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58 Cards in this Set

  • Front
  • Back

Language delay

Acquisition of normal language competencies at a slower rate than would be expected given a child's chronological age and level of functioning.


They're 'on the frontage road and need someone to point out the highway.'

Language difference

Language behaviors and skills that are not in concert with those of the person's primary speech community or native language.


Does not require intervention.

Acquired disorder

Any disruption in the learning of language in the absence of primary intellectual, sensory, or emotional deficits.


Requires intervention.


They 'are on the frontage road and need to be continually ushered back onto the highway.'

How do you distinguish a language disorder from a delay?

The SLP must wait and see how the client responds to intervention. If they are very stimulable and respond very well, they probably have a delay and not a disorder. Disorders require more time to be fixed.

ECI focus

Family needs.

ECI is for children of what age?

From birth to 3 years.

Why do we do dynamic assessments?

It helps us find out what a client can do with cues; lets us know how much support is needed.

4 purposes of assessment

Determine if there is a delay/disorder


Determine eligibility for services


Determine strengths and weaknesses


Determine recommendations

Eligibility in Texas

An IQ of -1.5 standard deviations; score of 77 qualifies for services

What does ZPD stand for?

Zone of proximal development

Why do we screen?

To determine if an assessment is needed. It does not tell us if a client has a delay/disorder.

Norm-referenced assessments

Compare a client's abilities to normative data from a particular study (just the people who were tested).

Criterion-referenced assessments

Comparing a client's abilities to the normal developmental progress of children in that age range.

Descriptive-developmental approach

Using the presenting development of a client to describe their problems instead of using a label (more specific than label).

Developmental approach for preschoolers

Intervention follows the developmental landmarks (50 word lexicon, word combination, sentences, etc.)

Syndrome

A constellation of symptoms with the same etiology. May not contain all the symptoms.

Cause of Down Syndrome

Chromosomal abnormality (trisomy 21)

Down Syndrome goals for adulthood

Intelligibility and social skills.

Hypotonia

Floppy muscle tone.

Factors that affect hearing loss impact

Type/degree of hearing loss


Age of onset


Age of identification


Family involvement


Quality of intervention (HA, CI, therapy)

Why is early intervention important for hearing loss?

The brain is very plastic when young and areas for language may deteriorate if not used.

What is AVT intervention?

Auditory-verbal therapy. It emphasizes auditory/verbal modalities and teaches the child to identify sounds and match them with meanings.

What kind of client will benefit from AVT?

Those with cochlear implants.

Fragile X syndrome

Presents with symptoms similar to Autism but is an inherited genetic disorder (from the mother). May have cleft palate.

What are the first symptoms to be identified in fragile X syndrome?

Speech/language. These children usually see an SLP before any other professional.

Apert syndrome

Causes cranio-facial defects.

Cause of Apert syndrome

Problem during fetal development.

VCFS

Velocardiofacial syndrome. These clients will have normal facial features characteristic to the syndrome and cardiovascular defects.

Fetal alcohol syndrome (cause)

Caused by ingestion of alcohol during pregnancy. Causes intellectual disability.


Fetal alcohol syndrome characteristic feature

Flat philtrum

What qualifies as an intellectual disability (2 things)?

An IQ of -2 standard deviations or more; score of 70 or less


AND


deficits in adaptive skills

What are adaptive skills?

Everyday skills; self-dressing/toileting, etc.

If a picture with a woman's face on the left and a man's face on the right is presented to a child with a severed corpus collosum, what will the child say they see (matching/naming)?

Matching will say woman, naming will say man.

Early signs of Autism spectrum disorder (0-18 months)

Not paying attention to parents, no smiling, don't pay attention to mother's voice, poor eye contact (prefer the mouth), little pointing, no symbolic play

Best practice for Autism assessment

TEAM ASSESSMENT, with parent on team

Preserved areas for ASD clients

Speech-motor skills are unaffected, generally good grammar. Most do not have an ID.

Theory of mind (ASD)

Lack of awareness of other's feelings

Joint attention

Difficulty following another's visual or gestural forms, reduced gaze shift

Echolalia

Repetition of other's language utterances. Common in some ASD clients.

SLI versus Autism

SLI will not have pragmatic deficits.

Diagnosing an SLI

You must compare language development to overall development; there must be a significant difference.

First indication of an SLI

No word combinations or less than 50 word lexicon

First goal for early intervention

Finding a means of communicating

What areas are first mapped in a child's brain?

Vision, hearing, and touch

TIPS

Pre-intentional communication.


T-turn-taking


I-imitation


P-pointing


S-anticipatory sets

Skills that develop in the first year

TIPS (pre-intentional communication), BICS (intentional communication), first word

Overall approach

Developmental approach

BICS

B-basic


I-interpersonal


C-communication


S-skills

Recast

Expand on a child's utterances; make them more whole

Parallel talk

Adult provides a language model by describing what the CHILD is doing.

Self-talk

Talking about what you are doing

Auditory bombardment

Giving speech stimuli to a child and not asking them to respond; they just listen to repeated speech

Goal for Kindergarten age

Conversations and simple narratives

Content, form, use

Content: semantics


Form: Morphology, phonology, syntax


Use: pragmatics

Deficits in content will present as...

Poor vocabulary/limited lexicon

Deficits in form will present as...

Morpho-syntactic errors, speech-motor errors

Deficits in use will present as...

Pragmatic problems

CALP

C-cognitive


A-academic


L-language


P-proficiency




How well a child understands classroom language.