a low cost and effective approach to developing ......-down syndrome student increases sentence...

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Interactive Convention 2014 Learning Labs A Low Cost and Effective Approach to Developing Communication and Literacy Cindy Gee & Yvonne Romero, Ysleta ISD Lillian Montes, El Paso ISD

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Page 1: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Interactive Convention 2014 Learning Labs

A Low Cost and Effective Approach to Developing

Communication and Literacy

Cindy Gee & Yvonne Romero, Ysleta ISD

Lillian Montes, El Paso ISD

Page 2: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Core Vocabulary Project

“Getting to the Core”

A Low Cost and Effective Approach to Developing Communication and Literacy

Cindy Gee (YISD), Lillian Montes (EPISD),Yvonne Romero (ESC-Region 19)El Paso, Texas ~ July, 2014

History of the Core Vocabulary Project

• Pittsburgh AAC Language Seminar

– Gail Van Tatenhove, P.A., M.S., CCC-SLP

– Bruce Baker

Gail Van Tatenhove, P.A.,

M.S., CCC-SLP

Gail Van Tatenhove is a Speech Language Pathologist who specializes in Augmentative Alternative Communication (AAC). She has authored chapters in text books, articles for national publications, and numerous “how to” papers on a wide variety of subjects related to the field of AAC. She has created therapy support materials and AAC products, such as the Pixon Project Kit.

Page 3: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Pixon Symbols

• Pixons are a picture system

– A systematic use of pictures to code vocabulary

– What you know about one picture helps you

interpret another picture

– The more you learn, the less you have to learn

from scratch

Bruce Baker

• Founder and president of Semantic Compaction Systems. His company develops, translates, and licenses iconic interfaces for computers in a variety of languages, including English, Spanish, French, Italian, German, Japanese, and Swedish. The Baldwin Township resident was compelled to develop Minspeak in 1980 after meeting intelligent people who were physically unable to write, talk, or use hand signs. He used his classical linguistic training to create a patented visual language system based upon ancient hieroglyphics.

• With the Minspeak system, hundreds of words and sentences can be encoded with very few keystrokes. Although originally designed for adults, speech-language pathologists are now using the system to teach children with developmental disabilities.

Minspeak Symbols

• Minspeak symbols are used in the Unity

language system used in devices such as the

Vantage/Vantage Lite and, most recently, the

Accent series.

Page 4: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Core Vocabulary Project Team

• Bonnie Cera, M.S., CCC-SLP (Clint ISD)

• Cindy Gee, M.S., CCC-SLP (Ysleta ISD)

• Jessica McKay, AT Specialist (Ysleta ISD)

• Lillian Montes, M.S., CCC-SLP (El Paso ISD)

• Yvonne Romero, M.S., CCC-SLP (ESC-Region 19)

• Lou Ann Rosario, M.Ed. (ESC-Region 19)

History of the Core Vocabulary Project

• 2008 Texas AT conference (TATN), Gail Van Tatenhovepresents her Pixon Project with compelling video of non-verbal adults using her paper-based language boards to communicate!

• Spring 2012 - three Core Team members attend Pittsburgh AAC Language Seminar conference presented and hosted by Bruce Baker! (YISD, ESC-Region 19)

• Fall 2012 – Two Core Team members attend Pittsburgh AAC Language Seminar. (EPISD, CISD)

• Spring 2014 – Final Core Team member attends Pittsburgh AAC Language Seminar. (YISD)

• Yvonne creates a rough draft of a CORE BOARD and shares….

• A SERIOUS MIND MELD OCCURS!

Core Vocabulary Project

Our Mission…

To provide a consistent AAC symbol system

within ESC-Region 19, in the classroom setting.

Page 5: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Our Goals

• Develop a structured communication board with a combination of developmental vocabulary and high frequency words to establish core vocabulary.

– 60

– 45

– 25

• Implement the use of a core vocabulary board to teach and model and understand meaning of symbol systems. (Pixon, Minspeak, Boardmaker, Dynasyms)

– Model

– Prompt (different types – hand over hand, , full prompt, mand, partial prompt, cue)

Our Goals

• Collect data on student comprehension and use of

board to include level of support and prompt hierarchy.

• To establish independent use of communication across

settings and environments.

Development of Boards

• SLPs from 3 districts

– Clint ISD

– El Paso ISD

– Ysleta ISD

– ESC-Region 19 Assistive Technology Specialist

Page 6: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

• Picture Symbols

– Different language representation methods

• Pixon symbols, Minspeak, Board Maker, Dynasyms

• Transparent vs. Opaque icons

• Planning the layout

– how many core words to include

– organization of the board (color coding, parts of speech, Fitzgerald Key)

– size of the board

– which words should be used?

• High frequency words

• Lists reviewed (Banajee, Marvin, Fry, Dolch Word Lists)

• Vertical and Horizontal alignment

– campus to campus, ISD to ISD

– region wide training

• February 27, 2013, April 19, 2013, (ECI February 26,

2014), April 10, 2014. Total trained to date = 151

(teachers, SLPs) and 74 ECI staff

– Trainings were set up as Make and Take, ESC-

Region 19 covered most of the expenses for

materials

Page 7: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Communication Training with

Low Tech

• Manual board allows for the following skills to be targeted

– Joint Attention

– Shared Attention

– Pragmatics

– Semantics

– Syntax

– Discourse

– Communicative Intents

– Literacy Development

Benefits of Manual Communication

Boards

•Consistent Core Vocabulary

– students are exposed to the words daily

– core words are part of reading /spelling curriculum

– allow for many communicative intents to be taught

•Single sheet design

– considered the most “language friendly”

– less memory demands

– less physical effort

– promotes motor automaticity

– repetitive, consistent vocabulary ** Van Tatehnove 2009

Benefits of Manual Communication

Boards •Language Bridges

– process of learning language while also learning AAC device creates “layers of

learning.

– Board provides “bridge” to support language development while learning AAC

– Board parallels other devices to allow transition to higher AAC

– allows for building success at a motor and linguistic level using no tech materials

• Language Therapy– studies show 70% of time spent on repairing, programming, learning to use high technology device and 30% on language intervention

– board allows for immediate language intervention

– board allows intervention of all areas of language development (semantics, syntax, morphology, pragmatics, discourse)

– board allows for SLP to use the same therapy strategies and materials used with speaking children

** Van Tatehnove 2009

Page 8: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Benefits of Manual Communication

Boards

•Communication Partner Skills

– does not require extensive training for teachers

– Aided language Stimulation-model board as you

communicate with child –easy to teach to all

– easy to use during all academic and non academic

activities

– Communication partners should be able to use a

student’s device, manual boards

do not require additional training

Core Vocabulary and LiteracyUnderlying The Core Project is the Role of Literacy

Core Vocabulary and Literacy

• Literacy skills provide access to development

of discourse skills and narrative skills.

• Literacy skills provide access to development

of phonological skills

• Literacy skills provide access to higher

linguistic concepts

• Literacy skills provide access

to the development of syntax

and morphology skills.

Page 9: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Core Vocabulary and Literacy

• The core language program is designed to

modify the interaction strategies used by adult

partners to increase the student's

participation and facilitate their development

of language and literacy skills.

Implementation to Teaching Core

• Region 19

– Provided material for core boards

– Provided material for classroom wall chart

– Provided training for teachers, SLPs, parents,

administrators

– Continues to be supporting force for growth of the

Core Project

Implementation in the ISDs

• Clint ISD– SLPs, SLP-Assistants and some teachers (PPCD, DSC, and

ASC) were provided training through one of the first two Core training sessions made available by ESC-Region 19.

– All SLPs and SLP-Assistants were invited to Wiki Space in order to access Core Materials. They were encouraged to contact me with any questions.

– SLP and Teacher met to collaborate.

– Wall Chart and Core Boards were set up in PPCD Classroom (wall and desks).

– SLP modeled use of board initially in the classroom and observed initial teacher use of the board during instructional activities.

Page 10: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Implementation in the ISDs

• Clint ISD– One child required use of cards (stop, go) but was still

exposed to the board during natural routines; while the other two were encouraged to use the board throughout the day.

– SLP-Assistant also provided with model and observed while using board during language and reading activities.

– PPCD Teacher, SLP and SLP-Assistant were encouraged to continue with the use of the Core Board. One student began to use more 2 and 3 word phrases; another, who is very passive, began to defend himself by telling others to STOP!; and the 3rd

student who was using the cards continues to have difficulties.

Implementation in the ISDs

• El Paso ISD

– 42 of 60 SLPs have been trained on core language through ESC-Region 19.

– Self contained teachers, specifically teachers from structured learning units were trained; three SLU classrooms currently implementing.

– Training will continue for SLPs not currently trained (ESC-Region 19).

– The plan for next year is to incorporate literacy into classrooms with teachers already trained.

Implementation in the ISDs

EPISD continued

• SLP uses Core Boards in CRC unit at middle

school level.

-Hearing impaired student/non-verbal able to use

and follow group activity using Core Board.

-Down Syndrome student increases sentence length from 2-4

words when using Core Board.

-Other student with intellectual and expressive language delays

now asks questions using correct grammar and syntax when

using Core Board!

These skills correlate directly with literacy!

Page 11: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Implementation in the ISDs

• Ysleta Independent School District

– Targeted various self-contained classrooms – not pull out speech

– Collaboration between SLP and classroom teacher- best practice

– Teacher provided SLP with knowledge regarding curriculum

– SLP provided teacher with knowledge regarding communication, speech, language, and pragmatic skills

Implementation in the ISDs

• Ysleta Independent School District

– SLP modeled use of board during pre, post, and reading activities-to allow teacher to see how to use board

– Communication training and communication board provided throughout day-best practice

– Communication provided during natural routines –best practice

– Transition to Life Career Center (TLCC) special education students have continued on with producing material for core boards and wall charts

Implementation in the ISDs

• Ysleta Independent School District

– Yvonne Romero, SLP, spent time at targeted

campuses (minimum of 9 weeks to 1 semester)

training teachers of special education units and

campus SLPs.

– Teacher and SLP buy-in was a success

– Has become a Districtwide Initiative

Page 12: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Data Collection

Classroom

Videos

Teacher, SLP, and

Parent

Testimonials

Page 13: A Low Cost and Effective Approach to Developing ......-Down Syndrome student increases sentence length from 2-4 words when using Core Board.-Other student with intellectual and expressive

Resources

• Building Language Competence with Students

Using AAC devices: Six Challenges, Gail

VanTatenhove (June, 2009)

• Language Development and Language

Disorders, New York: Wiley, Bloom, L. and

Lahey, M. (1978)