Structure Your Speech Therapy Sessions Using Speech Bins

If you asked me, what is one thing you learned in your graduate clinical placements that you still use in your practice today? My answer would be speech bins. Speech bins are an adapted work system consisting of three numbered plastic bins (I use a three drawer Sterilite container). At the beginning of each session, you place an activity or set of activities in each bin. During the session, the student(s) work through the bins until all of the activities inside have been completed. Speech bins define the amount of work expected and establish a definite ending to when the session is over.

The idea of speech bins comes from the Structured TEACCHing approach.

What is TEACCH?

The TEACCH Autism Program is based out of the University of North Carolina. It is a university-based system of community centers that offer programs providing clinical services and trainings, and conducting research.

TEACCH stands for:

  • Teaching – Sharing knowledge of Autism Spectrum Disorder and increasing the skill level of professionals and practitioners through innovative education, teaching, and demonstration models.
  • Expanding – Commitment to expanding our own knowledge and that of others to ensure that we offer the highest quality, evidence-based services to Autistic individuals and their families across the lifespan.
  • Appreciating – Appreciating the strengths and uniqueness of Autistic culture.
  • Collaborating and Cooperating with colleagues, other professionals, Autistic people, and their families.
  • Holistic – Adopting a holistic approach, looking at the person, their family, and their communities throughout the lifespan.

TEACCH is known for utilizing a Structured TEACCHing approach, which is designed to respond to the needs of Autistic people using the best available, evidence-based methods known so far, for educating and teaching autonomy. It is not a curriculum or program, but rather a framework to support access to academic instruction and therapeutic intervention.  The framework includes physical organization, individualized schedules, work systems, and visual structure of materials in tasks and activities.

Primarily, Structured TEACCHing aims to carefully construct the student’s environment to support self-regulation and the highest level of independence.

Work Systems

One component of the Structured TEACCHing Framework is work systems. Work systems are bins, each containing an activity to be completed. Work systems, as they are described in the Structured TEACCHing approach, are intended to be completed independently. Therefore, only already mastered activities with clear start and endpoints should be placed in each bin. Work systems teach independence, NOT skills. Work systems help the student answer the following questions:

  1. What work needs to be done?
  2. How much work needs to be done?
  3. How do I know when I’m finished?
  4. What do I do next?

Speech Bins

Okay, so speech bins are basically just an adapted work system. TEACCH emphasizes that teaching organizational and environmental management skills supports not only independence but also self-regulation. Using consistent routines helps our students with regulation challenges by providing a sense of predictability and control. I use speech bins to structure my sessions in a way that is visual and consistent. It is important for consistency and predictability purposes that you always complete all three bins, even if you only spend one-minute or complete one trial on one of the activities.

Image of speech bins (three-drawer black Sterilite container on wheels) to the right of the bookshelf.

For my preschool students and early communicators, I have labeled each bin with a picture of a numbered shape. During the session, I give the student(s) the appropriate image, and they match it to the coordinating image on the proper bin. Using this system provides autonomy within the session and a quick movement break. I use the phrase “1-2-3-Play” to support the students in understanding our schedule. You can find a free download of the basic speech bin labels, speech bin schedule reminder visual, and editable digital speech bins template I use in the Freebie Library.

Image of speech bin routine visual for preschoolers and early communicators. Shows three speech bin labels followed by an image representing play.

Adapting to COVID

In the spring, when I first switched to teletherapy, I continued to use my speech bins to structure my sessions. I relocated my plastic bins to my new bedroom office. I would show the label, place it on the bin, and then pull out the activity. As I transitioned to using more digital activities I created a simple editable, digital speech bin template on Google Slides. I have included access to a copy of the editable, digital speech bins template in the freebie library. I paste pictures or screenshots of the activities I have planned into the boxes on the template and check each activity off as we complete it. Because the speech bins are hosted on Google Slides, you can duplicate the “schedule” as many times as you need and make small adjustments to plan ahead for all of your students.

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Evidence-based Decor Decisions

Are highly decorated classrooms distracting?

Several researchers (Fisher et al. 2014 & Rodrigues & Pandeirada 2018) have found that children are more easily distracted in highly-decorated environments resulting in poorer learning opportunities and achievement. If you spent a few minutes with a young child in a toy store, this should make perfect sense to you. 

Imuta and Scarf (2014) published a response to the Fisher et al. study citing several other research articles analyzing the development of visual attention in children and the impact of the classroom environment on learning potential.

Imuta and Scarf first remind the reader that many psychological studies involving children rely on the developmental cognitive strategy of attending to and preferring novel stimuli. Therefore, their first rebuttal to research indicating highly-decorated classrooms as a distraction to learning is the habituation effect. Basically, when children first enter your learning space, they may be overloaded by colorful displays, but overtime, they will adjust, and the decorations will have a transient impact on their attention.

The authors further cite additional research that has found carefully curated classroom decorations, such as visuals made by students and educational references, can serve to support our students. They recommend keeping classroom decorations the same and in the same spot to take advantage of habituation and support student access to the visuals.

Image of speech therapy bulletin board featuring A Perfect Blend Teaching Interactive Language Bulletin Board
My speech therapy room’s bulletin board featuring Perfect Blend Teaching’s Interactive Language Bulletin Board set available on Teachers Pay Teachers.

What environmental factors impact student attention and learning?

Barrett et al. (2013) took a holistic approach looking at several environmental factors and their impact on student learning. Seven factors were identified to best predict student progress: light, temperature, air quality, ownership, flexibility, complexity, and color.

As SLPs, we are often lucky to have a dedicated space, nevermind one with optimal lighting, temperature, and air quality. Those factors are generally outside of our control. Though if you are trying to make the case to get out of your broom closet, there is research available to support your argument.

What we do have control over is the individualization and stimulation level of our therapy spaces. Here are a few summary points from the findings of this article:

  • Visual displays created by the children established a sense of ownership, which was significantly correlated with optimal learning outcomes.
  • The flexibility and comfortability of classroom furniture were correlated with optimal learning outcomes.
  • Younger students exhibited better learning engagement with varied, defined learning zones, while older students performed better with consistent, dedicated learning zones.
  • Students performed best in rooms with light or white walls with a feature wall or well organized colorful displays.
  • Students of all ages performed best in places with an intermediate level of visual complexity.
Image of my speech therapy classroom

Special Considerations

“The visual appearance of the classroom can be conceptualized as a nonverbal statement about the teacher who has structured this learning environment.”

Weinstein & Woofolk (1981)

Cheryan et al. (2014) investigated the impact of classroom decor on student achievement. Here are the most important findings:

  • Multiple research studies indicated that decor decisions favoring the majority (examples: Christian religious displays, images of only white students, pictures of diverse students filling only stereotypical roles) directly impacted the educational performance of female students, Black, Indigenous, and students of color, and students of minority religious groups.
  • The research indicated that small changes to classroom decor improved learning outcomes for all students and helped reduce racial and gender achievement gaps.

Whether they acknowledge it or not, our students notice the objects, pictures, and decor decisions in our classrooms.  Therefore, we should be careful not to feature objects that acknowledge only high-status or majority groups or make students from historically underrepresented groups feel excluded. The authors urge you to keep in mind that the objects and decor added to your space to reflect students belonging to minority groups and cultures should be carefully curated in an effort not to constrain students to limited, stereotypical roles.

“[Our decor choices] signal to students whether they will be valued and encouraged within the classroom.”

Cheryan et al. (2014)

Considerations for Teaching During the COVID-Pandemic

The authors of Designing Classrooms to Maximize Student Achievement (Cheryan et al. 2014) reported that the same evidence-based practices, summarized above, for in-person classrooms apply to virtual classrooms. So, if you will be using a Bitmoji classroom this fall consider the level of visual stimuli, incorporating student ideas, representation of all students, and defining your learning zones.

Summary

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References:

Barrett, P., Zhang, Y., Moffat, J., & Kobbacy, K. (2013). A holistic, multi-level analysis identifying the impact of classroom design on pupils’ learning. Building and environment59, 678-689.

Cheryan, S., Ziegler, S. A., Plaut, V. C., & Meltzoff, A. N. (2014). Designing classrooms to maximize student achievement. Policy Insights from the Behavioral and Brain Sciences1(1), 4-12.

Fisher, A. V., Godwin, K. E., & Seltman, H. (2014). Visual environment, attention allocation, and learning in young children: When too much of a good thing may be bad. Psychological science25(7), 1362-1370.

Imuta, K., & Scarf, D. (2014). When too much of a novel thing may be what’s “bad”: commentary on Fisher, Godwin, and Seltman (2014). Frontiers in psychology5, 1444.

Rodrigues, P. F., & Pandeirada, J. N. (2018). When visual stimulation of the surrounding environment affects children’s cognitive performance. Journal of experimental child psychology176, 140-149.

Extended School Year Planning Ideas: Week 5 – Camping

Extended School Year Plan:

I cannot believe this is already the last week of Extended School Year. Every year it just flies by! I am looking forward to my two week mini-summer vacation. I usually have a camping trip planned for this time of year, but with all of the uncertainty my fiancé and I have decided to stick close to home with a few hiking trips. However, I will be enjoying some of the camping fun with our last Extended School Year theme! Click the image below to download this week’s therapy planning guide with clickable links.

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Extended School Year Planning Ideas: Week 4 – Zoo

Extended School Year Plan:

One of my favorite things to do with my students when the schools first closed was check on the hippos on the zoo cameras. It felt very grounding in a very anxious time. Things are still uncertain, but those hippos are still swimming around! This week we will be checking back in on our zoo friends and doing several other zoo themed activities. Click the image below to download this week’s therapy planning guide with clickable links.

Thanks for reading!