Class 2 Flashcards

1
Q

who are we assessing:

have no ?
be at risk for ? 
have ? but not sufficient to 
have speech that is functional in most contexts but not?
have speech that is temporarily
A
access to natural speech 
developing intelligible speech 
some speech/meet all needs 
functional in some specific contexts 
inadequate to meet communication needs but is expected to improve or recover
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2
Q

What role will AAC fulfill for the individual?

  • establish a basic means of
  • improve
  • alleviate
  • equalize
  • promote
  • clarify
  • facilitate
  • enhance
  • increase
  • reduce ?
A
communication 
functional communication 
frustration 
comprehension and production 
-language development 
-educational/vocational opportunities 
-participation in society 
-challenging behaviors
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3
Q

How do we assess communication in individuals with CCN?

  • there are very few ?
  • assessment tools will need to be ? of an individuals true capabilities
A

commercially available or standardized assessment tools designed specifically for use with individuals who have CCN

adapted if we wish to obtain valid representation

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4
Q

The goal of an AAC assessment is to elicit .. and … behaviors that accurately demonstrate the AAC user’s

A

valid and representative

communication potential

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5
Q

AAC assessment is an ? what and what are required? even after an AAC system has been selected

A

ongoing process / ongoing evaluation and decision making

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6
Q

AAC assessment is ? it requires a team of individuals including ?

individuals with CCN are ? assessment tools need to be adapted to obtain a?

participation in real life ?

A

complex/ the individual who relied on AAC remember: nothing about us without us

complex/valid rep. of an individual’s true capabilities

matters

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7
Q

major transition in AAC testing from the Candidacy model to the ?

A

1970s, 1980s to participation model (1998)

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8
Q

Candidacy or readiness model:

historically significant - used in ? NOT

approach: evaluate individuals readiness for AAC based on?

individuals were often perceived as ? therefore,

result: individuals were

BUT we know that communication is a basic ? and no one is ?

A

1970s and 1980s / best practice and should not be used

formal testing, medical diagnosis or previous intervention performance

“too” something/ not a good candidate for AAC

excluded from AAC support

human right/too anything to be given access and support to communication

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9
Q

Participation model:

a systemic process for implementing AAC through ?

based on the ? who are the same ?

focuses on the need to design intervention based on ?

.. and… by ASHA

A

ongoing assessment and intervention

functional participation requirements of peers without disabilities / chronological age as the individual with CCN

what is needed for functional participation in real life

evidence-based and endorsed

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10
Q

The participation model 3 components:

  1. participation?
  2. … and ….
  3. the individual’s
A

patterns and communication needs

environmental supports and opportunity barriers

  • policy
  • practice
  • attitude
  • knowledge
  • skill
capabilities 
-hearing/vision
-motor
-natural speech 
-language 
symbols 
-literacy 
-cognition
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11
Q

participation patterns:
activities in which the individual?

communication partners in each of these ?

step required to

level of

A

participates across different contexts

settings

complete a given activity

independence/support required to participate fully

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12
Q
step 1: assessment tools:
-
-
-
-
A

interviews
social networks inventory
communication needs survey
participation inventory

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13
Q

Interviews:
interview the ?

ask questions/gather data about: 
-the individuals 
-
-
-
-current
A

individual, family, and current communication partners about their priorities for communication

  • life experiences
  • dreams or goals
  • fears or worries
  • strengths and unique gifts
  • current unmet needs
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14
Q

Social network inventory:

what is a social network?

  • the communication partners with whom
  • critical to making an AAC system or support strategy ?
  • provides the ? with his/her current and potential
  • conduct structured ?
A

individual communicates

individualized for an individual’s specific needs

big picture/communication partners

interview with person in family or in social networks

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15
Q

Communication needs assessment or survey:

addresses ?

what is important to know

  • a list of
  • a list of
  • a check next to ?
A

unmet needs an individual with CCN faces (can then be used for intervention planning)

  • daily weekly monthly activities
  • whom,when,why,how and about the individual. needs to communicate effectively
  • needs that are met vs. unmet
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16
Q

AAC intervention will only be effective if the individual has the ?

A

opportunity and supports required to communicate and participate

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17
Q

step 2 goal:
identify the ?
requires us to ?
not assessing the ? examining the ?

A

supports available and any barriers that might limit opportunities to communicate

-take a close look at the individual’s environment

individual/environments in which the individual participates

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18
Q

Supports:

partner supports:
actions or strategies that allow an individual using AAC to?

example:

environmental supports: strategic arrangements of environments that allow and individual using AAC too ?

example:

A

communicate or participate at a desired or required level

  • a parent uses extended conversational pause time to ensure that a child has an opportunity to take a turn to reinforce functional AAC use

communicate or participate at a desired or required level

-picture symbols are made available throughout preschool classroom

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19
Q

Barriers:
actors that may be ?
imposed by people other than ?

barriers can be related to:
1
2
3
4
5
6

barriers likely not ? but?

A

preventing the client from communicating or participating at a desired or required level

  1. policy
  2. practice
  3. attitude
  4. knowledge
  5. skill

intentional/need to be addressed for AAC to be successful

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20
Q

policy:

policies=

as future SLPs, it is critical to know which? to ?

often we are called on to be?

understanding the policies that support their rights helps us to become ?

A

legislated or regulated procedures

policies exist in our practice settings/support communication and participation rights of individuals with CCN

advocates for our clients, patients, and their families

supportive advocates and reduce barriers these individuals face

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21
Q
Practice barriers: 
practice= 
often driven by the?
classic example of practice barrier for individuals who rely on AAC: 
-school districts may ? 

the tension between policy vs. practice reflects the tension between ?

changing practice barriers requires ? and sometimes?

A

what is conventional or typically done in a given context

culture of a specific setting and not by written policies or legislation

  • restrict the use of district funded AAC equipment outside of the school setting

what is written and what is done

advocacy/legal action

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22
Q

Attitudes:

how we ? and what we? determines how we act towards individuals with disabilities and/or CCN

A

think/believe/

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23
Q

attitudes can be ? but they are often?

how do we change attitudes?
-direct
-exposure to messages that ?
active ?

A

implicit or explicit/malleable

  • experiences with people who have disabilities
  • highlight how people without disabilities are similar
  • role play to experience what it might be like to have a disability
24
Q

Knowledge and skills:
KNOWLEDGE: WHAT WE ? HOW MUCH INFO WE HAVE ABOUT ? AAC?

skill: the strategies necessary to

A

understand/individuals with CCN/intervention options/technologies and instructional strategies

interact effectively

25
Q

Positive supports =

barriers: areas to ?

A

resources for individuals. with CCN

address through intervention to ensure comm. opportunities for individuals with CCN

26
Q

Goal of step 3:

focus on what the individual is ? NOT a ?

purpose is to inform ? NOT to determine

areas assessed: 
a
b
c
d
e
f
g
A

capable of doing (not a deficits based approach to assessment)

intervention planning (not to determine candidacy for services)

sensory/perceptual 
motor
natural speech 
language 
symbols 
literacy 
cognition
27
Q

Sensory perceptual skills: hearing

  • individuals with CCN are at risk for ?
  • impairments in these domains can make receiving input much more ?

hearing impairments can affect individuals with CCN in 2 ways:

  1. receiving
  2. processing

audiologist and or ENT should be part of the AAC ?

A

vision and or hearing impairments

difficult - including digitized or synthesized speech produced from an AAC device

    • auditory signal
  • -meaning of what is heard

assessment team if hearing impairments are documented or expected

28
Q

Adapting assessments: hearing

adaptations that may be required when assessing individuals with CCN who also have hearing impairment:

  • reduce
  • provide
  • augment
  • model to demonstrate
A
  • background noise
  • amplification when appropriate
  • oral directions with visual supports
  • what the task requires
29
Q

sensory/perceptual skills: vision

ways in which vision can be impaired for individuals with CCN:

  • visual
  • visual
  • ocular
  • .. sensitivity
  • color
  • cortical ?
A
acuity 
fields 
motor functioning 
light/color 
-perception 
-visual impairment (CVI)
30
Q

adapting assessments: vision

-size:
-spacing:
-position:
within
lighting:

A

enlarge pictures, text
reduce visual clutter
appropriate distance from the individual, but within visual field
bright enough to see, but without reduce glare

31
Q

Motor abilities:
individuals with CCN will vary in terms of the ? and how that affects ?

as a member of an AAC assessment team we need to understand the ?

you should be familiar with the following terms:

  • tone
  • strength
  • reflex?
  • .. and…
A

level and type of motor impairment/ range and efficiency of movements required to use AAC supports and systems

individuals motor capabilities and how those abilities affect function

  • hyper and hypo
  • strength (weakness , fatigue)
  • patterns (ATNR, STNR, rooting)
  • flexion, extension
32
Q
Seating and positioning; 
goals
-inhibit 
-minimize 
maximize 
-maximize
A

reflex patterns
any fixed positions
function
comfort

33
Q
Seating and positioning considerations: 
consider performance in ? 
-seating and positioning must meet multiple goals 
-provide 
-ensure 
-promote 
-allow for 

seating and positioning should allow for .. and…

A

multiple positions is required in daily life

  • security
  • safety
  • functional activity
  • for rest

flexibility and adaptability

34
Q

assessment strategies: seating and positioning
-list
-identify… and .. within each position
-identify
-observe ? which become ?
-analyze position of ?
ALWAYYS solicit individuals ?
understand ? needed to achieve optimal positioning
-aka ?

A

positions throughout day

  • communication needs and other functional needs
  • optimal positions
  • sub-optimal positions /priorities for intervention in OT PT
  • pelvis,k trunk, shoulders, arms, legs and feet
  • input
  • supports and adaptations (foam inserts, customized seating, harnesses)
35
Q

Natural speech: assess functional intelligibility

  • collect several samples of the individual ?
  • ensure they are ?

analyze at least ? per sample
-calculate word intelligibility - which is ?

calculate general message intelligibility which is ?

A

communicating with others in natural environment in typical situations

  • representative of individual’s speech production
  • 100 spoken words

words understood correctly by partner divided by # of words communicated

of messages understood correctly by partner divided by # of messages communicated

36
Q

natural speech: assess use of clarification strategies

adjustments to following increase intelligibility: 
-proper 
-
-
-modifications of 
-est. 
-use of 
-use of 
-use of
A
positioning 
pacing 
repetition 
content (vocab) 
topic prior to specific message 
gestures or pantomime 
writing 
drawing
37
Q

parallel programming:

maximizing natural speech function through ? while also ?

A

traditional speech therapy and clarification strategies/ augmenting natural speech via AAC to enhance comm.

38
Q

Language: some individuals with CCN have

  • intact ? but impaired ?
  • challenges with both

goal: obtain a clear picture of what kind of ? NOT to assign ?

A

comprehension/production
-comprehension and production

spoken language input the individual understands and where breakdowns occur / score or developmental age

39
Q
receptive language: does the individual understand 
-single words 
-various ? 
-grammatical 
-
-techniques to ?
A
substantive and relational words 
-sentence structures 
-morphemes 
-pragmatics 
augment comprehension
40
Q

assessment strategies: receptive language

family and or ?
-probe to obtain

direct?
-record and collect data on 
1
2
3

identify:
any evidence of
areas that may require

A

caregiver report
-specifics: ask for examples

observation in natural environment/daily interactions

  1. context
  2. what partner says
  3. what individual says

comprehension in context
further investigation

41
Q

standardized, norm-referenced tests can be used to probe?

examples:

make sure items are ?

make sure the test does not require

A

specific areas of comprehension

PPVT, TACL, SICD, reynell developmental language scales

relevant, meaningful, and functional to the individual

unrelated skills to achieve success

42
Q

informal, functional assessment procedures to probe?

  • use
  • probe full range of ?
  • provide
  • probe each form at various levels of
  • ensure individual has
  • record
  • calculate
A

specific areas of interest

-relevant, meaningful questions
-question forms
-numerous trials with each form
-complexity
-means to respond
-individuals response
% correct, identify areas to address in treatment

43
Q

assessment of augmented input can be used to probe?
-identify ?

-
-

A

techniques that might support comprehension
-vocabulary, types of sentence structures, level of syntactic complexity understood via speech alone

  • augmented input on comprehension
  • gestures + speech
  • pictures + speech
  • written words + speech
44
Q
assessment strategies expressive language: 
interview 
direct ...
-sample ? 
-transcribe
-analyze for ?

informal?
ensure the elicitation context provides the opportunity for the ? requires the ? is ? and is ?

A

individual and or caregivers

  • observation in natural environments
  • communication in daily interactions with typical communication partners
  • the sample
  • language skills noted on previous slide

elicitation to target specific language structures/behaviors
-targeted language form/skill/ meaningful and motivating/chronologically age appropriate

45
Q

symbol assessment: goal

generate a list of ?

identify symbols that show the ?

A

aided and unaided AAC symbols that the individual understands now

potential to be learned

46
Q

assessment strategies: symbols

identify ? form your receptive language assessment

identify a range of ?

determine which AAC symbols to ?

choose ? that are meaningful to the individual

consider the ?

consider the array ? and the array ?

choose your ? carefully

… before you test

test the individuals ?

A

vocabulary

target concepts

assess

representations (line drawing, written words, combo)

size of the symbol based on motor and visual skills

size/layout

foils

teach

understanding of the symbols

47
Q

assessment strategies symbols continued:

.. task

.. format

… format

… matching task

… format

A

receptive language task
-present 2 or more symbols and say show me X

yes/no

request format” provide individual with opportunity to initiate request

visual matching task: present actual object
ask individual to match the symbol to the object

question/answer format

  • engage individual in convo and ask questions
  • avoid test questions
48
Q

literacy =
communicate ?
for individuals with developmental disorders assess the ?

for individuals with acquired disorders who have a history of literacy, assess

A

common code
-anything to anyone at anytime

range of literacy skills to get a picture of where they are functioning as literacy learners

residual reading and spelling skills

49
Q

goals of literacy assessment:

to determine ?
to determine comprehension of
to determine?
to determine ?

A

reading comprehension of written words
-written sentences and texts
spelling skills
-written expression in sentences and texts

50
Q

assessment strategies: literacy
standardized assessments (if?)
examples:

criterion?
reading
-.. correspondence 
-sound
-phoneme
-reading 
A

available
-woodcock johnson, gray reading

  • letter sound correspondence
  • sound blending
  • phoneme segmentation
  • reading comprehension

-speed, accuracy, fatigue

51
Q

cognitive linguistic organization:

understanding how a person ?

A

thinks and organizes language in their brain

52
Q

schematic:

vocabulary grouped based on ?

A

an event or activity

53
Q

taxonomic or categorical

vocabulary arranged by

A

hierarchal categories: food , places, people

54
Q

semantic/syntactic:
displays are organized via?
symbols are ?

A

part of speech and spoken word order

-color-coded by part of speech or grammatical categories

55
Q

others:
alphabetical

frequency of use

idiosyncratic:

A

pages follow alphabetical order

frequently used items in locations fastest and easiest to select

anything goes

56
Q

assessment strategies: cognitive linguistic

getting started:
identify a list of

identify a range of ?

choose representations that are

check in with ?

A

important and relative vocab

target concepts

appropriate for these concepts

individual

57
Q

assessment tasks: cognitive linguistic

S
- ask the individual to?
analyze the way the individual ?

A
-present ?
present ?
ask the individual too ?

T:

develop?
teach?
assess?

A

sorting:

  • sort representations
  • sorts and see which org. strategies emerge
  • target item to individual
  • several other items
  • select item that goes with the target

trial systems using different organization

  • use of systems
  • best fit based on speed proficiency and accuracy