1 Flashcards
Phones VS Phonemes
Contrastive and meaningful
Word shapes VS syllable shapes
Early words, monosyllabic
Multisyllabic, more telling
Word position
Prevocalic Postvocalic Intervocalic Syllabic consonants Initial Medial Final Coarticulation
Speech sound disorders
Diverse populations Umbrella term Inconsistent definitions Distinct from language disorders Can affect any age Known and unknown causes Artic / phonology Primary / secondary
What is the ultimate goal when we work with clients with SSD?
Improve participation and connection!
Critical Age
If SSDs persist after 5;6, there is a higher risk of comorbidity and impact on learning, reading, and socializing
Matthew Effect
The richer get richer, and the poorer get poorer. As those with SSDs scramble to catch up, everyone else is already rapidly progressing.
Impacts of SSD
Success in literacy, learning, and socializing
Comorbidity
Cost
Epidemiology of SSD
3 year olds: 10-15%
6 year olds: 6%
Males (3:1) to Female
56% of caseload for school SLP
Populations with SSD
Children
Teenagers
Adults
WHO-ICF
Targeting barriers to participation.
Less “fixing”, more centered on client and family by focusing on strengths to enhance participation. Forward thinking!
F Words
Fitness Function Friendships Family Fun Future
First speech sounds typically emerging
Stops, nasals, and glides!
How to classify SSD?
Topological Etiology Comorbidity Severity Delay / Disorder / Deviance
Shirberg’s SDCS
Speech Delay
- Genetic
- OME
- Pyschosocial
Motor Speech Disorder
- AOS
- Dysarthria
- Not Specified
Speech Errors
- /s/
- /r/