MY COMMUNICATION P1-3 Encounter Learning Outcomes Tolerates contact with familiar adults Tolerates touch Tolerate daily routine Resources Staff teams to use resources that are motivating and relevant to individual pupils. Please feel free to use the resources space to annotate. Teaching Activities/advice/enabling environments Children need to encounter interactions with familiar adults and routine stimuli in order to help them to make sense of the world. This will give them the foundations of developing communication. Children may fluctuate between encountering and responding depending on: Health Preferred Sensory modality Physical position Environment Use Intensive Interaction to encourage responses of all kinds. Join in with whatever the children offer, follow the child’s lead. Links to Quest – these are for guidance, please see full Quest document. Encounter Encounter a variety of stimuli Quest 1 – Smell, taste, auditory, tactile, olfactory, movements Tac Pac – Sensory Communication Notices stimuli Activities should be repeated with inbuilt opportunities for the child to begin to respond Encounter close contact with a small number of familiar adults 1 Key worker, familiar nursing staff, key LTS Use TaSSeLs body signs Responding Learning Outcomes Resources Staff teams to use resources that are motivating and relevant to individual pupils. respond when basic needs and desires are met (eg: stop crying when discomfort is removed or relax when gently rocked) respond to stimuli presented in on/off pattern (burst-pause) (eg: still, widen eyes, increased movement) respond to nearby person (eg: still to sound of voice or search with eyes or increased movement) respond to consistent and predictable social routines (offered in the same order in the same environment on a daily basis) (eg: by Please feel free to relaxing, stilling, widening eyes or mouth, increased movement) use the resources respond to their own names (stilling, turning, increased movement) space to respond with consistent positive and negative reactions to a range of social activities (eg: smiling or turning head away) annotate. Teaching Activities/advice/enabling environments Children begin to learn to communicate by reacting to and then responding to stimuli, which include people. Some children continue in this reactive/ responsive mode. They are not good at developing interaction with other people but do respond to people, games and songs. At this early stage, adults need to be as consistent as possible in interpreting the basic needs of the child. The children are reactive to their environment but not deliberately responsive. At this stage their communication is pre intentional Start with a small range of stimuli in a darkened and very quiet area to encourage responses to bright moving lights and distinct sounds. Include people to look at and listen to – wearing things that exaggerate faces and hands An assessment may be useful to help pinpoint the exact responses of individual children. Use the Affective Communication Assessment in ‘Communication Before Speech’ (Coupe O’Kane and Goldbart). Gradually increase the different kinds of stimuli and use all 5 senses and movement if possible. Include plenty of people orientated activities and different environments. Use Intensive Interaction to encourage responses of all kinds. Join in with whatever the children offer Links to Quest – these are for guidance, please see full Quest document. (Remember to record responses on quest hexagon sheets) Responding Reacting when basic needs are met (eg: Provide whole body experiences with the adults eg: rebound, swinging, rocking (Links to crying stops when being cuddled) Physical Literacy) and sensory communication activities in close proximity with the adult. People to meet basic needs 2 Responding to stimuli, especially people (eg: stilling, eyes widening, looking, listening) Quest 2 – reacts to close contact with a familiar adult Use a burst-pause pattern of activity to encourage the child to notice the starting and stopping of the stimulus. Make the start and finish exaggerated. Flashing objects Rattles and bells and squeaks UV torch and white objects Sparkly wigs and clothes, face paint (for adult), fluorescent gloves Intensive interaction – accepting an adult close to them Responding in consistent positive and negative way (eg: smiling and turning head away) Quest 7 – turn takes in a one to one situation with an adult Responding differently to different people Quest 5 – responds to familiar voice or other personal identifier Use activities that are people orientated eg: tapping on back, stroking arms and legs, rocking, cuddling, ‘rough and tumble’, singing, massaging limbs, Intensive interaction – adult imitating the child’s behaviour Use of a resonance board or taking turns tapping on a tray Copying vocalisations and sounds. Staff should use personal identifiers eg: jewellery as an OOR, perfume. Responding to own name (eg: stilling, turning, looking Quest 8- responds to own name Use songs and games that include the child’s names in frequent daily routines. 3 Interacting (with others) Interacting (with others) interact with familiar people (eg: smiling, turning, giving eye contact) Show they can work co-actively with familiar people (eg: join in ‘row the boat’ or allow their hands to be used for eating) show anticipation of familiar social activities and events (eg: start to rock for ‘row the boat’ or lean forward to be lifted up) Show they have had enough of a social interaction (eg: by turning away or looking down) respond with interest in the actions of others close by (eg: make eye contact, turn towards, reaching out, vocalising) engage actively in familiar social activities and events (eg: join in action songs or hold up arms for coat) share joint attention in an object or activity (eg: looks at object and at person or looks where person is pointing if object close by) actively seek out attention from others (eg: vocalise or reach out) actively play with another person (eg: hand person a toy or pull at the person’s hands) Lead an interaction game (eg: start ‘Row the boat’ or rolling a ball backwards and forwards) Teaching Activities/advice/enabling environments Some children will need to have lots of experience at responding to people before they can interact but others are really interested in people and will be able to interact at an early stage. Use Intensive Interaction to encourage children to notice people. Imitate or provide a response to children’s actions and sounds to set up ‘conversations’. Use burst-pause in little games and songs encourage children to look at you or smile or turn away from you to vocalisations and communication signals may indicate they do want or don’t want to interact. Use routines to encourage interaction eg: smiling when being tickled during a changing routine. 4 Resources Staff teams to use resources that are motivating and relevant to individual pupils. Please feel free to use the resources space to annotate. Responding to familiar sounds and early words (eg: brrm, woof, mum) Pupil may engage in an activity for very brief periods without full physical support. Terminates interaction with an adult. Quest 13 – Terminates interaction with an adult Pupil tracks sound or visually interesting toy eg- turns head to stimulus, vocalises. Show anticipation of familiar activities and social events. Quest 17 – anticipates familiar social routines Show preference for particular people, objects and activities Showing likes and dislikes and preferences for people Interacting with familiar people Use songs and games that include actions and surprises and look for anticipation before the surprise Tickle games, ready steady go, lap play type games. Play interactive games e.g. – row the boat, and look for responses from the pupil to indicate that they have had enough, e.g.- turning head away, closing eyes, withdrawing hands. Musical instruments, sound makers, sound beams, I-Pad, body sounds. Up, down, left, right. Action songs, body signs, response to sensory cues and familiar routines. Use little social games, songs and stories to encourage anticipation. Exaggerated actions and sounds are useful as are surprises. Use objects that involve people to make them work eg: blowing bubbles/ feather or devices that exaggerate sounds eg: microphone Ready steady …..go games Peek aboo Vocalise, smile, reach out, turn head in response to familiar adult or activities. Routine greetings Hello time General activities Play games that involve co-operation and turn-taking. These will initially be directed by the adult but gradually children become more active eg: ‘Row Your Boat’, dressing up, playing a drum together Working co-actively/ turn-taking with Encourage children to start off the turn-taking by giving them an object and waiting for another person them to do something. Quest 7 – Turn takes in a 1:1 situation with The adult can copy or answer and this can then become a game. an adult Use activities across the curriculum to encourage turn-taking eg: music, art, cooking, horse riding, swimming – anything and everything! 5 Showing anticipation of familiar activities and games by showing a consistence response or behaviour to show that they are anticipating. Quest 14 Anticipates repetitively presented stimulus Engaging actively in interaction games Quest 13 Terminates interaction with an adult Quest 15 Objects to the end of an interaction Play interactive games such as ‘your turn, my turn’ or passing an object from one to the other or taking turns to play an instrument. Use the resonance board to exaggerate the noise of the objects. Drama games , Presenting distinct smells, visual stimulus, tactile, Routine activities e.g mouth care routines. Tacpac / sensory communication programmes. ‘sensory story’ / Galaxies etc packs Any activities where pupils focus and show a pleasurable response or increased body movements e.g. bubbles and become engaged Sensory communication packs Look for consistent signals that they are ready to interact or end the interaction e.g. turning away, closing eyes, withdrawing hands Use some less favoured activities so that children are encouraged to turn away to indicate they don't want these – but be sure to respond to the children's indications Sharing joint attention Encourage children to look at themselves alongside another person, in the mirror exaggerated faces/ face paint on both people/ wigs and hats. If a child shows a behaviour that makes you think they wants something e.g. they look at a nearby toy. Put your face close to that toy to encourage flickers of eye gaze from toy to adult Enjoying being with other people (adults and children) Actively playing with other people Vary the people who are available for interaction to encourage children to notice different people and begin to show preferences People are the most important resource for Intensive Interaction All kinds of sensory activities – anything that children really enjoy Simple songs and rhyme Musical instruments Drama games 6 Dressing up clothes Sparkly wigs, hats and clothes, shiny gloves/ torches and reflective material/ jewellery/ head bands/ flashing headbands Face paints mirrors of various kinds Bright and sparkling objects (but using them to draw attention to people) Toys that are noisy but need an adult to make them work Messy art resources that can be shared Flowers and plants that smell interesting and can be used in an interactive game Songs and games with surprises at the end Objects people can blow eg: bubbles, balloons and feathers Voice changer toy / echo mic BigMack/ games on SMART - games that are suitable for turn-taking or sharing in some way Initiating in interaction games Aim for one behaviour to mean ‘more’ in a range of situations Quest 22 Communicates more 7 Burst and pause during any enjoyable activity and give the pupils chance to show they want more. (each child’s response time will be different) AND remember to respond appropriately if they terminate the actions the adult should stop! You may need to take a toy away from a child but still have it where they can see it to encourage communication of ‘more’ Communicating Children should have opportunities to: Show preferences for objects, activities and events (eg: responding with interest to those they like and turning away from those they don’t) indicate ‘more’ and ‘no more’ consistently through their responses to objects, activities and events (eg: looking expectant or smiling to indicate ‘more’ and pushing away or moving away to indicate ‘no more’) communicate a choice of object or activity (eg: by making sounds, gestures or pointing, giving picture as in PECs) attract someone’s attention (eg: by making sounds or gestures) make simple meaningful gestures (eg: pointing or using simple signs, photographs) use their voices to join in a ‘conversation’ (eg: babbling) attempt simple words and phrases in imitation (eg: mumma, woof, all gone, bye bye, more) use a few words appropriately (eg: more, names, yes, no, mumma – whatever is appropriate for that child) Learning Outcome Teaching Activities/advice/enabling environments Once children are adept at interacting, they start to communicate intentionally. Some children learn to communicate because they want something but find it hard to communicate just to enjoy being with another person. Give regular opportunities to generalise existing skills whilst introducing situations to learn new skills. 8 Resources Staff teams to use resources that are motivating and relevant to individual pupils. Please feel free to use the resources space to annotate. Showing preferences, likes and dislikes, in an intentional way Indicating ‘more’ and ‘no more’ Quest 28 – Communicates ‘more’ and ‘no more’ through two different consistent actions. Communicating a choice of objects/ activities/ people Quest 36 – Selects from two or more items Use a range of different kinds of stimuli (using all the senses) to enable children to show their preferences – not yet making a choice. Repeat favoured and non-favoured objects/ activities so they can practice showing ‘like’ and ‘dislike’. Use the burst-pause way of working to wait for children to indicate that they want ‘more’ of something. Be sure to be consistent with the response and give them more of what they like and take away the things they indicate they don’t like. Give children choices as soon as they can look from one thing to another. Keep the choices concrete with the objects fully in view and make sure they ‘ask’ for the choice by pointing/ indicating/ looking at you so that people need to be involved. Use favourite toys and start with something you know they really like and something they don’t before moving on to a real choice between two things they like. Play games with hiding things and getting them out again. Make yourself indispensable to the game! Tell personal stories/ Bag Books/ story sacks. Use objects rather than pictures at this stage (unless individual children are particularly interested in pictures). Keep the stories very simple and based on the things the children show they are really interested in. Use dressing up, different voices, exaggerated faces, slow bits and fast bits, surprises. Repeat the stories often and encourage the children to 'ask' for them. Attracting someone’s attention Quest 32 – Attracts attention 9 Put a short message on a BigMack and support children to play this to a range of people. Make the message something that encourages a strong reaction the recipient eg: a loud raspberry or 'you've got a funny face' or 'tickle me!' Respond to consistent behaviours that occur when a child is left alone. Making meaningful gestures eg: point to something they want Quest 24 – Purposeful action in everyday environment Use sabotage to create situations where children have to ‘ask’ to get what they want eg: put the cups on a high shelf or give them a cup with nothing in it. Start with things in view but when they understand object permanence put favourite toys in places where they have to ask you to retrieve them. For wheelchair users, encourage eye pointing or gesturing or even Makaton signs if they can manage. If children can move independently then encourage them to move towards you as you call them. Play a hiding game with a scarf over your face or hold out a favourite toy. Put things in containers need help to get into. Vocalising and making a range of sounds clear Play with sounds.they Encourage vocalising to accompany gesture. Imitate any sounds the children make. Have a conversation with their sounds. Introduce new sounds with exaggerated faces. Vary the pitch, speed and volume of the sounds you make. Take a sound the child makes and play with pitch, speed and volume. Use a microphone or anything to exaggerate the voice. Record the children's sounds and play them back to them. Add them to favourite music. Put their own sounds on the BigMack Sing familiar songs and leave gaps for children to fill it with a sound. If making sounds is not possible for individual children, then maybe sounds can be recorded on the BigMack. Toy animals that make animal noises (recordable Sound Box) Photo albums with button to press for a sound eg: picture of cat with miaow Personal stories using objects/ smells/ tastes/ sounds Bag Books/ story sacks Dressing up clothes Interactive games and songs Boxes, bags, containers of various sorts for hiding things Talking Tom App The child will need to be in a good position to support breath control. Work in the hydrotherapy pool can help some children 10 Imitating sounds and early words/ phrases 11 Play games with different animal, vehicle, body sounds, sound makers - encouraging imitation and generally joining in eg: put out the car mat and drive the cars round whilst making brrm, brrm sounds. Have car crashes with loud noises. Hide soft animals in bags and make animal noises as they are pulled out of the bag Make personal sound books (Talking Photo Albums) (if child understands very simple photos) soundmakers eg: bike bell, telephone, pots and pans to bang, bubble wrap to pop, ball to bounce, water to swish, toy train or zapping dog on switch soft animals, toy cars and road mat, train set, farm animals, pictures and personal books of animals and vehicles (very simple – large single image on plain background) work (use them for turn-taking) talking photo album, personal books, microphone and echo box noisy toys on a switches or that require pressing a button to make them IWB programmes based on sounds Websites eg: Poisson Rouge www.poissonrouge.com/bowl.php Priory Woods games www.priorywoods.middlesborough.sch.uk Check the Map (this has links to lots of possible sites) www.checkthemap.org/links/fun_sites Remember to use the sites for communication/ turntaking/ sounds/ early words Flo Longhorn's books have lots of ideas for communicating Use programmes on IWB where sounds are the most important feature. Take turns with the children in imitating the sounds Listen for any sounds that are actual words or 'proto-words' (approximations of words or personalised words) and repeat them often in routines and games. Favourite objects and activities, Art activities Musical instruments Swimming Eating and drinking Oromotor & sound activities – see ‘Mouth Madness oral motor activities for children’ by Catherine Orr SALT advice Babbling sounds – mmm,bbb, nnn, ppp,ttt,ddd ( 6 sounds common to all languages) Ensure a good position– discourage extension so that children can get lip closure. Appendix 1 Listening progress profile Children who do not respond to sounds should experience vibration. Try lying them on the harp bed and using soft beater on the drum part, use the finger harp on placed in their chest or back (try this yourself first so they you know what they are experiencing) Behaviours / skills in the profile are not in a developmental sequence and appropriate targets should be discussed with the support teachers for HI HI advisory teachers will assist in setting an appropriate target for individual pupils in conjunction with class staff. Behaviour / skills Response to environmental sounds Response to drum (elicited) Response to musical instruments (elicited) Response to voice (elicited) Response to voice (Spontaneous) Discrimination between 2 different instruments Discrimination between loud/quiet/drum Discrimination between single / repeated drum Identification of environmental sounds 12 Accepted responses Any awareness of environmental sounds shown by spontaneous behavioural response A behavioural response to loud drum; elicited in play format e.g. emerging from playhouse on sound of drum A behavioural response to at least 2 different musical instruments ; maracas, bells, tambourine etc e.g. child rolls ball at skittles in response to sound The child performs a task on the spoken signal for example ‘go’ or ‘boo’ with the voice at conversational sound level Reactions to voice in stories, singing, games formats have been observed The ability to discriminate (without being able to watch when the sound is made) between 2 different musical instruments The ability to discriminate between loud and quite drums for example by pointing to appropriate picture or imitating sound Again pictures may be used to denote a drum being played once or several times, and the child indicates by pointing at the picture. Alternatively the child may be given a drum of his own and imitate the sound being made by the teacher out of sight. Record which environmental sounds the child has been observed to identify by sounds alone Response to oo Response to ahh Response to ee Response to sh Response to ss Discrimination between long short speech sounds Discrimination between single speech sounds and repeated speech sounds The child can discriminate for example between a long baaa or a long ssss and a short ssss in a game The child can discriminate for example between a large toy dog giving a loud woof woof and the toy puppy giving a quiet woof woof Discrimination between loud / quite speech sounds Discrimination between 2 of ling’s 5 sounds (oo /ah / ee / sh / ss Discrimination between all of Ling’s 5 sounds Discrimination between 2 family names of different syllabic length Identification of own name in quiet Appendix 2 Common first words – a pupil can use sign, symbol or verbal means to indicate understanding of a word Nouns Nouns Nouns Nouns Nouns Verbs Verbs Verbs baby Bag doll Tree Chair Brush Run make Daddy Coat Pram Apple house Clap Sit Play Mummy Dress Swing Biscuit Table Cook Sleep Put Man Hat Teddy Dinner Clock Cry Stand Want Eyes pants Book Spoon Brush Cut throw Get Feet Shoes Box sweets Soap Drink Walk Hair Socks Paper Cake Tap Dry Wash Hands Trousers Pencil Cup Towel Eat Come mouth Ball Bird Drink Door Hit Find Nose Bike cat Milk plate Jump Give Toes Bricks Dog Juice Kick Look Tummy Bus Duck Water Push Like Teeth Car Flower Bed Read Love 13 Other words Big Dirty Hot Wet Down In On Up Gone More Yes No
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