
Bridging Communication Gaps: An Innovative Approach to Therapy in Ghana
When Nafisa Shehu arrived at an independent school in Ghana, her journey was more than just a professional mission—it was a deeply personal exploration of identity, heritage, and professional passion.
A Journey of Personal Discovery
As a member of the African diaspora, Nafisa's trip to Ghana was rooted in a profound desire to reconnect with her roots. With her retirement offering newfound freedom, her bucket list included visiting African countries, seeking to understand her heritage. Ghana, located in West Africa, held particular significance—potentially connected to the ancestral lands of enslaved people from the Caribbean.

The Attention Autism Breakthrough
Working with non-speaking autistic children aged three to eight, Nafisa quickly realised that attention was the fundamental starting point. Her approach was simple yet revolutionary:
Introduced bubbles as a core engagement tool
Created an "attention bag" with interactive resources
Used a song ("I've got something in my bag") to capture children's interest
The results were remarkable. One child with autism and ADHD, who initially could only focus for seconds, progressed to maintaining attention for six minutes. The students and staff were amazed.
The Core Board: A Communication Game-Changer
One particularly powerful moment illustrated the potential of alternative communication:
A four-to-five-year-old boy was constantly screaming and crying. Staff were considering withdrawing him from the school. Nafisa introduced the Core Board, showing the child how to communicate his needs. When he pointed to "I want" and "outside", something magical happened:
He stopped crying
Became fascinated by the board
Started echoing words Nafisa was saying
Began engaging with his environment differently
Cultural Nuances in Communication Therapy
Nafisa noticed significant differences in how speech therapy is approached in Ghana:
Limited access to formal assessments
Less standardised testing
More reliance on observation
Challenges in finding culturally representative resources like black dolls
Professional Legacy and Inspiration
Initially connected through LinkedIn with a British-Ghanaian therapists' organisation, Nafisa had been mentoring and supervising students online for years. Her on-site visit was the culmination of a long-standing commitment to developing speech and language therapy in Ghana.

Key Lessons Learned
Communication is universal, but approaches must be adaptable
Simple tools like bubbles and communication boards can be transformative
Professional development is a collaborative, cross-cultural journey

Nafisa's work demonstrates that with creativity, patience, and understanding, we can break down communication barriers and empower neurodivergent individuals, regardless of geographical or cultural contexts.
Her journey was not just about teaching—it was about building bridges, understanding heritage, and creating meaningful connections across continents.
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