Zorgtraject taalontwikkeling
1. Normale taalontwikkeling ............................................................................................................... 6
Taalontwikkeling: een multidimensioneel gebeuren .............................................................. 6
Componenten van de taalontwikkeling .................................................................................. 7
Fasen in de taalontwikkeling ................................................................................................... 8
Vanaf wanneer is er een probleem in de taalontwikkeling? ................................................. 10
Fasen in het logopedisch proces ........................................................................................... 12
2. Spraak- en taalontwikkelingsproblemen ....................................................................................... 13
Secundaire spraak- en taalontwikkelingsproblemen ............................................................ 13
Primaire spraak- en taalontwikkelingsproblemen ................................................................ 16
Vertraagde spraak- en taalontwikkeling (VSTO) ........................................................... 18
Spraak- en taalontwikkelingsstoornis (STOS) / specific language ................................. 19
impairment (SLI) ............................................................................................................................ 19
RIZIV- nomenclatuur STOS (B2) ............................................................................. 20
Kinderafasie ........................................................................................................... 21
Ontwikkelingsdysfasie (OD) ................................................................................... 22
Ontwikkelingsdysfasie (OD)................................................................................................... 22
Definitie OD en uitsluitingscriteria ................................................................................ 22
Terminologie.................................................................................................................. 23
Overeenkomsten met VSTO .......................................................................................... 24
Inclusiecriteria en specifieke kenmerken OD ................................................................ 24
Hardnekkigheid...................................................................................................... 24
Stoorniskenmerken ............................................................................................... 26
Voortalige fase ................................................................................................... 26
Vroegtalige fase ................................................................................................. 26
Differentiatiefase ............................................................................................... 26
Voltooiingsfase................................................................................................... 30
Samenvatting kenmerken .................................................................................. 31
Exclusiecriteria............................................................................................................... 32
Taalprofielen.................................................................................................................. 34
Gevolgen voor andere ontwikkelingsdomeinen ........................................................... 35
Gedrag en sociaal-emotionele ontwikkeling ......................................................... 35
Cognitieve ontwikkeling en schoolse prestaties ................................................... 35
Comorbide ontwikkelingsproblemen ............................................................................ 36
Dyslexie, leerstoornissen ....................................................................................... 36
1
, Autismespectrumstoornis (ASS) ............................................................................ 37
AD(H)D ................................................................................................................... 38
Developmental coordination disorder (DCD) ........................................................ 38
Etiologie van OD ............................................................................................................ 39
Erfelijke factor ....................................................................................................... 39
Milieufactoren / omgevingsfactoren..................................................................... 40
Belang in functie van hulpverlening ...................................................................... 41
Diagnose ................................................................................................................................ 41
Multidisciplinair onderzoek ........................................................................................... 41
Anamnesegesprek ................................................................................................. 41
Ontwikkeling van taal en communicatie............................................................ 41
Medische gegevens............................................................................................ 42
Cognitieve en sociaal-emotionele ontwikkeling ................................................ 42
Motorische ontwikkeling ................................................................................... 42
Hulpverleningsgeschiedenis .............................................................................. 42
Evaluatie verschillende ontwikkelingsdomeinen .................................................. 42
Gehooronderzoek .............................................................................................. 43
Intelligentieonderzoek ....................................................................................... 43
Andere onderzoeken ......................................................................................... 43
Spraak- en taalevaluatie ........................................................................................ 43
Adviezen na multidisciplinair onderzoek....................................................................... 45
RIZIV: begeleiding OD ............................................................................................................ 46
Monodisciplinaire logopedische therapie ..................................................................... 46
Multidisciplinaire therapie ............................................................................................ 47
M-decreet: criteria ondersteuningsnetwerk/taalklas ................................................... 48
3. Intake en anamnese ...................................................................................................................... 51
4. Multidisciplinaire diagnostiek ....................................................................................................... 53
Medisch luik / gehooronderzoek........................................................................................... 53
(Psycho)motorisch onderzoek ............................................................................................... 54
(Ortho)pedagogisch onderzoek ............................................................................................. 55
Psychologisch luik .................................................................................................................. 57
Cognitieve ontwikkeling ................................................................................................ 57
Cognitieve profielen: CHC model .......................................................................... 58
SON-R 2-8 (2017) ................................................................................................... 62
Wechsler Non Verbal (2008) ................................................................................. 64
WPPSI-III-NL (2009, 2012) ..................................................................................... 65
2
, WISC-III NL (2009) .................................................................................................. 66
Sociaal-emotionele ontwikkeling .................................................................................. 69
Oudergesprek ........................................................................................................ 69
Kindgesprek ........................................................................................................... 70
5. Taaldiagnostiek.............................................................................................................................. 72
CELF-Preschool-2-NL.............................................................................................................. 73
CELF-5-NL............................................................................................................................... 81
Vergelijking CELF-Preschool en CELF-4 .......................................................................... 81
Vergelijking CELF-4 en CELF-5........................................................................................ 83
RTOS ...................................................................................................................................... 94
STTB ....................................................................................................................................... 94
STTP-II .................................................................................................................................. 100
Vergelijking tussen STTP-II en RTOS TP ............................................................................... 107
Vergelijking tussen STTP-II en CELF P/CELF 4 ...................................................................... 107
6. Taaldiagnostiek bij meertalige kinderen ..................................................................................... 110
Meertaligheid: terminologie ............................................................................................... 110
Taaltoets alle kinderen (TA(lle)K) ........................................................................................ 111
Taaltoets allochtone kinderen, bovenbouw........................................................................ 118
7. Renfrew Taalschalen Nederlandstalige Aanpassing (RTNA) ....................................................... 123
Woordvinding Woordenschat Test (WWT) ......................................................................... 123
Actie Platen Test (APT) ........................................................................................................ 124
Bus Verhaal Test (BVT) ........................................................................................................ 125
8. Tests die slechts 1 taalcomponent nagaan ................................................................................. 127
Peabody Picture Vocabulary Test III-NL (Schlichting, 2004)................................................ 127
Nijmeegse Pragmatiektest NPT (Embrechts, 2005) ............................................................ 129
Serieel Benoemen & Woorden Lezen (SB & WL, 2004) ...................................................... 132
9. NNST: Nederlandstalige Nonspeech Test (Zink & Lembrechts, 2000) ........................................ 133
10. Spontane taalanalysemethodes .............................................................................................. 143
TARSP............................................................................................................................... 143
STAP ................................................................................................................................. 145
Besluit spontane taalanalyse ........................................................................................... 146
11. Screeningsinstrument & observatielijsten .............................................................................. 147
N-CDIs: lijsten voor communicatieve ontwikkeling (Zink & Lejaegere) .......................... 147
12. Begeleidingsvormen ................................................................................................................ 150
Monodisciplinaire logopedie ........................................................................................... 151
Stoornissen in de receptieve en/of expressieve TO (B2) ............................................ 151
3
, Dysfasie (F) .................................................................................................................. 152
Multidisciplinaire begeleiding ......................................................................................... 153
Ondersteuning of taalklas type 7 .................................................................................... 154
13. Algemene therapieprincipes ................................................................................................... 156
14. Indirecte therapie .................................................................................................................... 164
Doelgroepen .................................................................................................................... 164
Waarom indirecte therapie? ........................................................................................... 165
Wanneer indirecte therapie? .......................................................................................... 166
Concrete vormen ............................................................................................................. 166
Thuisbegeleiding / vroegbegeleiding .......................................................................... 166
Voordrachten voor ouders / oudergespreksgroepen ................................................. 168
Oudertraining .............................................................................................................. 169
Taal ...................................................................................................................... 169
Hanen oudercursus (pdmt) ............................................................................ 169
Taalmaatjes .................................................................................................... 172
Taal én plus (adaptieve & sociaal-communicatieve vaardigheden) .................... 172
Cocp (heim & jonker, 1996) ........................................................................... 172
Impact ............................................................................................................ 173
esdm............................................................................................................... 173
Smog-cursus ........................................................................................................ 174
Taalstimulering .................................................................................................... 174
Tolk....................................................................... Error! Bookmark not defined.
15. Directe therapie....................................................................................................................... 179
Behandelplan ................................................................................................................... 179
Specifieke doelen ............................................................................................................ 179
Methodiek ....................................................................................................................... 181
Reduceren en selecteren ............................................................................................. 181
Woordenschat / fonologie .................................................................................. 181
Morfosyntaxis / taalpragmatiek .......................................................................... 182
Oefenen ....................................................................................................................... 183
Woordenschat ..................................................................................................... 184
Morfosyntaxis ...................................................................................................... 184
Expliciteren .................................................................................................................. 185
Woordenschat ..................................................................................................... 185
Morfosyntaxis ...................................................................................................... 185
Fonologie ............................................................................................................. 186
4
1. Normale taalontwikkeling ............................................................................................................... 6
Taalontwikkeling: een multidimensioneel gebeuren .............................................................. 6
Componenten van de taalontwikkeling .................................................................................. 7
Fasen in de taalontwikkeling ................................................................................................... 8
Vanaf wanneer is er een probleem in de taalontwikkeling? ................................................. 10
Fasen in het logopedisch proces ........................................................................................... 12
2. Spraak- en taalontwikkelingsproblemen ....................................................................................... 13
Secundaire spraak- en taalontwikkelingsproblemen ............................................................ 13
Primaire spraak- en taalontwikkelingsproblemen ................................................................ 16
Vertraagde spraak- en taalontwikkeling (VSTO) ........................................................... 18
Spraak- en taalontwikkelingsstoornis (STOS) / specific language ................................. 19
impairment (SLI) ............................................................................................................................ 19
RIZIV- nomenclatuur STOS (B2) ............................................................................. 20
Kinderafasie ........................................................................................................... 21
Ontwikkelingsdysfasie (OD) ................................................................................... 22
Ontwikkelingsdysfasie (OD)................................................................................................... 22
Definitie OD en uitsluitingscriteria ................................................................................ 22
Terminologie.................................................................................................................. 23
Overeenkomsten met VSTO .......................................................................................... 24
Inclusiecriteria en specifieke kenmerken OD ................................................................ 24
Hardnekkigheid...................................................................................................... 24
Stoorniskenmerken ............................................................................................... 26
Voortalige fase ................................................................................................... 26
Vroegtalige fase ................................................................................................. 26
Differentiatiefase ............................................................................................... 26
Voltooiingsfase................................................................................................... 30
Samenvatting kenmerken .................................................................................. 31
Exclusiecriteria............................................................................................................... 32
Taalprofielen.................................................................................................................. 34
Gevolgen voor andere ontwikkelingsdomeinen ........................................................... 35
Gedrag en sociaal-emotionele ontwikkeling ......................................................... 35
Cognitieve ontwikkeling en schoolse prestaties ................................................... 35
Comorbide ontwikkelingsproblemen ............................................................................ 36
Dyslexie, leerstoornissen ....................................................................................... 36
1
, Autismespectrumstoornis (ASS) ............................................................................ 37
AD(H)D ................................................................................................................... 38
Developmental coordination disorder (DCD) ........................................................ 38
Etiologie van OD ............................................................................................................ 39
Erfelijke factor ....................................................................................................... 39
Milieufactoren / omgevingsfactoren..................................................................... 40
Belang in functie van hulpverlening ...................................................................... 41
Diagnose ................................................................................................................................ 41
Multidisciplinair onderzoek ........................................................................................... 41
Anamnesegesprek ................................................................................................. 41
Ontwikkeling van taal en communicatie............................................................ 41
Medische gegevens............................................................................................ 42
Cognitieve en sociaal-emotionele ontwikkeling ................................................ 42
Motorische ontwikkeling ................................................................................... 42
Hulpverleningsgeschiedenis .............................................................................. 42
Evaluatie verschillende ontwikkelingsdomeinen .................................................. 42
Gehooronderzoek .............................................................................................. 43
Intelligentieonderzoek ....................................................................................... 43
Andere onderzoeken ......................................................................................... 43
Spraak- en taalevaluatie ........................................................................................ 43
Adviezen na multidisciplinair onderzoek....................................................................... 45
RIZIV: begeleiding OD ............................................................................................................ 46
Monodisciplinaire logopedische therapie ..................................................................... 46
Multidisciplinaire therapie ............................................................................................ 47
M-decreet: criteria ondersteuningsnetwerk/taalklas ................................................... 48
3. Intake en anamnese ...................................................................................................................... 51
4. Multidisciplinaire diagnostiek ....................................................................................................... 53
Medisch luik / gehooronderzoek........................................................................................... 53
(Psycho)motorisch onderzoek ............................................................................................... 54
(Ortho)pedagogisch onderzoek ............................................................................................. 55
Psychologisch luik .................................................................................................................. 57
Cognitieve ontwikkeling ................................................................................................ 57
Cognitieve profielen: CHC model .......................................................................... 58
SON-R 2-8 (2017) ................................................................................................... 62
Wechsler Non Verbal (2008) ................................................................................. 64
WPPSI-III-NL (2009, 2012) ..................................................................................... 65
2
, WISC-III NL (2009) .................................................................................................. 66
Sociaal-emotionele ontwikkeling .................................................................................. 69
Oudergesprek ........................................................................................................ 69
Kindgesprek ........................................................................................................... 70
5. Taaldiagnostiek.............................................................................................................................. 72
CELF-Preschool-2-NL.............................................................................................................. 73
CELF-5-NL............................................................................................................................... 81
Vergelijking CELF-Preschool en CELF-4 .......................................................................... 81
Vergelijking CELF-4 en CELF-5........................................................................................ 83
RTOS ...................................................................................................................................... 94
STTB ....................................................................................................................................... 94
STTP-II .................................................................................................................................. 100
Vergelijking tussen STTP-II en RTOS TP ............................................................................... 107
Vergelijking tussen STTP-II en CELF P/CELF 4 ...................................................................... 107
6. Taaldiagnostiek bij meertalige kinderen ..................................................................................... 110
Meertaligheid: terminologie ............................................................................................... 110
Taaltoets alle kinderen (TA(lle)K) ........................................................................................ 111
Taaltoets allochtone kinderen, bovenbouw........................................................................ 118
7. Renfrew Taalschalen Nederlandstalige Aanpassing (RTNA) ....................................................... 123
Woordvinding Woordenschat Test (WWT) ......................................................................... 123
Actie Platen Test (APT) ........................................................................................................ 124
Bus Verhaal Test (BVT) ........................................................................................................ 125
8. Tests die slechts 1 taalcomponent nagaan ................................................................................. 127
Peabody Picture Vocabulary Test III-NL (Schlichting, 2004)................................................ 127
Nijmeegse Pragmatiektest NPT (Embrechts, 2005) ............................................................ 129
Serieel Benoemen & Woorden Lezen (SB & WL, 2004) ...................................................... 132
9. NNST: Nederlandstalige Nonspeech Test (Zink & Lembrechts, 2000) ........................................ 133
10. Spontane taalanalysemethodes .............................................................................................. 143
TARSP............................................................................................................................... 143
STAP ................................................................................................................................. 145
Besluit spontane taalanalyse ........................................................................................... 146
11. Screeningsinstrument & observatielijsten .............................................................................. 147
N-CDIs: lijsten voor communicatieve ontwikkeling (Zink & Lejaegere) .......................... 147
12. Begeleidingsvormen ................................................................................................................ 150
Monodisciplinaire logopedie ........................................................................................... 151
Stoornissen in de receptieve en/of expressieve TO (B2) ............................................ 151
3
, Dysfasie (F) .................................................................................................................. 152
Multidisciplinaire begeleiding ......................................................................................... 153
Ondersteuning of taalklas type 7 .................................................................................... 154
13. Algemene therapieprincipes ................................................................................................... 156
14. Indirecte therapie .................................................................................................................... 164
Doelgroepen .................................................................................................................... 164
Waarom indirecte therapie? ........................................................................................... 165
Wanneer indirecte therapie? .......................................................................................... 166
Concrete vormen ............................................................................................................. 166
Thuisbegeleiding / vroegbegeleiding .......................................................................... 166
Voordrachten voor ouders / oudergespreksgroepen ................................................. 168
Oudertraining .............................................................................................................. 169
Taal ...................................................................................................................... 169
Hanen oudercursus (pdmt) ............................................................................ 169
Taalmaatjes .................................................................................................... 172
Taal én plus (adaptieve & sociaal-communicatieve vaardigheden) .................... 172
Cocp (heim & jonker, 1996) ........................................................................... 172
Impact ............................................................................................................ 173
esdm............................................................................................................... 173
Smog-cursus ........................................................................................................ 174
Taalstimulering .................................................................................................... 174
Tolk....................................................................... Error! Bookmark not defined.
15. Directe therapie....................................................................................................................... 179
Behandelplan ................................................................................................................... 179
Specifieke doelen ............................................................................................................ 179
Methodiek ....................................................................................................................... 181
Reduceren en selecteren ............................................................................................. 181
Woordenschat / fonologie .................................................................................. 181
Morfosyntaxis / taalpragmatiek .......................................................................... 182
Oefenen ....................................................................................................................... 183
Woordenschat ..................................................................................................... 184
Morfosyntaxis ...................................................................................................... 184
Expliciteren .................................................................................................................. 185
Woordenschat ..................................................................................................... 185
Morfosyntaxis ...................................................................................................... 185
Fonologie ............................................................................................................. 186
4
