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Prelinguistic Milieu Teaching
Emily Dayle Quinn
3/19/2016 3:18 PM
Are there any evidenced based practices suitable for individuals with emerging intentional communication skills? YES… one promising intervention is Responsivity Education and Prelingustic Milieu Teaching (RPMT).
PMT Contains two components:
Prelinguistic Milieu Teaching (PMT)
Reponsivity Education (RE)
Implemented through:
Arranging the environment
Following the child’s lead
Building social routines in which parent and child have predictable roles (e.g. peekaboo, pat-a-cake)
Can happen during normal daily routines
Ideal participants:
Have an expressive vocabulary of < 10 words
Intervention Goals
1. Establishing Routines
2. Increase frequency of nonverbal communication
3. Increase the frequency and spontaneity of coordinated eye gaze
4. Increase the Frequency Spontaneity & Range of Gestures
5. Combine components of intentional communication acts
6. Prelinguistic Milieu Teaching (PMT) Procedures:
1. Several one-to-one sessions with SLP or teacher per week
2. Can range for a few weeks to more than 6 months
3. Specific techniques
1. Imitate motor/vocal acts
2. Model sounds within child’s repertoire
3. Provide desired object contingent on looking
4. Pretend not to understand gestures to evoke more communication
5. Prompting communication by saying “Show me!” “What do you want?”
For more information :
Warren et al. (1993)
Yoder & Stone (2006)
Fey et al. (2006)
Warren et al. (2008)
Yoder et al. (2014)
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Statement A
My child doesn't seem to have real control over his body yet.
The only way I know that he wants something is because he fusses or whines when he's unhappy or uncomfortable, and he smiles, makes noises or calms down when he's happy and comfortable. Does this statement describe your child?
Statement B
My child has control over her own behaviors, but she doesn't use them to try to communicate to me.
She doesn't come to me to let me know what she wants, but it's easy for me to figure out, because she tries to do things for herself. She knows what she wants, and her behavior shows me what she wants. If she runs out of something to eat, she will just try to get more, rather than trying to get me to give her more.
Does this statement describe your child?
Statement C
My child clearly tries to communicate his needs to me through gestures, sounds or language.
He knows how to get me to do something for him. He uses some of the kinds of behaviors below to communicate:
- Gestures such as pointing, shaking his head, tugging at my arm or looking back and forth between me and what he wants
- Sounds such as squealing to show you he wants something or fussing when he doesn't want something
- Language or symbolic forms of communication such as speech, written words, Braille, picture symbols, 3-dimensional symbols or sign language
Does this statement describe your child?
How to score your child
Each question you will see is related to a certain message that your child might be able to express using a variety of behaviors. Read the question and decide whether your child is able to express the message described using any of the listed behaviors. If the answer is YES, then you must also decide whether your child has mastered the use of each behavior or whether it is still at an emerging stage. Check either the mastered or emerging box next to any behaviors your child uses to express the message. Use the following definitions to decide whether a behavior is mastered or emerging
Mastered
– Does this independently most of the time when the opportunity arises
– Does this in a number of di erent contexts, and with di erent people
Emerging
– Does this inconsistently
–
Only does this when prompted or encouraged to do so. Only does this in one or two contexts or with one person.
Tips on Communication Devices
Each question you will see is related to a certain message that your child might be able to express using a variety of behaviors. Read the question and decide whether your child is able to express the message described using any of the listed behaviors. If the answer is YES, then you must also decide whether your child has mastered the use of each behavior or whether it is still at an emerging stage. Check either the mastered or emerging box next to any behaviors your child uses to express the message. Use the following definitions to decide whether a behavior is mastered or emerging