Recently, I’ve participated in various on-line and in-person discussions with both school-based speech language pathologists (SLPs) as well as medical health professionals (e.g., neurologists, pediatricians, etc.) regarding their views on the need of formal diagnosis for school aged children with suspected alcohol related deficits. While their responses differed considerably from: “we do not base intervention on diagnosis, but rather on demonstrated student need” to “with a diagnosis of ASD ‘these children’ would get the same level of services“, the message I was receiving loud and clear was: “Why? What would be the point?” So today I decided to share my views on this matter and explain why I think the diagnosis matters.
Continue reading Why is FASD diagnosis so important?
Search Results for: bilingualism autism
FASD and Background History Collection: Asking the Right Questions
Note: This article was originally published in August 2013 Issue of Adoption Today Magazine (pp. 32-35).
Sometime ago, I interviewed the grandmother of an at-risk 11 year old child in kinship care, whose language abilities I have been asked to assess in order to determine whether he required speech-language therapy services. The child was attending an outpatient school program in a psychiatric hospital where I worked and his psychiatrist was significantly concerned regarding his listening comprehension abilities as well as social pragmatic skills. Continue reading FASD and Background History Collection: Asking the Right Questions
Birthday Giveaway Day Twelve: Columbus Day Explorer Freebie
What better way to celebrate a birthday than to get presents? Well here’s a fun little present Maria of Communication Station: Speech Therapy has cooked up just in time for Columbus Day. For those of you who follow her new and improved blog, Communication Station: Speech Therapy you know how much she loves to use thematic units to support communication development.
She’s done examples of how she creates thematic therapy units for younger children but haven’t shared anything for older students until today.
This packet is perfect for students in the upper elementary grades, middle school, and depending on cognitive level and communication goals, possibly some high school students as well.
It includes background knowledge/post learning worksheet where students have the opportunity to share what they already know, want to learn, and have learned after either doing their own research or reading the short story enclosed in the packet.
Along with the short story there is a comprehension questions worksheet that students can independently complete or complete as a group.
Next is a vocabulary synonyms match-up sheet that can be used to pre-teach vocabulary (note: vocabulary words highlighted in red in the short story), teach while reading using context clues, or post teach/review. Again this sheet can be completed independently on in a group.
Following this sheet, there is a writing prompt in which your students will be given the opportunity to use some creative thinking and reasoning skills to write a narrative about exploration. In addition, there is a guided questions sheet for younger students or students who have difficulty organizing their thoughts.
Finally, enclosed in this packet are 10 true/false cards. Each statement is about explorers and their role in history. Weather the facts are true or false they are followed by additional information your students can learn regarding each topic.
You can grab your free copy of this packet here! Be advised of Communication Station terms of use: the packet is for personal use only, redistribution of it is strictly prohibited. Feel free to direct your friends to her site for their free copy as well.
Enjoy and happy talking and exploring!
Maria Del Duca, M.S. CCC-SLP, is a pediatric speech-language pathologist in southern, Arizona. She owns a private practice, Communication Station: Speech Therapy, PLLC, and has a speech and language blog under the same name. Maria writes a monthly column on all topics related to child development, titled Kid Confidential, on the American Speech-Language and Hearing Associations blog, ASHAspere. She has experience in various settings such as private practice, hospital and school environments and has practiced speech pathology in NJ, MD, KS and now AZ. Maria has a passion for early childhood, autism spectrum disorders, rare syndromes, and childhood Apraxia of speech. For more information, visit her blog or find her on Facebook.
FREE Resources for Working with Russian Speaking Clients: Part II
A few years ago I wrote a blog post entitled “Working with Russian-speaking clients: implications for speech-language assessment” the aim of which was to provide some suggestions regarding assessment of bilingual Russian-American birth-school age population in order to assist SLPs with determining whether the assessed child presents with a language difference, insufficient language exposure, or a true language disorder.
Today I wanted to provide Russian speaking clinicians with a few FREE resources pertaining to the typical speech and language development of Russian speaking children 0-7 years of age.
Below materials include several FREE questionnaires regarding Russian language development (words and sentences) of children 0-3 years of age, a parent intake forms for Russian speaking clients, as well as a few relevant charts pertaining to the development of phonology, word formation, lexicon, morphology, syntax, and metalinguistics of children 0-7 years of age.
It is, however, important to note that due to the absence of research and standardized studies on this subject much of the below information still needs to be interpreted with significant caution.
Select Speech and Language Norms:
- Некоторые нормативы речевого развития детей от 18 до 36 месяцев (по материалам МакАртуровского опросника) (Number of words and sentence per age of Russian speakign children based on McArthur Bates)
- Речевой онтогенез: Развитие Речи Ребенка В Норме 0-7 years of age (based on the work of А.Н. Гвоздев) includes: Фонетика,Словообразование, Лексика, Морфолог-ия, Синтаксис, Метаязыковая деятельность (phonology, word formation, lexicon, morphology, syntax, and metalinguistics)
- Развитиe связной речи у детей 3-7 лет
a. Составление рассказа по серии сюжетных картинок
b. Пересказ текста
c. Составление описательного рассказа
Select Parent Questionnaires (McArthur Bates Adapted in Russian):
- Тест речевого и коммуникативного развития детей раннего возраста: слова и жесты (Words and Gestures)
- Тест речевого и коммуникативного развития детей раннего возраста: слова и предложения (Sentences)
- Анкета для родителей (Child Development Questionnaire for Parents)
Материал Для Родителей И Специалистов По Речевым
Нарушениям contains detailed information (27 pages) on Russian child development as well as common communication disrupting disorders
Stay tuned for more resources for Russian speaking SLPs coming shortly.
Related Resources:
- Working with Russian-speaking clients: implications for speech-language assessment
- Assessment of sound and syllable imitation in Russian speaking infants and toddlers
- Russian Articulation Screener
- Language Difference vs. Language Disorder: Assessment & Intervention Strategies for SLPs Working with Bilingual Children
- Impact of Cultural and Linguistic Variables On Speech-Language Services
Spotlight on Syndromes: An SLPs Perspective on Hurler Syndrome
Today’s guest post on genetic syndromes comes from Kelly Hungaski, who is contributing an informative piece on the Hurler Syndrome.
Hurler Syndrome is a rare, inherited metabolic disease in which a person can’t break down lengthy chains of sugar molecules called glycosaminoglycans. Hurler syndrome belongs to a group of diseases called mucopolysaccharidoses, or MPS. Continue reading Spotlight on Syndromes: An SLPs Perspective on Hurler Syndrome
In case you missed it: It’s Not the Years of Experience, It’s the Type of Experience That Matters!
A few weeks ago I guest posted on Scanlon Speech Blog regarding which areas parents should focus on when selecting the right speech language pathologist for their child. In case you missed it here’s my take of what criteria does matter when it comes to clinician selection.
I have to admit that this post was actually indirectly inspired by a casual question from my mother. I was shopping around for a new family doctor and when I found one, the first thing my mom asked me was: “How many years of experience does he have?” That got me thinking about how often I hear this question from parents of the children that I serve. And the answer is quite often. But let us deconstruct this question for a minute. Is it truly reflective of what the parents want to know? The parents are of course inquiring about how experienced is the practitioner in treating their child. But will the answer they receive correlate with the appropriateness of care? Continue reading In case you missed it: It’s Not the Years of Experience, It’s the Type of Experience That Matters!
What do Narratives and Pediatric Psychiatric Impairments Have in Common?
High comorbidity between language and psychiatric disorders has been well documented (Beitchman, Cohen, Konstantaras, & Tannock, 1996; Cohen, Barwick, Horodezky, Vallence, & Im, 1998; Toppelberg & Shapiro, 2000). However, a lesser known fact is that there’s also a significant under-diagnosis of language impairments in children with psychiatric disorders. Continue reading What do Narratives and Pediatric Psychiatric Impairments Have in Common?
Have you Worked on Morphological Awareness Lately?
Last year an esteemed colleague, Dr. Roseberry-McKibbin posed this question in our Bilingual SLPs Facebook Group: “Is anyone working on morphological awareness in therapy with ELLs (English Language Learners) with language disorders?”
Her question got me thinking: “How much time do I spend on treating morphological awareness in therapy with monolingual and bilingual language disordered clients?” The answer did not make me happy!
So what is morphological awareness and why is it important to address when treating monolingual and bilingual language impaired students?
Morphemes are the smallest units of language that carry meaning. They can be free (stand alone words such as ‘fair’, ‘toy’, or ‘pretty’) or bound (containing prefixes and suffixes that change word meanings – ‘unfair’ or ‘prettier’).
Morphological awareness refers to a ‘‘conscious awareness of the morphemic structure of words and the ability to reflect on and manipulate that structure’’ (Carlisle, 1995, p. 194). Also referred to as “the study of word structure” (Carlisle, 2004), it is an ability to recognize, understand, and use affixes or word parts (prefixes, suffixes, etc) that “carry significance” when speaking as well as during reading tasks. It is a hugely important skill for building vocabulary, reading fluency and comprehension as well as spelling (Apel & Lawrence, 2011; Carlisle, 2000; Binder & Borecki, 2007; Green, 2009).
So why is teaching morphological awareness important? Let’s take a look at some research.
Goodwin and Ahn (2010) found morphological awareness instruction to be particularly effective for children with speech, language, and/or literacy deficits. After reviewing 22 studies Bowers et al. (2010) found the most lasting effect of morphological instruction was on readers in early elementary school who struggled with literacy.
Morphological awareness instruction mediates and facilitates vocabulary acquisition leading to improved reading comprehension abilities (Bowers & Kirby, 2010; Carlisle, 2003, 2010; Guo, Roehrig, & Williams, 2011; Tong, Deacon, Kirby, Cain, & Parilla, 2011).
Unfortunately as important morphological instruction is for vocabulary building, reading fluency, reading comprehension, and spelling, it is often overlooked during the school years until it’s way too late. For example, traditionally morphological instruction only beings in late middle school or high school but research actually found that in order to be effective one should actually begin teaching it as early as first grade (Apel & Lawrence, 2011).
So now that we know that we need to target morphological instruction very early in children with language deficits, let’s talk a little bit regarding how morphological awareness can be assessed in language impaired learners.
When it comes to standardized testing, both the Test of Language Development: Intermediate – Fourth Edition (TOLD-I:4) and the Test of Adolescent and Adult Language–Fourth Edition (TOAL-4) have subtests which assess morphology as well as word derivations. However if you do not own either of these tests you can easily create non-standardized tasks to assess morphological awareness.
Apel, Diehm, & Apel (2013) recommend multiple measures which include: phonological awareness tasks, word level reading tasks, as well as reading comprehension tasks.
Below are direct examples of tasks from their study:
One can test morphological awareness via production or decomposition tasks. In a production task a student is asked to supply a missing word, given the root morpheme (e.g., ‘‘Sing. He is a great _____.’’ Correct response: singer). A decomposition task asks the student to identify the correct root of a given derivation or inflection. (e.g., ‘‘Walker. How slow can she _____?’’ Correct response: walk).
Another way to test morphological awareness is through completing analogy tasks since it involves both decomposition and production components (provide a missing word based on the presented pattern—crawl: crawled:: fly: ______ (flew).
Still another way to test morphological awareness with older students is through deconstruction tasks: Tell me what ____ word means? How do you know? (The student must explain the meaning of individual morphemes).
Finding the affix: Does the word ______ have smaller parts?
So what are the components of effective morphological instruction you might ask?
Below is an example of a ‘Morphological Awareness Intervention With Kindergarteners and First and Second Grade Students From Low SES Homes’ performed by Apel & Diehm, 2013:
Here are more ways in which this can be accomplished with older children:
- Find the root word in a longer word
- Fix the affix (an additional element placed at the beginning or end of a root, stem, or word, or in the body of a word, to modify its meaning)
- Affixes at the beginning of words are called “prefixes”
- Affixes at the end of words are called “suffixes
- Word sorts to recognize word families based on morphology or orthography
- Explicit instruction of syllable types to recognize orthographical patterns
- Word manipulation through blending and segmenting morphemes to further solidify patterns
Now that you know about the importance of morphological awareness, will you be incorporating it into your speech language sessions? I’d love to know!
Until then, Happy Speeching!
References:
- Apel, K., & Diehm, E. (2013). Morphological awareness intervention with kindergarteners and first and second grade students from low SES homes: A small efficacy study. Journal of Learning Disabilities.
- Apel, K., & Lawrence, J. (2011). Contributions of morphological awareness skills to word-level reading and spelling in first-grade children with and without speech sound disorder. Journal of Speech, Language & Hearing Research, 54, 1312–1327.
- Apel, K., Brimo, D., Diehm, E., & Apel, L. (2013). Morphological awareness intervention with kindergarteners and first and second grade students from low SES homes: A feasibility study. Language, Speech, and Hearing Services in Schools, 44, 161-173.
- Binder, K. & Borecki, C. (2007). The use of phonological, orthographic, and contextualinformation during reading: a comparison of adults who are learning to read and skilled adult readers. Reading and Writing, 21, 843-858.
- Bowers, P.N., Kirby, J.R., Deacon, H.S. (2010). The effects of morphological instruction on literacy skills: A systematic review of the literature. Review of Educational Research, 80, 144-179.
- Carlisle, J. F. (1995). Morphological awareness and early reading achievement. In L. B. Feldman (Ed.), Morphological aspects of language processing (pp. 189–209). Hillsdale, NJ: Erlbaum.
- Carlisle, J. F. (2000). Awareness of the structure and meaning of morphologically complex words: Impact on reading. Reading and Writing: An Interdisciplinary Journal,12,169-190.
- Carlisle, J. F. (2004). Morphological processes that influence learning to read. In C. A. Stone, E. R. Silliman, B. J. Ehren, & K. Apel (Eds.), Handbook of language and literacy. NY: Guilford Press.
- Carlisle, J. F. (2010). An integrative review of the effects of instruction in morphological awareness on literacy achievement. Reading Research Quarterly, 45(4), 464-487.
- Goodwin, A.P. & Ahn, S. (2010). Annals of Dyslexia, 60, 183-208.
- Green, L. (2009). Morphology and literacy: Getting our heads in the game. Language, Speech, and Hearing Services in the schools, 40, 283-285.
- Green, L., & Wolter, J.A. (2011, November). Morphological Awareness Intervention: Techniques for Promoting Language and Literacy Success. A symposium presentation at the annual American Speech Language Hearing Association, San Diego, CA.
- Guo, Y., Roehrig, A. D., & Williams, R. S. (2011). The relation of morphological awareness and syntactic awareness to adults’ reading comprehension: Is vocabulary knowledge a mediating variable? Journal of Literacy Research, 43, 159-183.
- Tong, X., Deacon, S. H., Kirby, J. R., Cain, K., & Parrila, R. (2011). Morphological awareness: A key to understanding poor reading comprehension in English. Journal of Educational Psychology, 103 (3), 523-534.
What parents need to know about speech-language assessment of older internationally adopted children
This post is based on Elleseff, T (2013) Changing Trends in International Adoption: Implications for Speech-Language Pathologists. Perspectives on Global Issues in Communication Sciences and Related Disorders, 3: 45-53
Changing Trends in International Adoption:
In recent years the changing trends in international adoption revealed a shift in international adoption demographics which includes more preschool and school-aged children being sent for adoption vs. infants and toddlers (Selman, 2012a; 2010) as well as a significant increase in special needs adoptions from Eastern European countries as well as from China (Selman, 2010; 2012a). Continue reading What parents need to know about speech-language assessment of older internationally adopted children
Back to School SLP Efficiency Bundles™
September is practically here and many speech language pathologists (SLPs) are looking to efficiently prepare for assessing and treating a variety of clients on their caseloads.
With that in mind, a few years ago I created SLP Efficiency Bundles™, which are materials highly useful for SLPs working with pediatric clients. These materials are organized by areas of focus for efficient and effective screening, assessment, and treatment of speech and language disorders.
A. General Assessment and Treatment Start-Up Bundle contains 5 downloads for general speech language assessment and treatment planning and includes:
- Speech Language Assessment Checklist for a Preschool Child
- Speech Language Assessment Checklist for a School-Aged Child
- Creating a Functional Therapy Plan: Therapy Goals & SOAP Note Documentation
- Selecting Clinical Materials for Pediatric Therapy
- Types and Levels of Cues and Prompts in Speech Language Therapy
B. The Checklists Bundle contains 7 checklists relevant to screening and assessment in speech language pathology
- Speech Language Assessment Checklist for a Preschool Child 3:00-6:11 years of age
- Speech Language Assessment Checklist for a School-Aged Child 7:00-11:11 years of age
- Speech Language Assessment Checklist for Adolescents 12-18 years of age
- Language Processing Deficits (LPD) Checklist for School Aged Children 7:00-11:11 years of age
- Language Processing Deficits (LPD) Checklist for Preschool Children 3:00-6:11 years of age
- Social Pragmatic Deficits Checklist for School Aged Children 7:00-11:11 years of age
- Social Pragmatic Deficits Checklist for Preschool Children 3:00-6:11 years of age
C. Social Pragmatic Assessment and Treatment Bundle contains 6 downloads for social pragmatic assessment and treatment planning (from 18 months through school age) and includes:
- Recognizing the Warning Signs of Social Emotional Difficulties in Language Impaired Toddlers and Preschoolers
- Behavior Management Strategies for Speech Language Pathologists
- Social Pragmatic Deficits Checklist for School Aged Children
- Social Pragmatic Deficits Checklist for Preschool Children
- Assessing Social Pragmatic Skills of School Aged Children
- Treatment of Social Pragmatic Deficits in School Aged Children
D. Multicultural Assessment and Treatment Bundle contains 2 downloads relevant to assessment and treatment of bilingual/multicultural children
- Language Difference vs. Language Disorder: Assessment & Intervention Strategies for SLPs Working with Bilingual Children
- Impact of Cultural and Linguistic Variables On Speech-Language Services
E. Narrative Assessment Bundle contains 3 downloads relevant to narrative assessment
- Narrative Assessments of Preschool and School Aged Children
- Understanding Complex Sentences
- Vocabulary Development: Working with Disadvantaged Populations
F. Fetal Alcohol Spectrum Disorders Assessment and Treatment Bundle contains 3 downloads relevant to FASD assessment and treatment
- Orofacial Observations of At-Risk Children
- Fetal Alcohol Spectrum Disorder: An Overview of Deficits
- Speech Language Assessment and Treatment of Children With Alcohol Related Disorders
G. Psychiatric Disorders Bundle contains 7 downloads relevant to language assessment and treatment in psychiatrically impaired children
- Recognizing the Warning Signs of Social Emotional Difficulties in Language Impaired Toddlers and Preschoolers
- Social Pragmatic Deficits Checklist for School Aged Children
- Social Pragmatic Deficits Checklist for Preschool Children
- Assessing Social Skills in Children with Psychiatric Disturbances
- Improving Social Skills of Children with Psychiatric Disturbances
- Behavior Management Strategies for Speech Language Pathologists
- Differential Diagnosis Of ADHD In Speech Language Pathology
You can find these bundles on SALE in my online store by clicking on the individual bundle links above. You can also purchase these products individually in my online store by clicking HERE.