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standard score
normal range 85 - 115
scaled scores
normal range 7 - 13
percentile ranks
normal range 16 - 84
z scores
-1.0 to 1.0
What 7 considerations need to be taken into account in the education setting?
MTSS
Student voice
Australian curriculum
ICF
Inclusive education
PFCC
EBP
Tier 1 of MTSS
Whole class instruction
Tier 2 of MTSS
Small group instruction to access general instruction
Tier 3 of MTSS
Individualized and intensive instruction
What diverse populations do SLPs work with in the education system?
Autism
DLD
Language disorder
Reading profiles
Spelling difficulties
SSDs
CALD populations
Aboriginal and Torres Strait Islander populations
What are the 4 principles of intervention in the education system?
Use curriculum-based instruction
Integrate oral and written language
Go Meta
Preventing academic failure
What assessment approaches are used in the education system
Screeners
Interviews
Questionnaires
Observations
Functional/activity based
Language samples
Standardized assessments
Criterion referenced assessments
Curriculum based assessments
Dynamic assessments
Aboriginal and Torres Strait Islander outcome measure
ATOMIC
Australian Therapy Outcome Measure for Indigenous Clients
which disorders should you aim to eliminate the underlying disorder?
phonological delays/disorders, articulation delays/disorders, fluency, voice disorders
which disorders should you aim to make environmental modification?
ASD, APD, DLD
what other people would you work with in the education system?
student
classroom teacher
guidance counsellor
parents
child
OT
principles
teaching asisstant
audiologist
psychologist
specialist classroom teacher
admin staff
ENT
what are the four steps in scaffolding skills?
1. I do – strong & repeated demonstration of strategy by educator or therapist
2. We do – student imitates
3. Y’all do – students take more control; educator facilitates & guides
4. You do – students use on their own.
what is EBP4?
Clinical expertise
Client values and circumstances
Research evidence
Information from the practice context
What outcome measures can be used for therapy with school aged children?
Australian Therapy Outcome Measures (AusTOMs)
Goal Attainment Scale (GAS)
Functional Independence Measure for Children (WeeFIM).
Focus on the Outcomes of Communication Under Six (FOCUS): Parent Form (for children in early years of school)
Measure of Processes of Care (MPOC)
which disorders should you aim to modify the underlying disorder or teach compensation strategies?
Dyslexia, DLD, LD, literacy delays/disorders
how can you change/modify a disorder?
target the child’s strengths
develop skills in areas of deficit
how can you compensate for a disorder?
learn strategies (e.g. word finding strategies, spelling strategies)
what is the simple view of reading?
Reading Comprehension=Decoding × Language Comprehension
form - morphological interventions
word sorts/matrix - sort words into families based on having the same root word
word sums - root word + morpheme suffixes and prefixes
morpheme wall - list of morphemes you can add to
word web - learn words based on the root word and all the morphemes it has in English
syntax - grammar interventions
shape coding - helps the child to visualise the parts of a sentence
syntax - complex sentences
deconstruction - use explicit instruction to help the child to identify and break down the parts of a complex sentence
construction - give the child the elements of a complex sentence and get them to build it up from there
mini lessons - include reminders of what the different parts of sentences are when asking the child to construct one
syntax - phonology
minimal pairs
multiple oppositions
maximal oppositions
traditional articulation approach
content - vocabulary
Categorisation
Synonym/Antonym
Word definitions
Associations
Explicit instruction + functional examples + follow up questions (when have you done something forlornly?)
tier 1 words
common words (see, happy, table)
tier 2 words
common but mature words (perceive, phenomenon, auspicious)
tier 3 words
words rarely used outside specific domains (decussation, photosynthesis, molecular)
use - pragmatics - social skills
social stories
talk about - emotional communication
conversation club
use - narrative
Narrative scaffolding
Deconstruct:
identify title
identify author
identify characters and settings
identify beginning/end of story
identify what characters want
Construct:
use a story board and prompts to help the child construct a story based on its elements
phonological awareness
hybrid approaches (language and phonological awareness at the same time) such as read it again
rhyming
syllables
onset-rime
phonemic awareness
sound boxes - different colours represent different sounds
considerations for working with teenagers
Changes in life-stage and priorities
Previous intervention and support
Motivation
Behaviour
phoneme-grapheme correspondence
phonics explicit instruction
reading intervention
connected phonation (stretching the sounds out)
decodable texts (non-predictable books without pictures that give it away)
decoding strategies poster - look closely, finger underneath, slide finger under, stretch out the sounds, did it make sense?, read whole sentence
irregular words
1. Explicitly teach the child to decode the word through graphemes to phoneme correspondences needed to read the word
2. The etymology of the word can often explain any irregular spellings (two, twin, twenty)
reading fluency intervention
Teach students to observe and attend to punctuation marks such as commas and full stops when reading
Listen to students read aloud and provide feedback on aspects of intonation, pausing, accuracy
Multiple readings of the same text with corrective feedback
Read extended texts to students to model reading fluency
Complete multiple readings of the same text
reading comprehension intervention
Comprehension monitoring
Co-operative learning
Graphic & semantic organisers
Self-questioning
Story structure analysis
Summarising
Answering questions
general spelling intervention
1. Carefully consider your target words
2. Explicitly teach patterns
3. Teach a few basic rules for adding endings to words
4. Give targeted and specific feedback
5. Create spelling supports for the child
orthographic spelling intervention
elokin boxes - a different box for each sound in the word. the child has to put the letters in the correct box
semantic spelling intervention
Present the homophone visually and use it in a sentence
Talk about the meaning of the different homophones (depending on the age of the child you could ask them to draw a picture of what each homophone means)
Compare the orthography and meaning of the homophones
Complete activities where the child must match the homophone with the definition, write the word with the correct sentence, cloze activity, and writing to dictation
written discourse intervention
graphic organisers
instruction on strategies to break down the discourse into its elements and put them in the graphic organiser
work with teachers so you can give explicit instruction on the vocabulary that is needed
neurodivergent considerations
special interests
sensory preferences
differences not deficits
strengths based
focus on what they can expect, rather than what is expected of them
use of visual supports
reasons for SLP treatment of APD
auditory processing effects language development
direct interventions available for APD
auditory training (video games)
language interventions
compensation interventions for APD
listener strategies
metalinguistic strategies (identifying key words)
active listening
metacognitive strategies (think about what you are about to do in class)
environmental interventions for APD
reduce signal to noise ratio by using (reduce background noise, increase speaker volume)
change seating arrangement
remote microphone hearing aids
steps of diagnostic therapy
test
identify specific target
teach
retest
culturally responsive supports for CALD children
supporting L1 - translators, books in L1, encouraging activities, show and tell in L1, send home list of words needed for curriculum in L1
bridging intervention - doing activities in L1 where possible (especially in challenging classes such as math)
dynamic assessment
diagnostic therapy
consideration for working with Aboriginal and Torres Strait Islander children
interprofessional focus
play-based
dynamic
movement
culturally appropriate resources
focus on what the child is interested in learning
steps of dynamic assessment
test
teach
retest
approaches to fluency treatment 2-6
Lidcombe
Restart DCM
approaches to fluency ages 7 and up
speech restructuring (BERL)
stuttering affirming therapy (unhelpful thoughts and beliefs about stuttering [UTBAS])
how can SLPs facilitate stuttering within the classroom?
facilitate positive discussions about stuttering
work out supports needed for answering questions, reading out loud, oral assessment with the classroom teacher
indirect voice interventions
vocal hygiene - hydration, reduced phonotraumatic behaviours
consider medications/conditions that are impacting voice (allergy medications, reflux)
direct voice interventions
SOVT
what age can children start directing their own voice interventions?
12 years old
adjustments that can be made to assessment
visual complexity - large font, double spaced, reduce unneeded information
linguistic complexity - identify difficult vocabulary and reduce linguistic complexity of task sheet
procedural complexity - consistent and clear instructions
what environmental supports can be made to the classroom?
Positive reinforcement schedule in place
Child has preferential seating
Minimise distractions
Visual schedules and supports
Ensure a range of ways for students to access content
Allow students to respond in various ways
Allow the student extra time
Extra opportunity for practice
Ask the student to repeat the instruction back to the teacher to check for understanding
Provide shorter instructions (e.g. one step instruction)
Use visuals and gestures
Develop word charts or word walls of key concepts, words and/or information
adjustments that can be made to classwork
Technology – ipads, computer, other technologies
Text to speech & speech to text apps/programs
Buddy system (practice with a peer, before writing it down)
Graphic organisers, visual cues-written proformas, sentence starters, word walls
Allow child computer access to help with spelling (use of spell check)
Encourage editing at the end of the task (allows the student the opportunity to get the content on the page first)
Encourage 4 step process: Brainstorm, share, write, edit
Talking to CT about requirements of tasks-are they assessing a literacy skill or can the child complete the task using oral means (or use a speech to text app)
Shorter or less complex task requirements • Audio books
Encourage shared book reading at home (even for older children)
Choose books/materials that interest the student. Let reading be fun
how to use student voice to make adjustments to the classroom
1. Ask concrete questions, based on students’ experiences
2. Use multiple short interviews
3. Use visual supports and dynamic activities