Speech Disorders Test 1

Front 1

What are the three levels of assessment of speech sound disorders?

Back 1

1. Screening: Does the child need further assessment
2. Identification- Detailed assessment to identify the disorder and need for iX (Alternate terms: appraisal, evaluation)
3. Diagnosis- Describe the disorder, plan for intervention, prognosis (Alternate term: assessment)

Front 2

What are some forms of screening?

Back 2

1. Use screening tests, e.g., Childhood Communication Checklist (CCC-2), Preschool Language Scale (PLS) screener
• Includes language too
2. Informal speech sample, e.g., tell me a favorite story – use developmental norms for intelligibility, etc.
3. Concerns of caregiver, teacher, etc.

Front 3

After screening, explain what the slp should do if the child:
1. Fails
2. Passes

What does monitoring include?

Back 3

1. FAIL: further assessment
2. PASS: Nothing further is required
3. MONITOR: Rescreen after a specified interval

Front 4

What is a false positive and a false negative?

Back 4

• False Positive: Typically developing children fail the screening
• False negative: Child with SSF pass the screening

Front 5

In terms of screening, describe sensitivity & specificity?

Which of the two is preferred during screening?

Back 5

Sensitivity: Does the test identify all children with SSD?
Specificity: Does the test identify only children with SSD?

Prefer sensitivity-making sure you target kids with SSD

Front 6

What are the steps of the diagnostic process?

Back 6

I. Referral Source/ Case History
I. Description of Relevant Speech Behaviors (ex. Speech sound Assessment)
II. Description of Other Relevant Behaviors (ex. hearing, language, cognition, caregiver interaction)
III. Diagnostic Intervention or Dynamic Assessment (ex. stimulability)
IV. Decision making and Goal Setting (Report)

Front 7

During this step the following things occur:
• Provides initial statement of the problem
• Obtain information from caregiver or significant others in child’s life
• May come from caregiver, pediatrician, teacher, etc.

Back 7

Referral Source/Case History

Front 8

What are the two forms of speech sound assessment?

Back 8

1. Standardized Testing
2. Speech Sample Analysis

Front 9

The type of speech sound assessment in which:

A. Typically, picture naming is the format
B. Typically, single words are elicited
C. Gives you a sample of their speech sounds

Back 9

Standardized Testing

Front 10

What are some of the pros of tests?

Back 10

• Quick, easy to administer,
• Structured, compared to norms
• Essential for documenting/ identifying a disorder**(most important)

Front 11

What are some of the cons of tests?

Back 11

• Might not be very representative of documentation
• Strictly follow the manual, the way the test is administered
• The test might not be specific enough
• Does not help us plan for intervention **** (most important), need to have more in depth testing, need to collect a speech a sample

Front 12

Tests are usually analyzed as SODA. Describe all of the components of SODA

Back 12

• Substitutions “soup” says “toup”
• Omissions “soup” says “up”
Distortions ex. soup” siu”
• Additions ex. “soup” says “stup”

Front 13

When assessing a child, an slp must compare child’s productions to norms. If child is __________ SD below the norm, a deficit is usually identified

Back 13

1.5 or 2

Front 14

What are some tips for assessing speech?

Back 14

• Tip 1: TRANSCRIBE THE ENTIRE WORD
• Tip 2: Compare child’s productions across words for patterns of errors

Front 15

What are some popularized standardized tests?

Back 15

• Goldman-Fristoe Test of Articulation – 2 (GFTA-2) with Khan-Lewis Phonological Analysis (KLPA)
• Clinical Assessment of Articulation and Phonology (CAAP)
• Diagnostic Evaluation of Articulation and Phonology (DEAP)
• Arizona Articulation Proficiency Scale – 3 (Arizona -3)
• Hodson Assessment of Phonological Patterns – 3 (HAPP-3)

Front 16

What is the pro/con of sampling?

Back 16

Pros of sampling-Helps in planning Ix

Con- Not standardized

Front 17

How do you obtain the best speech sample?

Back 17

 Use both familiar and unfamiliar interactants
 Minimize talking
 Collect at least a 50-100-utterance sample for younger kids or 250-300 words for older kids
 Transcribe using IPA and diacritics
• Spontaneous and elicited

Front 18

What is a speech sample used for?

****************

Back 18

1. Describe the child’s speech sound __________
 Independent Analysis
 Relational Analysis
2. Estimate Intelligibility
3. Estimate Severity

Front 19

The type of Speech Sample Analysis that:
• Look at child’s productions in isolation
• Do not compare with target
• There are no “right” or “wrong” judgments
• It is the sole method of analysis till representational stage, so used till about 3 years of age.

Back 19

Independent Analysis

Front 20

For an independent analysis you must:
• Compute a phonetic inventory
• List the sounds and syllables produced by the child, e.g., consonants, vowels, consonant clusters, syllable shapes, etc.
• Compare to available norms
• Subjective judgments are made about what is typical and what is disordered

Back 20

• Compute a phonetic inventory
• List the sounds and syllables produced by the child, e.g., consonants, vowels, consonant clusters, syllable shapes, etc.
• Compare to available norms
• Subjective judgments are made about what is typical and what is disordered

Front 21

Type of speech analysis that:
• In addition to independent analysis, compare child’s production to adult targets
• Look for errors in production at various levels, e.g., sounds, syllable, stress, etc.
• Examine consistency of errors
• The most common form of relational analysis is SODA
• Another example is Phonological Processes analysis (Table 6.3, p. 151, and eLC handout from speech development)
• Compare to available norms

Back 21

Relational analysis

Front 22

How is intelligibility studied in a sample analysis?

Back 22

Either use a rating scale for intelligibility OR
Compute percentage of words understood [Compare to norms or Describe speech sample characteristics (recall “Nature of SSD”)]