The most precious things in speech are the pauses 
In Brooklyn, New York, Chush is a school that caters to learning disabled children. Some children remain in Chush for their entire school career, while others can be mainstreamed into conventional schools. At a Chush fund-raising dinner, the father of a Chush child delivered a speech that would never be forgotten by all who attended.
After extolling the school and its dedicated staff, he cried out, "Where is the perfection in my son, Shay? Everything God does is done with perfection. But my child cannot understand things as other children do. My child cannot remember facts and figures as other children do. Where is God's perfection?
The audience was shocked by the question, pained by the father's anguish and stilled by the piercing query. "I believe," the father answered, "that when God brings a child like this into the world, the perfection that he seeks is in the way people react to this child."
He then told the following story about his son Shay: One afternoon, Shay and his father walked past a park where some boys Shay knew were playing baseball. Shay asked, "Do you think they will let me play?" Shay's father knew that his son was not at all athletic and that most boys would not want him on their team. But Shay's father understood that if his son was chosen to play it would give him a comfortable sense of belonging.
Shay's father approached one of the boys in the field and asked if Shay could play. The boy looked around for guidance from his teammates. Getting none, he took matters into his own hands and said, "We are losing by six runs and the game is in the eighth inning. I guess he can be on our team and we'll try to put him up to bat in the ninth inning."
Shay's father was ecstatic as Shay smiled broadly. Shay was told to put on a glove and go out to play short center field. In the bottom of the eighth inning, Shay's team scored a few runs but was still behind by three. In the bottom of the ninth inning, Shay's team scored again and now with two outs and the bases loaded with the potential winning run on base, Shay was scheduled to be up. Would the team actually let Shay bat at this juncture and give away their chance to win the game? Surprisingly, Shay was given the bat.
Everyone knew that it was all but impossible because Shay didn't even know how to hold the bat properly, let alone hit with it. However as Shay stepped up to the plate, the pitcher moved a few steps to lob the ball in softly so Shay should at least be able to make contact. The first pitch came and Shay swung clumsily and missed. One of Shay's teammates came up to Shay and together they held the bat and faced the pitcher waiting for the next pitch. The pitcher again took a few steps forward to toss the ball softly toward Shay. As the pitch came in, Shay and his teammate swung at the ball and together they hit a slow ground ball to the pitcher.
The pitcher picked up the soft grounder and could easily have thrown the ball to the first baseman. Shay would have been out and that would have ended the game. Instead, the pitcher took the ball and threw it on a high arc to right field, far beyond reach of the first baseman. Everyone started yelling, "Shay, run to first. Run to first." Never in his life had Shay run to first. He scampered down the baseline, wide-eyed and startled. By the time he reached first base, the right fielder had the ball.
He could have thrown the ball to the second baseman to tag out Shay, who was still running. But the right fielder understood what the pitcher's intentions were, so he threw the ball high and far over the third baseman's head. Everyone yelled, "Run to second, run to second." Shay ran towards second base as the runners ahead of him deliriously circled the bases towards home.
As Shay reached second base, the opposing short-stop ran to him, turned him in the direction of third base and shouted, "Run to third." As Shay rounded third, the boys from both teams ran behind him screaming, "Shay run home." Shay ran home, stepped on home plate and all 18 boys lifted him on their shoulders and made him the hero, as he had just hit a "grand slam" and won the game for his team.
That day," said the father softly with tears now rolling down his face, "those 18 boys reached their level of God's perfection."
Ode to Special Moms
Most women become mothers by accident, some by choice, a few by social
pressures and a couple by habit.
This year, nearly 100,000 women will become mothers of handicapped children.
Did you ever wonder how mothers of handicapped children are chosen?
Somehow I visualize God hovering over Earth selecting his instruments for
propagation with great care and deliberation. As he observes, he instructs
his angels to make notes in a giant ledger.
"Armstrong, Beth, son, patron saint, Matthew. Forrest, Marjorie, daughter,
patron saint, Cecilia.
"Rudledge, Carrie, twins, patron saint, give her Gerard. He's used to
profanity."
Finally, he passes a name to an angel and smiles, "Give her a handicapped
child."
The angel is curious. "Why this one, God? She's so happy."
"Exactly," says God. "Could I give a handicapped child to a mother who does
not know laughter? That would be cruel."
"But has she patience?" asks the angel.
"I don't want her to have too much patience or she will drown in a sea of
self-pity and despair. Once the shock and resentment wear off, she'll
handle it.
"I watched her today. She has that feeling of self and independence that is
so rare and so necessary in a mother. You see, the child I'm going to give
her has his own world. She has to make it live in her world, and that's not
going to be easy."
"But, Lord, I don't think she even believes in you."
God smiles. "No matter. I can fix that. This one is perfect. She has just
enough selfishness."
The angel gasps, "Selfishness? Is that a virtue?"
God nods. "If she can't separate herself from the child occasionally,
she'll never survive. Yes, here is a woman whom I will bless with a child
less than perfect. She doesn't realize it yet, but she is to be envied.
She will never take for granted a 'spoken word.' She will never consider a
'step' ordinary. When her child says 'Momma' for the first time, she will
be present at a miracle and know it! When she describes a tree or a sunset
to her blind child, she will see it as few people ever see my creations.
"I will permit her to see clearly the things I see . . . ignorance,
cruelty, prejudice . . . and allow her to rise above them. She will never
be alone. I will be at her side every minute of every day of her life,
because she is doing my work as surely as she is here by my side."
"And what about her patron saint?" asks the angel, pen poised midair.
God smiles. "A mirror will suffice."
- Erma Bombeck, May, 1980
In establishing home programs and activities therapists need to consider the following:
1. Practice on a daily basis is the most efficient/effective way to improve articulation, language, feeding or communication goals.
2. Because families of children with special needs are busy and experience significant stress, therapy activities to be carried out at home should be simple, time efficient, cost efficient, and motivating for the child. In addition to regular daily activities, families of children with special needs often have physician appointments, and other therapy appointments. Caregivers are much more likely to provide the child with practice at home or school if techniques are simple, detailed and quick.
3. Children must be motivated by treatment activities provided with your home programs. If the activities are not perceived as “fun,” children will not engage in the activity, and the practice will not occur, as it will become burdensome for caregivers.
