Increasing Participation in Daily Routines

Establishing routines in your child’s life are crucial in that they help to create expectations and predictability. However, certain routines can often be difficult to follow when considering a parent’s work schedule and child’s behavior at particular times of the day. Children often feel as though they experience a loss of control when being asked to constantly “do this and that.” Parents-don’t panic! Try implementing these small tricks at home and school, which have been shown to increase your child’s participation and motivation to engage in routines!

How can routines help my child?

Routines are created to help your child understand what he/she should be expected to do throughout the day. Routines are important in a variety of settings, including the home and school. It is the parents’ and teachers’ duties to enforce these routines on a daily basis, which can include specific activities as well as consistent responses that reinforce participation. For example, if a child is expected to sit for circle time and he/she is having difficulties, it is crucial that the teacher responds in a consistent way in order for the child to understand that circle time is the next step and the child is expected to participate.

What if my child has difficulties following routines?

If your child is having difficulties following specific routines at home or school, creating a visual schedule of the specific steps in that routine can help to increase your child’s motivation and control of the situation. For example, if your child demonstrates resistance towards the morning routine, follow these simple steps to create a visual schedule:

  1. Take pictures of your child engaging in each step of the routine (e.g. waking up, getting dressed, eating breakfast, etc.)
  2. Place the pictures vertically on paper, numbering each step to help the child understand what needs to be done first/last.
  3. Allow the child to mark each step once completed. Ask your child how he/she wants to mark the steps (e.g. putting a sticker next to the completed step). Laminating the schedule is a fun way in which your child can “X” off the steps and then erase for the next day.
  4. Use this schedule every day for at least two weeks, which will allow for sufficient time to understand whether it is making an impact or not. It is important that all caregivers use the chart with your child in order to build consistency. 

How do these visual schedules actually help?

Visual schedules serve many purposes for children and caregivers. First, the pictures on the schedules allow children to see themselves in action, which adds an extra fun factor. Secondly, the schedule allows children to have increased control, in that they are able to mark off each completed step. Lastly, the schedule serves as reminders to the caregivers as to what the child has done and what he/she needs to further complete. It is also helpful for caregivers to add in an incentive if the child is able to complete all steps included in a routine (e.g. giving your child extra play time before leaving for school).

Questions or concerns?

If you have questions or concerns about your child’s routines, please contact us at info@playworkschicago.com or 773-332-9439.

Brittany Hill, MS, MSW, LCSW, DT
Assistant Director of Social Work Services
Licensed Clinical Social Worker

Photo Credit: Openclipart-Vectors via Pixabay

More Than Words: Building Social Communication Skills

Does your child have difficulty playing with other children? Do they prefer to play alone or demonstrate challenges in making friends? This blog will discuss what pragmatic (social) communication is, review the signs of a pragmatic language delay or disorder, and provide strategies for encouraging pragmatic language development in your child.

What is pragmatic language and why is it important?

Pragmatic language or social communication refers to the appropriate use of language in social situations. It is not only what we say, but also how we say it. This includes being able to understand and use nonverbal cues such as body language and facial expressions. Pragmatic language is comprised of various important skills for successful communication, including eye contact, turn-taking, initiating and maintaining conversation, and understanding and using humor, among others. Children may have difficulty with one or more of these skills. It is important to support the development of your child’s pragmatic language skills so that they can learn to express themselves, understand others, and build relationships with family and peers.

Signs of a pragmatic language delay or disorder:

  • Preferring to play alone for an extended period of time
  • Limited eye contact while talking and/or playing
  • Difficulty taking turns
  • Limited initiation of conversation or play
  • Difficulty maintaining a topic of conversation
  • Difficulty participating in pretend play activities
  • Difficulty understanding or expressing emotions
  • Difficulty understanding another’s point of view
  • Difficulty interpreting tone of voice or body language
  • Difficulty making inferences
  • Difficulty using appropriate greetings
  • Difficulty adapting language to different listeners (i.e. talking to a friend the same way as to an adult)
  • Difficulty adapting language based on environment (i.e. talking the same way on the playground as in the classroom)
  • Not providing background information when appropriate

Strategies for building pragmatic language skills:

  • Pretend play:Engage in pretend play activities with your child, such as playing house, pretending to bake cookies, or pretending to be a veterinarian. Pretend play facilitates growth in cooperative back and forth play, ability to act out social situations, and ability to understand another’s perspective.
  • Turn-taking games:Turn-taking is a fundamental skill of communication as it teaches the basic back-and-forth exchange of a conversation. Through turn-taking games children learn to wait when it is someone else’s turn and they learn how to identify when it is their turn. Turn-taking games could be as simple as rolling a ball back and forth or taking turns blowing bubbles. You could also play simple turn-taking board games with your child to support development of this skill.
  • Story time:When reading a book with your child, try to make it interactive. Based on their age and language skills you could ask them to describe the pictures and what they see. For older children you can ask questions such as, “How do you think he feels?” or “What do you think she will do?” Prompting your child to answer these types of questions will help your child to make inferences, learn to understand another person’s perspective, and have a better understanding of emotions.
  • Be a good role model: You are your child’s best teacher. Model appropriate social communication skills such as making appropriate eye contact, using appropriate greetings, asking on-topic follow up questions, etc. Help your child to use these social communication skills when talking to family, teachers, and peers.
  • Facilitating peer interactions:Children need practice in order to learn to share, take turns, and play cooperatively with others. Setting up play-dates that you can be present for is a great way to facilitate peer interactions and relationships. You can encourage your child to communicate with their peer by prompting them to initiate conversation and play ideas. In addition you can encourage them to maintain play and communication with their peer by prompting them to ask on topic questions and make on topic comments.

Questions or concerns?

If you have questions or concerns about your child’s pragmatic language skills, please contact us at info@playworkschicago.com or 773-332-9439.

Claire Kakenmaster, MS, CCC-SLP
Speech Language Pathologist

Photo Credit: Image by HaiRobe on Pixabay

Facilitating Toddler Social Interactions

During the toddler and preschool years, there often is a heavy focus on pre-academic skills such as identifying shapes and colors or learning to write their name. While these skills are important, research shows that your child’s social and emotional skills during these young years are actually a better predictor of his/her academic success and beyond. The ability to inhibit impulses and practice empathy not only helps them learn in the classroom, it also helps them navigate adult life as well. The good news is that social skills are teachable at this age just like numbers and letters!

Model the Language

Healthy social skills are taught through providing models and guidance. Telling your child, “It is not okay to take a toy from someone,” lets them know what not to do, but go a step further and provide what you want them to do instead. For example with your toddler, model holding your hand out and asking “My turn?” Remember that it’s okay if the other child does not share with yours right away or vice versa. Waiting for something we want is a lesson worth learning too! You can support those skills by validating their disappointment and offering an alternative. “I know, it is so hard to wait, but I know you can do it. Would you like a book or swings while you wait?”

Provide the Opportunity

Children are hands-on learners and social skills are no different. They need the opportunity to practice skills they are learning and problem solve through tricky situations with other children. Siblings can provide some opportunity for learning these skills, but children can learn so much through same-aged peers who are working on the same skills. An older sibling is more likely to accommodate their actions, while a peer provides the opportunity to attempt to clearly effectively and appropriately communicate your child’s wants and needs. These opportunities include going to the neighborhood playground, attending music/art/tumbling classes, visiting the local children’s museum, and having play dates.

It’s a Process

Just like learning to play an instrument or a new language, it takes time and mistakes will happen. Try to be patient as you find yourself repeating the same words and actions. It’s sinking in! Reinforce their efforts and successes, and try pointing out specifics. Instead of “Good job!” try “You asked for a turn so nicely by saying ‘turn, please’!” or “You did it! You played with the blocks while you waited your turn. Now it’s your turn!”

Questions or concerns?

If you have questions or concerns about facilitating social interactions with your child, please contact us at info@playworkschicago.com or 773-332-9439.

Becky Clark, MS, DT
Developmental Therapist

Reference:Denham, S. A., Bassett, H. H., & Zinsser, K. (2012). Early childhood teachers as socializers of young children’s emotional competence. Early Childhood Education Journal, 40(3), 137-143.

Photo Credit:Three Angels Preschool, Infant Center, Ventura California, School via https://threeangelspreschool.org

Challenging Behaviors: Considering the What and Why

Throughout children’s lives, there may be periods of time where their behaviors seem to be challenging and difficult to manage. When looking at these behaviors, it is important to consider what purpose the behavior is serving and why the behavior is happening. While is it typical for young children to have tantrums and use occasional aggression, it becomes challenging when these behaviors are continued repeated patterns that:

  • Interfere with a child’s learning, development, and success
  • Interfere with a child’s ability to engage in positive interactions with peers and adults
  • Is harmful to the child, peers, or adults
  • Is overall challenging to manage

Examples of common challenging behaviors that are reported in young children include aggression (biting, hitting, pushing). In looking at these behaviors, it is important for caregivers to first look at the purposes of these behaviors. Is the child engaging in these behaviors to get a reaction (behavioral response) or are they trying to seek input to their bodies (sensory response)? Below are examples of the behaviors seen through both behavioral and sensory lenses:

After caregivers figure out the purposes of the behaviors, it is important to match the consequences accordingly. For example, if the concerns have a behavior response, the consequence should be behavior based. If the concerns have a sensory response, the consequence should be sensory based. Below are examples of consequences from each perspective.

It is important for the child’s caregivers (e.g. parents, teachers, nanny, etc.) to be on the same page when it comes to giving consequences. When children receive constant responses from all caregivers, the higher the changes are of the challenging behaviors decreasing.

Brittany Hill, MS, MSW, LCSW, DT
Licensed Clinical Social Worker
Developmental Therapist

School Behavior Vs. Home Behavior

Sometimes, parents ask us why their child is able to behave more appropriately at school but not at home. Parents can become confused and frustrated as to why the teachers do not report any concerns for their child but yet the child is having more difficulties managing their behaviors at home. Here are some tips for parents to implement into their homes to help mimic the school environment:

1. Create house rules-knowing that the classroom has set rules for the children to follow, we want to make sure there are also house rules to help mimic the sense of consistency and expectation for the child. House rules will not only help the parents be on the same page but also give the child a visual reminder of behaviors that are not acceptable in the home. Examples of house rules may include:

  • No hitting
  • Clean up toys before bedtime

*It would be best if the parents could write the two- to three- rules on a piece of paper and post it on the refrigerator to serve as a reminder for the entire family. After these are written down, talk to the child about the rules and what will happen if he/she is unable to follow them, such as resulting in a time-out.

2. Reinforce turn taking and sharing-knowing that children are expected to share and take turns with their peers at school, we want to make sure they are also expected to practice these skills at home. Here are some fun ways to incorporate these skills:

  • Play a board game with your child and use turn-taking. You take a turn and then have your child take a turn.
  • Engage in your child’s favorite activity and incorporate sharing. For example, ask your child if he/she can share the toy with you and then give it back after a couple of minutes. Continue to practice asking your child to share toys throughout the day.

*The child may show resistance to turn-taking and sharing outside of the school environment. The best way to implement these skills is to be consistent. Even if the child becomes upset over taking turns or sharing, it is important that the parent continue to follow through with the request in order to establish expectations for the child.

Brittany Hill, MS, MSW, LCSW, DT
Licensed Clinical Social Worker
Developmental Therapist
Photo Credit:
http://iloveboardgames.com/family-games/
https://www.wikihow.com/Run-a-Household