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IDEA Part C
Legislation covering early intervention for infants and toddlers
Brown's stages I, II, and III
Developmental stages of language acquisition
MLU
Mean Length of Utterance, a measure of language complexity
Clinician Centered Treatment
Intervention directed by the therapist, less naturalistic.
Examples: modeling, drills, discrete trial training
discrete trial training
place stimulus, ask questions, provide correct model while waiting for child to imitate, reinforce correct imitation, give feedback, repeat the steps
Child Centered Treatment
Intervention following the child's lead, more naturalistic
examples: self talk, parallel play, recast, correct speech by expanding
recasting
repeating the child's statement in a different grammatical form
self talk
clinician talks about their own activity/action as tehy play with the child
parallel talk
play w/ child & describe/comment on what the child is doing and what the child is playing with "you are putting the blue block on the tower"
milieu therapy
teaches functional communication through verbal interactions that are natural in a natural setting (incidental teaching). The adult waits for child to initiate verbal response.
Hybrid intervention
focused stimulation, vertical structuring, expansion using child's language to target response, Milieu therapy, script therapy
Developmental Language Disorders
Four models: Medical, Descriptive-Developmental, Systems, Categorical
Medical/Deficit Model
A STANDARD against which the child with communication challenges is measured. Used by medical profession
Assumptions: -Individual has a "deficit" -Language comes from "within" a person -Can "cure" the problem and make the person normal
Descriptive- developmental model
In-depth DESCRIPTION of the child's current language skill. Compare it to the sequence of typical development
Assumptions: -Start where child is functioning -Follows a typical sequence of language development
Systems model
Emphasizes the INTERCONNECTION between systems in language disorder. Systems= family, school, child
Assumptions: -Not all communication problems are within a child -Behavior & learning is a dynamic interaction between person environment -Modify any aspect of a child's environment changes the child's behavior
Categorical Model
Language disorder classified on a KNOWN medical condition they accompany. Identify similarities among children with similar diagnoses. Implies that the diagnostic categories used play a causal or etiological, role in the language disorder
Assumptions: -Assumes there is a "deficit" in the child -Quickly summarizes how a child is different from other children
Early Intervention
Intervening to support children's development at a young age
Early Childhood Screening
Assessment to identify developmental concerns in young children
Case History
Information about a child's background and development (Medical, sensory, pharmacological, parent perspective, when the perceived problem began, questions about feeding)
Norm-referenced Tool
Assessment comparing a child's performance to peers. Developmental norms of receptive and expressive (PLS CASL)
Criterion-referenced Assessments
Evaluation based on specific criteria or standards. Compare to an expectation
SMART Goals
Specific, Measurable, Attainable, Relevant, Time-based objectives
attainable (smart goals)
can be determined by talking to caregivers, or is in child's repertoire but infrequently observed, find the ZPD (zone of proximal development)
relevant (Smart goals)
functional and important to the client
Prelinguistic Stage
Developmental period before language emergence. Birth to 18 months
building prelinguistic language
Let child see you have what they want
Play games, social games/people games
Gentle sabotage
Bit by bit
Choices
Communication temptations (Eat snack in front of them)
Emerging Langauge
18-36 months (1.5-3 years)
Single words
Combining words into two-word utterances
Simple sentences
Brown's stages I, II and III
~50
Children combine words after having ____ words in their vocabulary
Two word semantic relationships (Emerging language)
Agent + action - ex. Mommy come
Action + object - ex. Throw ball
Action + locative - ex. Sit chair
Entity + locative - ex. Doggy floor
Possessor + possession - ex. Mommy coat
Attribute + entity - ex. Silly mommy
Demonstrative + entity - ex. This kitty
Three word semantic relationships (emerging language)
Agent + action + object - ex. Jason eat cookie
Agent + action + locative - ex. Daddy sit chair
Agent + action + locative - ex. Katie ball floor
Action + object + locative - ex. Pull wagon grass
developing language
36-60 months (3-5)
Explosive language learning
Brown's stages II - V
MLU of 2-5
role of storybooks in langauge assessment and intervention
narrative sample probe both macrostructure and microstructure
narrative assessment microstructure
vocabulary and syntax
narrative assessment macrostructure
theme and organization
Brown Stage 1
MLU = 1.0 to 1.5 morphemes
-age range = 12 to 26 months
-focus is on semantic roles
-noun phrase development
Brown Stage 2
Syntactic development- children use 2-2.5 MLUs at this stage, start using morphemes like -ing
Brown stage 3
Age = 31-34 months
MLU = 2.5 - 3.0
increases in length due to auxiliaries, increase use of "wh" questions and use interrogative reversals
Brown Stage 4
Age = 35-40 months
-MLU = 3.0 - 3.75 morphemes
Use object-noun phrase complements, uses indirect or embedded "Wh" questions
browns stage 5
41-46 months
MLU: 3.75-4.5
coordinates simple sentences
uses locatives (up, down)
uses and as main conjuction
Family Centered Practice
Approach involving coaching parents in interventions.
TIPS:
Take turns: coach parents on serve and return
imitate: coach families to play copycat by mirroring infants actions or sounds
Point things out: coach families to engage in joint attention routines
set the stage: coach parents to establish anticipatory sets by repeating simple games and songs the child likes
signs of feeding issues
Does it take longer than 30 minutes to feed the child?
Are mealtimes stressful for the child or parent?
Is your child gaining weight?
Are there signs of respiratory problems?
Semantic-Syntactic Production
Combining words to express meaning
Non-language Areas of Assessment
Evaluating play, gestures, social skills, and communication
Role of Play in Language Development
Play and language skills reinforcing each other
If a child has met their play milestones but not language, it will be easier for them to learn language.
Picture Storybooks in Language Intervention
Using narratives to assess and intervene in language development
Pre-literacy Skills
Foundational skills before formal reading and writing
use and understand a variety of nouns and verbs in simple sentences, follow simple directions, answer simple "Wh" questions, identify and name objects and actions when looking at pictures in books