What Are The Most Effective Strategies For Adapting The Hanen Program's More Than Words Approach To Support The Communication Development Of A 2-year-old Child With A Dual Diagnosis Of Down Syndrome And Apraxia Of Speech, Who Is Also Learning To Use A Picture Communication Symbol System, While Also Taking Into Account The Family's Cultural Background And Primary Language Being Spanish?

by ADMIN 389 views

Adapting the Hanen Program's More Than Words approach for a 2-year-old with Down syndrome and apraxia of speech, who is learning a picture communication system and comes from a Spanish-speaking family, requires a comprehensive and culturally sensitive strategy. Here's a structured plan:

  1. Responsive Communication:

    • Visual Supports: Use gestures, pictures, and visual aids in Spanish to support communication, reducing reliance on verbal cues alone.
    • Simplified Language: Speak clearly and use simple Spanish sentences to aid understanding and imitation.
    • Cultural Relevance: Incorporate familiar Spanish phrases, songs, and stories to make interactions meaningful.

  2. Parent-Child Interaction:

    • Parental Involvement: Engage parents in therapy, teaching them to lead interactions based on the child's interests, using Spanish to enhance natural communication.
    • Cultural Practices: Integrate family activities like traditional meals or cultural events into communication practice.

  3. Picture Communication System (PCS) Integration:

    • Routine Use: Incorporate PCS into daily routines (e.g., meal times) to encourage communication through pictures.
    • Combination with Verbal Attempts: Encourage the child to use pictures alongside verbal attempts, supporting both systems.

  4. Culturally Rich Environment:

    • Spanish Vocabulary: Label objects with Spanish words and pictures to aid language association.
    • AAC Devices: Use Spanish-programmed devices for AAC, ensuring symbols and vocabulary are culturally relevant.

  5. Motor Skill Support:

    • Gestures: Encourage gestures alongside pictures or words to support communication and reduce frustration.

  6. Parent Support and Resources:

    • Spanish Resources: Provide parents with Spanish materials and connect them with Spanish-speaking support groups.
    • Consistency: Ensure strategies fit into daily routines and cultural practices for consistent implementation.

  7. Play-Based Activities:

    • Play Integration: Use play in Spanish to create natural learning opportunities, combining PCS and verbal communication.

By addressing each aspect thoughtfully, this approach supports the child's communication development while respecting the family's cultural and linguistic background.