Who is Citra for?

Citra was designed for therapists, teachers and guardians of persons with speech impairments. When we asked therapists how to describe who Citra is for, they said it’s more important to describe what that client is learning.

They said Citra could be ‘used to elicit speech from a young late talker or be used as a communication device for a severely impaired older child’. Citra ‘provides a good start for learning how to build sentences, imitate words/ sentences, and build vocabulary’. Citra is best used for children who have fine motor control and decent receptive language skills.

We’ve even had therapists suggest using the app with adults who have had a stroke, and for typically-developing young children who transition better with a schedule.

Therapists told us they would consider using Citra for persons with the following impairments or delays:

• Speech delays or impairments

• Echolalia

• Articulation problems including Severe Articulation Disorder

• Apraxia

• Down Syndrome

• Autism Spectrum Disorder

• Developmental Delays

• Sensory Processing Disorder

• Receptive/expressive language delays including Expressive Language Disorder

• Behavioral Challenges

• Attention Deficits including ADHD

• Post Traumatic Brain Injury (TBI) or Cardiovascular Accident (CVA)

• Any young children who need consistency and reliability for an activity or event

• Children that require visual supports to help with behaviors

• Those with hearing loss, although Citra is not primarily an AAC device

Goals of therapists who use Citra

• Increase vocabulary or expressive vocabulary

    o Point to basic nouns, verbs, prepositions when verbally named
    o Labeling object function
    o Categories – receptive and expressive, knowing what page to go to based on categories

• Spontaneous use of words

    o Asking appropriate “is, as” and “wh-” questions
    o Asking follow up questions
    o Use singe word phrases to communicate
    o Initiate requests, protests, comments

• Improving sentence structure, related to utterance

    o Increase length of utterance (MLU)
    o Unique Subject Verb Combinations (USV)
    o Use 2-3 word sign combinations to request, comment, or answer
    o Use 2-3 word utterances (e.g. SVO, VO, SV)
    o Tense-agreement Morphemes (T/A)
    o Use articles to form sentences

• Pronunciation

    o Pronounce consonants, vowels, and/or multi-syllabic words better

• Imitation
    o Imitate environmental sounds
    o Imitating single words
    o Imitating phrases
    o Imitating sentences

• Engage in preferred activities and non-preferred activities

    o Maintain engagement in non-preferred topics
    o Taking turns
    o Following simple directions
    o Making choices

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Where can I submit an enhancement for Citra?

Citra encourages parents, teachers and SLPs that utilize Citra to make suggestions for future enhancements. On the Product Support page there is a “Submit a Suggestion” link that will open a form where you can submit your comments and suggestions.

What are the benefits of site license?

Citra can be purchased as an individual application or as a site license. Both versions have the same basic features of Communication Boards, Task Schedules, Note Sharing, and the ability to have multiple caregivers utilize the same lesson plans for a child. The site license version allows multiple therapist or teachers from the same organization to develop unlimited libraries of Communication Boards and Task Schedules templates that can be shared among employees. This feature increases productivity, encourages standardization, and encourages best practices through proven techniques.

How do I add/change users to my site license account?

When you purchase a site license you will be given a special Site Administrator account login and password. You can use this administrator’s login on the same screen as the normal Citra app. Each site license is purchased with a defined number of Citra users. Unfortunately employees will leave the organization or change responsibilities. The Site Administrator has the rights to make any current user inactive, allowing other members of the organization to register for Citra at no additional cost.

How many users can use the Guardian Account?

Today, children with special needs are supported by their parents and often times other members of the family including grandparents, older siblings, and aunts and uncles. The Guardian account is the primary user but can add two additional family members. The guardian can be working with their child on a tablet at home and the grandparent can access the same Communication Board and Task Schedules from the same device or their computer internet browser if they don’t have a tablet.

What is the difference between a Guardian and Parent?

Citra requires the primary guardian of the child to be the registered user. This person has the primary responsibility to authorize other members of their child’s caregiver team including teachers, therapist and extended family to share Citra. A spouse or divorced parent can be added as one of the two additional users on the Guardian account.

How do I protect a child’s information?

Citra is designed where all lesson plans, communication boards, task schedules, and shared notes are stored in a secure database for each specific child. No therapist or teacher can invite other users to share your child’s information without the Guardian providing explicit approval. A guardian will receive an email requesting authorization to share their child’s information. The guardian has the ability to see all active caregivers currently shared with their child.

Can I add pictures to a child’s picture library?

Citra allows any user to take pictures using the camera on their tablet and add them directly to a child’s picture library. This feature encourages customized and effective Communication Boards and Task Schedules using pictures the child recognizes including their classroom setting, pets, or siblings. All pictures are stored in a database unique to each child.

How do I choose between Boardmaker or Symbolstix as my picture library?

Each customer will choose the picture library of choice based on their familiarity with each company and the specific therapy needs of the organization. Any organization using a site license will standardize and share the same picture library for all employees.

What is the difference between My Pictures and My Template Pics?

My Pictures are the unique pictures taken or uploaded for each specific child. They can be added to any Communication Board or Task Schedule. My Template Pics are used exclusively by a teacher or therapist who are developing common Communication Board and Task Schedule templates for many children or to be shared with other employees. These pictures are normally non-specific to an individual child and used to complement the existing picture library.

How many children can I support with Citra?

Guardians, teachers and therapist can use Citra with an unlimited number of children. For speech and hearing centers or schools, it’s not unusual for professionals to provide therapy for up to 30 individual children per year. Citra gives you the ability to store and maintain unlimited number of Communication Boards and Task Schedules per child and for an unlimited number of children.

Who needs a subscription to share a child?

Each member the caregiver team needs a valid subscription to Citra to share a child and their information.

Can an organization use Citra for a child without a guardian subscription?

Yes, speech and hearing centers and schools can utilize Citra to provide therapy to an unlimited number of children per year without dedicated guardian subscriptions. When creating a new child account for internal purposes, we suggest adding a valid email account for the guardian in case they elect to purchase a subscription in the future and want to share in their child’s therapy experience. Without a registered guardian account, you cannot share a child with other outside caregivers.

Where can I get training?

Citra has an extensive number of helpful video training courses under the Training/Support tab. If these courses don’t address your questions, our Citra Support Team will schedule a webinar for you. We’ve also designed numerous How to Guides and User Manuals that can be located in our Document Library.