Assessment - CORRECT ANSWER✅✅set of procedures that are used to gain a clear description of the
speech sound production skills of a child—goal is to determine if there is a speech sound disorder
5 goals of assessment - CORRECT ANSWER✅✅1. Is therapy needed?
2. What factors are related to the presence or maintenance of the SSD? (e.g., middle ear infections)
3. Direction of therapy
4. Prognostic statement—what will happen with or without therapy
5. Monitor change over time—is tx effective? Changes needed?
Relational analysis - CORRECT ANSWER✅✅-describe the child's productions and compare them to the
adult standard of of the speaker's linguistic community. We're asking: does the child produce the sounds
correctly?
-This is what we do with most children
independent analysis - CORRECT ANSWER✅✅-What speech sounds does the child produce?
-We aren't concerned if they are correct or not
-In my experience, this is great for young, highly unintelligible young children
Screening - CORRECT ANSWER✅✅-pass/fail procedure that can be conducted quickly with a large
number of individuals in a short period of time
-Id people who need further assessment
-Children: converse, say ABCs, count to 10
-Adults—conversation, reading
Screening norms in CA schools - CORRECT ANSWER✅✅-We don't automatically screen any more
-It is all based on teacher and parent referral
-Put the child on "monitor" status
-I say to a kindergarten teacher, e.g.:
,"He is still quite young, so I will re-check him again in January. If he still doesn't technically qualify for
speech, I can re-screen him in first grade."
General principles of assessment: Reviewing client's background - CORRECT ANSWER✅✅1. Written
case history forms
2. Information from other professionals
3. Conduct interview
1. Written case history forms - CORRECT ANSWER✅✅-What does the family think is the problem?
-Ask parents/Caregivers when they first became concerned
-What changes have happened since that time?
-Social hx (child's relations with others, discipline problems; is the child frustrated?)
-Speech, language, developmental hx
-Prenatal and birth hx
-Medical hx (eating problems, ear infections)
-Educational hx
-Social hx (child's relations with others, discipline problems; is the child frustrated?)
Diepeveen et al - CORRECT ANSWER✅✅-Carried out a study to examine the clinical practices of SLPs in
the Netherlands who treated children with Speech Sound Disorder (SSD)
-SLPs responded through a combination of interviews and questionnaires
Diepeveen et al results - CORRECT ANSWER✅✅-SLPs in private practice always gathered case histories
from parents
-SLPs in schools and hospitals mostly did not gather case histories
-Conducting case histories with parents can save time in the long run
-If parents provide a detailed description of child's speech patterns, SLPs can create more specific
assessment plans
-The therapy more highly individualized
, Information from other professionals - CORRECT ANSWER✅✅Written release is necessary to exchange
information with other professionals
Conduct an interview - CORRECT ANSWER✅✅-Information gathering interview
-Develop rapport
-Orientation: What will happen in assessment
- "I understand from his file that..."
-Questions to ask:
-Do others make fun of the child?
-Older client: are you bothered by this? What is the impact on your life?
Closing the interview - CORRECT ANSWER✅✅-Recap important points
-Be sure to tell the person that you will share test findings with them
-Thank them for their time
Plan Assessment Session - CORRECT ANSWER✅✅-select appropriate tests
-prepare bribes! (stickers, toys, games, prizes)
Prepare Testing Area - CORRECT ANSWER✅✅-Clean and clutter free
-Not distracting
Assess Related Areas - CORRECT ANSWER✅✅1. Hearing
2. Orofacial structures
3. DDK syllable rate
4. Speech rate
5. Speech intelligibility
6. Level of stimulability
Screening for language - CORRECT ANSWER✅✅-I usually like to give a receptive vocabulary test