Frequently Asked Questions
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While some nonspeakers are multimodal communicators, using AAC devices, letterboards, and other systems like PECS, most share that they were never able to reach a level of robust communication on their device.
Devices require someone other than the user to load choices and options, limiting access to all options. As the device ‘pages’ or icons increase in number, it adds the need for many, sometimes hundreds of motor plans to find the option that may be closest to their desired word or phrase.
With S2C, 26 motor plans gives access to any and all thoughts, ideas, and desires of the nonspeaker.
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It’s never too early to start motor coaching and practicing purposeful movement to increase synchrony between the brain and body!
Five years old is a general guideline for starting spelling, but at that age, many bodies need just as much motor coaching ‘off the boards’ to increase the body’s ability to organize enough to practice spelling. Sessions look a little different for ‘littles’ (young spellers aged 5-10), but how amazing to get the chance to start young!
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Presuming competence simply means that we presume that nonspeakers are capable of learning, and have a desire to learn. It does not mean they are all geniuses, though many are far more advanced, intellectually, than their chronological age.
Presuming competence means that you understand that what you see on the outside does not reliably match what they are thinking on the inside. It also means that you respect the fact that listening doesn’t have a look. The spellers may be walking, jumping, fidgeting, stimming, making noises, listening to music in their headphones, all while listening to the lesson being read out loud by the practitioner!
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Many nonspeakers have shared that they could read and knew how to spell many words by age 4! They share that they read menus, cereal boxes, labels, billboards, signs, etc. Remember, language is a cognitive function, and nonspeakers are not cognitively delayed, most do not have intellectual disabilities.
One way to support language acquisition for a young nonspeaker is activating captions on the TV/videos.
My best advice is to trust the process, and presume competence! Remember, their brains are wired differently than ours, the way they learn and acquire knowledge might not be the same way we do.
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CRP stands for Communication and Regulation Partner. This is the person who holds the letterboards for the Speller, the person who documents their words as they spell, and (most importantly) the person who helps the speller maintain a state of regulation.
Maintaining a regulated body and emotional state is a very important part of spelling as communication. When a speller is experiencing dysregulation, the practitioner can help with regulation techniques, and pivots the activity within the session to help the speller return to a regulated state.
The practitioner will also work with parent/family/support person CRP’s to learn the skills needed to work with their speller at home. This usually happens after the initial assessment and early acquisition of skills, around 4-6 sessions.
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Everyone’s journey is different, and full of ups and downs. My advice for getting there sooner? Practice, practice, practice! Practice makes permanent! Like all motor movements, repetition is needed to establish and reinforce the neuromuscular pathways for accurate pokes on the letterboards.
A couple of other important aspects is co-regulation of the CRP and truly presuming competence. If you would like support between in-person sessions, I am happy to schedule short zoom sessions, just 15-30 minutes to work out some kinks, or to help you get into regular practice sessions at home.
Have a question that wasn’t answered here? I’m happy to help!
S2C, short for Spelling To Communicate, is a method of low tech AAC (Augmentative and Alternative Communication) that offers a different approach to communication for nonspeaking, minimally speaking, or non-communicative speakers (i.e. scripting, echolalia).
Speaking is a complex fine motor skill, along with typing, writing, and sign language. Many who struggle with speech may have challenges with other motor actions as well. The motor process is called PRAXIS, and there can be a breakdown in any stage of the motor process, causing the body to disobey the commands from the brain. This is known as full body Apraxia, often referred to as a brain-body disconnect. S2C focuses on repetitive, intentional motor actions to help the brain and body work in synchrony, while forming and reinforcing motor pathways.
Many nonspeaking people especially struggle with complex fine motor actions, S2C circumvents the need for fine motor skills to reliably communicate, and engages a gross motor movement of the whole arm to ‘poke’ letters to spell out words. As with learning any motor skill, the movements are prompted in the beginning, those prompts are faded as the neuromotor pathways become reliable, accurate, and easily accessed by the speller. S2C uses interesting, cognitively stimulating lessons to create a shared context that allows the practitioner to teach the motor skills needed to accurately poke or point to letters on increasingly complex letterboards. S2C utilizes both motor and cognitive hierarchies to advance the speller’s skills on the letterboards, until reliable, open communication is achieved.
During sessions, we focus on maintaining the client’s regulation, reinforcing the motor pathways needed to move the whole arm forward and back for spelling, coaching the eyes, and maintaining brain-body connections. Depending on stamina, regulation, age, and other factors, sessions can be 30, 45 or 60 minutes long. Your practitioner will help to determine what is best for your speller’s sessions. Typically, sessions are 1-2 times per week, with practice at home in between.
Intensive sessions can be arranged for families traveling longer distances, these can be 2 or 3 days, with two sessions each day, plus a parent education session on the first day. Intensives are a great way to get started, and periodic zoom sessions can be done to keep the momentum and practice going at home. Zooms are 15-30 minutes, and can be done weekly, every other week, or just periodically once things are pretty solid at home.
I want to provide resources for obtaining lesson material and tips for practicing at home. I’m here to be a resource for you, and be sure to check out the resources page of this website for even more information.
What to expect when working with Amie:
My Services
PRIMARY SERVICES
For families local to Central Florida
Weekly in-person visits
Increase motor skills and grow fluency
2-3 DAY INTENSIVES
For out-of-town families seeking a jump start
Formatted in back-to-back sessions
I’ll provide rapid skill assessment and a personalized plan
VIRTUAL FOLLOW-UPS
For families who’ve had at least one in-person visit
We’ll meet over secure video
I’ll provide continued coaching
HEALTHCARE ADVOCACY & TRAINING
For clinics, hospitals, educators and employers
I offer interactive presentations and speaking engagements
To create better sensory-friendly, communication-inclusive care