Paeds Case Study Questions

Question 1

ASD:

Answer 1

ADOS-2 and ADI-R
Strengths based approach and bringing monotropism into SLT practice
Functional communication e.g. Hanen
Perspective-taking tools e.g. social stories
AAC - Makaton, BSL, communication passport

Question 2

Phonological delay - assessment

Answer 2

Case history - identifying risk factors (environmental, biological, personality)
Assess for inconsistency
Informal: CLEAR, hide objects in a bag
DEAP - differentiate between articulation disorder and phonological delay
HAPP-3 (Hodson) - objects/pictures of 50 stimulus items - allows for full evaluation of phonological processes
Stackhouse and Wells
Assessing attention - bubbles
Assessing language - RAPT

Question 3

When is a phonological disorder diagnosed? What is it?

Answer 3

5;0
A child that has linguistic-based speech sound difficulty and is using phonemic processes that are typically present in younger children.

Question 4

Phonological delay - impact on language and literacy

Answer 4

Language - sentence production skills impacted due to limited phonemic inventory
Literacy - can impact phonics sounds

Question 5

Phonological delay - interventions

Answer 5

1. Auditory discrimination - minimal pairs
2. Phonemic discrimination - what’s in a bag
3. Stimulability - associating each sound with an alliterative character + hand motion
4. Syllable segmenting - stamps
5. Rhyming - Dr Seuss rhymes
6. Nonsense words - group work rolling ball

Question 6

Phonological delay - other considerations

Answer 6

Ethics - parenting, is the child ready for speech therapy?
Long term implications e.g. academic, social, mental health, employment
Managing expectations - residual speech sound errors
Starting early
MDT working

Question 7

DLD - assessment

Answer 7

Case history - red flags
CCC-2 - checklist to help differentiate against ASD
LITMUS tools - bilingual
CELF-5 - assesses receptive and expressive language

Question 8

DLD - interventions

Answer 8

KWLs
Word Aware
Developing phonological awareness
Combining words e.g. verb+object
Colourful semantics
Shape coding
Supporting sequencing e.g. acting out with play dough
Narrative intervention
Self awareness

Question 9

Attention

Answer 9

Attention bucket - over 8 weeks
1. Bucket stage
2. Attention builder - 10 mins long, clear beginning, middle and end e.g. flour stencils, bubble snake
3. Turn taking and re-engaging e.g. cake splat
4. Shifting and re-engaging attention - child watches demonstration and then goes off and does it themselves e.g. rainbow fish