Hanen Tree
- “It Takes Two to Talk” (for parents of children with expressive/receptive delays) Parents only
- “Learning Language and Loving It” (for teachers)
- “More Than Words” (for parents of children with autism)
- “ “Talkability” (for parents of verbal children with autism) HFA
Overview – The Hanen Program “It Takes Two to Talk”
- Family focused intervention
- Designed to be used with children who present with late “talking” and preschool children with developmental delays.
- Empowerment of the parent/caregiver
- Offered to late talking toddlers and preschool-age children with language impairment
- Offered to preschool-age children with cognitive and developmental delays under five years of age
Role of the SLP- It takes two to talk
- Complex- have to tell parent how to do the therapy
- Traditional role is expanded and includes:
— early interventionist
— adult educator
— coach/counselor
*** Critical to know how to work with parents
Formal structure of the program- It takes two to talk
- Led by SLP who is certified in the Hanen Approach
- Offered to groups of parents (up to 8 families per program)
- Includes 3 major components:
— Pre-program assessment and baseline video of parent-child interaction
— Minimum of 16 hours (6-8 sessions) of group training for parents/caregivers
— 3 individual video feedback session for each parent in the program
***extremely demanding
Objectives of the Hanen Program
- Parent Education
- Early Language Intervention
- Social Support
- Parent education
- Early education
- Social Support
- learning basic comments, learning language concepts in that piece, learning sequence of communication (teach basic sequence), teach the parents that nonverbal communication is also acceptable, parents need to know the difference between expressive and receptive language
- Teach parents modeling, FS, mand model, and teach them to increase self awareness
- Formal support from SLP and informal support from other parents in the group
Theoretical basis for the Hanen Program
- Reflects a family-centered model of intervention (the child is a party of a dynamic social system)
- The philosophy recognized the interrelatedness of child/family
- Essentially the “family” is the “client” in this program*** not just about the child
More on the basis for the Hanen Program
- Collaborative approach- have to get the parents involved too
- A respectful partnership is established with parents/family
- Important part of the process is to empower parents to strengthen their ability to access knowledge and gain practical skills
- Naturalistic approach “looks” for opportunities in which learning can occur during daily activities (grocery store is a great language therapy opportunity)
Theoretical Foundation of It takes two to talk
- Social Interactionist Perspective of Language Acquisition
—- Language acquisition is an interactive process in which communicative behavior of the parent influences the behavior of the child and vice versa
—- Development of communicative competence is within the framework of early caregiver-child interactions
Responsivety Hypothesis
- Responsive language that is simplified and has exaggerated prosody and that is contingent on a child’s focus and/or communicative behavior is more easily processed
- Simplified language and exaggerated prosody permit the child to redirect their cognitive resources to learning language
- Responsive language may promote the child’s intrinsic motivation to learn and communicate (more motivating)
Responsive Interaction Strategies
- Child-oriented (child-centered)
- Interaction-promoting strategies
- Language-modeling strategies
***Integral to this program
Hanen Program “Learning Language and Loving It”
- Delivered by a group leader (SLP/Childhood consultant) to group of up to 20 educators
- Intensive Program
— 5-8 group training sessions (15-20 hours)
— 4-6 individual videotaping feedback sessions for each educator
— Use of support materials
Theoretical Foundations with Learning Language and Loving It 1
- Educators can positively influence acquisition of language and literacy through frequent, high quality interactions in which linguistic responsiveness is practiced
—- In interaction adults scaffold by adjusting amount of support to challenge the child but also to increase support as needed
- Responsive language may serve to increase the child’s motivation to learn
- Children benefit from extended interactions in which they are full and active participants
Theoretical Foundations with Learning Language and Loving It 2
- Children’s exposure to a variety of vocabulary predicts vocabulary growth
- Exposure to decontextualized language in the context of everyday interactions is critical to children’s language and literacy outcomes
- Teachers use more decontextualized information
Hanen Program-More than words
- Designed to address needs of verbal and non-verbal children with autism under the age of 5 years
— Led by Hanen certified therapist
— Offered to group of parents (8 families per program)
— Entails 3 major components
—— A pre-program assessment and baseline videotaping of parent-child interaction
—— Minimum of 17.5 hours of group training
—— 3 individual video feedback sessions
3 day specialized training program for people who already have experience with Hanen
“More than Words” Objectives
- Parent education
- Early communication intervention
- Social support for parents
Hanen program- Talkability
- Parents learn to help their young children with autism:
— Take appropriate turns in conversation
— Wait for others to have a turn
— Tune in to what people say w/o words in conversation
— Understand how people feel and respond appropriately
— Learn how to play with other children and make friends
— 2 day intensive seminar for Hanen trained therapist
— More about the social piece- kids need to be a little more advanced 3-7 year olds
Foundations of Talkability 1
- Research shows that “parent talk” is crucial to a young child’s development of theory-of-mind.
— Ex. Children whose parents talk to them about desires (especially contrasting the differences among what people desire) gives a better understanding of how others think/feel.
Foundations of Talkability 2
- Research indicates that parent input is only part of what helps children develop theory-of-mind
- Emerging language also plays an important role in developing TOM
- Research shows that children with autism often need language to enable them to develop concepts
- The Talkability program encourages parents to “listen” for their children using language such as “I think so” and for them to use it more as well
- More socially driven
Foundations of Talkability 3
- By helping parents understand how TOM develops they can determine the next step their child needs to take in understanding people
- As parents are able to help their children understand the views of others they help them prepare for more successful relationships with pers
Talkability Workshops for SLP’s
- Is considered advanced learning beyond the basic Hanen program
. - Addresses intervention for young children (3-7 years) with High-Functioning Autism (HFA) or Asperger Syndrome (AS).
- Covers key principles which guide the provision of intervention with this group of children with Autism Spectrum Disorder (ASD), including information on understanding the children’s social thinking skills and on the importance of language in the development of empathy.
- Focuses on the core strategies in the TalkAbility program including learning specific vocabulary to promote social thinking and coaching the child when necessary during play with a peer.
- People with Asperger’s don’t understand that people don’t get their point of view
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Syndromes158
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Prenatal Exposure to Drugs & Theories124
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Treatment of the infant38
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Milieu Teaching49
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Treatment Strategies42
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Phonological Awareness8
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functional communication training8
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Pragmatics32
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PECS7
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RTI7
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Hanen Program21
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Organizing and Alerting Strategies for Therapeutic Intervention12
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Intervention33
