CDO 338 10 Assess to inter

  1. Aspects to consider in treatment
    • 1.Social- a child needs a system that is useful in many environments and a system to be used at home
    • 2.Occupational- sound system deficits may become a barrier to social and professional opportunities.
    • 3.Cultural/Ethnic- the attitudes of peers, family and others are important to consider.
  2. Two Questions MUST be considered when considering the need for treatment:
    • 1.Is the sound system disorder a problem if the client, family, teacher or others do NOT perceive it as one even though the SLP does?
    • 2.Is there a problem when the client, family, teacher or others perceive is as a problem but the SLP does NOT assess it to be a disorder?
  3. Diagnostic Considerations
    • 1.Phonetic vs. Phonemic
    • 2.Delay vs. Deviant articulation
    • 3.Childhood Apraxia (Dyspraxia) of Speech (CAS)  vs. Dysarthria, Language Disorder, and Functional Articulatory Disorders.
  4. The assessment may lead to one of two diagnoses
    • 1.  normal articulation and phonological skills
    • 2.  disordered articulation and phonological skills
  5. Normal
    • The errors are related to second language acquisition.
    • Errors fall within the normal developmental range of mastery for a particular age group.
    • The errors are so slight that they would not call undue attention to the speaker or perceived as disordered by the average listener.
  6. Disordered
    • Describe the disorder
    • Types of errors
    • Active phonological processes
    • Type of disorder
    • Estimate of severity
    • Factors that may contribute to the disorder
  7. Diagnostic Statement
    Who:   (MaryBeth)

    Demonstrates what:  Describe the severity and nature of the disorder (has a mild sound system disorder)

     How do you know this to be true:   (characterized by distortions of the /s/ and /z/ phonemes in all positions of words as evidenced on the GFTA.  Her speech intelligibility was mildly affected. She was stimulable for both sounds in isolation.   
Card Set
CDO 338 10 Assess to inter
Assessment to Intervention