Speech Therapy Telepractice: Reaching the Need Marnee Brick, MSc Director of Speech Therapy TinyEYE Therapy Services http:...
Grow a smile Mend a spirit Engage a child in his life
 
Telepractice is a medium through which a  service reaches the need What IS Telepractice?
<ul><li>Today’s Speech Telepractice….  </li></ul><ul><li>brings people together  </li></ul><ul><li>for face to face and co...
CASLPA   Telepractice” refers to the use of technology to deliver audiology and speech–language pathology services at a di...
Types of Telepractice
Types of Telepractice <ul><li>Traditional Teleheath </li></ul>
 
Addressing Shortages in Schools via Telepractice Janet Brown, ASHA Jeanne Juenger, Houston (MN) School District  Pam Fordu...
Types of Telepractice <ul><li>Mixed Solution </li></ul><ul><li>Shared desktop </li></ul><ul><li>Access on-line games  http...
Types of Telepractice
Types of Telepractice <ul><li>Fully Integrated Software </li></ul>
 
 
 
 
 
 
 
SLP 2-Point Supervision Supervising SLP
SLP 2-Point Supervision Supervising SLP
3-Point   Supervision Supervising SLP SLPA or SLP Student
Peek-a-Boo Window
What technology do you need to do on-line therapy?
<ul><li>Hardware </li></ul><ul><li>Web-camera with 15 FPS capture rate </li></ul><ul><li>Head set with attached microphone...
<ul><li>High-speed internet </li></ul><ul><li>CPU = processing speed </li></ul><ul><li>3.0 GHz </li></ul><ul><li>2.0 GHz f...
RAM = memory Windows Vista: •  2 GB of RAM • P4 with 3GHZ processor or equivalent (or 2.0 GhZ Dual Core) Windows XP: •  1G...
Bandwidth    Requirements for On-line Therapy <ul><li>SCHEDULE  </li></ul><ul><li>•  CLOSE PROGRAMS </li></ul><ul><li>•  B...
 
CASLPA’s  Position of Telepractice The Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA)  end...
Regulatory Body - Ethics   <ul><li>Always refer to your provincial or state regulatory body. </li></ul><ul><ul><li>Ontario...
Regulatory Body - Ethics
Regulatory Body - Ethics
The Influence of Perspectives <ul><li>Concerns </li></ul><ul><li>Technology issues </li></ul><ul><li>Cannot help everyone ...
If your presence changes lives for the better – what do you think your absence does?
REACHING THE NEED: Problems Grow Solutions
So How is Telepractice a Real Solution? Equal Service Improved Productivity Lower Environmental Impact Lower Material Cost...
 
“ We had to advertise all year, and we simply had no applications.” -Special Education Director http://www.recordnet.com/a...
REACHING THE NEED: Problems Grow Solutions <ul><li>Headline:  SLP Uses Telepractice to Reach the Need! </li></ul><ul><li>T...
REACHING THE NEED: Problems Grow Solutions We are Americans living in Vienna, Austria.  We can not find an American Englis...
Research, Studies, Feedback
Research, Studies, Feedback <ul><li>Clinical research grants for CASLPA members to conduct research or engage in activitie...
Research, Studies, Feedback Office for the Advancement of Telehealth http://www.hrsa.gov/telehealth/ Association of Telehe...
Mayo Clinic “ Telemedicine evaluations can be reliable beneficial and acceptable to patients with a variety of acquired sp...
The Institute for Stuttering Treatment and Research at the University of Alberta Outcome:  Full assessment and treatment o...
National Research Hospital Survivors of stroke and traumatic brain injury participated in standardized assessments in both...
  The TeachSpeech project successfully demonstrated that modern videoconferencing technology can be used to support the de...
  OMNIE PROJECT – Kent State University  &quot;We're finding that telepractice is a wonderful service delivery model that ...
  The day it all came together in the life of a child…
The day it all came together for the life of a child…   “ I observed a session yesterday with (SLP) and was very impressed...
Alicia says: Marnee I am SO EXCITED!!!!!!!!! Alexa made her /k/ in isolation 8 times today!!!!!!! and was able to make som...
How does telepractice benefit you?  Work from home or office No driving on T-days! Better work-life balance Effort is clie...
Sandy says:  After years of (SLP) school and feeling rushed and feeling like I didn't have time for my (own) children, you...
Incorporating Telepractice  into your  Practice
On-line Speech Therapy:  A Student Focused Model
<ul><li>GET YOURSELF READY </li></ul><ul><li>Start with your regional licensing body   </li></ul><ul><ul><li>Build a relat...
<ul><li>BUILD A RELATIONSHIP WITH  </li></ul><ul><li>YOUR  SCHOOL AND PREPARE FOR SUCCESS </li></ul><ul><li>Talk to your s...
<ul><li>MAKE A DIFFERENCE </li></ul><ul><li>Grow a smile, mend a spirit, engage a child in his life </li></ul><ul><li>Turn...
“ Excellence can be obtained if you: … care more than others think is wise; …risk more than others think is safe; …dream m...
 
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Marnee Brick on Speech Therapy Telepractice at CASLPA 2009

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Marnee Brick, Director of Speech Therapy for TinyEYE Therapy Services discusses Speech Therapy Telepractice at CASLPA (Canadian Association of Speech-Language Pathologists and Audiologists) 2009 in London, ON.

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  • This list shows that we see 131 students in 15 schools for NESD.   We have given NESD 2795 sessions this year, I am not sure how many of those were successful. But that is how many were scheduled. As we all know, in speech-language pathologists help children access their education. Without communication skills children cannot learn in a class room setting. In Canada, and specifically in Saskatchewan under the Human Rights Code Right to education 13 (1) Every person and every class of persons shall enjoy the right to education in any school, college, university or other institution or place of learning, vocational training or apprenticeship without discrimination on the basis of  prohibited ground other than age.   The SASLPA Code of ethics also states The ethical responsibilities of the members require that the welfare of those served professionally be considered paramount . This means that you do not place the avoidance of electronic media as high priority than the people that are being served by its usage.
  • TT: Business class solution which needs extensive IT support to manage connections - hardware tends to be expensive and you need full time tech support. Mixed Solution: combining instant messaging services like MSN and skype AND while using a shared desk top application Activities and video conferencing are combined into one platform to create an interactive online session for the child.
  • TT: Business class solution which needs extensive IT support to manage connections - hardware tends to be expensive and you need full time tech support. Mixed Solution: combining instant messaging services like MSN and skype AND while using a shared desk top application Activities and video conferencing are combined into one platform to create an interactive online session for the child.
  • TT: Business class solution which needs extensive IT support to manage connections - hardware tends to be expensive and you need full time tech support. Mixed Solution: combining instant messaging services like MSN and skype AND while using a shared desk top application Activities and video conferencing are combined into one platform to create an interactive online session for the child.
  • TT: Business class solution which needs extensive IT support to manage connections - hardware tends to be expensive and you need full time tech support. Mixed Solution: combining instant messaging services like MSN and skype AND while using a shared desk top application Activities and video conferencing are combined into one platform to create an interactive online session for the child.
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • SLP meets with students for face to face therapy adventures Video–conferencing: Use ELMO camera to play games Integrated Software: Games cupboard full of animated, interactive games that can be individualized based on student’s goals
  • Therapy program closed because no SLPs were available to supervise assistants six positions no longer functional no applicants to fill positions Remote SLP observes SLPA and student , who are in same location, working together Remote SLP offers real-time support Remote SLP meets directly with SLPA and student to support programming Remote SLP consults with other educators and caregivers related to student’s care Virtual office: Share notes, video clips, strategies 3 MORE (no mileage no relocation) Webcam views a session that is occurring in the room; SLP meets SLPA on-line for coaching and support Share notes in virtual office Visits with student on-line Therapy program up and running, all of the early childhood and kindergarten class teachers have their own classroom consultant BUILDING CAPACITY in those classrooms so that those children grow in a language enriched environment. What does that mean to the families in that school board?
  • Therapy program closed because no SLPs were available to supervise assistants six positions no longer functional no applicants to fill positions Remote SLP observes SLPA and student , who are in same location, working together Remote SLP offers real-time support Remote SLP meets directly with SLPA and student to support programming Remote SLP consults with other educators and caregivers related to student’s care Virtual office: Share notes, video clips, strategies 3 MORE (no mileage no relocation) Webcam views a session that is occurring in the room; SLP meets SLPA on-line for coaching and support Share notes in virtual office Visits with student on-line Therapy program up and running, all of the early childhood and kindergarten class teachers have their own classroom consultant BUILDING CAPACITY in those classrooms so that those children grow in a language enriched environment. What does that mean to the families in that school board?
  • On-line session: SLP, SLPA, and students are each in a different location. SLP offers SLPA real-time support during the session via instant messaging As needed, SLP meets on-line with SLPA or student to support programming SLP consults with other educators and caregivers related to student’s care Virtual Office: SLP and SLPA exchange video clips, progress notes, and strategies
  • 3 point supervision - CDAs
  • Build a positive relationship Be transparent Integrity Educate and inform Document
  • Tell about foreign movie, break dance, router, power, satellite, BW, flat tire It is as engaging as you are, effective as you are – regular quality services are effective
  • Melfort Telepractice helps SLPs reignite therapy programs for school board.
  • Reasons to Use: Shortage Green Time Money Productivity Increase service and building capacity Continue the service if even temporarily staffing Effectiveness Security High fives Frog
  • Reaching the Need – Headlines Ft Mac Wyoming Northern Places Disabilities Circles of Care Therapy and building capacity Out-reach
  • Reaching the Need – Headlines Ft Mac Wyoming Northern Places Disabilities Circles of Care Therapy and building capacity Out-reach
  • The child that was born when this study was released would be turning 18 years old – hope someone helped
  • Katie says: I have the best story to share with you! Conway finally got his /g/ and /k/ sounds. He came to me and said his day was ‘Good’. It is the first time - I am so excited especially since his name is ‘Conway’! Jenn’s cell – 510-993-9898
  • Leap of faith Mom treading water
  • Leap of faith Mom treading water
  • Telepractice brings people together for face-to-face and collaborative interaction, from different locations, for the purpose of growth and support. Above is a sample of an on-line speech therapy student-focused model, which demonstrates key relationships that ensure the student will experience service excellence. Ongoing communication and collaboration strengthen the circle of care around this student.
  • Scheduling around computer use
  • Start and end the session with teaching and celebrating
  • Marnee Brick on Speech Therapy Telepractice at CASLPA 2009

    1. 1. Speech Therapy Telepractice: Reaching the Need Marnee Brick, MSc Director of Speech Therapy TinyEYE Therapy Services http://www.TinyEYE.com
    2. 2. Grow a smile Mend a spirit Engage a child in his life
    3. 4. Telepractice is a medium through which a service reaches the need What IS Telepractice?
    4. 5. <ul><li>Today’s Speech Telepractice…. </li></ul><ul><li>brings people together </li></ul><ul><li>for face to face and collaborative interaction </li></ul><ul><li>from different locations </li></ul><ul><li>for the purpose of growth and support </li></ul>
    5. 6. CASLPA Telepractice” refers to the use of technology to deliver audiology and speech–language pathology services at a distance. Telepractice may involve “live” or “store-and-forward” service. Live or real time service may include but is not limited to telephone, or videoconferencing. Store and forward involves the recording, storing, and subsequent transmission of audio and/or visual images for later examination (e.g., e-mail, fax, audiotape or videotape recordings). CASLPA – Position Paper on The Use of Telepractice for CASLPA Speech-Language Pathologists and Audiologists – January 2006
    6. 7. Types of Telepractice
    7. 8. Types of Telepractice <ul><li>Traditional Teleheath </li></ul>
    8. 10. Addressing Shortages in Schools via Telepractice Janet Brown, ASHA Jeanne Juenger, Houston (MN) School District Pam Forducey, INTEGRIS-Health
    9. 11. Types of Telepractice <ul><li>Mixed Solution </li></ul><ul><li>Shared desktop </li></ul><ul><li>Access on-line games http://www.cbc.ca/kids/games/ </li></ul>
    10. 12. Types of Telepractice
    11. 13. Types of Telepractice <ul><li>Fully Integrated Software </li></ul>
    12. 21. SLP 2-Point Supervision Supervising SLP
    13. 22. SLP 2-Point Supervision Supervising SLP
    14. 23. 3-Point Supervision Supervising SLP SLPA or SLP Student
    15. 24. Peek-a-Boo Window
    16. 25. What technology do you need to do on-line therapy?
    17. 26. <ul><li>Hardware </li></ul><ul><li>Web-camera with 15 FPS capture rate </li></ul><ul><li>Head set with attached microphone </li></ul><ul><ul><li> </li></ul></ul>Requirements for On-line Therapy
    18. 27. <ul><li>High-speed internet </li></ul><ul><li>CPU = processing speed </li></ul><ul><li>3.0 GHz </li></ul><ul><li>2.0 GHz for dual processor </li></ul><ul><li> </li></ul>Requirements for On-line Therapy
    19. 28. RAM = memory Windows Vista: • 2 GB of RAM • P4 with 3GHZ processor or equivalent (or 2.0 GhZ Dual Core) Windows XP: • 1GB of RAM • P4 with 3GHZ processor or equivalent (or 2.0 GhZ Dual Core) Mac OS X 10.4 (Tiger) or 10.5 (Leopard): • 1 GB of RAM • Dual Core Processor Requirements for On-line Therapy
    20. 29. Bandwidth Requirements for On-line Therapy <ul><li>SCHEDULE </li></ul><ul><li>• CLOSE PROGRAMS </li></ul><ul><li>• BW TOOL </li></ul><ul><li>• DEDICATED LINE </li></ul>
    21. 31. CASLPA’s Position of Telepractice The Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA) endorses the use of telepractice in both speech-language pathology and audiology as a means of improving access to services provided by fully qualified professionals. (Read paper for the conditions under which it is endorsed) CASLPA CASLPA members who provide services via telepractice are expected to adhere to the CASLPA Code of Ethics (2005) and privacy legislation and abide by guidelines established by the regulatory body of the province in which they reside. Members may provide services via telepractice if they determine that it is in the best interests of their clients. Members shall base telepractice on best evidence and encourage ongoing research in this field. Source: http://www.caslpa.ca/PDF/position%20papers/telepractice.pdf
    22. 32. Regulatory Body - Ethics <ul><li>Always refer to your provincial or state regulatory body. </li></ul><ul><ul><li>Ontario </li></ul></ul><ul><ul><li>Alberta </li></ul></ul><ul><ul><li>Preventing vs. Providing Services </li></ul></ul>
    23. 33. Regulatory Body - Ethics
    24. 34. Regulatory Body - Ethics
    25. 35. The Influence of Perspectives <ul><li>Concerns </li></ul><ul><li>Technology issues </li></ul><ul><li>Cannot help everyone </li></ul><ul><li>Not engaging – cannot build a rapport </li></ul><ul><li>Cannot do PROMPT or oral motor </li></ul><ul><li>It is not effective </li></ul><ul><li>It steals jobs </li></ul><ul><li>On the Other Hand … </li></ul><ul><li>Technology evolves </li></ul><ul><li>Can help many </li></ul><ul><li>Grow smiles, mend spirits, engage children in their lives </li></ul><ul><li>There is more in our toolbox, make good choices </li></ul><ul><li>It changes lives </li></ul><ul><li>It gives jobs </li></ul>
    26. 36. If your presence changes lives for the better – what do you think your absence does?
    27. 37. REACHING THE NEED: Problems Grow Solutions
    28. 38. So How is Telepractice a Real Solution? Equal Service Improved Productivity Lower Environmental Impact Lower Material Costs SLPs Can Be Located Anywhere
    29. 40. “ We had to advertise all year, and we simply had no applications.” -Special Education Director http://www.recordnet.com/apps/pbcs.dll/article?AID=/20060704/INSCHOOL/607040310/1001/NEWS01
    30. 41. REACHING THE NEED: Problems Grow Solutions <ul><li>Headline: SLP Uses Telepractice to Reach the Need! </li></ul><ul><li>Two SLPs moved away, SLPA’s could not practice </li></ul><ul><li>Two SLPs serving large school board, no therapy </li></ul><ul><li>SLP sick and away for 20 weeks </li></ul><ul><li>Home programs not accessed </li></ul><ul><li>SLPA field placements </li></ul><ul><li>SLP wants to work, has disability </li></ul><ul><ul><li>Telepractice brings more SLPs </li></ul></ul><ul><ul><li>to work! </li></ul></ul>'We are Americans living in Vienna, Austria.  We can not find an American English speaking speech therapist for our son.  He can speak German perfectly but the hard American &quot;r&quot; has always been a problem.  Also, within the last month, we have noticed some other problems.  Can you help us?  How much will it cost per session?  Thank you.
    31. 42. REACHING THE NEED: Problems Grow Solutions We are Americans living in Vienna, Austria.  We can not find an American English speaking speech therapist for our son.  He can speak German perfectly but the hard American &quot;r&quot; has always been a problem.  Also, within the last month, we have noticed some other problems.  Can you help us?  How much will it cost per session?  Thank you. 'We are Americans living in Vienna, Austria.  We can not find an American English speaking speech therapist for our son.  He can speak German perfectly but the hard American &quot;r&quot; has always been a problem.  Also, within the last month, we have noticed some other problems.  Can you help us?  How much will it cost per session?  Thank you.
    32. 43. Research, Studies, Feedback
    33. 44. Research, Studies, Feedback <ul><li>Clinical research grants for CASLPA members to conduct research or engage in activities that increase research capacity </li></ul><ul><li>Two grants of $2500 each will be awarded in 2009 </li></ul><ul><li>http://www.caslpa.ca/PDF/clincial_research_grant_application_form_CASLPA.pdf </li></ul>
    34. 45. Research, Studies, Feedback Office for the Advancement of Telehealth http://www.hrsa.gov/telehealth/ Association of Telehealth Service Providers www.atsp.org/
    35. 46. Mayo Clinic “ Telemedicine evaluations can be reliable beneficial and acceptable to patients with a variety of acquired speech and language disorders, both in rural settings and with large multidisciplinary medical settings.” (Duffy, J.R., et al. 1991, December) Telemedicine and the Diagnosis of Speech and Language Disorders, 1116-1122
    36. 47. The Institute for Stuttering Treatment and Research at the University of Alberta Outcome: Full assessment and treatment of stuttering in children and adolescents can be accomplished successfully via telemedicine (Sicotte, C., Lehoux, P., Fortier- Blanc, J., and Leblanc, Y. 2003. Feasibility and outcome evaluation of a telemedicine application in speech: language pathology. Journal of Telemedicine and Telecare 9(5):253-8).
    37. 48. National Research Hospital Survivors of stroke and traumatic brain injury participated in standardized assessments in both face to face video conference-based telerehabilitation setting. Across all subjects, no significant difference was found. Brennan, D.M., Georgeadis, A.C., Baron, C.R., & Barker, L.M. (2004). The effect of videoconferencing-based telerehabilitation on story retelling performance by brain-injured subjects and its implications for remote speech-language therapy. Telemedicine Journal and e-Health, 10, 147-154
    38. 49.   The TeachSpeech project successfully demonstrated that modern videoconferencing technology can be used to support the delivery of speech and language therapy services into schools. (Rose E., Furner S., Hall A., Montgomery K., Katsavras E. and Clarke P. 2000. Videoconferencing for speech and language therapy in schools. BT Technol J, Vol 18, No 1, p 1001-4).
    39. 50.   OMNIE PROJECT – Kent State University &quot;We're finding that telepractice is a wonderful service delivery model that has the potential to fill a niche in speech-language treatment in public schools,&quot; Grogan-Johnson said. &quot;It has the potential to provide master's level speech-language treatment to students who wouldn't receive services otherwise. cite as: Polovoy, C. (2008, July 15). Telepractice in schools helps address personnel shortages. The ASHA Leader, 13 (9), 22-24.
    40. 51.   The day it all came together in the life of a child…
    41. 52. The day it all came together for the life of a child…   “ I observed a session yesterday with (SLP) and was very impressed with what I saw and the SLPA & school is very happy with the kids’ progress.  It is great to be providing a service to our kids after so long.  Thanks”   - District Vice-Principal for Special Education   “ I was talking with (District Vice-Principal for Special Education ) and we are both impressed how every student gets to see the SLP once a week - there isn't any other way one SLP could pull off that kind of service. It's incredible!” -School’s program assistant Katie says: I have the best story to share with you! Conway finally got his /g/ and /k/. He came to me and said his day was ‘Good’. It is the first time – I am so excited especially since his name is Conway!
    42. 53. Alicia says: Marnee I am SO EXCITED!!!!!!!!! Alexa made her /k/ in isolation 8 times today!!!!!!! and was able to make some spilt word productions!!!!!!!!!!!!!! Michele says: Hi Marnee...I just finished my first &quot;official&quot; day …. I had a BLAST! Everything went smoothly…… Linda says: Hello, just wanted to let u know that the sessions went very well. Bev seemed very pleased and all the kids were laughing and smiling.  Catie says: Everything went well and I enjoyed it.  The new games look GREAT! Amanda says: Trent was amazing. He learned how to Make his “s” sound today and he was so proud. I tell you if you ever need proof that this is working for the kids, go and see Trent!! :)
    43. 54. How does telepractice benefit you? Work from home or office No driving on T-days! Better work-life balance Effort is client focused Reach the need – not the road Frequent online visits enable you to make a difference
    44. 55. Sandy says: After years of (SLP) school and feeling rushed and feeling like I didn't have time for my (own) children, you know how excited I am to do this. Again thanks for seeing this need for us and for the children who otherwise wouldn't get services.
    45. 56. Incorporating Telepractice into your Practice
    46. 57. On-line Speech Therapy: A Student Focused Model
    47. 58. <ul><li>GET YOURSELF READY </li></ul><ul><li>Start with your regional licensing body </li></ul><ul><ul><li>Build a relationship </li></ul></ul><ul><ul><li>Integrity, transparency </li></ul></ul><ul><ul><li>Acquire and share knowledge </li></ul></ul><ul><ul><li>Document all communications </li></ul></ul><ul><li>2. Choose your technology and become an expert </li></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Talent: character skill spark </li></ul></ul><ul><ul><li>Tech support plan </li></ul></ul><ul><li>3. Choose your service and clients </li></ul><ul><ul><li>Consulting and Building Capacity </li></ul></ul><ul><ul><li>Supervising </li></ul></ul><ul><ul><li>Direct Therapy </li></ul></ul><ul><ul><li>Clients – age, challenges </li></ul></ul><ul><ul><li>Plan your service to adhere to best practice </li></ul></ul>
    48. 59. <ul><li>BUILD A RELATIONSHIP WITH </li></ul><ul><li>YOUR SCHOOL AND PREPARE FOR SUCCESS </li></ul><ul><li>Talk to your school about the benefits of telepractice </li></ul><ul><ul><li>regular service, shorter lengths of stay, reduced costs and increased productivity, more focus on students … </li></ul></ul><ul><li>Talk to the school about what a telepractice program would look like </li></ul><ul><ul><li>Technology involved, challenges that could happen and plans to address them </li></ul></ul><ul><ul><li>People involved </li></ul></ul><ul><ul><li>Same-location visits </li></ul></ul><ul><ul><li>Commitment to students and proposed outcomes </li></ul></ul><ul><li>3. Build relationships </li></ul><ul><ul><li>Special Education Director </li></ul></ul><ul><ul><li>Tech Support </li></ul></ul><ul><ul><li>Contact Person, program assistant </li></ul></ul><ul><ul><li>Parents – informed consent </li></ul></ul>
    49. 60. <ul><li>MAKE A DIFFERENCE </li></ul><ul><li>Grow a smile, mend a spirit, engage a child in his life </li></ul><ul><li>Turn the child into the expert, WOW </li></ul><ul><li>Heighten your senses and performance </li></ul><ul><ul><ul><li>Listening, looking, liking, learning, looping </li></ul></ul></ul><ul><ul><ul><li>Celebrating words </li></ul></ul></ul><ul><ul><ul><li>Dancing ears </li></ul></ul></ul><ul><ul><ul><li>High five </li></ul></ul></ul>Skill Talent Character Spark <ul><ul><ul><li>Put on the show </li></ul></ul></ul><ul><ul><li>Bring them into an adventure </li></ul></ul><ul><ul><li>Educate and empower </li></ul></ul><ul><ul><li>Strive for excellence </li></ul></ul>
    50. 61. “ Excellence can be obtained if you: … care more than others think is wise; …risk more than others think is safe; …dream more than others think is practical; …expect more than others think is possible.” ~author unknown
    51. 63. [email_address]

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