Exam 2 Flashcards
What are the questions you should ask post assessment? (6)
- Does a speech sound disorder exist?
- What is the nature of the speech problem?
- What is the severity of the disorder?
- What are possible compounding or related factors?
- What is the prognosis for improvement?
What are three things you should do to found out if a speech sound disorder exist?
- Score the standardized test
- Analyze the conversation sample
- Collect data from the hearing screen, OP exam, and medical history
3 factors indicating no disorder exists.
- If errors are related to 2nd language interference
- Falls within normal developmental range
- Errors are subtle
Factors indicating a person with a speech sound disorder exist (2)
- Child/family feelings about speech
2. Social, academic, or future vocational life
What are the 5 errors of an articulation disorder?
- Not typical of child’s peers
- Limited to a few sounds
- Not patterned or constrained
- Doesn’t impact intelligibility much
- Associated with an organic, structural, or neurological origin
3 organic origin of articulation disorder
Hearing loss
Cleft lip/palate
Dental malocclusion
2 acquired/suspected neurological origin of articulation disorder
Childhood apraxia of speech
Developmental dysarthria
What is a functional origin of articulation disorder?
Persistent misarticulation of phonemes past the expected age of development without known cause
6 errors of phonological disorder
Are many and frequent Follow predictable patterns Do not match adult’s model of production Cause limited intelligibility Affect syllable shape of speech Restrict child’s phonetic inventory
2 types of phonological disorders
- Follows developmental patterns of phonological processes
2. Has idiosyncratic or non developmental phonological processes
4 things to determine severity of a speech disorder
Intelligibility level
Number or errors/processes
Consistency of errors
Child’s age
How do you determine if there are compounding or related factors to speech disorders? (3)
Hearing screening
Op exam
Health history
What is hearing screening?
Current or history of otitis media may affect child’s ability to hear and produce certain phonemes
Define OP Exam
Can rule out organic, structural, or neurological variables
What is Health History?
Helps determine past or current issues that may have an effect on speech
What is a prognosis?
What will happen if treatment is offered or not offered?
What should a well written prognostic statement should contain? (3)
A goal statement
A judgement of success
Prognostic variables
7 prognostic variables?
Severity of disorder Chronological age Motivation Inconsistency Associated conditions Treatment history Family support
4 possible treatment recommendations
- The child has typical speech and sound production- treatment not recommended
- The child’s artic skills are following normal course of development- treatment not recommended
- child has speech sound disorder but immediate treatment not recommended
- the child has speech sound disorder- treatment recommended
Define target behavior
Precise skills taught by the clinician to improve the client’s speech
Three parts to selecting child specific targets?
Long term goals
Short term goals
Daily goals
What are baselines?
Measured rates of behaviors in the absence of treatment; the child’s skill level before treatment
What are baselines used for ?
Evaluate child’s progress over time
Establish treatment effectiveness
Establish clinician accountability
Four steps to baselines
Specify the treatments target
Prepare stimulus items
Prepare a recording sheet
Administer the baseline trials
4 levels of skill
Isolation
Word/sentence
Reading
Conversation
What are 6 things you need to determine to develop an individual treatment plan?
Session type Session frequency Session length Length of activities Format of activities How to monitor treatment effectiveness
What are the four things frequency of sessions depend on?
Severity
Time availability
Client availability
Money