Self-Care Skills for Children with Autism

Self-care skills such as brushing teeth, washing hands, and dressing are important for children to learn Blog-Self-Care-Skills-Main-Landscapeas they affect their everyday lives. For children diagnosed with Autism, they often experience delays in learning these skills and may need a different way of teaching to acquire them. Using some behavior analytic techniques, these skills can be taught in an appropriate way suitable for your child to be successful.

Is your child ready to perform self-care skills?

  • Component skills: In order to ensure success with the desired self-care skill, make sure that your child can perform the basic skills necessary for the task. For example, for the skill of brushing teeth, this may include: pincer grasps, holding a toothbrush, moving a toothbrush in a back and forth motion, spitting out toothpaste, squeezing toothpaste tube, gargling water.
  • Attending: Can your child pay attention and tolerate the duration of the skill?
  • Complexity of composite skill: Can your child put together the component skills to perform parts of the desired task?

If your child is unable to perform the component skills, attend to the desired self-care task, or combine component skills, work on building up this repertoire before moving forward. Providing help and lots of positive reinforcement with these tasks will make learning the desired skill easier!

Now that your child is ready, how can you teach your child to perform self-care skills?

  • Chaining: This strategy involves breaking down the steps of the skill into multiple pieces. Once the steps are broken up, teaching can occur by linking steps together.
    • The steps can be linked together from the beginning of the skill. For example, brushing teeth can begin with allowing the child to put toothpaste on the tooth brush and run the tooth brush under the water. The rest of the steps of the skill can be prompted by an adult. As the child becomes more independent with the first few steps, more steps can be added for him or her to perform independently as a chain.
    • Steps can also be linked from the end of the skill. For example, for hand washing, you can have the child wipe his or her hands independently on the towel. As the child becomes more independent with that skills, you can also introduce turning off the water to the chain of steps. All the steps prior to those mentioned steps can be prompted by an adult.
  • Social Stories: These stories outline the appropriate way to engage in the desired task. Each page can describe the steps and how to complete the skill. They can be in the form of videos, audio, or written (with pictures). Each child may respond better to one form over another.

What supports can you use with these strategies?

  • Visuals: You can provide visuals of each step of the task posted in the location that the skill will occur in. For example, with hand washing, some pictures can include turning on the sink, hands under the soap dispenser, or rubbing hands with soap. Modeling the skill before the child engages in the skill may also help the child learn by imitating your actions.
  • Physical prompts: You can physically guide your child with your hands on top of theirs to allow them to get used to the motion of the task. Then, you can reduce your physical prompts (e.g., move your hands to their elbows or moving farther away and pointing to the correct step) until they can complete the skill independently.
  • Vocal prompts: You can vocally instruct the child to perform each step as they are performing the skill. Then, you can fade your prompts until they can do the skill independently.

Working on the component skills independently until the child can easily and reliably perform them can greatly increase their success with putting those steps together. A combination of different supports listed above can provide a way for you to teach your child how to engage in complex self-care skills. Providing and fading your physical and vocal prompts can take some practice. It may be beneficial to work with a BCBA to ensure the success of your approach and the acquisition of these skills.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Horrible Haircuts and Terrible Toothpaste: Helping Your Child With Sensory Processing Disorder Tolerate Hygiene

Children of all ages often find basic hygiene tasks boring, annoying, and tedious. Who wants to brush their teeth when they can go play outside? While it can be difficult to get any child to perform these tasks, it is exponentially more difficult for a child with Sensory Processing Disorder.  Sensory Processing Disorder

What is Sensory Processing Disorder?

Sensory Processing Disorder (SPD) involves atypical processing and integration of incoming sensory information. A child with SPD may have difficulty processing any of the five senses (sight, hearing, touch, taste, smell). They also may have difficulty processing the two “hidden senses,” proprioception (processing input from muscles and joints) and vestibular processing (processing input regarding movement and head position). Children with difficulty modulating incoming sensory input often have strong sensitivities to certain sensations, which can interfere with their ability to participate in age-appropriate activities.

Why Do Children with Sensory Processing Disorder Struggle with Hygiene?

Many children, especially those with tactile and auditory processing difficulties, have difficulty with hygiene and grooming. Engaging in these activities with children with SPD can often feel like a fight. This is because children with sensory sensitivities often go into “fight or flight” mode when presented with aversive sensations. While the buzz of an electric trimmer, the cold metal of a nail clipper, or sticky soap that just won’t seem to rinse off may not be your favorite, for a child with SPD if may feel like walking the plank!

How Can I Help My Child?

The good news is there are many strategies to help your child with SPD tolerate hygiene tasks with fewer outbursts. Below are a few steps involved in creating a grooming routine that works for you and your family.

Step 1: Figure out what your child is afraid of.

It is very important to determine which particular sensations are the problem. If your child is old enough, you can ask him or her about which specific sensations he or she dislikes or fears. This may also help you find some quick and easy solutions; perhaps the smell of the particular brand of soap or taste of toothpaste is the culprit.

If your child is too young or does not have the self-awareness or communication skills to discuss hygiene tasks, it will be your job to figure out what is bothering him or her. Think of yourself as a “sensory detective” and examine your child during these tasks. Does she pull away at the touch of a brush? Does he cower at the sound of the hair dryer? Observing your child and spending some time analyzing what bothers him or her will get you closer to finding a solution!

Step 2: Change your routine based on their particular sensory sensitivities:

If your child has tactile (touch) processing difficulties or sensitivities:
– Engage in deep touch pressure activities before and after the hygiene task. By providing deep touch pressure to a child’s body, he or she becomes less sensitive to undesired “light touch” inputs. There are many ways to provide deep touch pressure: firm massage to the limbs, upper back, and head; use a therapeutic body brush if you have been trained by an occupational therapist to use one; apply firm pressure on a large pillow or blanket to give your child’s body “squishes.” And don’t forget- tight hugs are a highly underrated mechanism for deep touch pressure!

– Provide pressure during the task. Try applying more pressure to the head when brushing hair. Utilize a weighted or heavy blanket on your child’s lap during a hair or nail trim. Have your child wear a compression shirt or compression vest during activities.

– Consider temperature. If a cold nail clipper feels sterile and uninviting, warm it up. If the faucet is normally on cold when your child washes hands, add some hot water and give a few minutes to warm up. Temperature can make a huge difference!

– Consider purchasing an electric toothbrush. For some children with tactile sensitivities, vibration can be a very regulating sensation. If you are unsure how your child will respond, experiment with a vibrating oral massager (e.g. Z-Vibe, Jiggler) before investing in a pricy electric toothbrush.

If your child has auditory (sound) processing difficulties:
– Warn the child before your turn the device on. This allows the child to mentally prepare for a hair dryer, electric toothbrush, or razor to turn on.

– Allow the child to wear headphones, if it does not interfere with the activity.

Step 3: Build a consistent grooming routine.

Children with SPD rely on routines to help them make sense of the world. The more your child can expect and rely on a familiar routine, the calmer he or she will be.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Teaching A Child Ownership of Their Home Routine

Routines are an important part of everyone’s daily life, but they are especially important for children. Routines allow a child to have a sense of control over their environment and learn responsibility. Routines can help improve regulation, transitions, and decrease stress and anxiety surrounded by change and uncertainty. Blog-Home-Routine-Main-Landscape

Children learn to become emotionally ready for what is to come next when a routine is established. Routines allow for a child to learn in comfortable and safe boundaries and gain satisfaction and confidence in learning these routines independently. But with today’s busy lifestyle, family routines are changing on a daily basis which can impact the child’s ability to become independent and successful with their home routine.

Below are some tips to help improve your child’s confidence and success in their home routine:

Create a visual schedule

Depending on your child’s age, you can use pictures or written words to outline your home routine. Break the routine down in to easy steps for your child to follow. You can also have your child check off each step once completed to give your child a sense of accomplishment. This also allows your child to visually see their success, which will help provide motivation.

Be consistent

This is key! Don’t give up after a few failed attempts. Your child needs to know what to do at what time of day in order to learn the routine and become successful independently.

Be positive and provide rewards

Do not reprimand your child. This will increase the chances that your child will lose motivation and not complete their routine. Mistakes and bad behavior will occur, but reinforce only the positive things they do throughout completing the routine. As they become more confident and successful in their routine, you can begin to fade out the rewards.

Model the routine

Show your child the correct way to do each step of the routine and assist them if need be. Many children are visual learners and will learn by doing. With practice, they will become more independent in each step.

Provide choice within the routine

Allow your child to choose parts of the routine. For example, which shampoo or toothpaste they want to use. This will give your child a sense of control during the routine and motivate them to complete the tasks given.

Prepare the night before

Pack backpacks, lay out clothes, make lunches, etc. Involve your child in the preparation and tell your child what is expected of them the next day so they can begin to mentally prepare.

Build in extra time

When first learning to complete routines independently, your child may require additional time to get through the routine. As we all know, practice makes perfect, so make sure you plan enough time to allow for mistakes.

If your child has difficulty with completing their home routines successfully and independently, seek guidance of an occupational therapist.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Best Apps to Reinforce Occupational Therapy Concepts

Within our day and age, technology can be used in many ways to facilitate daily functional skills. In regards to occupational therapy, there are many apps that can be used to facilitate and reinforce occupational therapy concepts at home with your child. The following apps are great for facilitating listening skills, transitions, attending to tasks, self-regulation, body awareness and handwriting skills. Blog-Occupational-Therapy-Concepts-Main-Portrait

These apps are easy to use and can be used anywhere and at any time to reinforce occupational therapy concepts:

Metronome App

  • Importance and benefits of using a metronome:
    • Help develop and improve rhythm
    • Improves listening skills
    • Facilitates the ability to attend over an extended period of time.
  • Population:
    • Any child with difficulties following directions, attention, and rhythm.

ASD Tools

  • Importance and benefits:
    • Helps with transitioning from one activity to another, attending to specific tasks, as well as, following directions.
  • Features:
    • Visual schedule
    • First-then visual
    • Timer with a visual
    • Reward system
  • Population:

Brainworks

  • Importance and benefits:
    • Great and easy way to develop activities for a sensory diet.
  • Features:
    • Organizes all the activities into what would be best for your child.
    • Provides 130 sensory activities with pictures and descriptions.
    • Provides activities that can be completed at home, school, in the community, or at a table or desk.
    • Allows you to choose whether your child is feeling “just right, slow and sluggish, fast and stressed, or fast and hyper”- a list of sensory activities will be provided based on how the child is feeling.
  • Population:

Handwriting Without Tears: Wet-Dry-Try

  • Importance and benefits:
    • Great app that allows children to practice handwriting.
    • Provides multisensory ways to practice correct letter formation.
  • Features:
    • Capital/lower case letters, and numbers on a chalkboard with double lines.
    • Has a left-handed setting.
    • Reports errors for extra guidance.
  • Population:
    • Helpful for children with poor handwriting skills including letter formation and sizing.

Zones of Regulation App

  • Importance and benefits:
    • Great app for developing self-regulation strategies.
    • Helps children develop skills to assist in regulating their bodies, emotions, and behaviors.
    • Helps children acknowledge how they feel and acquire the skills to create strategies to cope with their emotions.
  • Features:
    • Mini games to help facilitate learning the zones of regulation and develop strategies to facilitate emotional control and self-regulation.
  • Population:
    • Helpful for children who have difficulty with emotional control and self-regulation.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Fine Motor Skills: Is Your Child Lagging Behind?

Fine motor coordination is the capacity of the small muscles of the upper body to allow Blog-fine-motor-skills-Main-Portraitfor controlled movements of the fingers and hands. They include the ability to hold a writing utensil, eat with a fork, open containers, and fasten clothing. These small movements correspond with larger muscles such as the shoulder girdle, back, and core to provide stability for gross motor functioning and with the eyes for hand-eye coordination. Weaknesses in fine motor skills are often the result of poor hand strength and poor motor coordination.

Red Flags for School-Aged Children

As a former Kindergarten teacher, at the start of each school year, I received a group of children with an assortment of fine motor skill-sets. Because children have such different preschool experiences, their skills will vary based on the activities to which they have been exposed. If a child has had the opportunity to practice cutting with scissors, for example, he or she will likely be able to accomplish snipping a piece of paper by 2.5 years old. Fine motor development occurs at an irregular pace, but follows a step-by-step progression and builds onto previously acquired skills.

By the approximate ages listed below, your child should be able to demonstrate these fine motor skills:

2 to 2.5 Years

  • Puts on and takes off socks and shoes
  • Can use a spoon by himself, keeping it upright
  • Draws a vertical line when given a visual example or after an adult demonstrates
  • Holds crayon with fingers, not fist

2.5 to 3 Years

  • Builds a tower of blocks
  • Draws horizontal & vertical lines when given a visual example or after an adult demonstrates
  • Unscrews a lid from a jar
  • Snips paper with scissors
  • Able to string large beads
  • Drinks from an open cup with two hands, may spill occasionally

3 to 3.5 Years

  • Can get himself dressed & undressed independently, still needs help with buttons, may confuse front/back of clothes and right/left shoe
  • Draws a circle when given a visual example or after an adult demonstrates
  • Can feed himself solid foods with little to no spilling, using a spoon or fork
  • Drinks from an open cup with one hand
  • Cuts 8×11” paper in half with scissors

3.5 to 4 Years

  • Can pour water from a half-filled pitcher
  • Able to string small beads
  • Uses a “tripod” grasp (thumb and tips of first two fingers) to draw, but moves forearm and wrist as a unit
  • Uses fork or spoon to scoop food away from self and maneuver to mouth without using other hand to help food onto fork/spoon

4 to 4.5 Years

  • Maneuvers scissors to cut both straight and curved lines
  • Manages zippers and snaps independently, buttons and unbuttons with minimal assistance
  • Draws and copies a square and a cross
  • Uses a “tripod” grasp (thumb and tips of first two fingers) to draw, but begins to move hand independently from forearm
  • Writes first name with or without visual example

4.5 to 5 Years

  • Can feed himself soup with little to no spilling
  • Folds paper in half with edges meeting
  • Puts key in a lock and opens it

5 to 6 Years

  • Can get dressed completely independently, including buttons and snaps, able to tie shoelaces
  • Cuts square, triangle, circle, and simple pictures with scissors
  • Draws and copies a diagonal line and a triangle
  • Uses a knife to spread food items
  • Consistently uses “tripod” grasp to write, draw, and hold feeding utensils while moving hand independently from forearm
  • Colors inside the lines
  • Writes first name without a visual example, last name may be written with visual
  • Handedness well established

By age 7, children are usually adept at most fine motor skills, but refinement continues into late childhood. If you notice your young child demonstrating difficulties in the above “red flag” areas, it may be time to consult with an occupational therapist. For at-home ideas to improve hand strength and fine motor abilities, read my other blog, Fine Motor Skills: Ideas for At-Home Improvement.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Resources:

Beery, K.E., & Beery, N.A. (2006). The Beery-Buktenica Developmental Test of Visual Motor Integration. Minneapolis: NSC Pearson

Folio, M.R., & Fewell, R.R. (2000). Peabody Developmental Motor Scales, 2nd Ed. Austin: Pro-Ed.

Retherford, K.S. (1996). Normal Development: A Database of Communication and Related Behaviors. Greenville, SC: Super Duper Publications

Puberty for Children With Autism

One of the most popular questions I get asked from parents of young children with autism is, “What is my child’s future going to look like?” While early intervention is a crucial part of the treatment of autism, thinking ahead to what puberty and the teenage years might look like is an important consideration, as well. Puberty and adolescence are difficult times for every pre-teen, and adding the challenges that come from having a diagnosis of autism can feel overwhelming to you, your child, and your family. It is important to go into this time with tools and strategies to help your child feel as comfortable and confident as possible, while also finding ways for your child to increase their independence in these areas.

Self-Care Skills for children with AutismBlog-Autism-Purberty-Main-Landscape

Self-care skills such as bathing, using deodorant, brushing teeth, and general cleanliness are topics that arise for every pre-teen. For children with autism, simply just stating about what needs to happen may not be enough. Saying, “You need to go take a shower,” may not have the same effect as, “It’s really important to take showers everyday so that our bodies are clean and smell fresh. This way we feel comfortable and healthy, and other people around us do too.”

Using specifics such as this may help children with autism clue in to the “whys” of cleanliness. Additionally, providing visual schedules on the steps of showering, hand-washing, teeth brushing, dressing, etc., can help your child ensure that they are completing each step of the process, while still practicing more independence than if they had a parent or caregiver walking them through the routine.

Friendships/Social Skills

Fostering friendships and forming appropriate relationships with peers and adults at the time of adolescence can be extremely challenging. At this point in life, each child is starting to develop at different times, while interests and abilities are forming at different times and in unique ways. One highly effective strategy to help children with autism understand and participate in social situations are, the very aptly named, social stories.

Social stories can be custom tailored to each individual/situation, and break down any topic clearly using pictures and simple words. For example, a child who struggles with approaching peers in a group could benefit from a social story that focuses on what to say when approaching a group, what to do after saying, “Hi,” how to engage in a simple conversation, and how to say goodbye. These steps would be broken down using pictures (either real or found online), and simple sentences that match the child’s level of understanding. At the age of adolescence, it can be very powerful to have the child themselves be a part of creating the social story so they feel ownership and understand the content on a deeper level.

In addition to social stories, engaging in role-play with peers, adults, siblings, etc., can be very beneficial in helping a child with autism know what to expect in social situations. Practicing scenarios that are likely to happen in real life can help reduce or eliminate some of the anxiety and fear surrounding peers and socialization. For example, having a child practice what to do if someone says something unkind to them, or what to do when they are invited to a birthday party can set the child up for a successful interaction, rather than a situation where they might feel apprehensive or uncomfortable.

Functional Living Skills

By the time a child reaches the age of puberty, there are certain skills that we hope to see them engage in independently. This might be taking on simple chores around the house, making themselves a snack, or taking care of a pet. For all children, including those with autism, it is important that they have exposure to these types of functional living skills, as these will benefit them throughout their lives.

Using the aforementioned social stories, visual schedules, and explaining why we wipe the tables or feed the dog are all helpful strategies, but sometimes those are not enough. Using reinforcement strategies such as token charts/reinforcement systems can be a helpful tool to ensure that your child is participating in the functional activities of the home. For example, a child may be able to earn a star or token for each expected chore completed. Once all tokens have been earned, the child can have access to a highly preferred item such as a video game or special activity.

This token system should start with a few demands, which can be increased as the child shows success. This gives a tangible means of connecting the completion of functional/expected activities to earning a desired effect.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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Tackling Haircuts with Sensory Sensitivities

Performing everyday tasks can be especially challenging for children with sensory sensitivities. Going to the grocery store, running errands, getting dressed, and using the restroom are just a short list of activities that may be particularly daunting for your child.BlogTacklingHaircuts-Main-Landscape

As a pediatric occupational therapist, I hear about the most challenging everyday tasks for children with sensory sensitivities and am asked to give suggestions on how to make these tasks achievable for children. One of the most common concerns I get from parents of a child with sensory sensitivities is a child’s inability to tolerate haircuts. This is often accompanied with words like: screaming, having a fit, and inability to remain seated. The good news is that there are things you can do to make this experience more tolerable for your child.

Here is a list of some suggestions I have given to families and that I recommend for others to try. Select items to use depending on your child’s level of sensitivity, age, and ability to follow directions.

6 Tips to Help Sensory Sensitivities with Haircuts

  1. Have your child engage in a lot of heavy work and deep pressure input the weeks leading up to his/her haircut. Heavy work includes: pushing and pulling items, jumping, performing animal walks, etc. If you aren’t familiar with heavy work, read this NSPT blog that includes some ideas for activities at home. You could also search “heavy work for sensory processing” on Google and you will find many ideas. This should be done for approximately 10-30 minutes a day, 1-2 times per day depending on your child’s age and level of sensory sensitivity. This will help “wake up” the tactile system in order to process sensation better.
  2. Write a social story with images of what the child should expect when getting his/her hair cut. This will be a step by step guide to getting a haircut. Go through each step such as arriving to the hair saloon, sitting in a chair, putting a cloth around the child’s neck, etc. Read this to your child often, going through each step of the process.
  3. Play pretend barber shop. Take turns with your child sitting in a chair, wrapping a cloth around each others neck, and pretending to cut each others hair with safety scissors. Do this saying that we are practicing for your hair cut on X day. Do this at least a few times before the child gets a haircut. When doing this, take special note of things your child may have difficulty with. For instance, if he or she has a difficult time remaining seated, experiment with some fidget toys such as a stress ball or having the child hold his/her favorite stuffed animal. Does your child respond well to use of a weighted blanket or weighted vest? If your child has a difficult time sitting still you may want to experiment with these items during play to see if it helps. Provide these same tools during the time your child gets a haircut. Time the child while he/she is seated during play and applaud them for any amount of time they are able to sit still (a visual timer is best). Build up to having the child remain seated for the approximate time the hair cut will take. Again, applaud them for any amount of time achieved!
  4. Make a sensory tool kit with your child that includes items that calm him/her. Bring this tool kit with you on the day of the haircut and practice using it while playing barber shop.
  5. Start playing with your child’s hair a few weeks before the hair cut. If your child can tolerate hair brushing, engage in play with his/her hair a few times per week. Spike it up and do another hair style that the child enjoys or comes up with. Have the child do this independently (after providing them with the tools) the first time (if possible) and see if they will let you do it the next time. This may be a slow process with you only being able to help slightly. Build up to you doing it without the child’s assistance. If the child cannot tolerate hair brushing, start with one brush with the hair brush, and move up to 2 the next day, 3 the following day, and so on.
  6. Go to the barber shop one time before the child gets his/her hair cut. Have the child meet the person who will be cutting their hair and ask if the child can look around the barber shop.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

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help your child learn to listen

Help Your Child Learn to Listen

If you spend a frequent amount of time with a young child, you know that one of the most common directions you find yourself saying is, “LISTEN!” Telling a child to listen seems like an easy enough request, right? When in actuality, listening is a skill that children have to develop and improve upon as they age.

When a child carries out a direction incorrectly there are many different factors that could be preventinglearn to listen his or her ability to be successful. Successful listening requires adequate attention and motivation to the current situation. If those components are not present, comprehension or retention of what is said will not be optimal. The best way to help a child be more successful is to teach them how to attend to what is being said. If your child is struggling to follow directions at home or at school, use the following four strategies to help them attend to the information that is being presented to him and her, which will ultimately help them become more skilled listeners and be more successful.

Strategies to help your child attend/listen:

  1. Look at the speaker – Make eye contact with the person who is talking.
  2. Quiet body – Keep your mouth, hands and feet quiet or still.
  3. Think about what is being said – Echo the directions in your mind or out loud. Repeating directions is a good strategy as it increases the retention of the presented information.
  4. Ask if you don’t understand – It’s important for children to develop self-advocacy skills and to feel confident when asking for clarification or extra help.

Use the visual aid to the right as a remainder for kids to use their listening strategies. This can be printed off and taped on his or her desk or hung on the refrigerator. The more the strategies are referenced, the more a child will become familiar with them and start to use them.

It is possible that there may be an underlying issue behind a child’s poor listening skills, such as language comprehension deficits, an auditory processing disorder or even an undiagnosed hearing loss. Consult with your child’s speech-language pathologist if a child continues to struggle with following directions or listening in the classroom.


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NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

5 Reasons Why Your Child Needs a Visual Schedule

What is a visual schedule?

A schedule consists of main activities to be completed during a particular timeframe. A visual schedule uses words or symbols (depending on your child’s level of literacy) to represent activities on his/her schedule.

Why should I use a schedule with my child?

When used consistently, a visual schedule has many potential benefits:

  1. Security and Behavior: Following a visual schedule increases the predictability of your child’s
    schedule-Portrait
    environment. Understanding what comes next, and when a particular event or activity is going to happen, increases your child’s feelings of security and helps them understand what is expected, as well as what to expect. Security and understanding of expectations, along with familiarity with a consistent schedule, may decrease behavior problems and increase engagement in the activity at hand. Increased engagement leads to increased attention and, therefore, learning.
  2. Independence: Knowledge of schedules increases independence. Visual schedules can be used to guide your child through through morning activities and routines. For example, if your child knows he/she eats breakfast then brushes his/her teeth (and understands what needs to happen to complete these routines – e.g., bring plate to the sink, then go to the bathroom, etc.), he/she is more likely to initiate these routines independently.
  3. Flexibility: Predictability allows children to more easily mentally prepare for changes in the regular schedule. If something outside the regular series of activities is going to happen, a visual schedule allows your child to mentally prepare for this change, making for increased flexibility (and smoother transitions to new activities).
  4. Receptive Language: Using a schedule increases your child’s immediate and overall understanding of linguistic concepts. For example, abstract time concepts (later, next, first, last, etc.) that are often difficult for children to understand or conceptualize are experienced firsthand, and can be visualized by looking at the schedule. Furthermore, using a visual schedule will help increase your child’s understanding of verbal directions, as it pairs visual cues with verbal directions, providing additional support to verbal direction.
  5. Pre-Literacy Skills: Using symbols and pairing them with words on your child’s visual schedule facilitates his/her understanding that symbols and words represent concepts. This is an important concept for future acquisition of literacy skills, as letters and words require an understanding of symbolism – pictures or graphemes represent concepts separate from themselves.

Try a visual schedule to help your child and see the impact it has!

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

Why saying no is a good thing

5 Reasons Saying “No” To Your Kids Is A Good Thing

Parents have a hard time saying no to their children because they want their child to be happy and to have positive experiences. They are concerned that if they say no, it will lead to unhappiness, defiance, a lack of creativity and a decreased sense of self-esteem in their child. Today, more than ever, it is important for parents to be comfortable with saying “no” to their children. Saying no without frustration/anger and following through with what you say let’s a child know that you care about them and that you want them to be safe. In other words, saying no is a good thing.

Here are five additional reasons why saying no to your child can be a good thing:Why saying no is a good thing

  1. Children want you to say no. They actually like structure and limit setting by parents and typically respond better to parents that can provide consistency and who hold them accountable for their actions.
  2. Saying “no” provides teachable moments. It allows your child to learn that they cannot always have what they want.
  3. It teaches children to delay gratification and to learn how to be patient.
  4. It teaches them to learn how to handle disappointment and helps them to learn how to work through disappointment through problem solving other solutions.
  5. It also teaches them how to respect their parents and other adults, as well as allows them to prepare for being in the “real world.”

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