Holland Bloorview Kids Rehabilitation Hospital
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1 Holland Bloorview Kids Rehabilitation Learning Objectives As a result of this activity, participants will be able to: If the Book Fits, I ll Use It! Customizing Communication Books for Varying Physical Needs Laurel Robinson (Speech-Language Pathologist) Cynthia Medeiros (Communicative Disorders Assistant) 1. Identify the benefits of the organization of vocabulary and contents of a communication book 2. Gain ideas on ways in which to enhance communication books so that they are easy to use, efficient and support language across multiple contexts. 3. Discover ways in which to customize communication books to support children with varying physical needs Overview Who We Are Communication and Writing Aids Service Who we are Communication and Writing Aids Service Description of clients Overview of communication book features specific to 3 populations: Children who are direct accessors Children who communicate with partner-assisted (auditory) scanning Children who are Blind or partially sighted Explore tool kit used for assessment and demonstration Community Program at Holland Bloorview Kids Rehabilitation (Toronto, Ontario, Canada) Consultative service for children ages 0-18 One of the Ontario Ministry of Health and Long Term Care s, Assistive Devices Program communication clinics Expanded Level AAC Clinic Interdisciplinary teams Who We Support What are Communication Books? Clients with complex clinical/technological needs requiring alternate access; integration of systems Ambulatory and non-ambulatory Limited to or no reliable access method Multiple diagnoses (can include hearing and vision challenges) Range of abilities and needs Structured and personalized book with text, photos, pictures and/or symbols Provide efficient, cost effective, portable and flexible system of access to vocabulary and language in multiple contexts Allow access to vocabulary based on user s physical, visual and auditory needs Provide back-up to technology ISAAC
2 What are Communication Books? What are Communication Books? Come in many different styles and sizes Organized in categories and subcategories Require customizations to include vocabulary relevant to the user Include variety of vocabulary components and communicative functions Presentation and Access to Vocabulary Presentation and Access to Vocabulary Support language learning and literacy Promote and enhance functional communication Presented left to right (subject-verb-object) English word order Pictures/photos/symbols/text May be colour-coded (i.e., Fitzgerald Key) Includes alphabet and numbers Front cover Identifies the individual Instructions Clear and concise instructions on how individual communicates Pictures to depict features of book and/or representation of how the user responds ISAAC
3 Laurel s Laws 1. When I am using my communication book, please read the items aloud when I point to them. 2. Please make sure my book is available to me so that I can use it when I need it. 3. Do not touch my communication book without my permission! 4. Do not guess what I am saying with my communication book. Give me time to tell you my message. 5. When I am using my letterboard, if you know the word I am spelling, please say it aloud. I will tell you no if you are wrong or go on to the next word if you are right. 6. Please be patient. Table of contents Supports the user in navigating to a specific page Directory Assists the partner in locating vocabulary quickly (e.g., for modeling opportunities) 2003 CALL Centre Personal Communication Passports (developed by Sally Millar in 1991 alongside a similar approach called 'Client Books ) Organizational method of recording important information about an individual Used to: Share information Identify needs Support transitions (new classrooms, camps, etc.) Tabs ISAAC
4 Home-school sharing/news Please add vocabulary to my book Presentation and Storage of Vocabulary Presentation and Storage of Vocabulary Size and thickness of book Horizontal or vertical orientation Binder with flap to protect tabs Carrying strap or case/bag Walker with basket Presentation and Storage of Vocabulary Communication Books in More Detail Ease of updating materials Dry Erase Marker Communicate with Partner- Assisted Scanning (visual &/or auditory) 6 Direct Accessors Blind or Partially Sighted & Tactile Items Laminate Communication Book ISAAC
5 Direct Accessors Partner-Assisted (Auditory) Scanning Weight/size Growth of vocabulary Categorization of tabs Core flap Durability Detailed instructions Identification and description of response signal and processing time Table of contents with links via numeric tabs Lists Communication passport with links via alpha tabs Partner-Assisted Auditory Scanning Partner-Assisted Auditory Scanning Auditory and visual scanning Row-column Auditory only Left/right or top/bottom + row-column Blind or Partially Sighted and Tactile Input Blind or Partially Sighted and Tactile Input Input from vision itinerant teacher, vision rehabilitation worker, functional vision assessment Size of items Background colour Spacing between items Type of image/symbol Location in space with which the visual field is supported Size of displays = standard Braille paper Texas School for the Blind symbol set Shape Texture Object Braille Text ISAAC
6 Ideas to Consider Ideas to Consider Clear concise instructions and indication of response Vocabulary collection sheets Easily accessible (pockets, baskets, mounting, should strap) Protection for tabs Multiple languages Inclusion of an alphabet CD copy for updates with files and instructions Ability to trial sample book Sample and Assessment Kit Questions Means to trial and demonstrate materials Includes variety of communication book layouts and styles Vocabulary available interacts with 3 stories for structured activities Items include display of maximum vocabulary available Thank You References Beukelman, D.R. & Mirenda, P. (2005). Augmentative and alternative communication: supporting children and adults with complex communication needs (3 rd ed.). Baltimore (MA): Paul H. Brookes Publishing Co. CALL Scotland (2011). Personal Communication Passports. Retrieved from Gayle Porter (2007). Pragmatic Organization Dynamic Display Communication Books. Fitzgerald, E. (1954). Straight Language for the Deaf. Washington, D.C.: Volta Bureau. Texas School for the Blind and Visually Impaired (2013). Tactile Symbols Directory to Standard Tactile Symbol List. Retrieved from The Picture Communication Symbols by DynaVox Mayer- Johnson LLC. All Rights Reserved Worldwide. Used with permission. ISAAC
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