Unit 2 Flashcards

1
Q

Collaboration:

Interaction and personal qualities

A

Communicate effectively, recognizing the needs, values, preferred mode of communication, and cultural/linguistic background of the client/patient, family, caregivers, and relevant others.

Collaborate with other professionals in case management.

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2
Q

Assessment

A

Assess clients using a combination of tools: at least 2 formal assessments and some informal, district may have some guidelines:

  • norm referenced
  • criterion referenced
  • observation, checklists, rating scales

Assessment continues throughout therapy as well (e.g. dynamic assessment, progress monitoring/probes): has to be dynamic

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3
Q

Assessment Process

A

Referral/Screening

  • Many individuals
  • Covers wide range of skills: more broad
  • Outcomes relate to “at risk” status: leads to further evaluation
Diagnostic Testing
   - Administered to “at risk”
   - Focus on critical dimensions
   - Outcomes determine:
          Diagnosis
          Nature and degree of deficit
          Strengths/weaknesses
          Eligibility for services
At which steps(s) might you collaborate?: eligibility
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4
Q

Norm Referenced Assessments

A

Standardized procedures: if veer from procedure, you’re results are not valid

Normed on similar population
Useful for diagnosis: information on how to target and how to treat

Do not provide targets for therapy

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5
Q

Measurement funamentals

A

Distribution of scores
Normal Curve (ideal distribution, bell curve)
Mean – statistical average
Median – point 50% higher, lower
Mode – point most frequent score

Types of Scores
Raw – actual score
Percentile Rank – measure of relative standing with percent above/below
Standard Score – derived scores based on standard deviation

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6
Q

Application/ interpretation

A

Standard scores
Normalized large population
Permit comparisons among groups
Allow comparisons across subtests may differ in item length, nature

Severity Rating
Deviation Quotients
Mild 84-78
Moderate 77-70
Severe – 69 and below
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7
Q

Criterion- Referenced Assessments

A
Accomplish the following:
Validate standardized test
Determine success and failure on specific tasks or skill areas
Help to target goals
Measure change in individual performance

Design:
Generally consists of probes or modules
Each probe focuses on a skill
Each probe contains 10 items that test same skill

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8
Q

Informal Assessments

A

●Checklists and interviews: how is he doing with yes/ no questions, does he know his name, color of wall, etc

●Authentic assessment

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9
Q

Principles of Assessment

A

Need to determine if individual can benefit from SLP intervention. How?
I. Need to collaborate with family, teachers, etc. Establish baseline data and see what works best

Static doesn’t let you know what learning ability is

II. Need to use data to drive this decision:
Dynamic assessment- Dynamic assessment (DA) is a method of conducting a language assessment which seeks to identify the skills that an individual child possesses as well as their learning potential. The dynamic assessment procedure emphasizes the learning process and accounts for the amount and nature of examiner investment

Tracking/monitoring-
Pretest
      Assess child's current performance
Teach
     Using a mediated learning experience (MLE)
     Help the child develop strategies
     Observe the child's modifiability
Post Test
     Compare performance to pretest
     Assess transfer of strategies
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10
Q

Purpose of Intervention- What can we accomplish

A

Change or eliminate underlying problem

Teach Compensatory Strategies: help them work around the skill and has strategies to cope with the disorder (slow down speech for stuttering)

Change the environment: talking to teachers about having visual objects, extra time on test, etc

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11
Q

Service Delivery Models in Educational SettingsService

A
Monitor
Collaborative Consultation
Classroom-based
Pull-Out
Self-Contained Program
Community Based
Combination
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12
Q

Four factors that account for outcomes of interventions

A

Intensity- improvement five times greater when intervention delivered for 100 minutes five times per week for six weeks compared to 20 minutes two times per week for two years

Active Attention- reminders of on-task behavior 

Feedback- immediate information about 	correctness of response

Rewards- for both effort and success-sticker  	charts, smiles, etc.
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13
Q

Principles of Intervention

Interactionist Perspective: venn diagram

A

Content: semantics, referential knowledge
Form: structure, morphology, syntax
Use: pragmatics, purposes

Cannot separate language areas

a theoretical perspective that derives social processes (such as conflict, cooperation, identity formation) from human interaction

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14
Q

Pragmatic Considerations

A

Social Conversational

Participation can be measured on dimensions of assertiveness and responsiveness

Four patterns:
\+ Assertive, + Responsive = Active 
- Assertive, + Responsive = Passive
\+ Assertive, - Responsive = Verbal Non-communicator
-Assertive, - Response = Inactive
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15
Q

Active Conversationalist

A

No pragmatic goals necessary

Goals – areas of content or form

Greater flexibility with current linguistic repertoire

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16
Q

Passive Conversationalist

A

Pragmatic goals as well as other areas of content or form that may be problematic

Increase conversational initiations

Conversational extensions

17
Q

Verbal non- Communicator

A

Pragmatic goals – person must assume listener role

Develop use of contingent, adjacent utterances; pragmatic and semantic contingency

Extend topic

18
Q

Inactive communicator

A

Pragmatic goals: initiate conversation, respond to conversation

19
Q

Dynamic Assessment and static assessment

A

Active participants
Examiner participates
Describe modifiability
Fluid, responsive

Passive participants
Examiner observes
Identify deficits
Standardized

Dynamic assessment (DA) is a method of conducting a language assessment which seeks to identify the skills that an individual child possesses as well as their learning potential. The dynamic assessment procedure emphasizes the learning process and accounts for the amount and nature of examiner investment. It is highly interactive and process-oriented.

20
Q

Reflective Process

A
Assessing your clinical practice
Taking TIME
Being MINDFUL
Making CHANGES
Dynamic Practice
21
Q

Intervention Approach: RE/PMT

A

Responsivity education/prelinguistic milieu teaching (RE/PMT)
Used with children ages 12-18 months to increase gestures and vocalizations (increase pre- verbal skills)

Includes one on one sessions with child a few times per week and also involves parent education

Involves arranging the environment to increase need to communicate

Is this approach: hybrid, how much clinician directs and child picking what they want to do (communicate they want the box to open

22
Q

Intervention Approaches: PECS

A

Children are taught functional communication using picture based system

PECS used to make requests and then moves to more complex sentences in spoken and written language

Six phases of teaching PECS

1. How to communicate
2. Increase distance from trainer
3. Discriminate between picture cards
4. Begin using phrases
5. Answering direct questions “what do you want?”
6. Begin making comments “I see\_\_\_\_\_\_”

Is this approach: instruction of PECS is clinician directed, using PECS is hybrid (because desired by the client)

23
Q

Intervention Approaches: Language is the Key (LIK)

A

Language, pre-literacy skills, and play skills facilitation using books.

Used with young children with language delays and also with children with limited English proficiency
SLP trains parents/caregivers using video and text resources

Includes commenting on child’s interests, asking open ended questions about interests, and expanding on child’s utterances

TO, CO, or Hybrid approach?

Are there elements of intensity?

24
Q

Intervention Approach: Focused Stimulation

A

Used with toddlers, pre-schoolers, and early school-age children
Used to promote form, content, and use
Modeling used/Imitation NOT used
SLP tries to elicit spontaneous productions of target in naturalistic context
CO, TO, or HA?: client entered, they are picking the activity

25
Q

Intervention Approaches: The Writing Lab

A

Build language/literacy skills

Curriculum based

SLP collaborates with classroom team including teacher and special educators

Target spoken and written language in projects

26
Q

Intervention approaches: Fast ForWord

A

Computer based

Initially used with students with SLI now also used with students of various ages to improve oral and written language abilities

100 minutes per day, five days per week for 4-8 weeks

Builds important skills for thinking, listening, speaking, and writing

27
Q

Intervention Approaches: Functional Communication Training (FCT)

A

Behavior = communication (pointing at cookie jar means they want a cookie) we need to figure out we can do to decrease these behaviors

Based on idea that behavior problems function as means of communication

Used with students of all ages with challenging behaviors

Involves thoroughly assessing perceived function of behavior using Functional Behavioral Analysis (FBA)

Teach replacement behavior

Every FBA has:
A: antecedent (what happens right before that)
B: behavior
C: consequence (what he/she gets when it happens)

SLP part of FBA team

(kid crawling away, one more gets to paid)

28
Q

Intervention Approaches: Phonological Awareness Intervention

A

Used with young children-pre-school and early school-age

Purpose is to develop skills that will be imperative in reading and writing.

SLP determines targets and goals and implements defined procedures for the tasks

Tasks can include: rhyming, syllable clapping, identifying words that begin with target phoneme, introduction to alphabet, phoneme matching, etc.

CO, TO, or HA?: clinician directed because SLP determines target but some hybrid properties