Class 2 Flashcards

1
Q

What identifies a child as having “complex needs”?

A
  • profound intellectual disability (IQ<20)
  • often with movement impairments
  • often with visual and/or hearing impairments
  • often with ASD and/or epilepsy
  • often with behaviour viewed as ‘challenging’
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2
Q

What 3 principles does the MRO model consist of?

A

MRO Model (Money and Thurman, 2002)

  • Means (how we communicate)
  • Reasons (why we communicate)
  • Opportunities (where/when/with whom we communicate)
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3
Q

What is an affective communication assessment? (ACA) and who conducts it?

A
  • an observation or video based assessment
  • shows child in response to range of sensory stimuli, events and experiences

-completed by team of people who know the individual well

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4
Q

What does ACA stand for?

A

Affective Communication Assessment

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5
Q

What are some examples of communication categories?

9 total- try remember 5

A
  • body movements
  • early sounds
  • facial expressions
  • visual looking
  • simple gesture
  • conventional gesture/vocalisation
  • concrete symbol
  • abstract symbol
  • language (2 or more symbols)
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6
Q

What are the 7 levels of communication?

A
  1. Pre-intentional behaviour
  2. Intentional behaviour (but no communicative indent)
  3. Unconventional communication (pre-symbolic)
  4. Conventional communication (pre-symbolic)
  5. Concrete symbols
  6. Abstract symbols
  7. Language
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7
Q

What does the communication matrix provide for each individual child?

A
  • a full 1 page profile
  • a list of (expressive) communication skills
  • a report of emerging areas to build on
  • comparison reports to show progress

(Focus is NOT on receptive communication)

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8
Q

According to who, what are the 7 stages of understanding?

A

Goodbart & Ware (2015)

  1. Responds to emotional tone in voice
  2. Extracts meanjng from intonation and facial expression

3.
Understands non verbal communication and contextual cues

4.
Understands some single words and abstract symbols

5.
A range of single words, signs and/or symbols

6.
Short phrases with supporting context

7.
Understand relatively more complex language

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9
Q

According to the communication matrix, what are the four earliest reasons to communicate?

A
  • Refuse
  • Obtain
  • Social Interaction
  • Provide or seek information
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10
Q

What three types of understanding come under umbrella term “comprehension”?

A
  • Vocabulary understanding
  • Situational understanding: includes context, routine, non
    verbal aspects
  • Functional understanding: fluctuates based on time of
    day, feeling well, tired, emotional factors
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11
Q

What are ways of assessing children with intellectual disability include…?

A
  • Communication Matrix
  • ACA
  • Routes for learning (online educational profiling)
  • Pragmatics Profile of Everyday Communication Skills in
    Children
  • Communication Symbolic Behaviour Scales -
    Development profiling (CSBS-DP)
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12
Q

What are the SLT roles within intervention?

A
  • Managing the health needs
  • Ensure a shared means of communicating
  • Promoting reasons for communication
  • Create opportunities for communication
  • Making information accessable
  • “Working at the level of the person, environment and
    community” ~ Money and Thurman (2004)
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13
Q

When planning intervention, you must choose communication partners who are….?

A
  • Familiar, caring and responsive to child
  • Respond contingently to the child
  • Understand how the person communicates
  • Create appropriate opportunities for communication
  • Have flexibility using appropriate means of
    communication
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14
Q

What is the total communication approach?

A

“Inclusive communication approach”

  • Creates a supportive and effective communication
    environment
  • Uses every available means of communication to
    understand and be understood
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15
Q

Creating a “communication-friendly environment” can be informal or through structured training. Give examples of the training for this which can be received?

A
  • Elklan: Communication support for 0-25s with complex
    needs
  • Elklan: Specialist training package for AAC.
  • SLTs, and specialist teachers, give accredited training to
    others in the locality
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16
Q

What is a communication passport?

A
  • A booklet (or cards, folders, wallets, wall charts)
  • Always in a accessible, attractive format
  • Present unique info. about the child
  • Helps them to be ‘the best they can be’
  • Useful for meeting new people or transition periods
17
Q

What are the key principles of a communication passport?

A
  • Belongs to the child
  • Co-created with the child and key others
  • Present the child positively as an individual (not a list of
    diagnosis or problems)
18
Q

What are objects of reference?

A
  • An object gains significance for the learner
  • Signals what is about to happen (E.g. a cup for “snack
    time”)
  • Operates at a level before symbols
  • Used to offer a choice (e.g. “drink or food first?”)
  • Later used to make a visual timetable
19
Q

What are the stages in increasing abstractiveness of an object?

A
  1. Index- The actual object
  2. Icon- Visual or tactile resemblance (e.g. a mini horse)
  3. TOBIs (True Object Based Icons)- photo of an object cut
    to same shape and size.
  4. Symbol- Arbitrary link, learner has to learn association
20
Q

What is Intensive Interaction?

A
  • Enjoyable exchanges (like parent- infant interaction)
  • Vary in intensity, duration, energy
  • Provides the opportunity to learn communication routines and skills
  • Can involve a lot of necessary repetition
21
Q

What are the principles of Intensive Interaction?

A
  • Quality 1-to-1 time
  • Imitation, copying, joining in
  • Simple behaviour
  • Pauses
  • Mutual Enjoyment
  • Responsiveness
  • Slow and follow
22
Q

What is Responsive education and pre-linguistic milieu teaching? What are the aims and goals of this style of intervention?

A

RE: Delivered by an SLT to atleast one parent

PMT: Delivered by an SLT to a child who has limited
intentional communication and less than 5 signed or
spoken words

Aims: To enhance child’s communication while ensuring
parental responsiveness

Goals: Establish and increase the frequency, clarity and
complexity of the child’s prelinguistic
communicative acts. Increase requests and
comments through encouragement of gesture, co-
ordinated eye gaze and vocalisation.

23
Q

What are some principles of the “enabling contexts” approach?

A
  • Arrange the environment in a way that naturally creates opportunity for communication
  • Positioning of the adult: allow direct face to face interaction
  • Follow the child attentional lead (imitating, parallel play, copying)
  • Use of prompts: pauses, verbal, gestural
  • Embed techniques into play and social routines
  • Recasting and linguistic mapping
24
Q

What are some examples of intervention approaches for a child with Intilectual Disability?

A
  1. Total Communication
  2. Communication Friendly Environment
  3. Objects of Reference
  4. Objects of increasing abstractiveness
  5. Communication passport
  6. Intensive interaction
  7. Enabling contexts
  8. RE/ PMT (Responsive Education and Prelinguistic Milieu
    Teaching)