Strategies for working with young people with language and ...

Strategies for working with young people with language and ...

Welcome and introduction Chantele Edlington Discipline Senior Speech Pathologist, Monash Health Mental Health Program Laura Caire Mental Health Clinician/Speech Pathologist, Early in Life Mental Health Service, Monash Health Objectives To provide you with strategies you can add to your clinical toolkit to assist your work with YP who have

SLCN. To provide you with a variety of examples of visual aids you can adapt to your needs. To demonstrate how some of these strategies, particularly certain visual aids, can be applied during a psychotherapy session. To feel more confident in working with young people with communication difficulties. Reminder: Communication is complex!

Conversation, narrative, complex sentences It is in our experience that young people like yourself struggle with understanding their emotions and therefore find it difficult identifying ways to cope because of their experiences growing up however that doesnt mean theres no hope because weve found lots of ways to help young people with their problems. Strategies

Things you can do right away Minimise distractions and make sure you have their attention before you speak. Slow down your rate of speech. Avoid jargon & acronyms use short, simple, everyday words. Repeat key points in different ways.. Give step-by-step instructions. Stop after each key paragraph and ask the young person to repeat back in their own words what you have just said (to check their understanding).

Use the active tense. More things you can do right away Try to provide examples that are relatable e.g. talking about Kanye West as a person who has good self-esteem. Try to avoid abstract concepts whenever possible e.g. feeling anxious vs. feeling sick in the tummy (more tangible/concrete). Write down key points/words if you know they have adequate reading skills. Use visual communication tools whenever possible. Allow the young person time to speak. Dont be afraid of silence

at first. Actively work to build-up their emotion vocabulary so they can put words to their feelings this could include providing clients with key phrases that assist them to be able to express how they feel. BEGINNING MIDDLE Can

I play too? Hey who wants to play taps? No you cant. You dont know

how I Do so! I played this before! END No one ever lets me play.

Its not fair! No you cant play, you dont know how, so go away you LOSER! Who cares?

Jack Billy Jack Billy Jack

Billy Billy throws stick and tan bark at Jack - the other kids go to a teacher Ideas from Adele Wallis and Narelle Anger, Queensland CYMHS Speech Pathologists 8 Visual support

What happened/or what will happen Lead to... 9 Then...

Outcome Cause and effect Feelings chart CRISIS MANAGEMENT PLAN Date: Aaron If you are finding it hard to manage your anger/sadness .

1. Do something to distract yourself or to help you relax: 2. listen to music call or see friends

watch TV play PS2

ride bike surf internet Tell an adult about how you are feeling Let them know that you are feeling distressed or unsafe. If you dont feel any better and are having trouble controlling your feelings .

Call P.T.S. or get an adult to call for you: 1300 369 012 (24 hours) for a chat and advice. or Call an Ambulance on 000 CRISIS PLAN - August 2007 If you feel: angry or stressed:

Walk away and calm down (no-one gets hurt) Talk later about what made you angry

Write down or draw your feelings Read books e.g. about Ned Kelly Listen to music e.g. Prince or Michael Jackson If you still feel stressed or angry or parents are worried about you:

Call Stepping Stones on 9594 1393 Prompt cards I dont understand Can you break that into chunks?

Can you write it down? Whats the important bit to remember? Say that again please 1 8 What does ____ mean?

Parole conditions explained Staying out of other peoples business Social story Building self-awareness with visual support What makes you feel upset? (Circle all the things that make you feel over-alert or put you in the red zone) Touch

See Being Touched Too many people Darkness Seeing others upset

Loud noises Yelling Thunderstorms Hearing voices Missing someone Being lonely/ left

alone Being Frightened Having a fright with a friend Hear Other

Role play intervention 16yo female Dx: depression and anxiety, BPD traits Hx: suicidal ideation, nil attempts Past hx: DSH when extremely distressed none in the last 3 months

School has trouble containing her, tends to send her home Recent goals: manage emotions at school so she can stay there NEED HELP WITH IMPLEMENTATION OF ROLE PLAY Whats one thing can you try this week?

Take-home messages Chances are, your clients have SLCN. A speech pathologist can help you formally identify, understand and address these specific areas of strength and difficulty. Even if speech pathology input is not available, there are strategies you can implement straight away to help meet the SLCN of your clients.

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