The schedule book at Nature’s Edge lists appointments by first names. As I sit at my desk, glancing through tomorrow’s schedule name by name, a story opens around each name. I remember the first session and the initial challenges observed, first goals, faltering steps forward, setbacks overcome and goals achieved. Some had unintelligible speech or no speech; others wouldn’t sit still for even a few seconds or tolerate any form of sensory restriction. Another wouldn’t take a bath and wasn’t potty-trained at five years old. One is struggling to recover from a devastating accident; two others were limited by the inability to implement social skills. So many challenges . . . so much progress, and yet more ground to cover.
Many of our patients would not have achieved what they have accomplished without receiving therapy at Nature’s Edge, where intensive treatment provided by licensed therapists is blended with nature and animals. Parents and caregivers often tell us that they had tried traditional therapy for their loved ones, but were unable to achieve progress until they came to Nature’s Edge. However, many of our patients would not have been able to afford therapy at Nature’s Edge without scholarship help. It’s not because we are more expensive than other facilities; therapy at Nature’s Edge actually costs less than at other clinics. It’s because for most families, we are an out-of-network provider. It’s because of the current healthcare climate and the nature of coverage for disabilities – which are neither injury nor illness but rather present at birth. It’s because finances are tight for families with loved ones with disabilities. For many patients, receiving therapy at Nature’s Edge is possible only because of the generosity and concern of other people.
At Nature’s Edge, we see day by day that our intensive, one-on-one therapy sessions, interaction with nature and our animals, and the homelike atmosphere of the ranch, dramatically accelerate our patients’ progress, the majority of whom are children. Please accept our invitation to share in the joy of obstacles overcome, goals achieved, of increased living skills and greater independence for our patients. Consider making a matching donation to impact the life of one or several of our patients. Your generosity is a gift of essential life skills and hope for the future!
Grateful for your partnership,
Becky Payne, MATCCC/SLP/HPCS – Director
*Donation checks can be made out to “Rice Lake Community Health Foundation” with “Nature’s Edge” in the memo and mailed to us at 2523 14 3/4 Ave., Rice Lake, WI 54868 or you can donate here: https://naturesedgetherapycenter.org/donate/
Rice Lake Community Health Foundation awards therapy scholarships to Nature’s Edge through a matching grant
I don’t need to tell you that these are trying times. But even as the Covid-19 pandemic impacts everyday life for all of us, there are still reasons to smile. At Nature’s Edge Therapy Center, we see smiles every day as we continue to provide essential speech and occupational therapy services for our patients and their families, even as we meet the challenges presented by Covid-19.
We see the smile on a patient’s face when he reaches his goal of tying his shoes all by himself after he had told us in frustration during his first occupational therapy session, “I will never be able to tie my shoes.” We see the smiles a family shares when, thanks to speech therapy and working with our wonderful animals, their loved one goes from being unable to make eye contact and introduce himself to not only being willing to introduce himself, but ready to initiate the conversation and then chat up a storm. Smiles happen at home and school too, as progress is continued through parent and teacher support. Successful therapy brings many smiles, even if these days the smiles sometimes happen behind a mask.
It has always been true that because of limitations in insurance coverage, not being able to afford insurance, or other difficult financial situations, many of our patients’ families could not afford treatment at Nature’s Edge without therapy scholarship assistance. This is even truer today as many in our community struggle with the financial consequences of the pandemic. And although Nature’s Edge remained open when schools and other therapy clinics closed, our inability to hold fundraisers this year due to the pandemic has made a big hole in our fundraising efforts.
But we have good news! Nature’s Edge has recently once again been awarded a matching grant for scholarship assistance from the Rice Lake Community Health Foundation. Scholarships such as those supported by the Foundation enable us to provide exceptional therapy to patients and their families who would otherwise be unable to afford it. The Foundation will match our donors’ contributions at $1.50 for each dollar, up to a total amount of $30,000. So when Nature’s Edge raises $20,000 from donor contributions, the Foundation will match each dollar at $1.50 and return $50,000 to Nature’s Edge to be used for scholarship assistance.
And there is even more good news. A private trust has stepped up to match that same $20,000 at $1.50 for each dollar and donate up to an additional $30,000 as a Generosity Pledge. This means that each $1 you donate this year toward patient scholarships becomes $4. Donor contributions totaling $20,000 will become $80,000!
You can help us keep the smiles coming at Nature’s Edge. Your generous donation will be applied exclusively to scholarship assistance. If you would like more information about Nature’s Edge or our therapy scholarship program, please call our office at 715-859-6670. Please visit our website to donate at; www.naturesedgetherapycenter.org or mail us payment to make checks payable to the Rice Lake Community Health Foundation to ensure our match.
On behalf of all of us at Nature’s Edge, thank you for your support. We wish you and your family health, safety and happiness. Together, we can overcome all things.
Have you ever wondered what a visual schedule is or a first then board? These visual supports can be used as a way to communicate with children who have difficulty understanding or communicating their needs. They support communication between parents, caregivers, and children and are useful in promoting social interaction, language, and positive behaviors. Examples of visual supports include communication boards, first then boards, or visual schedules. Children who have difficulty communicating may experience frustration in their daily routines. Visuals supports are useful in promoting direction following, completion of daily routines, communication of needs and requests, and positive social interaction.
A “first then board” can be used as a behavioral support or to teach new skills. These boards generally include a non-preferred task followed by a more preferred task. A child who does not prefer bath time may have a board that includes bath first then story time.
Visual schedules are used to help children predict their daily routines or decrease rigid behaviors. They help promote new or familiar routines depending on how they are used. They can be used to support daily routines at home and school such as following directions, taking a bath or brushing teeth. Visuals also help communicate boundaries or expected behaviors. For example, a stop sign could be used to set the expectation that one should stay within the designated area or building. Visual supports are useful in building communication skills, independence with daily routines, and social interaction.
Sensory integration is the term used to define how individuals receive and process information from the sensory systems. The sensory systems include vision, auditory, taste, smell, tactile (touch), proprioceptive (sense of joint position), and vestibular (balance and movement). Integration of the sensory system is important for completing daily self-care routines including communication, eating, toileting, bathing, dressing, socializing, and completing household management. Effective integration of the sensory systems promotes appropriate emotional regulation and coordination of motor systems.
Children who experience difficulty with sensory integration may demonstrate a variety of responses such as difficulty completing daily routines, socializing, attending to tasks, and navigating environmental demands. A child who demonstrates signs and symptoms of impaired sensory integration may be referred by a doctor for occupational therapy evaluation and treatment. Following an evaluation, an occupational therapist may adjust their sensory based intervention approaches depending on the underlying causes. Therapeutic activities may include the implementation of a sensory diet to provide appropriate sensory input throughout the day for improved engagement and independence in daily routines. A sensory diet is a daily routine in which a child uses various inputs such as movement, touch, or proprioceptive input to regulate emotional and behavioral responses depending on the time of day or environment. Sensory based strategies are designed to promote improved emotional regulation, attention, and behavioral responses throughout the day. If you have questions about sensory integration contact us at [email protected] .
American Occupational Therapy Association. ( 2017). Frequently Asked Questions About Ayres Sensory Integration. [PDF File]. Bethesda, MD. Retrived from https://www.aota.org/-/media/Corporate/Files/Practice/Children/Resources/FAQs/SI%20Fact%20Sheet%202.pdf
The first official day of Summer is June 20 when the summer solstice occurs, but it is already starting to warm up and feel like summer. Nature’s Edge is currently planning to hold summer groups with special considerations in light of COVID-19 to ensure the safety of our participants and staff. We are following CDC guidelines including sticking to small groups, screening for symptoms, frequent hand washing, wearing face shields, and distancing between participants. We have extended previous registration deadlines.
“Meet Me at the Reading Tree”: Struggling readers will participate in outdoor activities around the ranch including visits to the reading tree focused on hearing, decoding words, recognizing sight words, understanding word and text meanings, and reading with expression.
Cost/dates: $225 for 6 sessions on June 23,26,29, and July1,2,6
Active Outdoor Adventurers: Participants will engage in outdoor activities while learning about social skills including taking turns, group collaboration, and following directions.
Cost/dates: $150 for 4 sessions on June 23, 26, 30, and July 3
Time: 8:00-9:00 am
‘Improving our Independence’: Participants will engage in activities designed to promote independence with age related changes including adaptive equipment education for bathing/dressing, energy conservation, kitchen/community mobility, strength and endurance, and fall prevention.
Ages: Adults 50 and older
Cost/dates: $150 for 4 sessions on June 25, July 2, 9, and 16
Time: 8:30-10:00 am
‘Stable’ Life Skills: Offered as two groups based on various age ranges, participants will learn various life skills activities.
Group 1: Participants will engage in ranch and nature based activities with emphasis on time management, goal planning, social participation, pre-vocational and vocational skills
Ages: 13-17 years
Cost/dates $225 for 6 sessions on June 23, 26,30, July 2,7, and 10
Time: 10:00 – 11:30 a.m.
Group 2: Participants who are able to complete some daily life routines and are looking to transition to group or independent living settings will learn life skills including time management, money management, goal setting, social participation, cooking, and household management.
Ages: 18-30 years
Cost/dates: $225 for 6 sessions on July 28,31, and August 4,7,11, and 14
Time: 10:00 – 11:30 a.m.
‘Learning Social Skills on the Ranch’: Offered as two groups based on various age ranges, participants will learn various social skills and activities. Program activities use nature and ranch animals to focus on social skills including eye contact, greetings, making requests, turn taking in conversation, expressing feelings and paying attention to nonverbal communication.
Ages: 13-18 years
Cost/dates: $150 for 4 sessions on Jul 21,23,28, and 30
Time: 10-11:30 am
Ages: 7-12 years.
Cost/dates: $150 for 4 sessions on August 4,6,11, and 13
Time: 10:00 – 11:30 a.m.
‘Fun with Picky Eaters’: Participants who demonstrate difficulty with various food textures and tastes will interact with new foods and peers. Ranch animals will provide fun motivation.
Cost/dates: $150 for five sessions on August 3, 4,5,10, and 11
All of us at Nature’s Edge Therapy Center are getting excited for spring! While the first official day for spring is not until March 19, 2020, we are celebrating early by sharing our upcoming exciting events we have for everyone in our community! We hope that the snow melts before this year’s spring and summer events, but we are here to celebrate with all of you snow, rain, or shine! All events are now listed on our website under the Nature’s Edge calendar, providing additional information as needed. If you have any questions regarding our upcoming events, please call us at 715-859-6670 or send us an e-mail! We look forward to seeing you out at the ranch!
March 9 – Special Education PTA Resource Fair and Fun Day (Eau Claire, WI)
April 24 – Free Screening Day at Nature’s Edge Therapy Center
This event is free and available to the public! All interested individuals are encouraged to call and schedule ahead for a free 30-minute screening appointment for speech and/or occupational therapy services to address any potential concerns. Speech pathologists provide assistance with: hearing, swallowing, feeding, stuttering, voice, articulation, assistive technology, memory, social skills, reading, and writing and language. Occupational therapists provide assistance with: attention span, arousal level, sensory and processing skills, emotional regulation, fine and gross motor skills, upper body range of motion, pre-employment, and daily living activities.
Registration Due Date for ‘Summer Fun for Children’ group: May 20, 2020
Summer Learning Groups and ‘Reminiscing on the Farm’ Program starts!
‘Reminiscing on the Farm’ (ROTF) Program is hosted on our 65-acre ranch, inviting our community friends in surrounding regional senior care facilities to participate in a multi-sensory and social outing experience that awakens and elicits fond past memories to share. ROTF is hosted every Wednesday from 10:00 a.m. – 1:00 p.m. starting June 3 and running through September 9. Regional facilities are invited to contact us and schedule a date to participate! This popular program is largely funded by a generous grant from Bader Philanthropies!
Summer Learning Groups Out-of-Doors:
“Meet Me at the Reading Tree”: Struggling readers will be actively engaged in outdoor and equine activities to focus on the tasks of hearing, decoding words, recognizing sight words, understanding word and text meanings, and reading with expression. The barn, forest paths, river, pond, garden, – and of course, the Reading Tree will be learning sites for readers. All participants must be accompanied by an adult and is designed for children ages 5-9. Cost per participant: $225. Time: 10:00 a.m. – 11:30 a.m.
Active Outdoor Adventurers: Outdoor hands-on learning about nature, earth, and environmental activities and play in a social group program. Emphasis will be placed on following directions, turn taking, and collaborating to complete hands-on learning and physical activity outside. This program is designed for children ages 3 – 7 years. All participants must be accompanied by a parent or guardian. Cost per participant: $150. Time: 8:00 – 9:00 a.m.
‘Improving ourIndependence’: Learn how to become more independent throughout aging. Education will be provided on energy conservation, kitchen/community mobility, and adaptive equipment for dressing/bathing to become more independent or continue our independence safely. Group members will participate in education of fall prevention and how to incorporate exercises to maintain strength or gain strength to carry over for home use while enjoying our beautiful nature environment. This program is designed for adults ages 50 years and older. Cost per participant: $150. Time: 8:30 – 10:00 a.m.
‘Stable’ Life Skills: Offered as two groups based on various age ranges, participants will learn various life skills activities.
Group 1: Designed for ages 13-17 years, participants will participate in ranch and nature based-activities while learning various life skill strategies to support increased independence. Emphasis will be placed on time management, planning, goal setting, social participation, and team building skills necessary for pre-vocational and vocational skills. All participants must be accompanied by a parent or guardian. Cost per participant: $150. Time: 10:00 – 11:30 a.m.
Group 2: Designed for adults 18-30 years, participants must be able to complete some basic daily routines independently and may be looking to transition into living independently or within a group setting. If appropriate, a parent or guardian may attend. The group will participate in ranch and nature based-activities while learning various life skill strategies that support increased independence. Emphasis on time management, money management, goal setting, social participation, cooking, household management, and team building skills necessary for young adults interested in working towards functional independence at home and/or vocational settings. Cost per participant: $150. Time: 10:00 – 11:30 a.m.
‘Learning Social Skills on the Ranch’: Offered as two groups based on various age ranges, participants will learn various social skills and activities.
Group 1: Designed for ages 13-18 years. Participants require accompaniment by a parent or guardian. Cost per participant: $150. Time: 10:00 – 11:30 a.m.
Group 2: Designed for ages 7-12 years. Participants require accompaniment by a parent or guardian. Cost per participant: $150. Time: 10:00 – 11:30 a.m.
Outdoor activities integrated with nature and animals (including equine assisted activities) will be used to teach social skills. Eye contact, greetings, making requests, turn taking in conversation, expressing feelings and paying attention to nonverbal communication are themes that will be discussed and role-played. Homework is provided for practice in daily activities.
‘Fun with Picky Eaters’: This program is designed for children ages 2 – 5 years who have difficulty with new textures and tastes. The children must have some beginning language and ability to follow simple directives. A parent or guardian is required to participate. This group will provide socialization and fun with foods and peers in a ranch setting with support from motivating animals during each session. Therapy will include learning, playing, and interacting with a variety of foods and textures in a safe, rewarding environment. Cost per participant: $150. Time: 8:00 – 9:00 a.m.
Registration Due Date for the following Summer Learning groups: June 1, 2020
“Meet Me at the Reading Tree” (Dates: 6/23, 6/26, 6/29, 71, 7/2, 7/6)
Active Outdoor Adventurers (Dates: 6/23, 6/26, 6/30, 7/3)
Social interaction and engagement is a common lifelong skill
that many people may take for granted.
Social skills are influenced by a variety of contexts, including
geographical location, temporal dates, and societal, cultural, and familial
expectations and beliefs. Social skills
can encompass written language, speech, verbal and nonverbal communication, and
how we communicate and follow unwritten or unspoken expected social rules
(known as pragmatics). While many of us
take for granted learning some of these social skills, there are many people
who have difficulty understanding and learning the pragmatics that dictate our
everyday lives and social interactions. This
often causes people that struggle to understand pragmatics to feel socially
isolated, potentially further self-limiting their own social engagement and
having difficulty participating in daily life activities and routines
Speech and occupational therapy services help address deficits
in social interaction, engagement, and overall communication to improve
development of social relationships and engagement in daily life activities and
routines. Therapists work with
individuals to develop social skills by utilizing strategies including: teaching
how to interpret verbal and non-verbal communication, teaching how to identify
and develop self-regulation of emotions, utilizing social scripts to navigate
social scenarios, role-playing, teaching active listening and receptive
language skills, social skills groups, and practicing turn-taking, reciprocal
engagement, and joint attention (ASHA, n.d.; Foster, 2013; Griswold, 2016). If
you or a loved one has trouble navigating daily routines, find communicating
with others difficult, or feel confused or isolated when trying to understand
another person’s perspective, you may benefit from therapy services addressing
social communication and participation.
Call our office at (715)859-6670 or contact us via e-mail at [email protected] to learn
more about how targeted social skills development may benefit you or your loved
Therapy horse Callie practicing social skills with a Nature’s Edge friend.
American Speech-Language-Hearing Association (ASHA). (n.d.). Social Communication. https://www.asha.org/public/speech/development/Social-Communication/#social Foster, L. (2013). Occupational therapy’s role in mental health promotion, prevention, & intervention with children & youth: Social and emotional learning (SEL). School Mental Health Toolkit. Griswold, L. A. (2016). Promoting a student’s social interaction skills to enhance participation with peers. SIS Quarterly Practice Connections. 1(3), 4–6.
As 2019 comes to an end, Nature’s Edge is reflecting on our past and our future. Check out our 2019 Christmas Newsletter and read about 4 stories from Nature’s Edge, illuminating both where we’ve been as well as a bright vision for sustaining and further developing the Nature’s Edge mission.
Have you ever questioned if your child is just being a picky eater? Do you have to prepare multiple meals in order to have everyone in your family eat? Have you ever felt frustrated or overwhelmed that your child’s friends will eat anything, while your child refuses to eat certain foods or demonstrates brand loyalty preferences? You are not alone. And while it may just look like behavior, there may actually be other concerns that are causing your child to gag, spit out, or refuse foods. What is actually happening, and does feeding therapy help?
Both speech and occupational therapists can address feeding and eating concerns, and often work together to assess the physical, emotional, behavioral, sensory, and social skills and habits that are involved with feeding and eating daily routines. Feeding therapy involves a speech therapist or occupational therapist that looks at the various steps required for preparing and completing feeding and eating. Age, developmental milestones, allergies, food sensitivities, gross and fine motor skills, self-feeding skills, oral motor skills, sensory motor skills, and typical feeding patterns, preferences, prior experience, and routines are all important factors that are analyzed by the therapist to determine and differentiate between anticipated, normal development patterns compared to unanticipated patterns of behavior that may be a concern for your infant or child.
Speech and occupational therapists are knowledgeable and well-trained on the typical developmental milestones from birth throughout adulthood, with specialized training and understanding of the incremental changes that occur from infancy to childhood. Many children that demonstrate habits of a picky eater often have difficulty managing feeding on certain types of foods based on taste, texture, size, and the way the food is broken down and manipulated in their mouths before they ever even swallow. Oral motor skills, meaning the way the muscles of the mouth and tongue work together to break down foods and swallow, require a high level of coordination, strength, and endurance that typically develops without someone ever thinking about this development occurring. However, for many picky eaters, there is often an aspect regarding feeding that they find difficult to manage, whether it is taste, texture, the size, or how it moves inside their mouths. When this break down occurs, our children refuse foods, and we often unintentionally reinforce this behavior by pressuring our children to eat and accept these foods.
So, what can we do if we cannot get our children to eat certain foods, and when we insist that they do they gag or refuse? Well, what do our children do best? Play! Yes, play is the most natural way to learn and try out new skills and reinforce desired behaviors! Here are a few tips to try with your picky eater!
Use your fingers. Try finger painting with sauces, puddings, jello. Allow your child to get messy and feel comfortable around new foods.
Through play, touch and explore the food. Poke. Kiss. Lick. Bite. If the child is uncertain he is ready to chew, let the child spit the food out.
Slowly encourage more exploration before letting the child refuse the food.
Provide a spot for the child to remove the uncertain food to know he or she is done with it. In therapy, we provide a cup or bowl and deem it the “all done” bowl.
Use positive reinforcement to encourage and facilitate participation in food exploration.
If the child refuses to sit at the table, start with food and sensory play on the floor, building trust to gain access to participating, and eventually eating, at the table.
While these are general tips and ideas for anyone to try with a child that may be a picky eater, there are many other issues that may occur that are causing your child to be unable to tolerate eating certain types of foods. If you or a loved one has concerns regarding a child’s ability to eat, it is best to reach out to your pediatrician to discuss concerns related to feeding and eating. Physicians often request referrals to specialists to help address concerns related to feeding and eating, including dietitians, nutritionists, speech therapists, and occupational therapists. If you are a reader and have any questions regarding this blog, please contact us via e-mail at [email protected] today!