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Speech and Language Therapy - using iPad
technology
Jacqui Learoyd
Speech and Language Therapist
In the beginning…
• I was recruited to work on Milford House and Ellesmere House June 2013
• Assessment and treatment for people with learning disability
• Made a case for
iPad technology to
use with clients…
What was the case??• socially acceptable
• portable and can contain a range of resources in one easy location
• multi-modal approaches – sound, touch, music, pictures, voice• save SLT time making resources, storing equipment and printing a
huge quantity of paper based materials
• can be personalised to be motivating for clients e.g. with photos and known locations / preferred interests
• easy to use / does not require the dexterity of a keyboard and mouse
• vast range of apps - communication, swallowing, social skills, choices, mental capacity, literacy, signing, receptive language skills and expression of ideas
Had to Overcome Some Hurdles…• Funding / purchasing / IT
• Apps selection and funding for Apps
• Infection control
• Safety and storage of equipment
• Issues of connecting to the internet
• Issues of measuring outcomes of intervention
What can you do with an iPad??
We have all heard of people using a device to ‘talk’ for them.
The most famous example is Stephen Hawking and his VOCA device.
iPads are becoming an alternative to a VOCA.
These are the current Apps which have been designed to help a person ‘talk’.
Case study – inpatients
• 2 inpatient clients with learning disability
• Both identified by OT as hard to engage on their MOCA assessment
• SLT goal is engagement, social skills work, narrative building and recognition of emotions
• Worked with them in a pair with iPad using social skills videos, music, photos, apps
Examples of work
For ‘fun’ (sequencing / planning / food choices / awareness of cleanliness / engagement / listening / teamwork) – looking after a virtual pet
Social skills Monitoring volume of speech
Emotions
Narrative building
Working on ‘self’
Case study - dysphagia
• Clients in community and in inpatient settings
• Aim – understand own swallow / what is happening and why
Case study - dementia
• Inpatient – lady with dementia affecting her word finding and ability to state needs
• Aim – can this lady use an iPad to help her express her needs and talk to her family?
My friend Max
Other uses - video
• My SLT colleagues at Mytton Oak use their SLT iPad for videoing clients – either eating and drinking for dysphagia, or communication strategies.
• They can use the video for staff training, working with families, and promoting understanding of dysphagia to all stakeholders.
• Considering this for Ellesmere House – it might be a good way to review communication breakdowns and how they can be ‘noticed’ and ‘re-directed’ at an early stage. Need to consider contraband rules and consent issues.
Other uses - Assessment
• I’ve purchased paper based assessments and photographed the assessment materials with the iPad camera. It allows me to carry a library of assessments easily, and always have a range of assessments at my fingertips.
• Informal assessment with photographs is also a useful tool for communication, interaction, attention, naming etc…
Other uses – learning via ‘play’
• For building memory, attention and helping clients understand how they process sentences / instructions
Ongoing Hurdles (haven’t figured out the answers yet…)
• Still need to work out how to measure outcomes of interventions and capture this
• Need to keep up to date with technology and apps• May have an issue with funding of future app
purchasing• Need a long term plan for future proofing using
technology
Reporting
• It’s early days (only had the iPad three months)
• I have reported on the impact of SLT at Ellesmere House and Milford House. If you would like a copy please email me at [email protected]
Thank you for listening
References / Further Reading• CALL Scotland (2014) iPad Apps for Complex Communication Support Needs:
Augmentative and Alternative Communication (AAC), CALL Scotland, The University of Edinburgh
• Constant Therapy (2014) Constant Therapy Launches iPad Solution for People with Traumatic Brain Injury, Stroke, Aphasia and Learning Disabilities, Business Wire (English).
• Haydon et al (2012) A Comparison of iPads and Worksheets on Math Skills of people with Emotional Disturbance, Behavioral Disorders, 37 (4), 232-243
• Helps and Herzberg (2013) The Use of an iPad2 as a Leisure Activity for a student with Multiple Disabilities, Journal of Visual Impairment & Blindness, May-June 2013
• I CAN Help (2014) Factsheet: iPad and Tablet apps, available online at www.ican.org.uk/help • King et al (2014) iPad® use in children and young adults with Autism Spectrum Disorder:
An observational study, Child Language Teaching & Therapy. Jun2014, Vol. 30 Issue 2, p159-173
• Korner and Leske (2012) Apps for communication and everyday living, INDEPENDENT LIVING VOL 28 NO 1
• McClanahan et al (2012) How Use of an iPad Facilitated Reading Improvement, Tech Trends Volume 56, Number 3
• Mill (2012) iPads for Communication, Access, Literacy and Learning (iCALL), CALL Scotland, The University of Edinburgh
• Millar (2012) iPads, apps and autism, available online at www.nasen.org.uk• Sutton et al (2013) Trust and Evidence in an Online Community of Speech and Language
Therapists: The Case of iPad Use, available online• Sutton and Olivier (2013) Speech and Language Therapists, their Patients and Mobile Apps,
available online