assessment info Flashcards
pre-assessment information
- written case history information
- interview
- prior tests/reports from other professionals
case history info
can be written or info that is obtained from someone while talking to them
-usually it is written by a parent/significant other
interview
what else do you need to know after you look at the case history form?
-what do we need from the client, parent, teacher, etc
prior tests/reports from others
maybe by another SLP that evaluated the child, teachers may also send in reports, need medical info from a doctor, school psychologist or reg psychologist, OT, PT, ENT, audiologists
case history
record of the background info of the client
- is the starting point for understanding clients and communication difficulties
- starts with birth history, medical info, educational, family history
limitations of written case history
- terminology on form
- insufficient time to complete
- limited recall of info
- cultural differences
info from other professionals
- ranges in importance and potential use
- maintain objective postion in regard to reports
- always have client’s permission to contact other professionals for information
- maintain confidentiality
evaluating pre-assessment information
- know typical development for speech-language skills and motor development
- know characteristics of specific disorder areas
- know syndromes associated with communication disorders
- know medical conditions associated with communication disorders
3 goals of interviewing
- obtain info
- give information
- provide release and support
obtaining information
- set the tone- define the roles
- explain the purpose of the interview, why the info is needed and what will do done with it
- use friendly and professional manner
- foster professional environment
- learn both technical and everyday language
- structure interview to be time sufficient and flexible
- be sensitive to cultural differences
- maintain confidentiality
obtaining info: asking questions
- objective questions ask for specifics
- subjective questions deal with feeling and attitudes
- indeterminate questions keep the respondent going **funnel sequence of questioning
- open ended questions and close ended questions
funnel sequence
ask broad questions and then get to the specifics
obtaining info: general topics of inquiry
- what is the respondents’s perception of the problem?
- when and under what conditions did the communication disorders arise?
- in what ways has the communication disorder changed since onset?
- what are the consequences?
- how has the client/family attempted to cope with the problem?
- what impact has the client’s communication disorder has on the family?
- what are the expectations of the diagnostic
what to avoid
- questions of yes/no
- questions that inhibit freedom of response
- avoid talking too much
- avoid diagnosing too early
- avoid negativism and moralistic statements
- avoid abrupt transitions (use pauses, use probes, summary, stumbling, assuming)
- avoid trusting to memory
giving information
- do not lecture your clients- focus on sharing info rather than giving it
- use simple language with many examples and illustrations
- try to give client/parent activities to be involved
- say what needs to be said as pleasantly but as frankly as possible
- be prepared to deal with negativity and hostility
giving info: opening phase
- purpose
- report if adequate info was obtained
- describe behavior and provide examples
giving info: body of interview
discuss major findings and conclusions
- keep language easy to understand
- emphasize key points
giving info: closing phase
summarize findings
- asking for questions
- describe next steps to be taken
written report
identifying info
- overview/background/presenting compliant
- describe who, where, when, what/why in opening paragraph
- who is person and how old
- when was evaluation conducted
- where was the evaluation conducted
- what/why was person referred and who made referral
written report: histories
- start with prenatal and birth history – mother health during pregnancy, birth (normal?), birthweight
- early developmental milestones
- medical history summarizing significant medical history, including sensory problems, medical and surgical treatment and any previous diagnostic statements
written report: family, social and educational histories
- describe family, number of children
- history of family communication problems
- client’s education and occupation
- child’s companions and play activities
- describe any previous clinical and education programs of relevance and the current educational level
