Spring is almost upon us!

Hello everyone! My name is Elaine Byrd and I'm new to the Child and Family Development team! Even though it's been unusual weather here in Charlotte, I've enjoyed every minute of it since moving from Seattle. 

I've been working with children for over 10 years as a speech therapist, and I love it. One of the most valuable lessons for me has been to think about the whole child. It's so easy to get caught up in the little details and skip the big picture, like how many words a child knows, whether he can say his ABCs, or if she can put words into a sentence. When I'm interacting with my 16-month old toddler, sometimes I have to remind myself not to be a "therapist" and "make" him say 'more' or sign 'please' or 'all done'. Language always takes a second place to the interaction, the connectedness, and the relationship.

Dr. Stanley Greenspan has some fabulous suggestions to promote healthy development in young children, to develop their abilities to think, love, communicate, and create. Check them out at
http://www.icdl.com/dirFloortime/HealthyDevelopment/.

Why is my child not talking yet?

Friday, December 3, 2010 by Elaine Byrd
"My child is two and she is not talking yet."

There are some reasons why a young child is not using words to communicate. The most common ones are:
1. Late talker
2. Receptive and expressive language delays
3. Deficits in social communication, a characteristic of Autism
4. Motor speech difficulties, seen in Childhood Apraxia of Speech

What can parents do to help their child, regardless of the diagnosis? I usually find it helpful to get to the basics-
- be connected! It's not just about the words
- be expressive! Talking should be a happy event, not a task or a chore
- turn questions into statements
- keep it short and simple
- repeat repeat repeat
- use "power" words (words that are powerful for a child, including 'no', 'mine', 'more', 'done')

Contact our speech therapists at Child & Family Development in Charlotte for more information about your child's speech and language development!

Social Skills for School Success

Monday, September 27, 2010 by Elaine Byrd
Social skills are essential for success in the school, not just for the social aspect of making and keeping friends. In order to learn and grasp the concepts and lessons presented in the classroom, a student has be able to:

- share space with other students
- adapt effectively to others around
- understand class and school rules (explicit and hidden)
- participate as a member of a group (the class)
- and listen and communicate within a group
 
These are basic expectations that are taught in preschool and established by kindergarten. For our children with high-functioning autism, asperger syndrome, pervasive developmental disorder, sensory processing disorder, and attention deficit disorder, these abilities do not come easily or naturally. They have a hard time understanding the perspective of others, using social information, and adapting their behavior in a group. These difficulties may not affect academic learning in the early school years, but are likely to impact academic performance in later grades as our children are required to read and write about abstract stories and ideas, as well as think critically and problem solve.

Child & Family Development can help! We offer social skills groups that focus on addressing core social deficits, increasing social awareness of being part of a group, and improving the ability to "see" the perspective of others.

I am starting a group for students 9-11+ years of age, beginning in October 2010. Please contact me for more information! ebyrd@childandfamilydevelopment.com or (704) 541-9080 ext 213.

Children with social-cognitive deficits and how to recognize them

Tuesday, September 7, 2010 by Elaine Byrd
Social cognition is defined as "the thought processes we use to understand the world around us". It measures our ability to gather information about and to understand the rules and concepts within the social world.

Social norms vary from culture to culture, country to country, and even state to state; however, a child with social-cognitive deficits will have a tough time understanding and applying these norms regardless of culture, country, or state.

What do children with social-cognitive deficits look like? They come from a broad range of medical "diagnoses", to include Asperger Syndrome, High Functioning Autism, PDD-NOS, Non-Verbal Learning Disability, and ADD/ADHD. These children can have an excellent grasp of language and rule-based learning, and at the same time, have significant problems functioning in the world around them. They are usually referred to as "bright but clueless".

Regardless of diagnosis, a child with social-cognitive deficits desires successful social relationships and wants to have friends and companionship, like everyone else.

If this description fits your child, he or she may benefit from a s
ocial skills group! These groups are offered at Child & Family Development, and they focus on improving social awareness to improve social skills.

Please contact me, Elaine Byrd, speech therapist at ebyrd@childandfamilydevelopment.com or visit my blog for more information!

The Social Piece of Back-To-School

Friday, August 20, 2010 by Elaine Byrd
Is your child ready for the social challenges of school? With all of our normal emphasis on academic preparedness as the school year approaches, our child's social learning and its importance can often be overlooked. For most children who are considered "neurotypical", social learning/thinking is innate and begins from birth. Social thinking, which was a term coined by Michelle Garcia Winner (speech-language pathologist), is a type of intelligence that is essential to learning about concepts and integrating learned information across settings- including academic, social, home, and community.

For our students who have difficulties learning, understanding, and/or applying socially relevant information, school presents with challenges beyond the traditionally thought-of "social time"- friends, lunchroom, and recess time. They can also experience frustration in academics, particularly in reading comprehension and written expression. Also, as social dynamics become more complex through elementary, middle, and high school grades, these students struggle more and more to interpret social nuances of their peers and to "keep up".

Our students with social thinking and learning difficulties often present with diagnoses such as High Functioning Autism, Asperger Syndrome, PDD-NOS, Non-Verbal Learning Disability, and Attention Deficit Hyperactivity Disorder.

Child and Family Development offers Social Thinking ® groups led by Elaine Byrd. These groups focus on teaching students how to recognize their own and others’ social minds, navigate their behaviors in a social world, and successfully adapt to people and situations. Please visit the C&FD website or contact me at (704) 541-9080 x213 for more information!

Speech and language demands in preschool- Is your child ready?

Thursday, August 5, 2010 by Elaine Byrd

Preschool is a wonderful introduction to the school setting. Fun, play, and academics are incorporated to prepare your young child for the increased academic demands of kindergarten and elementary school. However, there are expectations for the preschooler, and it may be helpful to think about whether your child will be able to cope with the language and communication demands of preschool.

Based on the standards and expectations expressed by the North Carolina State Board of Education, a preschooler should:

Receptively
- understand sentences of increasing length and complexity, including past, present, and future tenses;
- understand a growing vocabulary;
- a
ttend to language for longer periods of time, e.g. when books are read, people are telling stories, and during conversations;
- consistently answer questions and follow two-step or more directions;
- understand and talk about feelings, ideas, information, and beliefs;
- and u
nderstand the multi-faceted use of communication (gestures, sign, facial expressions etc.).

Expressively
- use verbal and nonverbal language to communicate for a variety of purposes (e.g. to express wants, needs, feelings, and to relate personal information and experiences);
- use language in pretend play to create and act out roles, events, and stories;
- use language to make and keep friends and other relationships;
- follow a topic of conversation by asking a question or making a comment;
- communicate using appropriate inflection, tone of voice, and expression;
- and use more and more complex language forms, grammar, and vocabulary.

Additionally, phonological awareness should be emerging at this time. The preschool child enjoys rhyme in poems and songs by clapping, marching, or other movements to tap out syllables. He also learns to play with the sounds in language, by creating rhymes, by being aware of the first sounds in words, and by associating sounds in written words (e.g. Reese and Robin begin with the same sound).

If you have concerns about your young child's speech and language skills and ability to cope with preschool demands, our speech therapists at Child & Family Development are happy to help! 
 

Early Intervention In Autism

Tuesday, July 13, 2010 by Elaine Byrd

I recently attended a workshop presented by the Autism Society of North Carolina. The presenters had been involved in a four-year project regarding types of intervention most effective for young children diagnosed with autism. This enlightening class provided me with several highlights which I am excited to share:
  • JOINT ATTENTION is the foundation of communication.
  • Improved joint attention leads to improved LANGUAGE and VOCABULARY.
  • PLAY is an essential prerequisite for learning.
  • Improved SYMBOLIC PLAY leads to improved PROBLEM-SOLVING.
There are many approaches in autism treatment - ABA, RDI, SCERTS, Floor Time, and many more. One approach is not necessarily the solution, components of different programs can be blended and combined for a unique treatment approach specially tailored for your child with autism. Keep in mind that any treatment needs to be child-specific for maximum benefit.

What can parents do to help?
1. Start with MOTIVATION! What are your child's interests and motivations? 
2. Create a ROUTINE around your child's motivation.
3. Insert YOURSELF into the routine.
4. ENGAGEMENT is key. Always make sure your child is interested and engaged.
5. Work with your child's THERAPISTS for more specific guidelines, techniques, and activities.


Our therapists here at Child & Family Development have extensive experience with autism spectrum disorders, and are happy to answer any questions and address any concerns you might have about your young child!

On Toddlers and Talking

Tuesday, June 15, 2010 by Elaine Byrd

As my li'l boy approaches his big 2.0, he is rapidly learning and saying more and more new words. "Hi", "Bye", "Daddy", "Mommy", "Car", "Ball". How do children learn this amazing skill of talking and communication? Here are some general child development language milestones to remember:
- first words around 12 months of age
- acquisition of about 50 words around 2 years of age
- two-word combinations starting at around 2 years of age
- the emergence of grammar at around 3 years of age (when your child is combining 3-4 words)

You can help your child start to talk, use more words, and increase his expressive language with these great techniques!

  • Keep your language simple. For example, say "car", not "Chevrolet" and "SUV".
  • Be at your child's level and keep your sentences short. If your child is saying single words, use 1-3 word sentences.
  • Repeat, repeat, repeat. Repetition is a powerful tool.
  • Be expressive and make talking fun! The "wow"s, "uh-oh"s, and "whoo-hoo"s are so much more fun than "1", "2", and "ABC".
  • Parallel-talk. Talk about what your child is doing, seeing, hearing, and thinking as he is doing it. For example, I say "JP's pushing the truck", "you're digging in the sand", "Adin sees a leaf". Give him the words to describe the action that he is involved in.
  • Expansion. This technique builds on what your child is saying. You can repeat what she says, and add one or two more words. For example, if she says, "Daddy home", you can say "Daddy come home". You can also repeat her sentences by providing a more adult model, if she says "doggy run", you can say "yes, the doggy is running".
  • Make statements, don't ask questions you already know the answer to. For example, instead of asking "do you want a cookie?" when your child is pointing to cookies, you can turn it into a statement "you want a cookie".
If you are concerned about your child's speech and language development, a speech therapist at Child & Family Development is happy to help!

On social skills: from cocoon to butterfly

Friday, April 16, 2010 by Elaine Byrd
What is being social? When I think "social", I think of making small talk, conversations with friends, lunch or dinner with a group of people, parties, y'know, Fun Stuff. But for some of our children, social situations can cause anxiety rather than anticipation. If we stop to think about being social and all that entails, no wonder they are overwhelmed. Let's break down "social skills" into more manageable parts ...

- greetings and farewells
- facial expressions and emotions
- other non-verbals, like personal space and tone of voice- starting a conversation
- staying in a conversation
- joining in a conversation
- being on topic
- when to stop a conversation
- taking turns to talk
- asking questions
- the fuzzy line between being honest and being polite
- taking another person's perspective, thinking how they might think and feel
- social groups can be as few as two people and as many as you can imagine

And the list goes on.

Children with social difficulties often have diagnoses such as Asperger's, autism, non-verbal learning disorder, ADD/ADHD, and language disorders. These children can benefit from explicit and structured teaching and practice of social skills, in order to better navigate an abstract and frequently confusing social world. Child & Family Development offers social skills programs for children as young as six through adolescence. Contact us for more information!

April is Autism Awareness Month

Monday, April 5, 2010 by Elaine Byrd

With autism in today's national and even international spotlight, more and more people know what it is. Unfortunately, so many tend to focus on the negative traits of autism and overlook the positive. Dr. Temple Grandin, arguably the most well-known person in America with autism, recently spoke at a keynote address in Wisconsin. She advocated for building on strengths no matter what the disability label. She explained that if a child is fixated on a certain topic, build a lesson around that topic to keep the child interested and learning. "You can't take a geek out of a geek, but you can teach them to be polite geeks."

In celebration of Autism Awareness month, let's highlight some of the strengths that are inherent in our kids with autism.

  • Good understanding of concrete concepts
  • Visual thinkers
  • Detail-oriented and precise
  • Great memory for rote materials
  • Honesty (no liars in this group!)
  • Geniune, with absolutely no pretense
  • Focus and attention for what they enjoy
  • Help us to learn and think outside our box
Here at Child & Family Development, all of us are committed to focusing on your child's strengths to help them overcome their difficulties. Visit us at www.childandfamilydevelopment.com to learn more about what we have to offer!

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