

OT PT AT and Me
Tools, tricks, tips and fun ways to improve function

Welcome to the November 2024 edition of OT PT AT and Me!
Shoutout to our AT Team!
Melissa Alexander (on the left) is the District Level Assistive Technology Teacher for CISD. She is also a graduate of CISD (McCullough, class of 1990). Melissa attended the University of Houston for her undergraduate degree and Walden University for her graduate degree. She has certifications in Bilingual Education (EC-4), Generalist (EC-4), and Special Education (EC-12). Melissa was an elementary classroom teacher for 12 years at Spring ISD before coming to AT in 2017. As part of the AT team, she helps students with a wide range of learning challenges, and works with students, staff, and parents to find tools and services to scaffold the curriculum. She is also available for consultation, training, and evaluation for AT. Melissa and her husband, Chip, have three children attending schools in The Woodlands College Park High School feeder zone.
Mary-Lauren C. Vernon, “Mel” is a certified licensed Speech-Language Pathologist. She graduated with her Master's of Science in Speech-Language Pathology from Southern A & M University in Baton Rouge, Louisiana (May 2014). She obtained her Bachelor's degree in communication sciences and Disorders from Southeastern Louisiana University, Hammond, Louisiana (May 2012). She is licensed by the Texas State Board of Examiners and is a member of the American Speech-Language Hearing Association. She has experience with both children and adults and has worked in a variety of home health and educational settings. She has had experience in the field of Augmentative and Alternative Communication (AAC) and has been trained by a previous supervisor and attended Assistive Technology Trainings. Mel has been on the Assistive Technology Team with Conroe ISD for approximately 8 years. Her role requires providing services to the district for evaluation of speech and language skills and/or Assistive Technology considerations/evaluations, providing training for parents/caregivers, teachers and staff regarding communication strategies, approaches, devices, and programs. Additionally, she provides support to trial devices, consults, and device usage and implementation within the school setting. Her role extends to collaboration and support at meetings for campuses across the Conroe ISD district. As well as collaboration with campus SLPs, private service providers, and other Speech-Language Pathologists within the field of AAC for collaboration. Mel has an enthusiasm for AAC and wishes to serve individuals and family members/caregivers from birth to geriatric populations of all severity levels with the highest level of professionalism and competence effectively. She enjoys learning new concepts and participating in state and/or regional training for continuance of her certifications. Her goal is to provide and educate the public with information regarding communication disorders and individuals and families with the highest level of treatment, professionalism, and courtesy. Mel and her husband, Eric, have one child and an addition to the family arriving in January 2025.
Additionally, Marla D'Antoni, who is the Lead for OT PT and AT is a certified Assistive Technology Professional. Marla's specialty is multiple disabilities and complex cases. She is a registered Occupational Therapist with 40+ years as a school practitioner.
Focus of the month
This month we will focus on using simple AAC tools, such as a Big Mac, for communication and completion of classroom tasks. In January, we will share how to use a Big Mac, or similar device, for benchmark testing.
The Big Mac is a single cell switch with voice output. It provides 2 minutes of voice output. The Big Mac is frequently used to request a specific item or for help. It can also be used for simple conversation. A Big Mac can be used to activate an adapted toy or appliance that it connected to an interface or special port. Features include digital sound output suitable for almost any environment, four colored caps, a clear snap cover to attach pictures or symbols to support communication context, as well as a soft-touch coating makes the device easier to hold.
How to program a Bic Mac communication voice output device.
Step 1:
Turn the device on by sliding the volume dial over until you hear and feel the click.
Step 2:
Press and hold the small button on the back labeled "rec".
Step 3:
- At the same time, press and hold the large button on top of the device.
Step 4:
A red light should appear on the back of the device. After the light comes on, release the top button down. The device is now reading to hear your message.
Step 5:
Repress the button switch down and begin speaking. Your message can be up to 2 minutes long.
Step 6:
Release the top button when you are finished speaking. Repress the record button. Press the top button to hear your recorded message.
Additional How-tos
How to change the color switch cap on the Big Mac
To change the color cap on a Big Mac communication device, simply unscrew the exiting colored switch top counterclockwise, then screw on the new colored switch top clockwise. Most big Macs come with four color caps that can be swapped out depending on the user or activity needs.
How to add a communication symbol
Remove the clear switch cap. Change the color cap to the desired color. Place the desired picture on top of the colored cover. Put the clear cap back on. Remember News2You has Symbol Stix readily available that can be printed to use during specific lessons.
Big Mac template
A free Big Mac template can be found at https://apps.apple.com/us/app/symbol-overlay-maker/id1510255596. This will allow you to import your own pictures or symbols and know they are the right size for use.
Can I see a programing and features video please? Here you go!
How can the device by customized?
Switch ports
Visual impairment
If your student has a visual impairment rather than having a picture or symbol on the cap, place a textured surface to help the student identify and associate the texture and the programmed message.
Tactile object
For students who may need real objects to help support language consider attaching a real object or representational object to the Big Mac cap that matches the message being conveyed.
What are some classroom activities I can do with a Big Mac?
Greetings
The Big Mac is a great simple device to convey greetings such as "Hi", "Bye" and "How are you?" Consider placing a Big Mac near the entrance to the classroom and having student activate the Big Mac to say "hi" as he/she enters into the classroom. The device can then be reprogrammed at the end of the day to say "bye" as students leave. If two devices are available, one can be recorded to say "hi" and the second device to say "bye". Make sure and add corresponding pictures or symbols to the top of the device.
Activate a toy
Many typical toys are adapted to be able to plug into switch ports such as the one one the Big Mac. This allows toys or appliances to be turned on via the switch. Here are two fun examples.
1. Turn on an adapted bubble machine.
2. Pie Face game
https://enablingdevices.com/product/adapted-pie-face/
Here is a video showing other adapted toys:
Comments and questions
The Big Mac can also be used to make simple requests or ask questions such as "turn the page" or "what's next?" It can be used as part of typical conversation such as "do you like dogs" or "it is raining today". The Big Mac is a great tool to incorporate as part of your circle time or morning meeting. Consider using two devices to offer the opportunity to chose an opinion and make a choice.
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Feel free to reach out if you have additional questions. Our phone number is 936-709-1517.
Assistive Technology: Tools, technology, and services to advance functional abilities.