Are you in California? There’s a major shortage of Speech Pathologists in the State of California. It should be based on the services delineated on the IEP.
Preschool services, through public funding sources, have been limited in order to take in all of the patients who need therapy. However we teach the patients to “double dip”. There are a lot of agencies that are privately funded and the therapists typically try to balance the public services with the private services. So you might get an hour a week from the public facilities, and then an hour a week from the private nonprofits.
It really should be based on the IEP.
For the privates, as a subcontractor, I assessed at the Hope Infant Program (high-risk, ages 0-5) and the local Homeless Shelter (free therapies-FANTASTIC facility!)
One of the major things, that I required, was a complete audiological assessment. I need a “clean” bill of health for the ears. We had UC students run mobile RV clinics around town to give vision and hearing tests.
Repeated otitis media/ear infections really impacts their ability to interpret what we’re saying, especially with those high-pitched sibilant sounds.
Quick speech homework tip: To elevate that “r” tongue, Lay them flat on the bed (no pillows!), or on the rug.
Have the Target picture cards taped up on the ceiling. (Target words should begin only with our a RA, RE, RI ex: rat, read, ride-sounds to avoid rounding of the mouth).
Give them a simple plastic flashlight. Turn off the lights. Have them point to the target word with the flashlight and produce those sounds. Gravity will naturally push the tongue up and back and it will help bring in the R really quickly. Make sure the child has had no food within the past hour.
CAVEAT!!! your child should be healthy, not have any obstruction problems, nor enlarged tonsils when you do this. If you notice breathing issues or coughing then this is something to bring to the attention of your pediatrician.
I know we probably shouldn’t bring practice issues on this thread but a lot of people have asked me for quick homework tips.
This is what I assigned with my third and fourth graders who had been in therapy too long for just the “R” and who were picked on because they couldn’t produce those sounds. They were being called Barry. (Barry from Big Bang Theory).
What kind of screwed up life do those dang bullies have at home that they have to come to school and bring their icky attitudes with them!