From the Clinic (March 2019)

posted Mar 4, 2019, 7:53 PM by San Jose Scottish Rite

Arthur is a sweet and gentle six year-old boy who Ms. Karen and Ms. Jenna provided speech therapy services for up until last month. He loved to play with foam blocks, tree house toys, toy elevators, and animals. His favorite books were Goodnight Moon, and The Very Hungry Caterpillar which we have in the clinic with matching felt pieces and board. He mostly enjoyed telling his clinicians the whole story that he had memorized via online videos. His clinician would withhold turning the page of the book until he had produced the entirety of sentences on the pages. Another thing Arthur would love to do was sing Whitney Houston’s song “I will always love you” into a toy microphone. His clinician would take turns with him singing parts of the song and he would have to fill in the blanks the lyrics at the end of her sentences. This was one of the ways Ms. Jenna would try to stimulate Arthur’s speech output.

Arthur had attended our clinic for eighteen months, secondary to a diagnoses of an Autism Spectrum Disorder (ASD). Arthur’s main challenge was that he had difficulty focusing on the clinician’s task at hand (a non-preferred task). He tended to want to sing songs that were unrelated to his learning task. It is possible that the task was difficult for him so he wanted to sooth himself or “check out” with calming toons or phrases he had memorized from musical toys. This behavior is called scripting. There were times when his clinician would sing the tune that he was singing to the non-preferred task with different words to try to have him “check back in” to the clinician’s task.  Arthur was often content playing by himself, so the clinician would put her hand on top of his hand and keep it from moving until he described what he was doing or what he wanted to do with the toy. This technique made for a much more vocal session!

Arthur had been working on producing “he” and “she,” “boy and “girl” and “yes” and “no” responses correctly when picture or object describing. He also worked on offering friendly greetings and goodbyes to his clinicians while facing them and looking them in the eyes. While “yes” and “no” responses were improving, the other concepts had been very challenging for Arthur to grasp. Arthur’s mother and father had both been involved in his treatment and occasionally participated in the treatment sessions. His parents had worked hard to implement the techniques from therapy. They liked to use his favorite books, videos, and songs as motivation for good behavior and participation. We will continue to address the above goals when he returns to treatment here in the future. Arthur had met his goal to consistently and independently request a toy that was in or outside the therapy room with one of his clinicians without reaching out and taking it. Great Job Arthur! It is our hope that he will be able to carryover this behavior across settings and different people.

Arthur’s parents learned about our clinic from another parent at his school. According to Arthur’s parents, before receiving services at our clinic, his “pronunciation of words was not clear and he spoke only a few sentences.” Since receiving eighteen months of speech therapy here, “He is able to ask for the things he wants much more clearly. He has also learned more words and knows how to answer more questions.” Arthur’s parents noted, “Ms. Jenna and Ms. Karen are very helpful, friendly and responsible. They always try to accommodate us with schedule day and time changes. They always do their best to teach Arthur. We will be recommending this clinic to others as it is beneficial for San Jose residents, useful for speech and language services, and helpful for children to improve their speech. We love this clinic!”