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what is the first step in the slp assessment process?
Referral. they will do an optional screening, if they fail they will move onto a full evaluation.
what comes after referral in the slp process?
full evaluation (actual assessment and testing)
what happens during the full evaluation process?
-case history
-interviews
-informal measure (observations, probes)
-standardized test (goldman, fristoe)
What comes after full evaluation in the slp process?
Diagnosis.
what happens during the diagnosis process?
- speech sound/articulation (SODA)
- language
- fluency
- voice
- swallowing
- literacy
what happens after the diagnosis?
Evaluation report (write your findings)
what happens during a evaluation report?
- Recommendations for treatment (do they need therapy? How often?)
- Therapy goals - short term and long term (what we will be targeting)
what comes after evaluation report?
intervention (aka treatment, therapy)
what happens during intervention?
- Use EBP strategies to target goals
- Use materials and activities that are effective, and engaging
- Take data during each session (SOAP notes)
- Client makes progress
what comes after intervention?
Dismissal
what happens during dismissal?
Client has met goals and will be seeing their speech therapist less and less.
when should you use the traditional motor and sensory-motor approaches?
-for children who have only one or a few sounds in error
-language skills are within normal limits.
when should you use Dynamic Temporal and Tactile Cueing?
children with severe childhood apraxia of speech (lack of brain's ability to plan speech movements).
when should you use The Lee Silverman Voice Treatment?
young children with spastic CP.
when should you use complexity approach?
- targeting later-acquired sounds and/or consonant clusters leads to increases in treated and in untreated sounds.
- involves training more difficult sounds to achieve generalization of untreated but less complex sounds
when should you use language/dynamic systems?
during storybook reading improve phonological performance in some children.
when should you use cycles approach?
for children who are highly unintelligible
when should you the multiple oppositions approach?
- for children who substitute one sound for many different sounds.
- effective for children who are highly unintelligible, particularly during the early stages of treatment.
when should you use the Metaphon approach?
developing the child's metaphonological awareness skills in two phases:
-teaching awareness of sound differences
-transferring this knowledge through appropriate use of sound contrasts in words when speaking.
which are Bottom-up drill approaches?
traditional motor approach and sensory-motor approach.
what does Bottom-up drill approach mean?
progression from the simplest to the most complex movements
Speech disorders include...
- articulation (SODA)
- fluency
- voice
- Apraxia of speech
- Resonance (hyponasality)
Language disorders include...
- form, content, & use
- Phonology, Morphology(word structure), Syntax(sentence structure), Semantics(word meaning), & Pragmatics.
What are Language-Based Approaches?
- integrate the learning of error sounds into meaningful, functional contexts either through play or through the reading and retelling of storybooks.
-not suitable for children who exhibit severe speech delays and require more direct, structured speech practice.
what are Phonological-Based Approaches?
targeting phonological patterned errors (grammer) as opposed to individual sounds.