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Some advice please...

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  • stimpsonsharon
    Hi, I am currently undergoing the lidcombe therapy with my son who is 7. We have been using this therapy for approx. 18 months. He has reached maintenance a
    Message 1 of 11 , Mar 3, 2006
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      Hi, I am currently undergoing the lidcombe therapy with my son who
      is 7. We have been using this therapy for approx. 18 months. He
      has reached maintenance a few months ago but for some reason we have
      slipped back into high ratings which is continuing. I am seeing a
      therapist who is lidcombe trained but I just wanted to ensure that
      what I am being taught is correct so here goes:
      We work in a structured play environment where his sentence level
      must enable him to talk smoothly. If he is too bumpy then I have to
      bring the word level down to ensure that his talking is smooth. I
      have to praise the smooth talking with different types of praise:
      cool talking, great talking etc. and actually say the words to hims
      which were cool or great. If there any only a few bumps then I am
      to say xxx was bumpy, or shall we say that together after 3, showing
      no emotion and just moving on. I am also to try to offer incentives
      for cool talking, i.e. if you talk really smoothly for 10 minutes
      then you can have 10 mintues on your new game, that type of thing.
      The problem is my son (and me to a degree) is bored with all this
      and we need a new route.
      Does this sound ok what we are doing. Can anyone offer anything
      more as to how we can work within the programe.
      Grateful for any advice.
      Sharon
    • Alida Engel
      I wonder if anyone has some suggestions for this mom? It is always hard to comment about someone else s therapy. Not everything they are doing sounds like
      Message 2 of 11 , Mar 6, 2006
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        I wonder if anyone has some suggestions for this mom? It is always hard to
        comment about someone else's therapy. Not everything they are doing sounds
        like Lidcombe to me. Alida

        Alida Engel, CCC-SLP, BRS-FS
        801 Edgewood Avenue
        New Haven, CT 06515

        (203)397-3224
        Speech Language Pathologist
        Board Recognized Fluency Specialist
        www.speech-therapy-products.com
         


        -----Original Message-----
        From: LidcombeUSA@yahoogroups.com [mailto:LidcombeUSA@yahoogroups.com] On
        Behalf Of stimpsonsharon
        Sent: Friday, March 03, 2006 1:05 PM
        To: LidcombeUSA@yahoogroups.com
        Subject: [LidcombeUSA] Some advice please...

        Hi, I am currently undergoing the lidcombe therapy with my son who
        is 7. We have been using this therapy for approx. 18 months. He
        has reached maintenance a few months ago but for some reason we have
        slipped back into high ratings which is continuing. I am seeing a
        therapist who is lidcombe trained but I just wanted to ensure that
        what I am being taught is correct so here goes:
        We work in a structured play environment where his sentence level
        must enable him to talk smoothly. If he is too bumpy then I have to
        bring the word level down to ensure that his talking is smooth. I
        have to praise the smooth talking with different types of praise:
        cool talking, great talking etc. and actually say the words to hims
        which were cool or great. If there any only a few bumps then I am
        to say xxx was bumpy, or shall we say that together after 3, showing
        no emotion and just moving on. I am also to try to offer incentives
        for cool talking, i.e. if you talk really smoothly for 10 minutes
        then you can have 10 mintues on your new game, that type of thing.
        The problem is my son (and me to a degree) is bored with all this
        and we need a new route.
        Does this sound ok what we are doing. Can anyone offer anything
        more as to how we can work within the programe.
        Grateful for any advice.
        Sharon







        Yahoo! Groups Links
      • Deanna Earley
        Hi Sharon, It seems you ve been working with the program a long time. Are you providing feedback on a 5:1 basis, that is 5 positive comments to 1 correction,
        Message 3 of 11 , Mar 6, 2006
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          Hi Sharon,

          It seems you've been working with the program a long time.  Are you providing feedback on a 5:1 basis, that is 5 positive comments to 1 correction, and focusing more on the fluent speech?  (I like to say smooth talking, or I didn't hear any bumps, that was smooth. If he corrects the bump you can say, there was a bump and you fixed it all by yourself, good job!) Are you providing treatment throughout the day in addition to your structured times? May I ask what is specifically boring with the program?  And what are the SRs?  Sorry for the many questions, but it could be due to the need to provide therapy during different routines.  Have you discussed this with your therapist? 

          OK no more questions...I hope we hear from more therapists....Mark?

          Deanna


          From: "stimpsonsharon" <istimpson@...>
          Reply-To: LidcombeUSA@yahoogroups.com
          To: LidcombeUSA@yahoogroups.com
          Subject: [LidcombeUSA] Some advice please...
          Date: Fri, 03 Mar 2006 19:04:56 -0000

          Hi, I am currently undergoing the lidcombe therapy with my son who
          is 7.  We have been using this therapy for approx. 18 months.  He
          has reached maintenance a few months ago but for some reason we have
          slipped back into high ratings which is continuing.  I am seeing a
          therapist who is lidcombe trained but I just wanted to ensure that
          what I am being taught is correct so here goes:
          We work in a structured play environment where his sentence level
          must enable him to talk smoothly.  If he is too bumpy then I have to
          bring the word level down to ensure that his talking is smooth.  I
          have to praise the smooth talking with different types of praise: 
          cool talking, great talking etc.  and actually say the words to hims
          which were cool or great.  If there any only a few bumps then I am
          to say xxx was bumpy, or shall we say that together after 3, showing
          no emotion and just moving on.  I am also to try to offer incentives
          for cool talking, i.e. if you talk really smoothly for 10 minutes
          then you can have 10 mintues on your new game, that type of thing. 
          The problem is my son (and me to a degree) is bored with all this
          and we need a new route.
          Does this sound ok what we are doing.  Can anyone offer anything
          more as to how we can work within the programe.
          Grateful for any advice.
          Sharon






          SPONSORED LINKS
          Speech pathologyHealth and wellnessHealth wellness product
          Health and wellness programDiet fitness health nutrition wellnessWomens health and wellness


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        • Sharon Stimpson
          Deanna, thanks for your help. We usually do one structured session per day. This is because a) Thomas is at school all day and b) he has a younger brother
          Message 4 of 11 , Mar 6, 2006
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            Deanna, thanks for your help.  We usually do one structured session per day.  This is because a) Thomas is at school all day and b) he has a younger brother who demands the other bit of our attention.  Thomas' SR's did reach 1 for quite a while but of late it has been up to 10 the worst it has ever been.  I do try to give 5/1 but sometimes find this really difficult and absolutely hate picking up the bumps.  My therapist is of the belief that as we reached maintenance last year then we can do this again.  I think we are both bored with the program as Thomas now knows these sessions are about his 'talking' and me saying 'cool talking' (he hates me saying 'smooth'!), 'great talking' or XXX was bumpy.  He just raises his eyes now.  Also Thomas is a boy with few words and likes to get heavily involved in an activity like building with lego and me trying to interject to make him talk is really hard work.  I need some new activities that will motiviate a 7 year old but finding it really difficult.
            Am seeing therapist on Thursday to discuss further but she is over an hour away by car and taking him out of school for this is also causing problems.  Do you think with the knowledge I have (from the past 18 months) I could do do this without the therapist.
            Thanks again for your support.
            Sharon
            ----- Original Message -----
            Sent: Monday, March 06, 2006 7:26 PM
            Subject: RE: [LidcombeUSA] Some advice please...



            Hi Sharon,

            It seems you've been working with the program a long time.  Are you providing feedback on a 5:1 basis, that is 5 positive comments to 1 correction, and focusing more on the fluent speech?  (I like to say smooth talking, or I didn't hear any bumps, that was smooth. If he corrects the bump you can say, there was a bump and you fixed it all by yourself, good job!) Are you providing treatment throughout the day in addition to your structured times? May I ask what is specifically boring with the program?  And what are the SRs?  Sorry for the many questions, but it could be due to the need to provide therapy during different routines.  Have you discussed this with your therapist? 

            OK no more questions...I hope we hear from more therapists....Mark?

            Deanna


            From: "stimpsonsharon" <istimpson@...>
            Reply-To: LidcombeUSA@yahoogroups.com
            To: LidcombeUSA@yahoogroups.com
            Subject: [LidcombeUSA] Some advice please...
            Date: Fri, 03 Mar 2006 19:04:56 -0000

            Hi, I am currently undergoing the lidcombe therapy with my son who
            is 7.  We have been using this therapy for approx. 18 months.  He
            has reached maintenance a few months ago but for some reason we have
            slipped back into high ratings which is continuing.  I am seeing a
            therapist who is lidcombe trained but I just wanted to ensure that
            what I am being taught is correct so here goes:
            We work in a structured play environment where his sentence level
            must enable him to talk smoothly.  If he is too bumpy then I have to
            bring the word level down to ensure that his talking is smooth.  I
            have to praise the smooth talking with different types of praise: 
            cool talking, great talking etc.  and actually say the words to hims
            which were cool or great.  If there any only a few bumps then I am
            to say xxx was bumpy, or shall we say that together after 3, showing
            no emotion and just moving on.  I am also to try to offer incentives
            for cool talking, i.e. if you talk really smoothly for 10 minutes
            then you can have 10 mintues on your new game, that type of thing. 
            The problem is my son (and me to a degree) is bored with all this
            and we need a new route.
            Does this sound ok what we are doing.  Can anyone offer anything
            more as to how we can work within the programe.
            Grateful for any advice.
            Sharon






            SPONSORED LINKS
            Speech pathologyHealth and wellnessHealth wellness product
            Health and wellness programDiet fitness health nutrition wellnessWomens health and wellness


            YAHOO! GROUPS LINKS





          • Alida Engel
            Sharon, A very important part of the program is providing contingencies throughout the day or at least in the natural environment. If you are only home for a
            Message 5 of 11 , Mar 7, 2006
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              Sharon,

              A very important part of the program is providing contingencies throughout the day or at least in the natural environment. If you are only home for a little while together, that’s when you do it.   I think you should review the difficulties you are having with implementing this with your clinician.  There is not need to get bored because it becomes part of life not just of structured play. 

               

              Alida

               

              Alida Engel, CCC-SLP, BRS-FS

              801 Edgewood Avenue

              New Haven, CT 06515

               

              (203)397-3224

              Speech Language Pathologist

              Board Recognized Fluency Specialist

              www.speech-therapy-products.com

               

               


              From: LidcombeUSA@yahoogroups.com [mailto: LidcombeUSA@yahoogroups.com ] On Behalf Of Sharon Stimpson
              Sent: Tuesday, March 07, 2006 1:46 AM
              To: LidcombeUSA@yahoogroups.com
              Subject: Re: [LidcombeUSA] Some advice please...

               

              Deanna, thanks for your help.  We usually do one structured session per day.  This is because a) Thomas is at school all day and b) he has a younger brother who demands the other bit of our attention.  Thomas' SR's did reach 1 for quite a while but of late it has been up to 10 the worst it has ever been.  I do try to give 5/1 but sometimes find this really difficult and absolutely hate picking up the bumps.  My therapist is of the belief that as we reached maintenance last year then we can do this again.  I think we are both bored with the program as Thomas now knows these sessions are about his 'talking' and me saying 'cool talking' (he hates me saying 'smooth'!), 'great talking' or XXX was bumpy.  He just raises his eyes now.  Also Thomas is a boy with few words and likes to get heavily involved in an activity like building with lego and me trying to interject to make him talk is really hard work.  I need some new activities that will motiviate a 7 year old but finding it really difficult.

              Am seeing therapist on Thursday to discuss further but she is over an hour away by car and taking him out of school for this is also causing problems.  Do you think with the knowledge I have (from the past 18 months) I could do do this without the therapist.

              Thanks again for your support.

              Sharon

              ----- Original Message -----

              Sent: Monday, March 06, 2006 7:26 PM

              Subject: RE: [LidcombeUSA] Some advice please...

               

               

              Hi Sharon,

              It seems you've been working with the program a long time.  Are you providing feedback on a 5:1 basis, that is 5 positive comments to 1 correction, and focusing more on the fluent speech?  (I like to say smooth talking, or I didn't hear any bumps, that was smooth. If he corrects the bump you can say, there was a bump and you fixed it all by yourself, good job!) Are you providing treatment throughout the day in addition to your structured times? May I ask what is specifically boring with the program?  And what are the SRs?  Sorry for the many questions, but it could be due to the need to provide therapy during different routines.  Have you discussed this with your therapist? 

              OK no more questions...I hope we hear from more therapists....Mark?

              Deanna


              From: "stimpsonsharon" <istimpson@...>
              Reply-To: LidcombeUSA@yahoogroups.com
              To: LidcombeUSA@yahoogroups.com
              Subject: [LidcombeUSA] Some advice please...
              Date: Fri, 03 Mar 2006 19:04:56 -0000

              Hi, I am currently undergoing the lidcombe therapy with my son who
              is 7.  We have been using this therapy for approx. 18 months.  He
              has reached maintenance a few months ago but for some reason we have
              slipped back into high ratings which is continuing.  I am seeing a
              therapist who is lidcombe trained but I just wanted to ensure that
              what I am being taught is correct so here goes:
              We work in a structured play environment where his sentence level
              must enable him to talk smoothly.  If he is too bumpy then I have to
              bring the word level down to ensure that his talking is smooth.  I
              have to praise the smooth talking with different types of praise: 
              cool talking, great talking etc.  and actually say the words to hims
              which were cool or great.  If there any only a few bumps then I am
              to say xxx was bumpy, or shall we say that together after 3, showing
              no emotion and just moving on.  I am also to try to offer incentives
              for cool talking, i.e. if you talk really smoothly for 10 minutes
              then you can have 10 mintues on your new game, that type of thing. 
              The problem is my son (and me to a degree) is bored with all this
              and we need a new route.
              Does this sound ok what we are doing.  Can anyone offer anything
              more as to how we can work within the programe.
              Grateful for any advice.
              Sharon





              SPONSORED LINKS

              Speech pathology

              Health and wellness

              Health wellness product

              Health and wellness program

              Diet fitness health nutrition wellness

              Womens health and wellness

               


              YAHOO! GROUPS LINKS

               

               


               

               

            • M B
              Hi. Following this thread. If you are both getting bored, then you have to change something. If his speech isn t maintaining,then you have to change something.
              Message 6 of 11 , Mar 7, 2006
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                Hi.

                Following this thread. If you are both getting bored,
                then you have to change something. If his speech isn't
                maintaining,then you have to change something. The
                question is what do you change. You need to sit down
                with your S-LP and make a list of areas that could
                change and try them one at-a-time.

                I think 18 months is a long time (too long) to be
                trying this program and I would wonder if it's time to
                try another method of stuttering treatment.

                Some ideas for your consideration:

                If your structured activities are getting dull, ask
                yourself when do we talk/interact in our days.
                Homework? Supper? Watching TV? See if you can't
                squeeze in some mini sessions at varying times. Just
                five minutes here and five minutes there. E.g., I spy
                when driving, tell me what you have to do in your
                homework today, memory games at supper, tell me what
                happened in the last bit of the show (while the
                commercials are muted). These are speech times with
                the clear focus being working on fluency.

                Another idea: ask him what he would like to do that
                would be more fun.

                I second the importance of unstructured praise &
                correction.

                What's going on his your lives that might coincide
                with an increase in dysfluency?

                Hopefully, this will give you something to talk about
                and make a plan over. Try what you can. Give it a few
                more weeks, then move on to another therapy method if
                you need to. Lidcombe is great, but it isn't the only
                way you can help your son.

                Best regards,
                Michael (S-LP in Canada)

                __________________________________________________
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                Tired of spam? Yahoo! Mail has the best spam protection around
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              • Sharon Stimpson
                Michael, thanks for your response. To clarify, when I am doing the unstructured praise this is where I respond with positive words about his talking and if
                Message 7 of 11 , Mar 7, 2006
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                  Michael, thanks for your response.  To clarify, when I am doing the unstructured praise this is where I respond with positive words about his talking and if appropriate, i.e. his fluency is good, then also when I correct any bumps.  My therapist is of the belief that we need to do structured sessions which is where we are struggling.  If we can do these mini sessions I think that will work better as we can work whatever we are doing.  Also does it matter that his little brother is there when we are having these 'mini' sessions as that is also causing a bit of problem
                  Regards
                  Sharon
                  ----- Original Message -----
                  From: M B
                  Sent: Tuesday, March 07, 2006 9:50 AM
                  Subject: RE: [LidcombeUSA] Some advice please...

                  Hi.

                  Following this thread. If you are both getting bored,
                  then you have to change something. If his speech isn't
                  maintaining,then you have to change something. The
                  question is what do you change. You need to sit down
                  with your S-LP and make a list of areas that could
                  change and try them one at-a-time.

                  I think 18 months is a long time (too long) to be
                  trying this program and I would wonder if it's time to
                  try another method of stuttering treatment.

                  Some ideas for your consideration:

                  If your structured activities are getting dull, ask
                  yourself when do we talk/interact in our days.
                  Homework? Supper? Watching TV? See if you can't
                  squeeze in some mini sessions at varying times. Just
                  five minutes here and five minutes there. E.g., I spy
                  when driving, tell me what you have to do in your
                  homework today, memory games at supper, tell me what
                  happened in the last bit of the show (while the
                  commercials are muted). These are speech times with
                  the clear focus being working on fluency.

                  Another idea: ask him what he would like to do that
                  would be more fun.

                  I second the importance of unstructured praise &
                  correction.

                  What's going on his your lives that might coincide
                  with an increase in dysfluency?

                  Hopefully, this will give you something to talk about
                  and make a plan over. Try what you can. Give it a few
                  more weeks, then move on to another therapy method if
                  you need to. Lidcombe is great, but it isn't the only
                  way you can help your son.

                  Best regards,
                  Michael (S-LP in Canada)

                  __________________________________________________
                  Do You Yahoo!?
                  Tired of spam?  Yahoo! Mail has the best spam protection around
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                • M B
                  Hi. My comments follow your questions. ... Yes, I like to recommend a 10:1 ratio of praise to correction though. Also, don t forget to only praise unabiguous
                  Message 8 of 11 , Mar 7, 2006
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                    Hi. My comments follow your questions.

                    --- Sharon Stimpson <istimpson@...> wrote:

                    > Michael, thanks for your response. To clarify, when
                    > I am doing the unstructured praise this is where I
                    > respond with positive words about his talking and if
                    > appropriate, i.e. his fluency is good, then also
                    > when I correct any bumps.

                    Yes, I like to recommend a 10:1 ratio of praise to
                    correction though. Also, don't forget to only praise
                    unabiguous smooth speech.

                    > My therapist is of the
                    > belief that we need to do structured sessions which
                    > is where we are struggling. If we can do these mini
                    > sessions I think that will work better as we can
                    > work whatever we are doing.

                    Mini-sessions sort of blend the ideas of structured
                    and unstructured don't they? Just make sure that he
                    knows they are part of his "speech time." See if you
                    can't throw in a few games too for motivation (i.e.,
                    go fish, memory, whatever he likes)

                    > Also does it matter
                    > that his little brother is there when we are having
                    > these 'mini' sessions as that is also causing a bit
                    > of problem

                    Siblings are a tough one. It could be considered
                    realistic to do therapy with siblings present because
                    this is what life is like. However, if the siblings
                    distract the client from his job, then they have to go
                    someplace else. If the client can manage his speech
                    despite a siblings distractions, then he's doing
                    pretty good I think.

                    Don't forget to make changes to the program one
                    at-a-time. I hope your S-LP isn't offended by my
                    outside advice.

                    Kind regards,
                    Michael

                    > Regards
                    > Sharon
                    > ----- Original Message -----
                    > From: M B
                    > To: LidcombeUSA@yahoogroups.com
                    > Sent: Tuesday, March 07, 2006 9:50 AM
                    > Subject: RE: [LidcombeUSA] Some advice please...
                    >
                    >
                    > Hi.
                    >
                    > Following this thread. If you are both getting
                    > bored,
                    > then you have to change something. If his speech
                    > isn't
                    > maintaining,then you have to change something. The
                    > question is what do you change. You need to sit
                    > down
                    > with your S-LP and make a list of areas that could
                    > change and try them one at-a-time.
                    >
                    > I think 18 months is a long time (too long) to be
                    > trying this program and I would wonder if it's
                    > time to
                    > try another method of stuttering treatment.
                    >
                    > Some ideas for your consideration:
                    >
                    > If your structured activities are getting dull,
                    > ask
                    > yourself when do we talk/interact in our days.
                    > Homework? Supper? Watching TV? See if you can't
                    > squeeze in some mini sessions at varying times.
                    > Just
                    > five minutes here and five minutes there. E.g., I
                    > spy
                    > when driving, tell me what you have to do in your
                    > homework today, memory games at supper, tell me
                    > what
                    > happened in the last bit of the show (while the
                    > commercials are muted). These are speech times
                    > with
                    > the clear focus being working on fluency.
                    >
                    > Another idea: ask him what he would like to do
                    > that
                    > would be more fun.
                    >
                    > I second the importance of unstructured praise &
                    > correction.
                    >
                    > What's going on his your lives that might coincide
                    > with an increase in dysfluency?
                    >
                    > Hopefully, this will give you something to talk
                    > about
                    > and make a plan over. Try what you can. Give it a
                    > few
                    > more weeks, then move on to another therapy method
                    > if
                    > you need to. Lidcombe is great, but it isn't the
                    > only
                    > way you can help your son.
                    >
                    > Best regards,
                    > Michael (S-LP in Canada)
                    >
                    > __________________________________________________
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                    > Tired of spam? Yahoo! Mail has the best spam
                    > protection around
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                  • stimpsonsharon
                    If the Lidcombe program is not working for us after all this time (18 months) can you give me some advice as to what other therapy would be useful to my Son.
                    Message 9 of 11 , Mar 14, 2006
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                      If the Lidcombe program is not working for us after all this time (18
                      months) can you give me some advice as to what other therapy would be
                      useful to my Son. I only know about Lidcombe.
                      Thanks
                      Sharon
                    • M B
                      Hi Sharon. There are three traditional methods of stuttering treatment. One teaches the client to stutter differently so that there is less struggle, fear, and
                      Message 10 of 11 , Mar 20, 2006
                      • 0 Attachment
                        Hi Sharon.

                        There are three traditional methods of stuttering
                        treatment. One teaches the client to stutter
                        differently so that there is less struggle, fear, and
                        hopefully less stuttering. The other teaches the
                        client to change the way they talk so that the
                        stuttering is less likely to happen. The third
                        combines these two approaches.

                        My experience/training is with intensive stuttering
                        treatment at ISTAR (Institute for Stuttering Treatment
                        and Research) in Edmonton, Alberta (Canada). Last
                        summer I worked with them in a 4 week program where
                        the children came daily for about 4 hours of
                        treatment. I don't know if you can find something
                        similar where you live.

                        Go to this webpage for a pile of information. Maybe
                        you can find some UK contacts there.

                        http://www.mnsu.edu/comdis/kuster/stutter.html

                        Best of luck with your research and with helping your
                        son. Keep trying. Keep looking. It's worth it.

                        You can email me privately if you have any other
                        questions.

                        Best regards,
                        Michael

                        --- stimpsonsharon <istimpson@...> wrote:


                        ---------------------------------
                        If the Lidcombe program is not working for us after
                        all this time (18
                        months) can you give me some advice as to what other
                        therapy would be
                        useful to my Son. I only know about Lidcombe.
                        Thanks
                        Sharon






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                      • Alida Engel
                        I finally have a bunch of kids doing Lidcombe. It is so much fun to watch the change. I do find it takes parents a while to learn how to play with the kids
                        Message 11 of 11 , Jul 14, 2006
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                          I finally have a bunch of kids doing Lidcombe.  It is so much fun to watch the change.  I do find it takes parents a while to learn how to play with the kids but once they get it they do quite well.

                           

                          Is anyone going to Dublin in two weeks?  I am and I can’t wait. 

                           

                          Alida

                           

                          Alida Engel, CCC-SLP, BRS-FD

                          801 Edgewood Avenue

                          New Haven, CT 06515

                           

                          (203)397-3224

                          Speech Language Pathologist

                          Board Recognized Fluency Specialist

                          www.speech-therapy-products.com

                           

                           



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