Tots are Talking 19 TO 36 MONTHS THE LISTENING AND LANGUAGE JOURNEY CONTINUES 1

Parameters of Listening Auditory Function/Learning AWARENESS PATTERNING IDENTIFYING COMPREHENSION 2

Tots are Talking Modify the Activity – Scaffolding Make it easier Make it more difficult 3

Increasing the Difficulty of Closed Set Tasks familiar vocabulary……..less familiar quiet environment………noisier environment small # of items in set…...increase number prompts………………….fewer prompts acoustic highlighting…….typical patterns one item memory………..increased # of items simple structures………..complex structures live voice……………..….taped voice 4

More AudibleLess Audible No background noise Increased noise 6” from devise Increased distance Slightly slower rate Normal rate Increased pitch/rhythm Normal rhythm Clear speech Less clear/unfamiliar Increased repetition No repetition 5

More AudibleLess Audible Varied Acoustic ContrastLess Varied Short PhrasesComplex Sentences Emphasis on Key WordsNo Emphasis Word Position in Sentence End, middle, Beginning Closed SetBridge Set Open Set 6

Parameters of Listening CLOSED SET TASKS – giving them all the choices visually BRIDGE SET TASKS – all choices may not be visible OPEN SET TASKS – endless stimuli 7

Parameters of Listening Input SOUNDS/PHONEME LEVEL WORD LEVEL PHRASES SENTENCES CONVERSATION/DISCOURSE LEVEL 8

Parameters of Listening Context – How and Where STRUCTURED ROUTINE REAL WORLD – NATURALISTIC 9

Parameters of Listening ROUTINE ACTIVITES Activities associated with predictable language Getting Dressed Changing diapers Meal Time Going outside 10

Parameters of Listening NATURALISTIC INTERACTIONS THIS IS OUR ULTIMATE GOAL - ABILITY TO USE THEIR AUDITORY SKILLS IN THEIR EVERYDAY INTERACTIONS 11

Parameters of Listening AUDITORY LEARNING DEVELOPS IN NATURALISTIC SETTINGS with HELP FROM SOME STURCTURE LEARNING SETTINGS 12

Tots are Talking Opposites Function Prepositions Action Words Pronouns Negatives Description /wh/ question forms Sequencing Categorization Cause/ effect Simple riddles Conversation 13

Where’s Spot ? 14

Tots are Talking What goes in the: sky water tree park desert Dirty baby Play doctor Trace their body Charades Dress ups What’s missing Tea party 15

Tots are Talking Book Sharing Stories with Props Fairly Tales & Nursery Rhymes Are you My Mother? Teddy Bear Teddy Bear Turn Around Brown Bear Brown Bear What Do You See? 16

Auditory Memory The ability to process spoken conversation and partake on the discourse level is highly dependent on auditory memory. 17

Auditory Memory Auditory memory of two items Follows a two-step direction Conjunction /and/ with hand cue Following direction games /not/ with a head shake 18

Auditory Memory NOUN PLUS NOUN Can you get the car and the bus ADJECTIVE PLUS NOUN I want the big spoon NOUN AND PREPOSITIONAL PHRASE Put the baby in the bed NOUN AND VERB Tell Mommy to sit down 19

Conversation Maintains appropriate eye contact Uses natural gestures and facial expression to enhance message Takes conversational turn as speaker and listener Starts speaking with appropriate timing Increases the number of exchanges 20

CONVERSATIONAL FRAMEWORK Let’s play with the…vs. Oh no my baby is so cold let’s get her dressed MIXED UP TOYS CLOTHING NEW TOY I LOVE THIS GAME….. 21

Conversation Suggestions to get started: Put a band aid on you and talk about your boo boo Wear a fun accessory Share family photos Experience Book 22

Conversation EXPERIENCE BOOKS Use a sentence to describe event May share very simple events Will evolve as child’s language becomes more complex Use to reinforce key vocabulary words and language structures 23

BACKGROUND NOISE Recognizes stimuli with increasing distances in all directions with added background noise 24

LING 6 SOUND TEST Prepares Child for Audiological Testing and CI Programming A quick way to verify that a child detects the vowel and consonant sounds of spoken language LING,

LING 6 SOUND TEST SOUND CONDITIONING Dropping an object into the container Identifying the sounds Introduce distance Carry over into the booth 26

LING 6 SOUND TEST Allows professionals and parents to know the distance hearing or earshot of the child. All vowels and consonants should be detected out to 25 feet and beyond with cochlear implants. Flexer,

CONDITIONED RESPONSE Quick and Easy Teach the Task Model with the parent Begin visually with a clicker Move to auditory response Introduce Ling’s 6 sounds Have child identify the 6 sounds Increase Distance 28