Guest: Joleen Fernald, PhD, CCC-SLP, BCS-CL

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=DIR-and-Selective-Mutism

In this episode, host Erin welcomes Jolene Fernald, an expert in selective mutism and DIR floor time, to discuss the complexities of selective mutism, neurodiversity, and how to support children who struggle with communication in anxiety-provoking situations. Jolene shares personal experiences, diagnostic criteria, and effective strategies based on a holistic DIR approach. Viewers will learn about the role of sensory processing, how to build a supportive classroom environment, and the importance of understanding the 'why' behind behaviors. This episode also covers the overlap between selective mutism and autism, providing insights into the situational challenges faced by neurodivergent individuals. Jolene introduces useful resources, including a new card deck to guide therapists and educators. This enriching conversation aims to equip you with knowledge and tools to better support children with selective mutism.

Episode Timeline:

00:00 Introduction and Excitement for the Episode

00:30 Upcoming Events and Conferences

01:09 Guest Introduction: Jolene Fernald

03:29 Jolene's Journey and Expertise in Selective Mutism

09:49 Understanding Selective Mutism and DIR Approach

13:29 Diagnosing and Addressing Selective Mutism

20:55 Building Communication Capacities in Children

28:15 The Role of Sensory Activities and AAC

31:24 Understanding Communication Challenges in Children

32:28 Addressing Classroom Anxiety and AAC Systems

35:12 Supporting Teachers and Creating Safe Environments

38:23 Effective Classroom Strategies for Anxious Students

47:09 Selective Mutism and Autism: Overlapping Conditions

57:32 Resources and Tools for Supporting Children with SM

01:01:48 Conclusion and Final Thoughts

About the Guest: Joleen R. Fernald, PhD, CCC-SLP was awarded Board Specialty Recognition in Child Language from the American Speech-Language Hearing Association. Dr. Fernald follows Greenspan and Wieder’s model, DIRFloortime® , when working with children and families.She has a special interest in the social-emotional development of young children and its impact on their speech and language skills. As a speech-language pathologist, Dr. Fernald works with children who have a variety of communication disorders. She specializes in the assessment and treatment of Selective Mutism and is the developer of the DIR-SM model.

Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLC

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home

In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services.

Episode Timeline:

00:00 Welcome to First Bite

00:29 A Day in the Life of a Pediatric Feeding Specialist

01:31 University of Tennessee Lecture Experience

04:11 Encouragement for Clinical Supervisors

05:59 Introducing Tiffany Elliott

06:41 Tiffany's Journey and NICU Experience

19:09 Hospital to Home Systems Change

23:39 Challenges in Early Intervention

26:53 Barriers and Solutions in Washington State

36:21 Personal and Professional Reflections

40:12 Navigating Academia and Authenticity

41:39 Balancing Productivity and Care in the NICU

44:21 Challenges in Early Intervention Systems

45:29 Continuity of Care and Billing Codes

49:21 Training and Support for Caregivers

51:59 Emotional Wellbeing and Feeding

01:00:16 Practical Strategies for Caregiver Support

01:11:38 Final Thoughts and Resources

About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children’s Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center’s NICU SLP program and worked at Mary Bridge Children’s Hospital.

Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJM

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guest: Amy Zembriski, MBA, MS, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Neurodiversity-Affirming-Feeding-Therapy-Where-do-I-Start

In this episode of First Bite, host Michelle Dawson introduces a valuable conversation between Erin Forward and Amy Zimbrisky, a seasoned speech therapist specializing in neurodiversity affirming feeding therapy. After highlighting insights from the Feeding Matters Conference, Erin and Amy delve into practical strategies for beginning feeding therapy with neurodiverse children. They discuss creating a safe and welcoming environment, the importance of caregiver education, and the significance of understanding each child's unique relationship with food. Amy shares her personal journey in overcoming challenges and learning to support her clients in a more holistic and relationship-based manner, emphasizing the significance of autonomy and trust. Tune in to learn how to build therapeutic strategies personalized for each child, utilize AAC effectively, and foster a positive mealtime experience.

Episode Timeline:

00:00 Introduction and Episode Overview

00:41 Feeding Matters Conference Highlights

01:31 Creating a Safe Space for Feeding Therapy

03:33 Personal Reflections and Announcements

05:25 Introduction to Amy Zembrisky

07:16 Amy's Journey in Feeding Therapy

11:44 Building Trust and Autonomy in Feeding Therapy

15:29 Caregiver Education and Support

17:44 The Importance of Routine and Flexibility

35:28 Validating Caregiver Concerns

36:44 Navigating Social Media Judgments on Parenting

37:51 Understanding Children's Food Preferences

38:54 The Importance of Flexibility in Feeding Therapy

40:24 Building Trust and Safety in Therapy

42:10 Case Study: Engaging a Child in Mealtime

43:42 Personalizing Therapy Approaches

47:45 The Role of Caregivers in Feeding Therapy

58:12 Advice for New Therapists

01:00:55 Resources and Mentorship

01:05:19 Conclusion and Contact Information

About the Guest: Amy Zembriski, MBA, MS, CCC-SLP is a certified speech language pathologist with an extensive background working in a variety of settings, including acute care, skilled nursing facilities, schools, early intervention, and private practice. Additionally, she has had past experience working as an adjunct professor supervising graduate students during their diagnostic clinical practicum. She is the owner of Speech Therapy Connections in Fair Lawn, NJ, where she specializes in augmentative and alternative communication (AAC) and gestalt language processing; Amy offers expert support for families with autistic children. Her passion lies in educating and empowering both professionals and families through neurodiversity-affirming practices.

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.