Assessment

Question 1

What is the role of the Speech Language Pathologist in terms of assessment?

Answer 1

• evaluate using clinical observation
• conduct parent interview: detailed description on medical and family history, child’s current communication, social interaction, behavioral patterns, etc.
• conduct developmental speech and language testing: pragmatic skills, play, gestures, interaction, social skills, cognition and adaptive behavior
• consider other developmental/genetic disorders (refer)

Question 2

What clinical observations are used during the Preverbal and Verbal Stages of Assessment?

Answer 2

• use of eye contact
• affect sharing
• social referencing
• intentional communication
• gesture use
• joint attention
• communicative functions
• Play Skills

Question 3

What does the CSBS-DP stand for?

Answer 3

Communication and Symbolic Behavior Scales - Developmental Profile

*early identification of children who have or are at risk for developing communication impairment
*monitor’s changes in child’s communication, expressive speech, and symbolic behavior over time

Question 4

What is the ADOS-2?

Answer 4

The Autism Diagnositc Observational Schedule (2nd Edition) is a standardized measure asessing communication, social interaction, play/imagination, and repetitive/restrictive behavior through various activities and demands

*has 5 modules (takes 40-60 minutes)

Question 5

What are the changes done to the assessment of autism in the DSM-5?

Answer 5

There are now core domains that are categorized:

• social communication deficits*
• restricted and repetitive behavior*
• interests or activities*
• **the subcategories were removed: Asperger Disorder, Rett Syndrome, Childhood Disintegrative Disorder, Pervasive Developmental Disorder-Not Otherwise Specified

Question 6

What are some of the evident speech and language limitations for a child with ASD?

Answer 6

echolalia: imitation of speech of others
stereotypical speech: recite things he/she hears on TV, conversations, etc.
rote language
unusual amount of jargon
limitations in ability to formulate and access variety of language to adequately communicate thoughts or ideas

Question 7

What are some of the early signs of autism before 6 months?

Answer 7

not smiling to parent or others

not reacting to parent’s prescence

rare eye-contact with parent or caregiver during daily activities

lack of visual tracking of objects in people in environment

lack or relatedness, warmth or responding to others

Question 8

What are some of the early signs of autism in 12-36 months?

Answer 8

intense sensory seeking: rocking, climbing, spinning, aimless walking

stereotyped: repetitive use of objects non-functioinal play with object (line up)

repetitive hand or body movements

Question 9

What are some early signs of autism from 9-12 months?

Answer 9

lack of shared attention

delayed reciprocal interactions

lack of ability to imitate sounds, emotions, facial expressions or motor actions

lack of response to name when called

decreased use of gestures, such as waving, pointing, reaching for others

Question 10

At the end of the preschool years children should be able to?

Answer 10

walk up and down the stairs alternating feet

walk in straight or circular lines

balance while walking on a balance beam

gallop using one lead foot

kick objects using bent knee