Archive for February, 2018

Spanish AAC Apps, Devices & Resources (Hablo con CAA)

Spanish AAC Apps, Devices & Resources (Hablo con CAA)

It can be challenging to find information about and resources for AAC in languages other than English. Since Spanish is the most common language after English in my state I have compiled a list to make it easier to share with parents:
.
Hablo con CAA is a great website in Spanish: https://habloconcaa.wordpress.com. They also have a Facebook page & Facebook group. Most posts are in Spanish.

https://www.facebook.com/habloconcaa/
https://www.facebook.com/groups/habloconcaa

Prompting hierarchy: https://habloconcaa.wordpress.com/2017/10/01/repensar-la-jerarquia-de-peticiones-en-la-caa-aac-prompting-hierarchy/
.
Video about Aided Language Stimulation – in Spanish:


.
The Communication Matrix assessment is available online in Spanish: https://communicationmatrix.org. See this post in Spanish explaining the website: https://habloconcaa.wordpress.com/2017/05/04/evaluando-la-caa-la-matriz-de-comunicacion/
.
Saltillo webinars in Spanish: https://saltillo.com/videos/x/webinar/es
Saltillo Core Vocabulary handout: https://saltillo.com/downloads/chat/escogiendo-el-vocabulario-clave-el-acercamiento-de-actividad-primero-choosing-core-vocabulary-act/Escogiendo%20el%20vocabulario%20clave%20El%20acercamiento%20de%20actividad%20primero.pdf
.
PRC Spanish info: https://www.prentrom.com/prc_advantage/unidad-espanol-language-system
LAMP Words for Life Quick Reference Guide in Spanish: 

http://file.prentrom.com/2097/17908v1_1-LAMP%20WFL%20SE%20Vocab%20Quick%20Reference-Español.pdf
.
Assistiveware’s resources for Proloquo2Go in Spanish: http://www.assistiveware.com/es/producto/proloquo2go/recursos
Core Word Board: front: http://coreword.assistiveware.com/uploads/db6476/original/1X/1f0f35191fd7c602c2016dfec3f5f3980d4255f2.pdf, back: http://coreword.assistiveware.com/uploads/db6476/original/1X/8ffa70e175c74006c2b60b7d0a229ff1ab8f7d2d.pdf
Core Word Poster: http://download.assistiveware.com/assistiveware/files/A0-840×1189-CoreWord-Poster-es-ES.pdf
.

More printable options:

* AAC Core Words to Go in Spanish Picture Communication (available for purchase on Teachers Pay Teachers: https://www.teacherspayteachers.com/Product/AAC-Core-Words-to-Go-in-Spanish-Picture-Communication-1829593)

* Spanish Communication Flip Board (FREE on Teachers Pay Teachers: https://www.teacherspayteachers.com/Product/Spanish-Communication-Flip-Board-2838262)

* Graduated Core Word Photo Boards with Flip Fringe Vocab & Spanish Version (FREE on TPT: https://www.teacherspayteachers.com/Product/Graduated-Core-Word-Photo-Boards-with-Flip-Fringe-Vocab-Spanish-Version-3127128)

* 72 Spanish Graduated Core Board (FREE on TPT: https://www.teacherspayteachers.com/Product/72-Spanish-Graduated-Core-Board-2865788)

.

More materials:

* http://aulaabierta.arasaac.org
* http://aulaabierta.arasaac.org/materiales-caa
* http://aulaabierta.arasaac.org/materiales-caa-recetas-de-cocina
.
Adapted books: http://chapelhillsnippets.blogspot.com/p/spanish.html
.
High Tech AAC for Spanish Speakers – in the ASHA Leader 3/18/16: http://blog.asha.org/2016/03/08/high-tech-aac-for-spanish-speakers/ (note: The AAC app world is constantly changing. Even though that article is less than 2 years old it is already outdated. LAMP Words for Life now has a bilingual Spanish/English option & Snap + Core First has been released and then updated to add a bilingual Spanish/English option).
.
PrAACtical AAC: http://praacticalaac.org/?s=Spanish
.
Boardmaker boards in Spanish: http://prekese.dadeschools.net/Resources/BMDSpanish.html
https://www.boardmakeronline.com/Activities/Search#?page=1&text=Spanish
.
Dedicated Speech Generating Devices:

* PRC’s Accent series of devices with UNIDAD bilingual English – Spanish language system.
* Saltillo’s NovaChat series of devices. Several Spanish pageset options.
* Tobii Dynavox offers Snap + Core First in several dedicated devices. This vocabulary has a bilingual Spanish/English option.
.
Robust AAC apps:

* CoughDrop by CoughDrop, Inc., https://itunes.apple.com/us/app/coughdrop/id1021384570?mt=8

How to translate a board in CoughDrop: https://coughdrop.zendesk.com/hc/en-us/articles/115001290091-How-can-I-translate-a-speech-board-into-a-different-language-

* Proloquo2Go by AssistiveWare
https://itunes.apple.com/us/app/proloquo2go/id308368164?mt=8, has a bilingual Spanish/English option

* Proloquo4Text by AssistiveWare, https://itunes.apple.com/us/app/proloquo4text/id751646884?mt=8 (has Spanish option)

* LAMP Words For Life by Prentke Romich Company
https://itunes.apple.com/us/app/lamp-words-for-life/id551215116?mt=8, has a bilingual Spanish/English option

* Snap + Core First by Tobii Dynavox LLC
https://itunes.apple.com/us/app/snap-core-first/id1072799231?mt=8, has a bilingual Spanish/English option

* TouchChat HD – AAC with WordPower by Silver Kite
https://itunes.apple.com/us/app/touchchat-hd-aac-with-wordpower/id412351574?mt=8, has 10 different Spanish pagesets options within the app

* Avaz Español – AAC App para el autismo (Software de comunicación aumentativa Imagen para Niños con Necesidades Especiales) by Avaz, Inc.
https://itunes.apple.com/us/app/avaz-espa%C3%B1ol-aac-app-para-autismo-software-comunicaci%C3%B3n/id923997149?mt=8 – Spanish only

* BRIDGE Communication by Bioprism, Inc.
https://itunes.apple.com/us/app/bridge-communication/id983660714?mt=8 (has Spanish & English options in the settings area)
https://www.youtube.com/channel/UCVIr5fmx0b2WTA1yluY-MkQ
.

Other AAC apps (not robust but can be helpful to meet specific needs):

* LetMeTalk by AppNotize UG (haftungsbeschraenkt), https://itunes.apple.com/us/app/letmetalk/id919990138?mt=8 (Android version: https://play.google.com/store/apps/details?id=de.appnotize.letmetalk&hl=en)

* Verbal Me Español by fishdog.net, https://itunes.apple.com/us/app/verbal-me-espa%C3%B1ol/id747621945?mt=8

.
If you know of other good Spanish AAC resources, feel free to let me know over on Facebook messaging on my OMazing Kids page.
.
Angela Moorad, MS, CCC-SLP
Speech-Language Pathologist
Founder of OMazing Kids, LLC – inclusive wellness & educational activities for kids of all abilities
Facebook Messaging for OMazing Kids: http://m.me/OMazingKidsYoga (note: Facebook frequently changes the link to messaging so if this one doesn’t work head over to my page and click on the “Send Message” button)
Facebook: http://www.facebook.com/OMazingKidsYoga
AppPeeps Facebook Group: https://www.facebook.com/groups/OMazingKidsAppPeeps/
Twitter: http://twitter.com/#!/amoorad
Instagram: https://www.instagram.com/omazingkids
YouTube: http://www.youtube.com/user/amoorad1
Pinterest: http://pinterest.com/OMazingKids/
Google+: https://plus.google.com/u/0/110305433538768736741
Boardmaker Share: http://www.boardmakershare.com/Community/FriendsProfile/10916/Angela-Moorad
Blog: http://omazingkidsllc.com
.
Angela Moorad is the founder of OMazing Kids, LLC and is an ASHA certified & licensed pediatric Speech-Language Pathologist and Kids Yoga Teacher with 28 years experience working in a variety of settings (early intervention, schools, teletherapy & a nonprofit pediatric rehab hospital for children with developmental disabilities). She is an app beta tester for educational & therapeutic app developers and loves sharing info about great apps, products, books & toys to use with kids of all abilities.

{AAC Core Vocabulary: Not} “Natsumi!” by Susan Lendroth

{AAC Core Vocabulary: Not} “Natsumi!” by Susan Lendroth

I love using kids picture books in speech therapy and am especially excited when I get a book that has repeated opportunities for teaching core vocabulary for AAC users. This cute new picture book will be released on 3/15/18. It has the following opportunities for teaching “not”: “Not so fast”, “Not so hard”, “Not so loud”. I love the spunkiness of the main character, Natsumi, and how her grandfather found a positive outlet for energy.
.
Available for pre-order on Amazon: https://www.amazon.com/Natsumi-Susan-Lendroth/dp/0399170901
.
I was off work for a snow/ice day today so I had extra time to see which of the AAC apps already have the following words in them and located in a way that is easy to access: not, fast, hard, soft. The following AAC apps passed that test: aacorn Plus, Avaz, LAMP Words for Life, Proloquo2Go with Gateway, Snap + Core First & Speak for Yourself.
.
aacorn Plus

.
Avaz

.
LAMP Words for Life

.
Proloquo2Go with Gateway

.
Snap + Core First

.
Speak for Yourself

.
Angela Moorad, MS, CCC-SLP
Speech-Language Pathologist
Founder of OMazing Kids, LLC – inclusive wellness & educational activities for kids of all abilities
Facebook Messaging for OMazing Kids: http://m.me/OMazingKidsYoga (note: Facebook frequently changes the link to messaging so if this one doesn’t work head over to my page and click on the “Send Message” button)
Facebook: http://www.facebook.com/OMazingKidsYoga
AppPeeps Facebook Group: https://www.facebook.com/groups/OMazingKidsAppPeeps/
Twitter: http://twitter.com/#!/amoorad
Instagram: https://www.instagram.com/omazingkids
YouTube: http://www.youtube.com/user/amoorad1
Pinterest: http://pinterest.com/OMazingKids/
YappGuru: http://yappguru.com/user/omazing-kids/
Google+: https://plus.google.com/u/0/110305433538768736741
Boardmaker Share: http://www.boardmakershare.com/Community/FriendsProfile/10916/Angela-Moorad
Blog: http://omazingkidsllc.com
.
Angela Moorad is the founder of OMazing Kids, LLC and is an ASHA certified & licensed pediatric Speech-Language Pathologist and Kids Yoga Teacher with 28 years experience working in a variety of settings (early intervention, schools, teletherapy & a nonprofit pediatric rehab hospital for children with developmental disabilities). She is an app beta tester for educational & therapeutic app developers and loves sharing info about great apps, products, books & toys to use with kids of all abilities.

Fingertip Sphere Breathing for Self Regulation & Calming

 

Fingertip Sphere Breathing for Self Regulation & Calming

I learned this technique during one of the webinars in the Preschool Mindfulness Summit in January. It was amazing to see how well it worked with one of my patients who has Autism (and possibly OCD and Explosive Disorder). This child has a very short fuse and when he explodes it is painful for everyone including him. We had tried several different strategies to help him learn self regulation and self calming skills with little success. The issue was in that explosive moment he was too out of control to use any strategies.

.

During our last session he became obsessed over a particular page in a board book, insisting that he had to “see the page in the middle” and then exploding when I removed the book to prevent it from being damaged. I then closed my eyes, placed my fingertips together and slowly expanded them (like a Hoberman Sphere) as I took a deep breath in through my nose and gently pressed them back together as I blew the breath slowly out of my mouth. After about 3 breaths I heard him calming down and he asked “What you doing?”. As I continued my slow breathing process with my eyes closed, I softly said “Ms. Angela is taking a break. ________ (child’s name) yelling scared Ms. Angela. When I get scared I take deep breaths.”. Then I continued doing the fingertip breathing with my eyes closed. Within a second or two I heard him breathing, peeked and saw him imitating what I was doing. Once he was calm I gently placed a new activity in front of him. He started to re-escalate and obsess over wanting the book again so I closed my eyes and started the breathing again. He again imitated and this time calmed down and was able to maintain that state of calm for the rest of our session. I cannot express what a HUGE moment this was for him. As he took a play break after the session I talked with his mother to make sure she understood what I had done and how powerful it would be for her son to experience the ability to self regulate and calm.

.

It is important to note that I did not tell this child to “calm down” or to “take a deep breath”. When I calmed and centered myself and modeled this breathing technique he began to imitate what I was doing and then got to experience the power of self calming.

.

Moments like this are exactly why I sought out training in kids yoga and mindfulness seven years ago. When a child is totally disregulated they are not going to learn anything I had planned for that session. So I needed tools in the speechie toolbox to help my patients.

Of course I also make referrals as needed to good pediatric psychological services in our area.

.

I have shared several resources for “breathing”, “self regulation”, “calming”, “mindfulness” and “social emotional learning” over the years on my blog. You can find those posts easily by doing a search for those terms. I have also shared additional resources out on my OMazing Kids Facebook page. Many of those posts are saved in the photos/albums area…. so feel free to look through those as well.

.
This gif shows a Hoberman Sphere in action for those that may not be familiar with it:

.

Angela Moorad, MS, CCC-SLP
Speech-Language Pathologist
Founder of OMazing Kids, LLC – inclusive wellness & educational activities for kids of all abilities
Facebook Messaging for OMazing Kids: http://m.me/OMazingKidsYoga (note: Facebook frequently changes the link to messaging so if this one doesn’t work head over to my page and click on the “Send Message” button)
Facebook: http://www.facebook.com/OMazingKidsYoga
AppPeeps Facebook Group: https://www.facebook.com/groups/OMazingKidsAppPeeps/
Twitter: http://twitter.com/#!/amoorad
Instagram: https://www.instagram.com/omazingkids
YouTube: http://www.youtube.com/user/amoorad1
Pinterest: http://pinterest.com/OMazingKids/
YappGuru: http://yappguru.com/user/omazing-kids/
Google+: https://plus.google.com/u/0/110305433538768736741
Boardmaker Share: http://www.boardmakershare.com/Community/FriendsProfile/10916/Angela-Moorad
Blog: http://omazingkidsllc.com
.
Angela Moorad is the founder of OMazing Kids, LLC and is an ASHA certified & licensed pediatric Speech-Language Pathologist and Kids Yoga Teacher with 28 years experience working in a variety of settings (early intervention, schools, teletherapy & a nonprofit pediatric rehab hospital for children with developmental disabilities). She is an app beta tester for educational & therapeutic app developers and loves sharing info about great apps, products, books & toys to use with kids of all abilities.

{Video} Creative uses for the GoTalk Now Plus AAC app

A quick video of some of the ways that I use the GoTalk Now Plus AAC app from Attainment Company, Inc. It has several unique features that make it a “must have” on any speechie’s iPad 😃.
.

.
In case you are wondering how the sound is that loud… This is my 9.7″ iPad Pro. It is in an original Gripcase USA case with handles on all four sides. I made a “bumper” out of a piece of pool noodle to prevent the bottom handle from getting bent out of shape when using my iPad on my lap.

.

Little Light House Therapy Team’s post about how to make LAMP Words for Life CVI friendly: http://www.thelittleanchor.org/2017/03/10/how-to-make-lamp-words-for-life-cvi-friendly/.
.
Angela Moorad, MS, CCC-SLP
Speech-Language Pathologist
Founder of OMazing Kids, LLC – inclusive wellness & educational activities for kids of all abilities
Facebook Messaging for OMazing Kids: http://m.me/OMazingKidsYoga (note: Facebook frequently changes the link to messaging so if this one doesn’t work head over to my page and click on the “Send Message” button)
Facebook: http://www.facebook.com/OMazingKidsYoga
AppPeeps Facebook Group: https://www.facebook.com/groups/OMazingKidsAppPeeps/
Twitter: http://twitter.com/#!/amoorad
Instagram: https://www.instagram.com/omazingkids
YouTube: http://www.youtube.com/user/amoorad1
Pinterest: http://pinterest.com/OMazingKids/
YappGuru: http://yappguru.com/user/omazing-kids/
Google+: https://plus.google.com/u/0/110305433538768736741
Boardmaker Share: http://www.boardmakershare.com/Community/FriendsProfile/10916/Angela-Moorad
Blog: http://omazingkidsllc.com
.
Angela Moorad is the founder of OMazing Kids, LLC and is an ASHA certified & licensed pediatric Speech-Language Pathologist and Kids Yoga Teacher with 28 years experience working in a variety of settings (early intervention, schools, teletherapy & a nonprofit pediatric rehab hospital for children with developmental disabilities). She is an app beta tester for educational & therapeutic app developers and loves sharing info about great apps, products, books & toys to use with kids of all abilities.

AAC Funding: Jumping Through Hoops & Proving Accuracy

.

Pursuing funding for augmentative communication devices is not for the timid or the faint of heart.

.

Unless you are working with a family who is very wealthy and can afford to purchase it themselves you need to be prepared for the paperwork & “fiery hoops”.

The funding department at the company selling the device will provide valuable support but a lot will rest on the shoulders of the SLP submitting the funding request.

It is wise to get as much information as you can before you start the process. Read through the definition of “medical necessity” and all the required elements for purchase of a speech generating device (SGD) as durable medical equipment (DME) for that insurance company and/or Medicaid in your state. This will give you both verbiage to include in your report and a checklist of all the bases you need to cover.

In my most recent funding request I had to deal with both the requirements of private insurance and Medicaid. Each had their own requirements. This patient’s insurance company required at least a 30 day trial with the SGD being requested. Medicaid in my state requires a video demonstrating clear communicative intent, independent use and for eye gaze devices “proof of accuracy”. Trying to submit a funding request before we had all of those elements would have been fruitless.

“Proving accuracy” may not sound like a big deal but I can testify that it was a huge fiery hoop when the patient was a 2.5 year old who had huge meltdowns every time I tried “show me the _____” activities. As in several sessions went down the toilet because we tried that.

So I laid in bed at night mulling over the quandary of how to “prove accuracy” in order to get her the AAC device that I knew she needed and that she had already shown me she could use. Add the extra self induced pressure of desperately wanting to get this accomplished before my retirement. Thank the Lord for stumbling upon a toy that this child was intrigued by. Not really the most highly preferred item. In fact early in the trial of the eye gaze device her Mom and I thought she may have been accidentally activating the button to request it since her reaction upon getting the toy was pretty “meh” 😐. So her Mom asked if I could move the button for it to a different location. Guess who immediately activated the button for that toy again and gave us her famous impish grin. Every time I moved that button she found it and grinned. So that was our golden ticket to making it through the fiery hoop of “proving accuracy”. I added a tiny button to her home page in Communicator 5 on the Tobii Dynavox i15+ eye gaze SGD and linked it to a page set that I built with the “noisy ball” and three other items with the placement randomized on each page. The first session I showed it to her she was a little fussy so we didn’t stay there long. The next week she was well rested and especially perky. Guess who found the “noisy ball” with 100% accuracy when presented in a playful way as a game of “hide and seek”? Yup. She did. And I got it all on video including her huge smile at the end as if to say “I rocked that didn’t I?”.

Tip: When you are required to provide a video with your funding request it’s important to always have a means of videoing on you in all sessions so you can capture the moments.

That was a huge fiery hoop to make it through and I worked late that evening to start the AAC eval report to get the funding request process started. Here’s the deal…. once you start that ball rolling you have to be willing to do what it takes under very short timeframes when they request additional video or ask for an addendum for additional information. If you don’t meet their very short timeframes then the request will automatically be denied and you have to start all over. For this child I had to provide documentation as to why she could not use handwriting as a means of communicating (ummmm…… not a developmentally appropriate expectation for any 3 year old let alone one with Rett Sydrome and no functional hand use) & additional videos proving she was making independent and intentional requests with the SGD. All of which had already been documented both in video and in writing. Of course I was frustrated every time but I had to vent to my fellow SLPeeps and then did what it took to make it through that next fiery hoop. I cried tears of relief and joy when I finally got the e-mail that her SGD had been approved and the day it arrived.

In the end it is all worth it to see the look on a child’s face when they get to take home their “voice” for the first time.

.

I’m not sharing this to brag on myself but rather to leave pearls of wisdom learned from my 28 year career as a SLP. I’ll be retiring in 11 weeks so I’m trying to pass along things that I’ve learned before I move on to the next chapter in my life. I spent several hours researching the internet and posting in AAC and SLP Facebook groups begging for ideas for how to “prove accuracy” for a 2.5 years old using an eye gaze device. But there was nothing. So I hope that this info helps some other speechie in the future. For your patient it will likely be some other random toy or activity but the concept of turning it into a playful “hide and seek” activity may be your ticket to making it through the “proving accuracy” fiery hoop.

.

Angela Moorad, MS, CCC-SLP
Speech-Language Pathologist
Founder of OMazing Kids, LLC – inclusive wellness & educational activities for kids of all abilities
Facebook Messaging for OMazing Kids: http://m.me/OMazingKidsYoga (note: Facebook frequently changes the link to messaging so if this one doesn’t work head over to my page and click on the “Send Message” button)
Facebook: http://www.facebook.com/OMazingKidsYoga
AppPeeps Facebook Group: https://www.facebook.com/groups/OMazingKidsAppPeeps/
Twitter: http://twitter.com/#!/amoorad
Instagram: https://www.instagram.com/omazingkids
YouTube: http://www.youtube.com/user/amoorad1
Pinterest: http://pinterest.com/OMazingKids/
YappGuru: http://yappguru.com/user/omazing-kids/
Google+: https://plus.google.com/u/0/110305433538768736741
Boardmaker Share: http://www.boardmakershare.com/Community/FriendsProfile/10916/Angela-Moorad
Blog: http://omazingkidsllc.com
.
Angela Moorad is the founder of OMazing Kids, LLC and is an ASHA certified & licensed pediatric Speech-Language Pathologist and Kids Yoga Teacher with 28 years experience working in a variety of settings (early intervention, schools, teletherapy & a nonprofit pediatric rehab hospital for children with developmental disabilities). She is an app beta tester for educational & therapeutic app developers and loves sharing info about great apps, products, books & toys to use with kids of all abilities.