Tuesday, April 28, 2020

So Much Screen Time

How are you all doing? I am sure many of us thought that by this point we would start seeing things go back to some kind of normal after nearly six weeks, right? Each day we're learning that our social distancing efforts are working, but it's hard not to wish that things were back to normal, especially when it comes to remote learning and therapy.

This has been an eye-opening experience for me as both a parent and a therapist and I've learned a lot in the last six weeks that will forever alter my expectations on parents (myself included).  I want to applaud each and every one of you reading this....you're doing an amazing job. You have been handed a giant bag of lemons and are making lemonade out of them. It's not always easy, but you are giving this your all and your kids are going to come out of this not only okay, but great.

One of the things I am hearing from the parents of the kids I work with is that the amount of screen time is almost unbearable. This is especially true for the younger children and those with sensory issues. So many of the kids that I work with were used to screen time being limited to weekends and special events so this is a whole new world for them and they are having a hard time with the adjustment. The thing that makes this so tricky is that some schools are requiring children to be on a screen for the entire school day with the exception of lunch while others have you check in a couple of times a week for meetings and then they expect you to get your work done at your own pace.

Today, I'm going to offer up some tips to help you and your children get through the rest of this remote learning adventure. Keep in mind that every child is different and what works for some won't work for others so try them and see what helps your day more smoothly. Let me be clear about one thing....nobody should be expected to do any or all of these. You are already being asked to do so much more than normal. If you pick one thing to focus on to help you and your child, that is enough. 

1. Make a schedule with your child each day so they know exactly what is expected from them. One of the first things I did when this whole thing started was pick up a dry erase board that we hung up behind my daughter Quinn's work station. Each morning, she signs onto her Google Classroom and writes down her flow of the day. This includes what assignments she has to get finished, any teacher meetups and any extra-curricular lessons that are scheduled for the day. By writing this down, we are finding that she has some control of her day and knows exactly what is expected of her. We also don't have to be on top of her to make sure she is doing what she needs to.





2. Keep a daily routine. This is certainly easier said than done on some days, but consistency and routine will help things feel as normal as possible in this absolutely abnormal time. Breakfast and lunch are at the same time in our house. We also try and build in times for movement for her throughout the school day. What's worked for us is that Quinn knows that every day at noon she has an hour to eat, read, play a video game, etc.. This is her hour to do what she wants (for the most part).




3. Make sure that your child is in a comfortable place with as few distractions as possible. I know that this might be hard in small living spaces and if you have multiple children, but limiting the visual and auditory distractions will help your child get the most out of their lessons. If your child has to be in their room at their desk for their remote learning, make sure that toys aren't strewn about making it more desirable to go and play with them while they should be in class. If possible, make sure all toys and distractions are out of sight before their school day begins. If your child is out in an open space where parents and siblings are also working, make sure they have a good set of headphones to block out as much noise so they can focus on what their teachers/therapists are saying.

4. Make sure your child is wearing comfortable clothes. I know there are some schools that are requiring kids to get into their school uniforms (which I think is a bit ridiculous) but if there is any way to make your kids feel more comfortable in those uniforms, that could help your child sit for longer periods of time. I know I am having a lot of trouble getting my daughter to get out of her pajamas each day but I have found that when she is dressed in real clothes, she has more energy (she won't agree with me but I see a definite difference)!



5. Schedule movement breaks. I can't stress how important it is to get a child up and moving throughout the day. I have already blogged about the importance of this but it's worth repeating that movement has been proven to do the following:
*Improves cognitive skills as they complete these activities. Be sure to up the challenge for them as they become more successful with them.
*Improves focus and attention which helps with the learning process. We must allow time for movement opportunities in order for our children to learn.
*Helps "turn on" your brain (this is proven!).
*Helps a child better focus and attend and also better organize their work.

There are so many ways to add movement into your child's daily schedule. Play a game of Simon Says, run up and down stairs if you have them, create an obstacle course early in the morning that they can escape to when they feel like they need to move. Challenge your child to create an obstacle course using stuff you have around the house. Here are some things you can have them do:
*Find something to jump over (see how many times they can do it in 30 seconds)
*Find something to jump on
*Find something to crawl over or through
*Find something to climb over

Also, use materials you already have in your house. Masking tape makes a great balance beam, colored paper makes great jumping spots and tables make great tunnels!



6. Set up a sensory diet. Like most things, children's sensory needs are drastically different from one another. While some of your children are still getting their occupational therapy services, some are not so you may find that your child is presenting with regression in this area. You may find that your child is seeking more input than usual. This makes total sense given the amount of time your child is spending sitting in front of a screen (therefore fewer opportunities to play outside). Even if your child isn't getting occupational therapy right now, reach out to their therapist and ask them to help you set up a sensory diet that works into your schedule. A sensory diet helps kids get in a "just right" state so they can pay attention and learn. Activities in a sensory diet can help kids who are overreactive feel calmer and unrreactive kids feel more alert. By providing your child with appropriate sensory input, you will find their ability to focus and attend to tasks will improve. It will also help with their ability to handle more challenging activities that are being thrown at them and help with improving their frustration tolerance. 



7. Create a sensory box. This is especially important for older children who feel like their life is completely out of control right now. Like I have already mentioned, the sensory needs of each child are different so deciding what to put in a sensory bin will depend on what their sensory needs are. Here are a handful of common sensory box tools that help improve sensory processing skills in your child. If possible, have your child's occupational therapist go over with you and your child how to and when to use all of the tools. Please be sure to eliminate anything you worry about your child using. For example, if you have a kid who likes to put things in his/her mouth, I would avoid things like putty, kinetic sand or Mad Mattr. Here is a great kit you can get on Amazon that includes some of the following:
*Sensory/squeezy balls-I am a huge fun of the Schylling squeezy balls
*Bubbles
*Theraband
*Putty (my favorite is Crazy Aaron's Thinking Putty)
*Fidget toys
*Kinetic sand
*Mad Mattr
*Stretchy string
*Monkey noodles



8. Set aside a few minutes each day to talk about feelings/emotions. You are probably noticing that your child's emotions are all over the place these days. I know from personal experience that my daughter who is usually able to maintain her calm (for the most part) when she is challenged or confused is having a much harder time controlling her emotions. The most important thing we can do for our children is validate these big feelings they are feeling because it is totally normal right now. It is okay that they are feeling scared, angry, frustrated, sad or a ton of other feelings. Their lives have changed in ways that they may never forget and their parents, who are supposed to be able to tell them everything will be okay, can't tell them when this will end and their lives will return to normal. Make sure your children know how to identify their feelings. There are a lot of great children's books out there that talk about feelings including some of my favorites The Color Monster, The Way I Feel, Today I Feel (An Alphabet of Feelings), The Boy With Big, Big Feelings and My Mixed Emotions. I have learned through my social skills group at The Meeting House that children learn so much through these kinds of books and since the characters are struggling with similar things that children are, they are able to better talk about and problem solve through these tricky times.

9. Be your child's advocate. Parents have this unique opportunity to really see what is and isn't working for their children with this kind of learning. You are seeing things that are helping them be successful with remote learning but you are also seeing what isn't working. Please don't be afraid to reach out to teachers or school administration if you feel like you aren't being listened to. As parents, you have the ability to help your child be as successful as possible during this crazy time. If you find that your child isn't getting anything from hours and hours of online learning, tell their teachers. If you find that they are working better on their own schedule, make sure the teachers know that as well. Honestly, there is NO reason a child should be in front of a computer for hours on end being taught.

10. Know when you need to quit. This is incredibly important for both parents and kids. You are going to find that there will be days where your child has just had it and making them push through with all the screen time and remote learning will end up proving to be more stressful all around. It's also very important to keep in mind that once a child check's out, they are no longer going to learn. If you are finding that your child has had enough for the day, take control and tell them they are done and that you will let their teacher know. We need to make sure our kids know that we are just as concerned about their emotional wellbeing as their academics. Actually, this might be a time that we need to be more concerned with their emotional wellbeing over academics. Our kids are going to be okay if they don't finish all of their assignments every single day. We need to take the pressure off of them. Being on top of our kids all day, every day isn't good for anyone and will only cause tension at home to increase at a time where you need to be be maintaining the calm in our households.

11. Take time for you-the most important thing I have to say is that you must find ways to take care of yourself during these crazy times. We are expending an awful lot of energy on our kids, as we are meant to be doing, but we must find ways to take care of ourselves. Nail salons are closed, we can't get our hair done and we can't go carefree shopping these days. Find ways to take care of you for a small amount of time each day. For me, listening to my favorite podcasts or music while taking a daily walk does more than I can explain for my soul than I ever knew was possible. I am seeing things in my neighborhood and appreciating the little things more than I could have ever imagined. I know that this isn't always easy, especially if you are working and caring for your children full-time, but if we don't take care of ourselves, it becomes much more difficult to properly care for all the other people in our lives.

While this new way of life comes with many challenges, I do feel like we will all come out of this better parents, teachers, therapists, etc.. We will have a whole new level of appreciation for things that we took for granted just a few months ago. While we all long for things to return to normal, we must continue to learn and grow in the moment. I end each of my tele-therapy sessions telling parents how great their children are doing and thank them for their support in making each session go smoothly. I need them to know that we are a team and that I appreciate them.

I would love to hear from any and all of you with some things that you have learned through remote learning and therapy. I know that other parents and professionals would love to hear what's working for your family during this crazy time. I am always a click away and love hearing from all of you. One of the greatest things that has come out of this whole situation for me is that I have been collaborating with parents and professionals on a whole new level. I've always understood how important it is to work together in order for the greatest amount of improvement and success to happen, but have so much more appreciation for it these days.

Monday, April 13, 2020

Cooking With Kids

One of the most challenging things at this point is filling up our days. Especially for those of us who live in the city with lack of outdoor space, keeping our kids busy and limiting the amount of time watching television or on some kind of screen becomes incredibly stressful. So many of the parents on my caseload are looking for easy, fun and non-screen time activities for children so this week I am going to talk about baking with kids. As soon as my daughter was old enough, I started including her in baking with me. It started with her simply just watching me at work as I baked and her involvement increased as she got older. Today, at 10 years old, she loves to bake. Actually, to make up for the fact that she wasn't going to be with her cousin for Easter, my sister and I had our girls pick out a recipe and the FaceTimed the entire time. It was adorable and made them feel connected on a day that they just love to be together.
Baking with children is not only a great way to connect with your children but has so many developmental benefits built right into it. At this crazy time, I think the most helpful thing I can do for parents is provide them with activities that don't seem like therapy or work. While I know baking isn't for everyone, I am going to outline the benefits and provide a bunch of baking activities that you can do with your children.

There are so many benefits of cooking with children including:
*improves fine motor and manipulation skills. Measuring ingredients, rolling out dough, using cookie cutters and decorating your baked goods will lead to improved fine motor and manipulation skills. 
*improves visual skills such as improved hand-eye coordination, visual motor skills and visual tracking. 
*encourages language development. Use this time to not only label ingredients, but talk about the ingredients. Have them describe how they feel. For example, put out a little plate with some of the ingredients and have them feel them and talk about the textures. Are they soft? Are they rough? 
*encourages executive functioning skills. Baking with children is a great way to naturally work on things such as improving attention, focus, organization, sequencing and working memory. For some kids, it might be helpful to print out pictures of the steps and have them put them in order before actually starting baking. 
*for older children, baking can be a really motivating way to work on math skills. For younger children, you can introduce the concepts of more and less while measuring out ingredients. For example, put the measuring cups out with the ingredients in them and ask what you will use more of. My 10 year old is working on fractions right now and when she begins to get really frustrated, I bring out our measure cups as a visual.
*boosts confidence and self-esteem. It really is so much fun to see kids light up as they see their completed baked good come out of the oven. Even more exciting is when they get peoples reactions when they eat them.

I am going to share some cooking activities that you can do with your children. It's important to find activities that will encourage independence for children while also working cooperatively with their siblings or parents. If you are cooking with more than one child, set clear expectations and responsibilities from the get-go to limit arguing during the actual activity. Below you will find several baking and cooking activities. Some requiring cooking, others might not. There are not just food cooking ideas, but also sensory materials like play dough or colored rice and noodles.

Food

Play and Freeze Ice Cream Ball Ice Cream Maker-this was actually recommended to me by one of my occupational therapist colleagues and couldn't love it more. With kids not getting as much physical activity as they are used to, I love that you can combine some gross motor work while making ice cream. Kids can make make ice-cream in about 30 minutes using just a few ingredients by rolling the ball back and forth to each other. Check out this link from L.L. Bean with a bunch of different recipes you can try using this ice cream maker.


English Muffin/Bagel Pizzas-I remember making these as a child with my parents and sisters. This is a great activity because it doesn't require a lot of ingredients and most are things you can easily get even during a pandemic! You will need english muffins or bagels, sauce, shredded mozzarella and any toppings you might want to add. To add some depth to this activity, give your child a pad of paper with a list of everyone’s names on it and write the kinds of pizza available and have him check off what everyone wants. Another fun thing to do is use ingredients to make silly faces. For example, use a pepper to make a mouth or olives or pepperoni to make eyes. 




Rainbow Fruit Kabobs-a variety of cut up fruits in different colors and wooden skewers. Talk about the colors and what order the colors are in a rainbow and have them put the fruit on the wooden skewers in the correct order. This is a great baking activity to do with younger children who you might not feel comfortable with them using mixers and other baking equipment. There are a lot of kid-safe baking tools that you can give your kids to use so the can cut the fruit up. I love this activity because it's a great way to work on developing fine motor, grasping and manipulation skills while also working on hand-eye and bilateral coordination skills. Best part is that the end result is a healthy treat for you and your kids to enjoy. 


Rice Krispie Treats-I have always found that making rice krispie treats is another kid friendly baking activity where you can adapt the activity based on your child's age. For younger kids, you can melt the butter and marshmallows and just have them add the cereal and stir but for older and more responsible kids, have them do that (in the microwave or stovetop). You can make this more of a hands-on/sensory experience by having him roll them into balls instead of putting them in a baking pan. You can also change things up by using different kinds of cereal to add color or have them use cookie cutters to make different shapes once they are cooled down. 



M&M Energy Bites-this is another simple non-baking activity that kids can be really involved in. Mix together 1 cup rolled outs, 1/2 cup of peanut butter, 1/2 cup M&Ms, 1/3 cup of honey and 1 teaspoon vanilla extract. Stirring the ingredients with is a great way to work on increasing upper extremity strength and encourages bilateral coordination skills. Use an ice cream scoop or large spoon to grab a spoonful, place in hand and roll into a ball. 








Chocolate Chip Cookies-you can make them from scratch or use slice and bake ones. No matter which method you use, making chocolate chip cookies are a delicious way to work on fine motor skills. If you make fresh, let your kids add all the ingredients (break the eggs into a bowl for him) and stir as much as he can. When I was baking with my daughter when she was younger, I would put all of the ingredients in bowls and then would tell her which one to add. If you use the slice-and-bake cookies, give your kid a safe knife and help them cut the dough into chunks and then allow them to roll them into balls before placing on the cookie sheet. 


Sensory Materials


Homemade PlayDoh-play doh is another sensory material that kids LOVE. I love this recipe from Mothercould and love that it can last up to 6 months if stored in a good container. There are so many benefits of playing with play dough such as increasing grasp strength, improves grasping and manipulation skills and encourages hand-eye coordination and bilateral coordination skills. Roll play dough into long snakes and practice making shapes, letters or numbers. Use a rolling pin and roll play dough flat and use your favorite cookie cutters.








Dye Rice/Noodles-another great sensory experience and kids can be part of the whole experiences of making it. Kids will love watching the plain rice or pasta go from plain to brightly colored sensory materials.  For each color, you need 1 cup of white rice/baby pasta, 1 tablespoon vinegar and desired amount of food coloring. Have kids help you by pouring the rice and vinegar into little Tupperwares and squeezing a few drops of food coloring. Close the lid and then have them shake the Tupperwares until the rice/noodles are all covered. If you make some of each color, you can pour them into a much bigger Tupperware and hide little characters or animals in it and and have him dig through using their hands or spoons or scoopers to rescue them. Another fun activity is to dye penne or rigatoni noodles and have kids make necklaces out of them. 




Homemade Flubber/Thick Slime-so many of the kids I work with love sensory exploration and there are so many great recipes out there. Flubber/thick slime is a very popular sensory material at my gym and doesn't require a lot of ingredients. You’ll need 1 cup of Elmer’s White Glue, 1/2 cup room temperature water, 1/2 cup liquid starch and glitter or food coloring (optional). Click here for directions. Once made, you can hide little objects in them like beads to work on increasing grasp strength and improving grasping and manipulation skills. 





Salt Clay-this is another simple activity that can be done with kids of all ages and uses only 3 ingredients: salt, flour and water. If you want, you can add a few drops of food coloring to the dough. One of the things I like about using salt clay is that you can adapt how you use it making things either more simple or more challenging depending on the age of your child. Kids can use cookie cutters to make creations or they can use their imagination and make whatever they want to create. Once they are done making their creation, they can use markers or paint to decorate them if you didn't add color earlier. 






One of the things I think is really important is to not expect perfection when cooking/baking with kids. This should be a fun experience and making mistakes is to be expected when engaged in this kind of activity with children. The other thing to try and let go of is to not get worked up if a mess is made. Unless someone is going to get hurt, don't worry about ingredients on the counters, floors or even on themselves. Wait until the activity is complete and hand out cleaning up responsibilities to each person who participated. Remember, the most important thing is to have fun because even though this is a crazy time, there are so many opportunities to make fabulous memories with your children. 

Have you been baking/cooking with your kids during this crazy time? What are your favorite recipes for baking, cooking or sensory materials? I would love to hear from you and am always a click away. I'm sure I am not the only one who would be interested in hearing about other recipes to keep kids busy these days. 





Monday, April 6, 2020

Let's Get That Body Moving....Part 2

Last week, I blogged about the importance of brain/body breaks during this crazy time and provided a bunch of activities that could be incorporated into your child's daily schedule. Things like playing a game of Simon Says, jump roping or hula hooping throughout the school day can help your children reset for the rest of the day. Some kids require more movement than others and for different reasons. Let's be honest, some kids are perfectly happy with not having forced movement throughout their day while others just can't get enough movement. 

As I have been supporting families through this crazy time, some of them have asked me to help create some kind of weekly schedule that will help their children gain some kind of routine. For many of my kids, this involves building in several body breaks. While our kids are spending a lot more time in front of screens, it is often while they are seated. One of the most helpful things I have been using to start my remote sessions before we sit down and do our table work is some kind of big body/movement activity. When we are at the gym for our sessions, we always start with a swing, jumping on a ball or trampoline or some kind of obstacle course and it is such a great way to get them organized and energized for the rest of our session. Since we can't be face to face at this point and most people (particularly my families in the city with not a lot of space for equipment) don't have access to things like a trampoline or large therapy ball, I've had to get creative. With the help of screen sharing, I have been able to find fun ways to get my kids up and moving. There are some really fabulous three to 5 minute movement videos on You Tube that have been a huge hit with my kids. As I mentioned last week, these movement breaks are not only necessary for giving our kids a chance to move around but have been proven to help with improved learning. This is even more important now than it ever was as kids are not getting out. Below, I share with you twenty short videos that you can do at home with your children. Since we are all home, make this a family thing and add a few dance parties or brain breaks to all of your schedules. This will not only be good for getting your up and moving but dancing and moving is good for you emotional well-being. 




The Goldfish Song by Laurie Berkner 










Can't Stop The Feeling Dance Party





Do The Bear Walk


These videos are not only great getting kids up and moving around, but have more therapeutic value than you even realize. Kids will learn how to follow directions, work on improving body awareness and motor planning skills. This moving around will help them with their ability to focus and attend better to more challenging school work or therapy activities. The best part about this is that so many of these are familiar songs or characters which makes these videos even more motivating, especially for those kids we know who totally prefer to sit on the couch! 

This new way of doing therapy with my children has forced me to be more creative and think outside of the box. While I can't wait until the day when I can get back to my toys, equipment and co-workers, I am embracing all there is out there and what technology is allowing us to accomplish during our therapy sessions. If you have any other movement videos that you are using with your kids, send along! I am only a click away and love hearing from you all.