iSpeechPathology.com – Call us: 800-242-5183
The Stepping Stones Group Opportunities - December 2025

Encouraging Appropriate Hand Placement

Sally Disney ., M.S.

February 12, 2007

Share:

Question

I have several students both in general education settings and in the Exceptional Education (ESE) classrooms who constantly have their fingers or hands in their mouths. I have asked their teachers and parents to discourage this behavior. At school, with m

Answer

You may want to try giving your ESE students a social story with pictures or drawings explaining appropriate places to keep their hands such as what you have mentioned above, "at their side, in their lap" etc. When students have something positive to focus on rather than a negative concept it is less abstract for them. Review the stories on a regular basis. Your praise and reinforcement is also a good technique. You can find out more information about social stories from Carol Grey's website: www.thegreycenter.org/socialstories.

Your students could have sensory issues where they feel a need to stimulate the oral area. A consultation with an OT could be helpful. The Grey Center also has information on sensory integration. Some school teams have found it helpful to give the student something age appropriate to stimulate their senses such as a "cush ball".

Good luck!

Sally Disney is an educational consultant working at the Southwest Ohio Regional Resource Center. She has worked with school based SLPs in a variety of settings.


Sally Disney ., M.S.


Related Courses

20Q: Dynamics of School-Based Speech and Language Therapy Variables
Presented by Kelly Farquharson, PhD, CCC-SLP, Anne Reed, MS, CCC-SLP
Text

Presenters

Kelly Farquharson, PhD, CCC-SLPAnne Reed, MS, CCC-SLP
Course: #10002Level: Advanced1 Hour
  'I really appreciate the examples and the data'   Read Reviews
This course reviews dynamics of speech and language therapy variables such as session frequency, intervention intensity, and dosage, and how these are impacted by different service delivery models. It discusses how therapy outcomes are related to therapy quality, IEP goals, and SLP-level variables such as job satisfaction and caseload size.

Sleuthing for /s/ and /r/: Facilitating Strategies for Residual Sound Errors
Presented by Lynn Berk, MA, CCC-SLP
Video

Presenter

Lynn Berk, MA, CCC-SLP
Course: #9237Level: Introductory2 Hours
  'I got a few ideas for working on these sounds in therapy'   Read Reviews
This course will discuss the rationale and strategies for teaching production of /s/ and /r/ for upper elementary school-age children and older. Errors on these two sounds are considered residual when production continues to be inaccurate beyond the developmental age of acquisition.

20Q: A Continuum Approach for Sorting Out Processing Disorders
Presented by Gail J. Richard, PhD, CCC-SLP
Text

Presenter

Gail J. Richard, PhD, CCC-SLP
Course: #10008Level: Intermediate1 Hour
  'Very informative'   Read Reviews
There is a good deal of confusion among audiologists and speech-language pathologists when a diagnosis of “processing disorder” is introduced. This course presents a continuum model to differentiate processing disorders into acoustic, phonemic, or linguistic aspects so that assessment and treatment can become more focused and effective. The roles of audiologists and SLPs in relation to processing disorders are described, and compensatory strategies for differing aspects of processing are presented.

20Q: Evaluation and Treatment of Speech/Resonance Disorders and Velopharyngeal Dysfunction
Presented by Ann W. Kummer, PhD, CCC-SLP
Text

Presenter

Ann W. Kummer, PhD, CCC-SLP
Course: #8729Level: Intermediate1 Hour
  'Great explations of the different velopharyngeal problems'   Read Reviews
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This article will help participants to recognize resonance disorders and the characteristics of velopharyngeal dysfunction, and provide appropriate management.

/R/: What You Want to Know RIGHT NOW
Presented by Angie Neal, MS, CCC-SLP
Video

Presenter

Angie Neal, MS, CCC-SLP
Course: #10018Level: Introductory0.5 Hours
  'Great fun practical r strategies all in a short course'   Read Reviews
This 30-minute Fast Class describes the most important method for eliciting /r/, discusses the fastest way to generalize /r/ and achieve automaticity, and explores several troubleshooting strategies. While there is much more to know about /r/, this is the “quick and dirty" version to achieve success.