soap. Made from coconut, hemp and olive oils, it's an all natural alternative to detergent based soaps made from petroleum products.  This kills germs and is gentle to your hands!

Speaking of germs, save yourself a trip out later and stock up on Kleenex when buying school supplies.  Not only do they have anti viral tissues, they even have speciality boxes designed with patterns that will make you smile.  I personally love their travel pouches. They come in so many pretty designs, they look cute when you pull them out.  They are small and thin enough to fit into a pocket, a purse and of course, a school bag.  Stock up, you'll be glad you did!

 If you take your computer, iPad, or phone chargers with you anywhere, there is a good chance you can get them mixed up with someone else's.  Whooz is a fun line of charger decals that help you identify your charger.  They come in various sizes to fit all of your chargers.  The designs are whimsical and will make you smile every time you use your charger.  My favorite designs?  Mr. T and Rufus the dog.  Kids and adults alike will love these!

Sustainability meets cuteness with spbang's lunch bags.  These bags are better than any sandwich bag you have ever used.  Made of durable materials with adorable patterns and available in a wide array of colors, these will save you money and save the Earth.  They are made in the US and are about 7 inches by 7 inches.  They are lead free, Phthalate free and BPA free.  They are waterproof too.  They close with a tab closure.  It takes a moment to get used to but it creates a real seal to keep your food fresh.  If you want an extra bonus, pop it in the freezer before use and your food will stay cool and fresh.  In my opinion, here's the best part-they are dishwasher safe!  No more fishing crumbs out!

These are something that will help you get organized, but Wacky Winderz are just too cute not to include.  Make back to school l(or a day at the office) a little more fun with these four unique wind up pencil toppers.  These will also make great stocking stuffers!

They also make a great pick me up for someone having a bad day :)

 This lunch box by Laptop Lunches is going to change the way you pack lunch.  Not only is there plenty of space to pack things (two compartments which I love for utensils, a juice box and of course a note :) It's fully insulated and contains no lead, BPA, phthalates or PVC.  It has a handle AND a removable shoulder strap (awesome in case your lunch box doesn't fit into your backpack).  The bento box on the bottom is awesome.  It's made of 100% post-consumer PET and printed with soy ink so you can feel great about these bags.  The bento box that fits into the bottom of the lunch bag is also just as safe and is dishwasher and microwave safe.  It keeps all of your kid's food separate and safe so it's just as tasty and pretty as when you packed it in the morning.  These are awesome lunch bags that make packing lunch easy, and look good!

Okay this isn't a back to school item specifically.  However, it's a great treat for the end of the day, or to sneak in a lunch box.   (IF gum is allowed at your child's school.)  Tree Hugger Bubble Gum is the best gum you'll ever taste.  Their all natural flavors are long lasting and the pieces are generous in size.  There are no artificial colors either!  It's also gluten free, all natural, vegan, non gmo and comes in a variety of flavors and packages. From individually wrapped pieces of gum to the traditional bubble gum "strip" there is a package that meets your size needs.  There are traditional flavors like classic bubble gum, but some of the most delicious are  the fun ones, like Wildberry.

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The Joyful Organizer®, LLC

bonnie@thejoyfulorganizer.com
http://www.thejoyfulorganizer.com
http://thejoyfulorganizer.com/blog

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'Appy Hour: ATEval2Go

After hearing about ATEval2Go app on a podcast to which I listen (ATTipsCast, go check it out~) I had to try it.

ATEval2Go is a very comprehensive evaluation app by SmartyEars that allows the user to enter and export data on child/client specific and classroom specific assistive technology needs.  There are some great features:

1. Ability to take and import photos/audio files/video

This is a nice feature for a couple of reasons. If there is a complex set up, sometimes it is nice to take a picture than attempt to describe it.  It also helps to put faces to names, if you happen to work with a lot of clients.

2. Direct access to a data bank with common recommendations, accommodations, modifications, technology, etc

Being new to the ATP evaluation process, I am still learning different kinds of options out in the world. The data banks provided a visual list of things to look for.  So now, I am using it to evaluate classrooms, to see what is available already in it.  It includes accommodations, modifications and available tools that are commonly found in math, reading, composition, organization, sensory based, etc.  This saves time and helps to individualize modifications and accommodations for the IEP. 

3. Ability to save new and commonly used items to the data bank

My school is full of technology. I have customized my data banks with my recommendations and items in use so that future evaluations will be even more quickly completed.

4. Easy to use

It really couldn't be more simple.  Drop down menus, typing capacity, easy delete and add. 

5. Access to a how to video!

If you wondering if this app will be useful for you, or you downloaded it and want to get started, check out SmartyEars YouTube video.

6. Exportability

You have a couple of different options to get the information from the iPad to a printer. You can email it, directly print to an AirPrint enabled printer, and upload to iBooks or iTunes.  So what I have done, is emailed it to myself and then cut and pasted into a Microsoft Word document, usually one of my progress notes or evaluations.  Then I am able to add any other information I wish or need.

Aspects to consider:

1. Cost

This app is expensive.  At $39.99 I was reluctant to purchase it, which is one of the reasons I reached out to the company.  I like to trial lite versions or have access to a free sample before investing in an app of over 5.99; this app is it. There is no lite or option for free trial.

2. iTunes uploading

This app features the ability to upload an evaluation to iTunes file share.  I just couldn't bring myself to do it. I am hesitant to upload client specific information to the cloud, though I am sure it is secure. I just won't do it.

Hopes:

1. I really would love to see an OTEval2Go! I love the comprehensive nature of the evaluation. It is easy to use and could easily see a version that was friendly to the OT evaluator.

2. I also hope for SmartyEars to consider a free trial period or develop a lite version as I am sure I am not the only one hesitant to purchase prior to hands on use.

3. I would love to see additional software items in the pre-determined data bank.  Though I know technology is changing every time I blink, it would be nice to have commonly used software included.  Many of them have built in accessibility options, which again will help guide educators to use recommendations that are already a classroom resource.

Overall, I see ATEval2Go as a very useful tool for the school assistive tech designee, the SLP or the OT.  It helps guide the evaluator, not do it for him/her which is very important for the efficacy of practice.  If this app is something that you would like to have access to, you may want to present the request to your administrator to cover the cost.  Never hurts to ask!

Disclaimer: I received a promo code to provide feedback and my thoughts about it.
This did/does not influence my discussion of the app.

Five Bucks or less: Homework Helper

Do you or someone you know find it difficult to attend to homework assignments because it gets visually overwhelming?

I found these Avery See Through Sticky Notes at the Recycling for Rhode Island Eduction Center, and immediately thought of a variety of uses because of a couple of unique properties. First, they are sticky notes and are easily removable, no real left over tack noted. Second, they come in a couple of colors and shapes, so depending on the preference of the child, you can accommodate pretty easily. Third, you can write on them. Note, if you write or erase vigorously, the color can come off. And depending on the writing implement you use the ink may rub off onto your hands.

So here are some quick uses for homework:
1. Place it on the math problem you need your child or student to focus on or copy.  The highlighting color draws attention to the problem and helps to alleviate some of the stress when there are multiple problems to complete.

 2. The child can then either write directly on the highlight sheet to complete the work, then copy it over if neatness is an issue.

3. Use the highlight to make a reading assist.  Trim the sticky note to the size of the font/spacing in a book the student is reading. Then the child can focus on the line(s) at a time and can follow the left to right, top to bottom reading, without skipping lines.

There's a Fly Guy in my Soup by Tedd Arnold

4. Same theory as above, teachers could stick these highlight papers in the big books they read to children as a cue for a new word.

Now I found them at an educator's discount place, noted above, so I paid 10 for $1.  But if you don't have access to a place like that, then these sticky notes can run anywhere from $3.50 and up for a package of 50 sheets.  But it may be a small price to pay to increase confidence and decrease stress during those pesky, and visually overwhelming assignments.

If you have more ideas on how you can use these See Through Sticky Notes, please post them on the blog response or my Facebook page.  I would love to add more ideas to my mental rolodex!

OT Soap Box- Handwriting

It seems like the schools these days are forced to push kids beyond what they may be able to do.   You know, Kindergarten is the new first grade, Pre school is the new K.  But the problem is, you can't rush development.  Think back to basic child development classes that you may have taken.  There is a basic neurological development of fine motor and visual motor skills.  If you skip teaching these skills, the children often will struggle understanding more complex tasks.

As an occupational therapist in a public school setting, I see it more often than not.  What is the first letter you learn? A.  Two diagonal lines.  These kids are 3 years old.  Developmentally, a 3 year old may be able to form vertical and horizontal lines and a circle.  A 3 year old may struggle with the A because he hasn't developed the diagonal, crossing midline corner to corner.

So what do you do?  Well, luckily there are people, many of them OTs and teachers, who recognize this.  And some of those people have developed programs.  One of my favorites: Handwriting without Tears.   HWT is Jan Olsen's baby.  She is an OT who developed the program after her son struggled tearfully with his writing.  Jan was able to break the concepts down into a fun, practical and consistent technique that both kids and adults can use.  It was only in the past few years that a pre-k program was developed, but it has become a staple in my personal approach.

Mudge and Mat Man

I'll share a are a few key components.  

1. Because the little ones are in fact, little, HWT (and I) encourage use of small crayons.  Break them.  Its OK. And it may be cathartic.  Using small pieces promotes grasp development into eventually a "Tripod" or "Quadropod" grasp.   

2. Teach capitals first.  They are the same size.  They all start at the top.  

3. Use consistent language.  You can form you capitals with 4 simple concepts, Big/Little Lines and curves.  

4. Have fun and make it playful with music and movement.  Kids are multi-sensory learners.

Taping paper to the wall or an easel also helps to place the wrist in a better position to help the child use the inner muscles of the hand.  It also puts it directly in front of them, for better visual attention as well as encouraging the helper hand to stabilize

There is sooooo much more to handwriting than just a pencil and paper.  Language, cognition, position of the body, strength, coordination, vision, sensation, and the list goes on and on.  If one of these aspects is lagging, than chances are the overall outcome will be less than desirable.  If you think your child is struggling, becoming frustrated, not wanting to participating in crayon and paper activities, talk to his/her teacher or daycare provider.  See how (if) they are teaching Pre Writing concepts.  Then determine if something is missing.  If you think your child needs extra help, don't be afraid to ask.  You are your child's best advocate.  There are plenty of things out there.  Check out sites like Handwriting Without Tear, your local school department or child outreach for tips and contacts.

Back to School Advice from a Professional, other than me Guest Blogger The Joyful Organizer

Bonnie Dewkett is The Joyful Organizer.  You can like her on Facebook, Twitter and check out her website for further advice and helpful tips.

            Going from summer break to a school routine isn't easy on anyone.  The summer months bring a lot of fun, beautiful weather, and a lackadaisical routine that is just not easy to break when school starts again.  However, this year you can make the necessary changes gradually, and avoid the stress that normally comes with the arrival of the yellow school bus.  By making the transition slowly, and with a positive attitude, the school year can get started off on the right foot!

Shopping:

            Back to school shopping can be fun, if you are not under stress to get it done.  Start by having your child go through their closet and determine what clothes are still in good condition and still fit.  Depending on their age, you may want to assist them with this task.  Remember, the weather in September is usually warm enough to wear shorts, skirts, and tee shirts.  So there is no need to run our and buy winter clothes.  However, if you want to start shopping early, start in July when the back to school sales start to appear in stores.  The back to school season hosts the second largest sales of the year (second to Christmas). 

            Second, take inventory of your child's school supplies from the year before.  If they have tons of pencils, crayons, etc, there is no need to buy more.  Save yourself time, money, and clutter by checking first.

            If your school does not supply a local store with the necessary supply list, call your child's teacher for it.  This will also allow you an opportunity to introduce yourself and become acquainted before the academic year begins.  If your school accepts donations, this may also be a good time to ask the teacher if there are any supplies they would like for their classroom for the coming year.  Keep in mind that some supplies, such as lunch boxes, are hard to find during other times of the year.  Consider purchasing two if your child is rough on these items. 

            Start buying your child's school supplies on your weekly trips to the grocery store, or super stores.  Involve your child in the process.  Have them calculate the amount they have spent on supplies, have them pick colors they enjoy, and have them pick a planner that will fit their academic needs and their personal style.  If your child feels invested with their supplies they will be more likely to take care of them, not lose them, and most importantly to use them effectively. 

            One of the most important supplies that you will buy your child is their planner/organizer.  It is very important that they like the planner they are using.  Keep in mind that some districts require students to use their school's planner, or a particular brand.  Make sure that your child understands how to use their planner, and they have a system for the following: writing down tests, quizzes, homework, reading, and long term projects.  Starting these good habits at the beginning of the year will ensure that they are followed throughout the school year.

One of the easiest, and most effective planners, to use is a teacher's planning book.  These have open weeks so you can put the dates in yourself, and you can quickly switch between weeks.  The pages are large, and therefore give you a great visual of the work your child has to do.  I recommend using different colored inks or highlighters for different subjects.  Or if you child is older, you can consider using different colors of highlighter for different academic significance.  For example, quizzes are highlighted in yellow, projects in green, tests in pink, and long term papers in blue. 

Morning Routine:

            The morning routine is one of the most stressful parts of the day for most families.  Start developing good routines and habits during the summer months, and they will naturally take effect during the school year.

            Develop a place in your home for your child's backpack.  This should be a place by the door, such as the entryway, or a hallway.  This is where they should keep their backpack at all times.  Your child can remove their homework, books, and other necessary supplies to complete their assigned schoolwork.   When they are done with these items, they should be returned to the backpack to be grabbed on the way out the door in the morning.

            Develop a place for permission slips and other items that need to be read, signed, or need attention.  This too can be in the entryway or hallway.  Purchase a small wall mounted file, or magazine rack.   Have one slot for incoming, where your child can put anything that needs your attention.  It is very important you check this slot daily, take any required action, and then place them in a second slot for outgoing items.  Your child must check this slot daily and take any applicable papers back to school.  Many teachers require students to have a designated folder for items of this nature. 

            Get your child into the habit of taking their lunch box out of the backpack every night and bringing to the kitchen for a refill.  Have them pick it up from the kitchen in the morning and place it back into their backpack. 

            If your kids sleep later in the summer months, start getting them back on a normal schedule slowly.  Get them up 10 minutes earlier each morning until you have comfortably reached your morning wake up time. 

If your kids have a hard time getting dressed in the morning, have them plan and lay out their clothes the night before.  Purchase an organizer that has the days of the week printed on it.   Have your child assist you in picking out the week's worth of clothing at the beginning of the week.  This ensures the clothing your child wants to wear is clean and avoids unnecessary loads of laundry mid-week.

            If your child is a little older and wishes for more independence, consider having a fashion show night at your house.  Set up holiday lights as runway light, play music and have your child try on lots of different outfits.  Take pictures and have them printed.  Mount them on a bulletin board near the closet.  This will help make quick outfits during the week, and it will help inspire creativity. 

            Even with clothes and outfits laid out of the week, your child can use their creativity.  Place boxes full of scarves, sunglasses, hair accessories, and jewelry close by.  Your child can chose from these in the morning, as long as they do not take too long to do it. 

            Some website even offer wardrobe planners where you can track the clothing you have, its color, and size.  This may help you track what you have and what will need to be replaced soon.  It will also give you an idea of what your child has too much of at any one time.  The trick with these lists, however is to keep them up-to-date. 

            If your child is small and or often loses clothes and accessories, now is the time to write their name in everything to give it a fighting chance of coming back home. 

Daily Maintenance:

           

It is important that you maintain your daily routines with consistency and an upbeat attitude.  Nothing makes a tough morning worse than complaining and being negative.

In the evenings, do your homework while they do theirs. While your kids are studying, sign their permission slips, pay bills, clean, etc.  This will help designate the time as serious and necessary.  Kids learn by example and if they see you working hard, they will follow suit. 

If your kids need help with their homework, it is helpful if you are in the area.  If your kids cannot do homework in their rooms or need your assistance, designate a place in the house where homework will always be done, such as the kitchen table.  In order avoid running for supplies, purchase your child a shower caddy and fill it with all necessary supplies, such as a ruler, calculator, pencils, glue sticks etc.  Check the supply level regularly and make sure it is clean and organized. 

            Maintain a family calendar with everyone's schedules, appointments, field trips, sporting events, etc.  A wipe off magnetic one works great and can be stored on the fridge in plain sight. 

            Instead of leaving all of the laundry for the weekend, consider doing loads every day during the week.  Putting the laundry in or switching it to the dryer are both small chores your children can do for you while you cook dinner.

            Consider maintaining a meal plan and calendar.  This will help you with grocery shopping, and more importantly, deciding what is for dinner after a long day. 

If meal preparation is a challenge for you, consider researching meal preparation businesses in your area.  These businesses allow you to prepare and freeze multiple portion meals for your family that are then stored in your freezer, and accessed when you need them. 

Having a stress free and successful school year starts with preparation.  Get started the right away this year.  Avoid the back to school rush and the stress of transitioning from summer frolicking to academic routines.  Just by changing a few habits you can make your academic year a successful, happy one!