Exam 2 Diagnostics

Examples of common assessments for speech, language, and ASD

• hearing screening

• Consultation with parents/caregivers

• Consultation with other professionals

• Authentic assessment

• Formal testing

Early signs of ASD: (things the do not do)

• respond socially

• simile responsively

• reciprocate affection/communication

• Imitate the actions of others

• eye contact

• show interest in other children

• uses gestures to communicate

• imaginative play

What is needed for a reliable speech/language sample

• collect a sample based on real conversation

• collect multiple samples

• may provide the most useful info about client’s functional use of language

• cary context and activities

• video

• ask others to interact

Factors that influence intelligibility

• Speech

• Listener

• environmental

• language skills

• social communication skills

• consistency

Phonological processes

patterns of sound errors that children use to simplify speech as they are learning to talk

Substitution in phonological processes

Backing, Fronting, Gliding, Stopping, Vowelization

Assimilation in phonological processes

Assimilation, Denasalization, Final consonant devoicing, Coalescence, Reduplication

Syllable structure in phonological processes

Cluster reduction, final consonant deletion, Initial consonant deletion, Weak syllable deletion, Epenthesis

Determine MLU

• 1 utterance= 1 sentence, 1 morpheme=1 word

• Morpheme/utterance=MLU

Receptive

the ability to understand or comprehend language (what you hear or read)

Expressive

the ability to use language to communicate (what you say or write)

Bound definition

Need a pair, cannot stand on its own (cat ‘s’)

Free definition

words that can stand alone (cat)

Who diagnoses ASD

Team is the best (SLP, Psychiatrist, Pediatrician, etc)

Types of language impairments

• Language learning disability

• Specific language impairment (SLI)

• Aphasia

Know how to determine intelligibility

• intelligible words/total words=Intelligibility % (words)

• intelligible utterances/total utterances=Intelligibility % (utterances)

Derivational term

verb to noun

Inflectional bound

S, Es, Ed, Ing, Er (ending words)

Utterances

complete thought (sentence)

What is the 1st condition to diagnose ASD

Impaired social communication

The 2nd condition to diagnose ASD

Restricted and repetitive interests

3rd condition to diagnose ASD

social communicative challenges have a negative impact on relationships, academic achievement and/or occupation

4th condition to diagnose ASD

Onset occurs early childhood

5th condition to diagnose ASD

These behaviors cannot be accounted for by intellectual disability, general developmental delay or any other diagnosis

Morpheme

a word

Semantics

vocab, component of language

Syntax

grammer, component of languge

Morphologic

Meaning, component of language

Pragmatics

social, component of language

Phonological

sound, component of language