Wednesday, January 8, 2014

Day 7 - January 6th, 2014

Mache! This morning we left Sunyani for Accra to visit and work in the largest hospital in all of Ghana. The flight was short, less than an hour, but we were served snacks and drinks. What a treat! After landing in Accra we immediately boarded the bus and headed straight to the only mall in Ghana to refresh our snack supply. We headed to Korle Bu Teaching Hospital to provide speech and language therapy to both adults and children.



Upon arrival we were introduced to the famous Albert, one of 9 speech language therapists in Ghana. We also met Clement and Josephine, two SLTs who are starting the first masters program for SLT at the University of Ghana. We split up into three groups of five students and began providing therapy. We were all nervous, but excited to begin applying our knowledge and thinking on our feet. We saw a variety of patients with varying disorders such as autism, Down syndrome, aphasia, cerebral palsy, and speech disorders. Each student was given a different role during the evaluation and we all worked together to create functional goals and techniques that would benefit each patient. We taught these techniques to the patients and caregivers so they could practice at home.


Providing therapy today was a challenging but rewarding experience! We are beginning to realize how much we have already grown and will continue to grow as clinicians throughout this trip. After leaving the hospital we had an amazing Ghanaian meal at our hotel. We all ate many helpings of chicken, fish, plantains, pasta with steamed veggies, rice and beans, and watermelon. It was delicious! We also met briefly to discuss all the patients seen, their progress, and what lays in store for us tomorrow.  

Day 6 - January 5, 2014

Today was the third and final day of our 3-day Professional Development Retreat. All teachers who attended the retreat received a certificate and a bag of materials/supplies donated by us TC students and our friends and families. From the teacher surveys, we were all excited to find that most teachers found all of our talks and activities over the weekend to be tremendously helpful and beneficial to their students! Many teachers were eager to make AAC market cards, name tags for students, communication passports, and community request cards, and all were even more eager to implement the materials in the classrooms. All of us were truly grateful to have had this wonderful learning and sharing experience with the brilliant teachers who care so deeply for their students.

After the retreat ended, we were invited by a Sunyani unit school teacher to visit two of his students and their families. Both students and their families had tremendous stories to share about the skills acquired at the unit school. The parents explained how both students experienced substantial growth; one father proudly told us about how his son can now independently perform activities of daily living and small errands.

Tomorrow morning, we embark on a journey back to Accra, where we will be working with speech language therapists and doctors at the Korle Bu Teaching Hospital in assessment and treatment of children and adults with speech and language difficulties. 



Monday, January 6, 2014

Day 5-January 4, 2014

Today was a day of true collaboration! The second day of the professional development retreat was an exciting day of sharing, teaching and learning from each other. The retreat covered many Augmentative and Alternative Communication approaches that will be beneficial for many of the teachers and professionals in Ghana. It was amazing how much we as students also learned from the teachers and how much they learned from each other.

Many AAC approaches were reviewed from previous years including the AAC Market Cards, Narrative Social Stories, and Community Passports. A few new approaches were also introduced: the Five-Finger Story Retell, Talking Mats, and Joint Action Routines. The special education teachers made fabulous, passionate presentations! Teachers shared how they use AAC approaches in their classroom, as well as their challenges.

One of the teachers, Mary Osei, talked about how one of her students went missing after taking the wrong way home. Fortunately, the student had a Communication Passport that denoted emergency information. The student had limited speech, so this was particularly useful.  Many teachers also shared how they were implementing vocational training. Students who may have been previously labeled as incapable were making holiday cards, paper beads, and even fashionable bags.


We also presented on various strategies such as how to incorporate the use of a daily schedule and calendar within the morning routine in the classroom. It was awesome to hear how teachers have been using these in their classrooms. Some added physical movements to their "Days of the Week" song and displayed their own hand drawn daily schedules!

"Make and Take" allowed us to work directly with the teachers in creating the actual approaches for them to take back to their classrooms.   We worked side by side in brainstorming ideas and bringing them to life. We made sure all of our materials would be replicable.  Each teacher also went home with an "AAC Approaches Booklet" that highlighted every approach to be covered throughout the weekend to reference once they leave.

Before dinner and the evening program, a few of us and one of the clinical supervisors completed an assessment and provided strategies for one of the teachers who stammered (stuttered). Earlier in the day, he asked a question during the presentation of "What is Speech Therapy" about treatment for those who stammer because he has had dysfluent speech since he was a child. We asked him assessment questions and developed strategies based on his responses. He started using these strategies and experienced more fluent and clearer speech almost immediately.  In less than 30 minutes we had helped someone who had negative feelings about his speech. The smile on his face is unforgettable.

The evening program including African drumming and dancing by a local, professional troupe. The audience was encouraged to join in.   We ended the night with students, teachers, professionals all on our feet.

- El'licia 

Day 4- Jan 3, 2014

Akwaaba! Long time no talk! Today we bid farewell to Cape Coast and headed towards Sunyani for our Professional Development Retreat this weekend.  We ate breakfast by the water and then loaded up the bus and were on our way for our 6 hour trip!

Along the way we made a few stops.  As we were driving along we spotted some coffins on the side of the road and had to make a stop.  Sounds bizarre right?! Well not in Ghana! In Ghana funerals are a celebration and the coffins reflect that! For example, if a man spends his life as a priest he may be buried in a coffin that is shaped as a bible, or if he spends his life as a farmer he may be buried in a coffin that looks like a piece of corn.  We were able to see a few examples of these coffins and it really was a cool insight into the Ghanaian culture.


Next, we stopped at Ancestral River Park where the slaves took their last bath before they were moved to the slave forts and then later sold.  It was so moving to see this place that has now become a museum.  
Ice Breaker Activity- Five Finger Story Retell

Our 6 hour bus ride became 10 due to traffic.  Finally, we arrived at the hotel where we will be having the Professional Development Retreat and were met by about 60 special education teachers who had traveled hours from all over Ghana to spend the weekend with us.  We kicked off the weekend with an ice breaker to get to know each other- so much fun was had by all! 

EVERYONE is doing well (hi mom) and we are having the BEST time! We hope you are all enjoying the snow... it's 90 degrees and sunny here! : )

-Rebecca!!

Friday, January 3, 2014

Day 3 Cape Coast 1/2/2014


Today began with a traditional ceremony, "Eldina Brunya" which is unique to Elmina and occurs on the first Thursday in January every year.  The ceremony is held to remember their ancestors who have since passed on.  This is also the day they consider to be Christmas.  We were fortunate enough to be warmly welcomed into a local family's home to experience and participate in their remembrance and celebration.  The ceremony included blessings of both family and ourselves, reading of the deceased ancestors, sharing of libations, songs, and dancing.



After the ceremony, we headed to Mary Osei's unit school to see how she and her staff implemented the AAC strategies that were introduced during last year's professional development.  Needless to say, the results were impressive.  Schedules and calendars were being used in every classroom.  When they needed additional pocket calendars, they decided to make their own!  We were all blown away by their innovations and creativity.  Anthony showed us examples of the children's communication books and passports and explained how the children used them.  Next, Mary described the goals for the vocational classroom which focuses on teaching the students how to make bags from kente and batik fabrics which are sold in local markets.


Our next stop included a canopy walkway through Kakum National Park.  The walkways were suspended 150 meters above the ground.  We were assured that they could hold up to 2 elephants!  We ended the day with discussion and preparation for the upcoming professional development weekend which begins tomorrow.

Jenn and Shannon

Thursday, January 2, 2014

 Afishapa!  We spent the first day of 2014 visiting two different slave forts that were active during the transatlantic slave trade; Elmina and Cape Coast.  This was a powerful experience for all of us as we were reminded of this sad chapter of human history as we walked through the dark dungeons and punishment cells.  We walked away from this experience with the main message "May humanity never again perpetrate such injustice against humanity" (as stated on plaques hung in both forts).

While driving to dinner we noticed a beach party.  We couldn't help but ask to pull over so we could join in the New Year's festivities.  We were immediately drawn to a drum and dance circle where Miki jumped right in with the rest of us soon following.  The next half hour were spent dancing the afternoon away.  After we worked up an appetite, we went to dinner by the water where we engaged in a debriefing on our trip and personal experiences so far.  Much of the discussion centered around the sustainability and functionality of our work in Ghana.  Dr. Crowley also reiterated the importance of not misrepresenting the country and population by conducting our work and portrayal of the country without preconceived notions.

Wednesday, January 1, 2014

Day 1 El Mina 12/31/2013


After the 10 hr transatlantic flight and a 4 hour bus ride, we arrived at our hotel (Bridge House Hotel) in El Mina. Our guide, George Odoi, welcomed us warmly and explained the various Ghanian cultural and social customs to us passionately.  Along the way, Dr. Crowley spotted a celebration on the side of the road. A young man finished his apprenticeship and was being congratulated with family and friends throwing baby powder on him. We couldn't resist, and decided to jump in! After enjoying an outdoor dinner, we are enjoying a quick break before we head out for New Year's celebrations.


To celebrate New Years, George took us to a local church.  It was a very passionate and spiritual service.  For most of us, it was an eye opening experience of the importance of religion in Ghana.  At the end, the pastor acknowledged our group and Dr. Crowley spoke about our purpose for the trip.  We danced our way out of the church and into a new year!

Miki & Shannon