pediatric speech: module 4

Question 1

3 questions a speech evaluation will answer

Answer 1

1. Does and communication problem exist, and if so, what is the nature?
2. Does the problem warrant treatment?
3. What should treatment focus on?

Question 2

5 steps to a speech evaluation

Answer 2

Referral, history, present development, clinical decisions, implementation

Question 3

A screening is conducted whenever a speech sound disorder is _________ or as part of a comprehensive _______ ________ ________ evaluation for a child with communication concerns

Answer 3

suspected, speech and language

Question 4

Purpose: identify individuals who require further speech-language assessment and/or referral for other professional services

Answer 4

screening

Question 5

screenings do not take into account…

Answer 5

cultural and linguistic speech differences

Question 6

The first component of a screening: Screening of individual speech sounds in ________ words and in _______ ________ (using formal and or informal screening measures)

Answer 6

single words, connected speech

Question 7

Second component of a screening: Screening of ________ __________ _________ (strength, range of motion of oral musculature)

Answer 7

oral motor functioning

Question 8

A screening may include an ________ ________ to asses facial symmetry and identify possible structural bases for speech sound disorders

Answer 8

orofacial examination

Question 9

A screening includes an informal assessment of __________ comprehension and _________

Answer 9

language, production

Question 10

What happens after a screening?

Answer 10

recommendations and/or a referral

Question 11

an assessment is a __________ evaluation of a given _______

Answer 11

comprehensive, domain

Question 12

an assessment may include ______ and/or ________ language skills

Answer 12

spoken, written

Question 13

An assessment takes into account cultural and linguistic speech differences across communities including ______ and _______ as well as _________ and ________ variations

Answer 13

accents, dialects, phonemic, allophonic

Question 14

An assessment will identify and describe ________, comorbid _______, limitations in ___________ _____ ________, and ________ factors

Answer 14

impairments, deficits, activity, and participation, contextual

Question 15

8 components of an assessment

Answer 15

1. Case history
2. Oral mechanism examination
3. Hearing screening
4. Speech sound production assessment
5. Stimulability testing
6. Severity assessment
7. Intelligibility
8. Speech perception

Question 16

8 things that happen after an assessment

Answer 16

1. diagnosis
2. description
3. Recommendations for intervention targets
4. Identification
5. Diagnosis of a spoken language disorder
6. Identification of written language problems
7. Referral for multi-tiered systems of support
8. Referral to other professionals as needed

Question 17

4 assessment purposes

Answer 17

description, diagnosis, intervention planning, outcome measurement

Question 18

3 domains of assessment

Answer 18

1. pre-assessment tasks
2. face to face assessment
3. Post assessment tasks

Question 19

Assessments are divided by:

Answer 19

1. Standardized vs Informal
2. Norm Referenced vs Criterion Referenced
3. Static vs Dynamic Assessment
4. RTI

Question 20

4 aspects of case history: ________ ________ history, ________ history, _______ history, and _________ history

Answer 20

early communication, medical, social, educational

Question 21

Case history how

Answer 21

parent/caregiver and/or pediatrician interview

Question 22

Case history why

Answer 22

to identify risk factors

Question 23

Oral mech evaluation How

Answer 23

done informally with a form or checklist. No gold standard

Question 24

oral mech evaluation why

Answer 24

measure the structure, function, and range of motion of articulators. This is crucial for differential diagnosis

Question 25

Hearing screening how

Answer 25

screen at 1,000, 2,000, and 4,000 Hz 20 db. test twice and if they fail refer to an audiologist

Question 26

hearing screening why

Answer 26

Make sure they can hear the frequencies necessary for speech production

Question 27

Speech Sound Production Assessment: how

Answer 27

Standardized assessment and a behavior observation to see how they do at the conversational and word level

Question 28

Speech Sound Production Assessment: why

Answer 28

See where the errors are so we can diagnose, describe, and get a standard score and percentile rank. Foundation for what we are going to analyze. Important for eligibility

Question 29

stimulability: is the child able to say an errored speech sound with __________ _______ __________

Answer 29

modeling and cueing

Question 30

stimulability: how

Answer 30

Must be done after the speech sound production assessment. Look at the sounds in error and give prompting and cueing to see if they can produce the sound.

Question 31

stimulability: why

Answer 31

Tells us how much cueing is required. Beneficial for target selection and helps with planning their goals

Question 32

severity: how

Answer 32

rating scales and checklists

Question 33

severity: why

Answer 33

further describes the disorder because it gives us a quantifiable and qualifiable term: mild, moderate, severe, and profound

Question 34

intelligibility: how

Answer 34

rating scales, conversational sample (how many total utterances and how many were intelligible and we get a percentage)

Question 35

Assessment of Speech Perception: how

Answer 35

auditory discrimination tasks. work with the kid to see if they can decipher sounds. Do they auditorily notice rabbit vs wabbit. Do they understand how speech sounds impact words

Question 36

intelligibility: why

Answer 36

helps support the diagnosis

Question 37

Assessment of Speech Perception: why

Answer 37

determine their phonological knowledge. Helps us identify if the disorder is articulation or phonology based

Question 38

After giving a speech assessment, it is also important to screen for _______, ________, and __________

Answer 38

language, voice, fluency

Question 39

Language samples are elicited to provide a _______ evaluation of language skills and to see if voice and fluency are _______.

Answer 39

naturalistic, WNL

Question 40

critical elements of an evaluation report

Answer 40

1. Case History 2. Communication Status (Hearing screening/audiological eval, Informal assessment/formal assessment, Single word testing, connected speech sampling, Severity assessment, Stimulability testing, Speech perception) 3. Oral Mech eval 4. Behavioral observation 5. Summary and conclusion 6. Recommendations

Question 41

assessing connected speech includes a ________ ________

Answer 41

behavior observation

Question 42

the 3 identified approaches for target selection for phonological impairments

Answer 42

1. traditional developmental approach 2. complexity approach 3. cyclical approach

Question 43

Based on the idea that "Children should not be discouraged or frustrated by the intervention process"

Answer 43

traditional developmental approach

Question 44

targets phonological processes that affect early developing sounds

Answer 44

traditional developmental

Question 44

The traditional developmental approach is based on the idea that the _________ of earlier developing sounds and syllable/word shapes serve as a __________ for the acquisition of later developing sounds and syllable/word shapes

Answer 44

acquisition, prerequisite

Question 45

The traditional developmental approach is based on the idea that earlier developing sounds associated with more __________ phonological knowledge need to be prioritized for intervention over the later developing sounds associated with less ________ phonological knowledge.

Answer 45

productive, productive

Question 46

the traditional developmental approach may be particularly helpful for a child with a ________ temperament or who have a fear of ________

Answer 46

reactive, failure

Question 47

this approach relies on response generalization

Answer 47

complexity approach

Question 48

this approach focuses mainly on later developing sounds

Answer 48

complexity approach

Question 49

Patterns (or processes) evident in children’s speech are identified then targeted in a predetermined __________ with primary target patterns being _______ prior to secondary target patterns.

Answer 49

sequence, selected

Question 50

has time-based criterion

Answer 50

cyclical approach

Question 51

target setting approach for Confident risk takers with no concomitant cognitive or attention limitations

Answer 51

complexity approach

Question 52

goal setting for articulation impairments typically involve ______ _______ as well as _________ and _________

Answer 52

target sounds, activities and participation

Question 53

summarizes what needs to happen before dismissal

Answer 53

long term goal

Question 54

short term goals describes the specific _________ or ________ being targeted to achieve the long term goal

Answer 54

behavior or skill

Question 55

Behaviors, skills or knowledge taught through intervention procedures

Answer 55

session goal

Question 56

3 steps to goal writing

Answer 56

identify, prioritize, and write goals to prioritize skill areas A-F

Question 57

Step 1 of goal writing: Identify the _________ data for areas of need in the present Levels

Answer 57

baseline

Question 58

Step 2 of goal writing: Prioritize the skill areas that will have the most powerful _________ on moving student performance from the current instructional level toward the identified ________ and _______-_______ standards

Answer 58

impact, grade and age-level

Question 59

A-F stand for

Answer 59

Audience Behavior Circumstance Degree Evaluation Frequency

Question 60

audience =

Answer 60

client's name

Question 61

will produce, pronounce, identify, discriminate

Answer 61

behavior

Question 62

ex. when engaged in therapeutic activities

Answer 62

circumstance

Question 63

ex. 80% accuracy on 3/3 sessions

Answer 63

degree

Question 64

ex. scoring rubric, checklist, Direct frequency counts, anecdotal notes

Answer 64

evaluation

Question 65

Ex. As measured monthly

Answer 65

frequency