ch 8

Class and Administrative Announcements


Development of Language

Emerging Language vs. Developing Language

  • Emerging language can occur beyond early childhood; individuals can have emerging language skills even after early years.

  • Transitioning to developing language stage, typically encompasses ages from 3 to 5.

Vocabulary Acquisition

  • By ages 3 to 5:

    • Expressive vocabulary can reach approximately 250 to 300 words.

    • For receptive vocabulary, it’s estimated to be 900 to 1000 words.

  • Children progress from 50 words to using two-word phrases and short sentences.

  • Sentence construction may still lack grammatical accuracy at ages 3-5, leading to simple sentence structures.

Mean Length of Utterance (MLU)

  • MLU tends to be short at initial stages and increases progressively from ages 3 to 5.

  • By ages 4 and 5, sentences become more grammatically correct and longer, demonstrating developmental advancement.

  • Typically, children do not use complex language structures comparable to adult sentences at this stage.

Brown's Stages of Grammatical Development

  • The developing language period corresponds to Brown’s stages (detailed in Chapter 8).

  • These stages are important not only for this course but also for language and literacy-related courses.

  • It's critical to study these stages, including reading the associated chart and understanding their implications for language development.

Importance of Brown's Stages
  • There will be specific questions on Brown’s stages in assessments, and recognition of the structure of these stages is essential.

  • A larger laminated chart created by Miss McConnell is available in the graduate work room for better visual understanding.

  • Notably, children with severe impairments may still function within these stages.

  • Chronological age vs. Developmental age:

    • Chronological Age: Age based on the calendar.

    • Developmental Age: Reflects the stage of development a child is currently at, regardless of their chronological age.

    • Example: A 22-year-old client may function at the level of a 15-year-old in terms of development.


IDEA Regulations and Assessment Guidelines

Individuals with Disabilities Education Act (IDEA)

  • Children aged 0-2 years (364 days) are under Part C of IDEA (focus on early intervention).

  • Children aged 3-5 years fall under Part B of IDEA, transitioning from family-centered to child-centered services.

  • As children transition to local education agencies (public schools), parental involvement changes from being the central focus to being a partner in setting goals.

Parental Consent in Assessment
  • Observation:

    • Allowed without parental consent; however, formal assessments or interventions require consent.

  • Failure to obtain consent for assessments can lead to severe consequences, including revocation of professional license.

  • Documentation:

    • Must support the rationale for assessment and intervention plans.


Evidence-Based Practice (EBP)

Parental Involvement

  • Importance of treating parental concerns seriously, regardless of how unrealistic they may seem from the clinician's perspective.

  • Clinicians should educate parents on realistic goals while maintaining a supportive rapport to avoid discouragement.

  • Parents' reports can be a valuable source of information, but they might need guidance to accurately represent their child's abilities.


Assessment of Language and Speech Disorders

Assessment Methods

  • Formal Assessments vs. Screenings:

    • Formal assessments ensure a child’s performance is significantly different from peers based on norms. Screenings help to determine if a child is at risk for language deficits.

  • Criterion-Referenced Assessment:

    • Focus on whether a child can perform specific skills rather than comparing to normative data. Informal conversations aid in providing context for understanding abilities.

  • Screening measures should be short yet psychometrically reliable, avoiding reliance on potentially flawed standardized tests.

Observational Techniques

  • Pay attention to peer interactions and families’ concerns to understand a child’s communication competence in natural settings.

  • Language Sample Analysis:

    • Importance of collecting extensive language samples (ideally three to four hundred words) to assess vocabulary, MLU, and sentence types.


Speech Sound Disorders and Phonological Processes

Differentiating Speech and Language Disorders

  • Speech Delay: Refers to delays specifically in spoken language rather than overall language skills.

  • Phonological Processes: Patterns of sound substitutions or deletions common in developing speech that may indicate a speech sound disorder (SSD).

  • Independent Analysis: Develops phonetic inventories from speech samples.

  • Relational Analysis: Identifies patterns and inconsistencies in a child’s speech.

Types of Phonological Processes
  • Examples and definitions of phonological processes must be clearly understood, with demonstrations provided, e.g., final consonant deletion, stopping, cluster reduction.


Objectives and Goals In Therapy

Functional Communication Assessment

  • Assess if the child's communication leads to effective interactions, observing their behavior in various settings.

  • Consider supplementary assessments for comprehension and phonological awareness skills as part of best practice.

Collaborative Goals with Families

  • Respect family choices regarding therapy duration and frequency, despite professionals’ recommendations. Communication with families should remain supportive and educational.

Final Reminders

  • Emphasize the importance of observing real-world interactions and joint assessments to better understand child development.

  • Document effectively both the clinician's observations and any interventions that contributed to assessment outcomes.

  • Continuous education on professional assessment methodologies and refining of assessment practices is essential for professional development.