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94 Cards in this Set

  • Front
  • Back

MSU Public Affairs Mission

Ethical Leadership




Cultural Competence




Community Engagement

Difference between:


Speech
Language


Communication

Speech: Quality of the voice, articulation, and the rate




Language: expressed orally or written or pictured symbols, or manually (sign language)




Communication: facial expressions, body language, gestures.

Explain Syntax and provide an example of syntactical error

SENTENCES




Word order simplified: me go store

Explain Morphology and provide an example of a morphological error

Smallest unit with meaning: cats-2 morphemes




Leaving 's' off of cat when there is more than one

Explain Semantics and provide an example of a semantic error

The meaning of words - vocabulary development




Overgeneralizing the meaning of 'daddy' and calls all men 'daddy' instead of 'man'

Explain Phonology and provide an example of a phonological error

Sound - cluster reduction, fronting, etc.

Explain pragmatics and provide an example of a pragmatic error

Needs/Requests (cry) Express themselves (point, look, show).

Describe communication development from birth to 1 year

Development of intentionality - trying to get you to do something

Describe speech development from birth to 1 year

How sounds develop: crying, cooing, babbling, talking without real words

Describe phonological, semantic, pragmatic, syntactic, and morphological development between one and five years.

Phonological: coos, babble, vocal play, jabber, intonation, (age 3-4) very intelligible, (5) mastered


Semantic:


Pragmatics: requests comments, displaying emotions, conversational repairs, jokes


Syntactic:

Emergent Literacy




VS




Conventional Literacy





Emergent Literacy: child's knowledge of reading/writing skills before they learn how to read/write




Conventional Literacy: reading comprehension, writing, and spelling.



Receptive Language




VS




Expressive Language

Receptive: Ability to understand and process




Expressive: Ability to express and communicate

Language Disorder




VS


Language Difference

Disorder: A child isn't doing as well as expected compared to a typical child their age




Difference: determined by shared regional, social, or cultural/ethnic factors

Why 'late talker' or 'language delay' INSTEAD of language disorder?

Language disorder can't be reliably diagnosed in young children in the absence of a primary disorder (ie. autism, intellectual disability)

Descriptive-Developmental Disorder




VS




Categorical Model

Descriptive-Developmental Disorder: Focuses on student's language development and function in a variety of natural contexts




Categorical Model: Based on individual's syndromes of behavior; it is fundamentally a medical model

Language Areas:




Form


Content


Use

Form: Morphology, Syntax, Phonology




Content: Semantics




Use: Pragmatics

A child who speaks in complete sentences and has an extensive vocabulary, but has trouble being understood due to sound substitutions and omissions has a ________ problem.

SPEECH

Infants don't have ______, but they are able to __________.

LANGUAGE, COMMUNICATE

Speech production requires _______ skills and formulating sentences and understanding words requires ____________ skills.

PHYSICAL, LINGUISTIC

If you ask a child to point to the picture of “bird”, you are testing ___________ language.



If you ask a child “tell me what this is” when pointing to a picture of a bird, you are testing ___________ language.

RECEPTIVE



EXPRESSIVE

The order of words:

SYNTAX

Understanding the meaning of words/developing vocabulary

SEMANTICS

Internal organization of a word:

MORPHOLOGY

Producing the sounds in a particular language appropriate in words

PHONOLOGY

Being able to share and take turns, requesting, communication, greeting, conversations, social situations:

PRAGMATICS


Evidence Based Practice:

Research - (External)


Clinical Expertise - (Internal)




Client Preferences and Values (Internal)

Levels of Evidence for Scientific Studies




(quality of research)

Level I: RANDOM Assignment, Meta-analysis (systematic review) of trials, two or more groups



Level II: NONRANDOM, single-subject: ABAB




LEVEL III: Non-experimental studies (case study)




LEVEL IV: Expert Opinion, clinical experience

BEHAVIORIST THEORY - General Concepts

Pos. Reinforcement: giving to increase behavior


Neg. Reinforcement: taking to increase behavior


Punishment: taking to stop behavior




Shaping: Reward smaller steps to reach goal


Operant Conditioning: present stimulus, behavior in result of stimulus, reinforce behavior




Antecedents and Consequences: before and after behavior



BEHAVIORIST THEORY - Clinical Implications

Use of drill and practice clinical procedures (traditional)


ie.: Give stimulus, they respond, you reinforce




Very focused




Focus on observable behaviors



BEHAVIORIST THEORY - Limitations

Doesn't explain complex behavior (novel utterances)




don't just repeat things that they hear.

NATIVIST THEORY

Humans are pre-programmed with the ability to develop language




Associated with syntax/morphology and the language acquisition device

CONSTRUCTIONIST (COGNITIVE) THEORY - General Concepts

The role of motor and play development in language development




Symbolic Play




Object Permanence



CONSTRUCTIONIST THEORY - Clinical Implication

Considered cognitive development, motor, and play skills when assessing language

CONSTRUCTIONIST THEORY - Limitations

Cognitive development does not always follow a set sequence




The relationship between language and cognition is complex

SOCIAL INTERACTIONIST - General Concepts

Crucial to language development




Early communication develop is an important component of language development




Scaffolding




Child-direct speech - modeling and expansion




Coordinating attention




Routines

SOCIAL INTERACTIONIST - Clinical Implications

Working with young children with more severe disabilities




Providing services in the natural environment




Use of language in meaningful exchanges

SOCIAL INTERACTIONIST - Limitations

Does not explain all aspects of language development




Not all cultures use the same child-directed interaction styles

clinician goes to the families home:

SOCIAL INTERACTIONIST MODEL

operant conditioning is modeled

BEHAVIORIST MODEL

Symbolic Play, Object Permanence

Constructionist (cognitive) MODEL

Language Subdomain 1: Early Pragmatics

Joint Visual Attention (autistic kids have trouble)




Early Communicative Functions:


Requesting (function: request / mode: handing)


Smile (function: greet / mode: facial expression)


Pointing (function: comment / mode: point)




Early Discourse Skills:


Conversational Skills, Conversational Repair, Code-switching



Language Subdomain 2: Vocabulary

How many words can they understand?




Types of words: nouns, verbs, adj., etc.

Language Subdomain 3: Two Word Combinations

Agent Action: Mommy sit




Action Object: Throw Ball




Action Location: Put on




Entity Location: hat on




Possessor Possession: mommy's car




Attribute entity: Pretty Car

Language Subdomain 4: Morphosyntactic Development

Syntactical Development - puts words together


Age 2: 2 words


Age 3: 3 words


Age 4-5: 5-7 words




Morphological Development - adding bound morphemes


18 mo. - two years of age

Language Subdomain 5: Later Pragmatics

Peer Interactions - Age 2: play in own area




Politeness forms - thank you, please, etc.




Sarcasm / Humor




Narrative - being able to tell a story

Brown's Stages

Stage 1: 18-24 mo. (MLU 1-2)




Stage 2: 24-30 mo. (MLU 2-2.5) -ing, prepositions, plural 's'




Stage 3: 30-36 mo. (MLU 2.5-3) go/went, possessive 's'




Stage 4: 36-42 mo. (MLU 3-3.75) articles, regular past tense -ed. etc.




Stage 5+: 42-60 mo. (MLU 4.75-4+) irregular third-person singular verbs, etc.

Assessment Tools

Norm-Referenced Assessment: Standardized test




Criterion-Referenced: Checklist, not comparing to other patients




Dynamic Assessment: Assessment is changing. You test, teach, then re-test.

Advantages/Disadvantages: NORM-REFERENCE

Advantages:


Efficient


Guidelines are clear


Scores qualify students for services




Disadvantages:


Administered in unfamiliar context


Over identify children from diverse cultures


Only a few items to assess each language skill

Advantages/Disadvantages: CRITERION-REFERENCE

Advantages:


Identify targets for intervention


Scoring simplicity


Documenting progress in intervention




Disadvantages:


Assessment protocol may not be well defined


Reduced reliability

Advantages/Disadvantages: DYNAMIC

Finding appropriate tests


Low-structured testing

Validity

Construct (concept) Validity - testing intelligence, motivation, etc.




Content Validity - the degree which test items represent a defined domain




Criterion-related validity - test developers report the stats between the tests in the test manual




Predictive validity - whether the child will have delays in the future

Reliability

Consistency of scores - you should get the same scores from one person even if the test giver is different

Children who are culturally and linguistically diverse.

Languages addressed in testing




Finding appropriate tests (in Spanish)




Low-structured testing




Dynamic Assessment

Psychometric Properties of Norm-Referenced Tests

Normal distribution of scores:


Bell Curve


Mean (average), median (middle), mode (most repeated)


Standard Deviation


Percentile Rankings



Age-Equivalent Scores

No matter the age, whatever 'age' they score, that's the grouping they are put in.



Basal




Ceiling

Basal: That's where you start the test




Ceiling: Where you stop giving the test (bc they start getting so many wrong)

Composite Score

A total score that consists of the sum or mean score on two or more subtests

Percentile Rank

How many people did better/worse than you

Standard Error of the Mean

Possible range of scores a student might achieve

Stanine Score

A standard score with a mean of 5 and a standard deviation of 2.

Language Sample Analysis

Interacting with a child and recording the child's utterances




Can determine eligibility of intervention goals




Don't ask yes/no questions, ask open-ended questions, pause, make the comfortable.

Calculate MLU and NDW

MLU:


Obtain 50-100 utterances


Segment Utterances: pause makes 2 words two diff. utterances


Count morphemes


Compute MLU




NDW - how many different words?

T-Unit

Is one main clause




Completed after a child is 42 months old or when MLU is greater than 4.00.

Macro VS Micro Analysis

MACRO: Child tells a story, conversational




MICRO: Calculating MLU, NDW, etc.

Multicultural Issues in Language Analysis

African Americans (AAE) may omit plural -s




Different procedures are used so they are not penalized for using AAE features.

What is involved in a screening?

A brief assessment to see whether or not a person needs further testing.




Sensitivity - you failed the kids who needed to be failed (someone with a disorder)




Specificity - you passed everybody who should have been passed (someone w/o a disorder)

Assessment Process

Case History


Family Interview


Basic components of the assessment:


Hearing screening, oral-motor assessment, speech/articulation assessment, literacy, cognitive ability, child's rate and fluency of speech, communication and language assessment (details on next card).

Communication and Language Assessment

Can use norm-referenced tests, criterion-referenced tests, language sample analysis, and dynamic assessment to gather info about communication and language.




Comprehensive assessment of communication and language involves consideration of all the communication/language subdomains.


Early Pragmatics, Vocab, Word Combinations, Morphosyntax, Advanced Pragmatics.

Clinical Report Writing

Background


Findings


Diagnosis


Prognosis - how you think they are going to do in therapy (in context of age appropriate)


Recommendations

Evaluation Assessment

Going deeper than a screening.




Is there a problem, what is the problem, what is affecting the patient?

Decision-Making Questions: Assessment

What is the child’s current level of functioning?


What areas seem to be problematic for this child?


Have I done different types of testing and test all appropriate areas?


Are there multicultural issues that may impact the language disorder?


Have I talked to the family about their concerns and perspective?


Does all of the information I have make sense together?


Do I need to make a referral and/or gather additional information?

Response to Intervention (RTI): 3 TIERS

Tier 1: You provide best services to all children




Tier 2: You give INDIVIDUALIZED services to kids




Tier 3: You give INTENSIVE services to kids

RTI VS Discrepancy Model

RTI: They are struggling, let's help them to see how they are doing




VS


Discrepancy Model: Labeling them with a disorder

At-Risk

Child has a higher probability of having a developmental disability (premature birth, low birth weight, mother's age; very young/old)

Distinguish Preventions (3)

Primary Prevention: you stop something from happening




Secondary Prevention: you are lessening the effects of a problem




Tertiary Prevention: you diagnose a problem

Goals of Intervention: infants, toddlers, preschoolers, and school-age students

Infants: facilitating communication development




Toddlers: changing underlying communication problem




Pre-K: Changing specific communication function by teaching specific skills




School-Age: Teaching techniques to improve communication functioning

Public Policy (IDEA) and Decision Making




IDEA: Individuals with Disabilities Education Act

Originally: Education for handicapped children




Reauthorized 1986-7: Included younger kids


1990: kids with autism were diagnosed, schools developed a transition program


1997: SLP services needed to be tied to what other kids in class were learning about




Reauthorized in 2004: took effect in October 2006 - added response to intervention

Provide Special Education for kids birth-21

Part C - ages birth to 3 services




Part B - ages 3-21

IDEA (cont.) Key Concepts

FAPE - Free Appropriate Public Education (each public school required)




LRE - Least Restrictive Environment




IEP - Individualized Education Program (3-21)




IFSP - Individualized Family Service Plan (0-3)




Inclusion - In regular classrooms all the time





Who receives IDEA services?

Missouri: 16 Categories




Autism, intellectual Impairment, dual-sensory impairment, young child with a developmental delay, etc.....

Environments for SLP service

Routine-Based Interview: natural environment (young kids)




Pullout models: Speech room, kids come see you




Classroom: Direct (you teach) vs Indirect (you tell teach to help)

Progress Monitoring

Data Collection:




Quantitative-Numbers expressing amount of a targeted behavior




Qualitative-words or labels describing observed attributes

Dismissal from service

Careful Progress Monitoring


Consider: student's age, rate of progress, and motivation


Consider: ASHA standards

3 theories of language used for developing intervention approaches

Behavioral




Social




Cognitive

Intervention - BEHAVIORAL THEORY

1. Choosing Stimuli


Nonlinguistic: objects, pictures


Linguistic


2. Eliciting Responses


Prompts, Shaping


3. Responding to communication responses


Reinforcement: social, primary


Feedback


Fading: continuous/intermittent reinforcement

Intervention - SOCIAL INTERACTIONIST THEORY

Self Talk: talking about what YOU are doing


Parallel Talk: talking about what child is doing


Modeling: Adult talks - child listens


Telegraphic Speech: not grammatically correct


Language Expansions: expands (syntax/morph)


Language Extensions: increase (semantics)



SOCIAL INTERACTIONIST THEORY




Conversational Assertiveness


VS


Conversational Responsiveness

Assertiveness: you are asking questions and commenting


VS


Responsiveness: answering a question

Intervention - COGNITIVE THEORY

Imitation - imitating tasks




Practice - practicing a task

Language Intervention Techniques:




Pragmatics, Morphology & Syntax, Semantics

Pragmatics:


Ex. Goals: requesting, turn-taking, question


Strategies: need to request, games, role playing




Morph & Syntax:


Ex. Goals: Increase use of specific structures


Strategies: Provide opportunities for target




Semantics:


Ex. Goals: increase vocab/semantic categories


Strategies: modeling, prompting, cues

Structuring and Implementing Treatment

Adult-Directed (behavioral): Adult leads interaction




Child-Directed (social): adult follows child's lead




Hybrid: repetition, extension

Structuring and Implementing Treatment (cont.)

Activity:


Drill (not natural)


Drill Play (neutral)


Modeling (most natural)


Where:


Clinic (least natural)


School (neutral)


Home (most natural)


With Who:


Clinician (least natural)


Teacher (neutral)


Parent (most natural)

Components of GOALS

Statement




Condition: when they will do it




Criterion: how well they will do it

Goal attack strategies

Vertical: one goal at a time until they understand task




Horizontal: all three goals at same time




Cyclic: cycle through goals. Don't necessarily complete

Data Collection

1. Structured Activities:


Baseline: data prior to intervention


Graph: occurrence of behavior over time


Generalization Probe: does not use strong modeling


2. Naturalistic Activities


Videotape


Direct Observation


Goal Attained Scale