Dr. Stanley Greenspan, an Autism expert and creator of floortime therapy died yesterday. I thought it would be nice to post a little something in honor of him and because many speech therapists who work with children will encounter Autistic clients.
The work I do now, Early Intervention, is a direct result of Dr. Greenspan's research and efforts. He has contributed so much to early intervention and has affected me deeply in the way I approach all children. The key to floortime is having the child lead the adult/therapist. I feel like everything in a child's life is controlled by adults and they are constantly having to follow the leader, whereas in floortime, they are able to share with us what they are interested in doing, always within boundaries (I am definitely not one to let kids run amok! Boundaries are very important and help children feel safe).
When I first started working as an interventionist, I had no idea what floortime was. I had a lot of training before I actually got any clients (thank goodness), but the truth is you learn while you're in action. Floortime is child directed, meaning you are taking the lead from the child, seeing what they are interested in and expanding on what they're doing. For example, one of my clients likes to kick and seeks sensory input (pressure) from his legs. He was sitting on the couch kicking and so I started moving his legs up and down in big kicks and saying "BIG!" and then making smaller kicks with him and saying "Little!" and "Stop!" when I would stop. Then I would ask him, "Big or Little?" and he would tell me what he wanted. Then I would stop and ask him, "more?" or "all done?" and he would let me know. Basically, my client was already kicking, seeking input on his legs, and would have been kicking anyway, but I came in and expanded on it, turning it into an interaction that was fun and meaningful for him.
A lot of therapists I work with try to explain it to parents as "Wait, Watch and Wonder". Meaning, watching the child, waiting to see what they will do and seeing how you can expand on that. Sometimes, it can appear like I'm not doing anything, but in reality it's a dance. When to step in and how to do it. When I first meet a client (by the way, my clients range from 2 to 6 years of age), I don't usually begin by challenging them (aka, if they're impatient, forcing them to wait, allowing them to avoid certain activities). I will usually try to bond with them and get to know them and see what they're like. The best way to bond is laughter! Making a child laugh is a sure way to get on their good side. If they think I'm silly they feel more comfortable aorund me. Also consistency is key. I of course am frequently plagued by colds from working with little ones, but it's so important to show up for these kids. Structure is so crucial.
Again, it may seem like we're just playing, but floortime can help with social/emotional goals, language skills and expansion of routine behavior. Not a panacea, but I have definitely seen leaps and bounds made in a matter of months from floortime. It's amazing and we will all always be indebted to Dr. Greenspan!
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