3. QS Teachers: Communication - Speech

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Transcript 3. QS Teachers: Communication - Speech

Children’s Speech Sound Disorders
Screening for Teachers
Caroline Bowen PhD
Copyright © 2006 Caroline Bowen – Web Version Revised 2012
Slide Show 3 of 3
SLIDE SHOW 3/3
COMMUNICATING WITH PARENTS
FOLLOWING ADMINISTRATION OF THE QUICK SPEECH SCREENER FOR CHILDREN
This is the third of three slide shows for
Speech-Language Pathologists / Speech
and Language Therapists to use when
communicating with teachers and
psychologists about children with speech
sound disorders. This one relates to the
QUICK SPEECH SCREENER FOR TEACHERS
and is about talking to parents about
referral for SLP/SLT assessment. You are
free to modify it. If you do, please
acknowledge the original work of the
author: Caroline Bowen
Copyright © 2006 Caroline Bowen All rights reserved
Talk to the student’s
family before screening
• Let parents know beforehand
that you are going to do the
screener and ask them if they
would like to observe.
• This is a good opportunity to ask
‘history questions’ if appropriate.
Copyright © 2006 Caroline Bowen All rights reserved
P: “Why screen my child’s speech?”
T: “We listen the speech of all
the children.”
“We look for certain
indicators, and if they are
present, we screen.”
P: = parent T: = teacher
Copyright © 2006 Caroline Bowen All rights reserved
P: “What are the indicators?”
REMEMBER…     
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Intelligibility
The ‘Wow! Oh no! Really?’ Test
Developmental and family history
General presentation
Particular speech characteristics
Copyright © 2006 Caroline Bowen All rights reserved
P: “What are the indicators?”
T: “They are …
1. Student’s overall speech clarity
2. Ease of communication with student
3. History of late speech (<50 words
at 24 months) or speech difficulties
4. The student’s presentation: shy, quiet,
avoids talking, not forthcoming in
class, etc
5. Student’s particular speech
characteristics
Copyright © 2006 Caroline Bowen All rights reserved
P: “What speech characteristics?”
T: “They are …
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Many speech sound errors
Glottal replacement
Initial Consonant Deletion
Backing
Final Consonant Deletion
Few consonants
Copyright © 2006 Caroline Bowen All rights reserved
P: “What speech characteristics?”
T: “They are …
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Vowel errors
Low PCC in any school-aged child
PCC <50% in beginning readers
Any speech errors > 6;9 (except ‘th’)
Typical speech development norms
are available at www.slpsite.com
Copyright © 2006 Caroline Bowen All rights reserved
P: “What did you notice
about ____’s speech?”
T: “Paul’s speech is difficult to understand.”
T: “Tran omits the first consonant in words.”
T: “Some of Samantha’s vowels are unusual.”
T: “Carly is only using a few consonants.”
T: “Iain is not saying any consonant clusters.”
T: “Mario is nearly 7 and his
PCC is below 50%.”
Copyright © 2006 Caroline Bowen All rights reserved
P: “What does screening involve?”
T: “It involves …
• Picture slide show of everyday words
• Child says / ‘picture reads’ the words
(or imitates them if necessary)
• Teacher records pronunciation
• Teacher records (1) intelligibility,
(2) consonants and vowels present and
correct, and (3) calculates PCC
T: “Would you like to observe?”
Copyright © 2006 Caroline Bowen All rights reserved
P: “Where will the results go?”
T: “That is up to you. Typically …
• Parents are given a copy.
• Parents get extra copy if a speech
pathology assessment is advisable.
• Parents can give the extra copy to the
speech pathologist if desired.
• Teacher keeps a copy for his or her
own information (useful in discussion
with SLP/SLT).
Copyright © 2006 Caroline Bowen All rights reserved
Talk to parents again after screening
• If no follow-up is indicated,
remember to let them know!
• If referral is advisable …
• … explain that SLP/SLT will take a
history and do a detailed assessment
to determine if intervention is
recommended.
• Explain that the decision to proceed
with intervention (or not) is
the family’s prerogative.
Copyright © 2006 Caroline Bowen All rights reserved
If referral is indicated …
• Provide SLP/SLT contact details
• You may want to mention that an
audiogram is routine for any child with
speech difficulties
• Remind parents to take the screener
to the first appointment (put YOUR
name and phone number or email on it!)
• Ask permission to talk to the SLP/SLT
Copyright © 2006 Caroline Bowen All rights reserved
Discussion of Screening with SLP/SLT
• Can be very helpful to the SLP/SLT to
talk to a referring teacher or
psychologist before assessing a child’s
speech (not always necessary)
• Permission / confidentiality
• Allocate enough time and a ‘good’ time
• Your observations are valuable
• Your, concerns as a teacher/psychologist,
are important (may not be the same as
parents’ primary concerns)
Copyright © 2006 Caroline Bowen All rights reserved
Things SLPs / SLTs LIKE to hear!
“Ms / Mr __ has screened __’s speech”
“I have a copy of the results”
In the comments section Ms / Mr __
says that:__’s vowels are unusual
__ is omitting some sounds
__ is less intelligible than
most 5 year olds
… or some other OBJECTIVE comment
about the student’s speech,
based on screening / observations
Copyright © 2006 Caroline Bowen All rights reserved
Teachers/ Psychologists putting it in writing
• Facilitates parents’ questions
• Facilitates parents’ communication
with SLP/SLT
• Facilitates the referral process
• Helps establish a ‘baseline’ for what
is happening in school
• (i.e., in the child’s REAL world)
Copyright © 2006 Caroline Bowen All rights reserved
Caroline Bowen PhD
Speech-Language Pathologist
9 Hillcrest Rd
Wentworth Falls NSW 2782
Australia
www.speech-language-therapy.com
Copyright © 2006 Caroline Bowen All rights reserved