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  Buddy Speak LLC :: Training

  Training
 
Welcome to our training section: Below you will find a link to dowload our training manuals in multiple printable formats or just scroll down to view the training manual in Html format, thanks and enjoy.
 
Download printable PDF
 
 
 
The Road to Helping Someone Become an Independent Communicator
   

Before you start
Have a conversation with your typer letting him/her know that you want to try something new. There is no harm in assuming the best about a person. If you assume a person is more intelligent or accomplished than they are, you have not done them any harm. If you assume less of a person, you will most certainly hurt them. Imagine not being able to speak. How would society treat you? What assumptions would be made about you? If you can do this, you can sense (only in part) the frustration that your typer experiences on a daily basis. So before you begin, say something like this:
Supported typing is something I have recently discovered which is a way for you to have support as you learn to type independently. It is a way for you to point to letters and have me say out loud what you want to tell other people or me. I think you are very smart and could learn to do this very well. Will you let me hold your wrist as you point out the letters to each of the words you want to say? I realize that you know more than what I am going to ask you this first time. And the questions I ask may seem too simple, but we need to start somewhere. I hope you will be patient with me as we learn to do this together. If I misunderstand what you tell me you need to point to the word 'No' here on the board [point it out to the person.] When I correctly understand what you are saying I will ask you to point to the word 'Yes' here on the board. [Point it out to him.] There is a backspace arrow here in case you want to change something you type."

   
 

Getting started
Get into a position that is comfortable for you and the typer. The posture of the typer is important. If they are slumped, their accuracy is compromised. As the support person, you need to be seated perpendicular if possible, so you can see the person's face and eyes, but close enough to support his/her wrist. Tell him/her you want to type because there is something you want to talk about. Determine if the typer is right or left handed. Family members or care givers may help with this information by telling you which hand they prefer to eat with etc. Hold the Buddy Board™ at a comfortable 30 to 45 degree slant, so it is easy to see, never just flat on a table. (The Buddy Board™ holder is ideal for holding the board in place on a tabletop at the right angle for typing.)

Hold his/her hand from the bottom (at the wrist joint) so that his/her index finger is isolated. If the person cannot form a point you may have to start by putting your hand on top and pushing all but the pointer finger down. (This hand on top position should be moved to below the wrist as soon as pointing skills emerge.) As a support person, you will be providing a backward resistance to the hand or wrist. This resistance helps the person you are supporting feel where they are in space and have more control over their movements. Be confident and support the person enough so you can feel their pull as they push past your resistance to a letter or pretyped word. Your job is to help the individual begin the motion by providing this resistance. (Do not move from right to left. The typer will do that as he gets to the keyboard and selects letters.) Once a letter is selected, help to end the motion by pulling his/her hand back to a centered position 6" or so away from the keyboard. From this centered ready position the typer can start again. If you don't pull back, it will be difficult for the typer to select the next letter or for you to provide the needed resistance. As you are providing this resistance, remember that ideally your typer will eventually learn to do this up and down motion independently. (This is one of the first steps to independence in typing for those with motor difficulties. Setting a rhythm helps people become more independent.)

Your job as a support person for a typer
  • Encourage good posture while typing.
       
  • Encourage the person to look at the board and quit support until their eyes return to the board.
       
  • Ask clear questions.
       
  • Set a rhythm.
       
  • Be calm and quiet while the person is typing only speaking their letters and words.
       
  • Clarify and verify what the person is typing if you don't understand by asking questions.
       
  • Remember that you are in the background to support the person. Don't speak for them. Say what they have typed and have given you permission to say aloud.

    Helpful hints for support persons:
    1. If a typer has lots of energy and finds it difficult to sit still, it is often most effective to show your patience, wait a few moments, do not draw attention to the behavior, and never get upset. The person often needs physical and emotional support to keep typing their thoughts. You will know when they are really done typing. Often a typer will type "no" or "leave," or allow their hand to go limp if they are done typing. You can ask, "Do you want to say anything else?" Asking this is a way to be sure they are done typing.
       
    2. Never move the person's hand around the keyboard if you do not feel a direct movement toward a letter. Doing this will destroy his/her trust in you as a support person.
       
    3. If you don't feel a pull toward any letters, pull back and stop. Say something like: "I don't know what you want to say. You need to pull hard toward the letter you want, so I can understand what you are telling me. You need to teach me how to type with you. Can we try again?"
       
    4. Help the typer to avoid errors when you know what he/she is trying to type. If he/she is typing yes" but is headed for the "a" next to the "s" for the last letter, ask if he/she was typing "yes." If the typer is not accurate in their pointing, using the Buddy Board™ keyguard (the clear plastic holder) is very helpful, as this has countersunk holes for each letter and number. This greatly helps with the accuracy in pointing and understanding what the typer is saying.
       
    5. Pull back after each keystroke. This is very important. Doing this gives the typer time to organize his/her thoughts and movements for selecting the next letter. It also helps you as a support person to offer the needed resistance so you can feel which letter he/she is headed for.
       
    6. Softly say each letter or word for the typer as the he/she types them. As soon as you know the complete sentence he/she is typing, say it aloud. Verify whether you understood everything correctly by asking "Is that right?" The individual should point to either "Yes" or "No."
       
    7. In the beginning start with clear "Yes" or "No" questions. Gradually progress to multiple choice questions. E.g., "Would you like grapes or watermelon?" This will help you get the feel for how the typer's hand moves when he/she is selecting a variety of letters at one time. Avoid testing the typer's attention span or repeating questions you both already know the answers to. E.g., "How do you spell your name?" Asking such questions will diminish the typer's trust and appreciation for you as a support person.
       
    8. If you aren't getting a quick response, the typer may be thinking. Ask if he/she wants more time to think. If you are confused about what is being typed, repeat the question or ask if the typer understands what you are asking. Don't be afraid to check out your mutual understanding often. At times a person may type nonsense to questions that he or she doesn't want to answer or doesn't understand.
       
    9. Mutual trust between the two of you is the key element. The person doing the typing needs to know that you believe in his/her intelligence. He/she also needs to be assured that you will not make fun of him/her or repeat what he/she types without your asking for permission. The individual must also understand that you will not ask him/her to type in front of others without asking permission from him/her first.
       
    10. Motivation is also a key factor for success. The typer assumes that if the support person knows something there is no reason to type it. He or she is most highly motivated to type when they are expressing a strong preference, opinion, or emotion. A good starting point is allowing typers to select favorite activities, foods, or objects by typing them out. Be sure that the choices you offer are ones you are willing to provide most of the time within reason. Typers are also motivated to let others know how intelligent they really are. Most typers will enjoy answering questions in class if they are sure their answer is right. To get the typer to do school work you may need to instill motivation within them. Let the typer know that he will get to give his work to the teacher, or show others how smart he is by answering questions in class. Most nonverbal typers (like all of us) don't like being wrong. This is especially true when you think about how they have been treated socially throughout their lives.
       
    11. If you are unsure of what the typer wants to tell you, admit that you are unsure and ask the person to retype the word so you'll know exactly what he/she wants to tell you. Once in awhile, the typer may spell a word phonetically, the way it sounds. If you're having trouble, sound out the word and check with the typer if that is the correct word.
       
    12. Find ways to communicate all day long, every day! And have fun! This is talking, so ask others to respect and praise what your typer says as if it was said out loud.

    Using this method, you can enjoy getting to know the thoughts, needs and emotions of someone who is unable to speak aloud but carrying around the same human emotions and thoughts as those of us who are blessed with verbal communication. It's an exciting process!

    Also take a look at these links:
    Deal: http://home.vicnet.net.au/~dealcc/facil.htm
    Facilitated Communication Institute: http://soeweb.syr.edu/thefci/
    Breaking Barriers: http://www.jwhowarddesign.com/clients/tash/
    Peyton Goddard: http://www.peytongoddard.com/index.html
    Autism National Committee (for a list of books by people with autism) http://autcom.org

    Teaching Independent Typing

    To teach independence in typing, you need to begin to fade support almost immediately. Ideally, you first teach the person how to type with a single finger and then begin the fading process.

    Most independent typers will say that it takes lots of daily practice to become an independent typer. There is a wonderful article at http://www.advocatesforspecialkids.org/sue_rubin_letter.htm by Sue Rubin, a college student in California who is now an independent typer. It took her five years to go from facilitated to independent typing. Sue explains in her article that for longer papers, she will want support or facilitation, but she will clarify later with independent pointing any areas of miscommunication.

    Fading of support can be done in a number of ways. Often a beginning typer may need help to create a pointing finger, so the help comes from the top of the hand shaping the point. From there the fading could look like this:
    A hand under the wrist
    A finger in the palm of the hand
    A finger on the wrist
    A touch at the forearm
    A touch at the elbow
    A touch at the shoulder
    Standing or sitting beside the person typing for support in staying focused or to speak their words aloud.

    As you fade where you support the person, begin encouraging them to lift their own arm and hand upward from each keystroke. This lifting up from the keyboard is a first step toward independence. Helping the typer set a rhythm for their typing is also important in getting to independence. Some typers who get stuck on a key, need help to tap a table with their finger in between keystrokes.


    Some other help to become more independent in pointing are:
  • Use wrist weights to improve strength (helpful for some but not all typers)
       
  • Use a keyguard to improve accuracy in pointing
       
  • Encourage looking at the board directly as much as possible (many people with autism find looking directly at the keyboard difficult). As mentioned above, it helps to stop all typing until the person's eyes are directly on the communication device.
       
  • Work on choices placing pieces of paper or 3"X5" cards a distance apart so that a person first works their shoulder muscles to reach for the card, then gradually over weeks and weeks, bring the papers or cards closer together, so that the person is working their upper arm muscles, then forearm muscles, then finally their muscles near the wrist. All of this improves accuracy in pointing and making choices to smaller and smaller areas such as a keyboard.
       
  • Use a detached keyboard from a computer to practice accurate pointing
       
  • Don't start with open-ended questions or a person learning to type independently. Use yes/no or multiple choice questions. Start with short words or answers and work up from there.
       
  • Remember that you are in the background to support the person. Don't speak for them. Say what they have typed and have given you permission to say aloud.


    Remember that everyone is different in their abilities and motivation. Independent typing takes lots of concentration, practice and hard work to achieve for those with motor difficulties. For some it is a two-year process and others it is a five-year process. But if you and the typer are up for the challenge, the rewards are great!

    A New Two-Handed Method
    Jamie Burke and his mother began doing two finger typing using alternating strokes with first one pointer finger then the pointer finger of the opposite hand. At a recent ANC conference in Denver, I observed Jamie's mother stand behind Jamie and support him from the elbows. The rhythm and alternating from left to right seemed to speed up the typing and help with independence. An article about this method is available by Marilyn Chadwick of Syracuse University at http://soeweb.syr.edu/thefci/6-4cha.htm

       
      Click here for a printer friendly version.
     
     
     
     

         General Info
    Buddy Boards are ideal for—
    communication, a backup low-tech device and a teaching tool
    for literacy, pointing and independent one finger typing. It is
    used by people with speech difficulties due to:
  • Autism
  • Stroke
  • Cerebral Palsy
  • Parkinson's
  • ALS
  • Or any medical situation that affects a person's ability to speak



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