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THE ROLE OF SLPS IN EDUCATION

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Page 1: THE ROLE OF SLPSIN DUCATION - ESC 17 · 2012. 1. 30. · • SupervisionSupervision (of(of SLPSLP(of SLP-AAsAs))’s) 4 Developed by Region 17 ESC SLP Advisory Committee, copyright

THE ROLE OF SLPS IN EDUCATION

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•• Statewide overStatewide over--identification of studentsidentification of studentsStatewide overStatewide over identification of students identification of students receiving speechreceiving speech--language therapylanguage therapy–– Specifically, bilingual and minority studentsSpecifically, bilingual and minority studentsp y, g yp y, g y–– State Performance Plan indicatorsState Performance Plan indicators

•• Disproportionality in the special education program (SPP 9) Disproportionality in the special education program (SPP 9) •• Disproportionality by specific disability (SPP 10)Disproportionality by specific disability (SPP 10)

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Levels of SLPs:Levels of SLPs:Levels of SLPs:Levels of SLPs:•• SpeechSpeech--Language Pathologist Language Pathologist –– ASHA certifiedASHA certified (SLP, MS/MA, CCC(SLP, MS/MA, CCC--SLP)SLP)

•• Can practice unsupervised in all setting typesCan practice unsupervised in all setting types

•• SpeechSpeech--Language PathologistLanguage Pathologist-- Intern Intern –– (SLP, MS/MA, SLP(SLP, MS/MA, SLP--CFY)CFY)•• Can practice supervised in all settingsCan practice supervised in all settings

•• SpeechSpeech--Language Pathologist Language Pathologist –– TEA certified (SLP, BS/BA)TEA certified (SLP, BS/BA)•• Can practice unsupervised only in schoolsCan practice unsupervised only in schools

•• SpeechSpeech--Language PathologistLanguage Pathologist--Assistant (SLPAssistant (SLP--A, BS/BA)A, BS/BA)•• Can practice supervised in limited settingsCan practice supervised in limited settingsCan practice supervised in limited settingsCan practice supervised in limited settings

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•• Collaborate with RTI teamsCollaborate with RTI teams

•• Evaluation of presence/absence of communication disordersEvaluation of presence/absence of communication disorderspp

•• Intervention/therapyIntervention/therapypypy

•• Case managementCase managementgg

•• SupervisionSupervision (of SLP(of SLP--A’s)A’s)SupervisionSupervision (of SLP(of SLP As)As)

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•• ArticulationArticulation –– how sounds are madehow sounds are madeArticulationArticulation how sounds are madehow sounds are made

•• VoiceVoice –– pitch, loudness, qualitypitch, loudness, quality

•• Fluency/stutteringFluency/stuttering –– smooth rhythm of speechsmooth rhythm of speech

•• LanguageLanguage –– how we communicate with others and how we communicate with others and understand what others are saying (word usage, understand what others are saying (word usage, sentence structure, social interaction, comprehension, sentence structure, social interaction, comprehension, ppalternate communication methods)alternate communication methods)

•• Swallowing/DysphasiaSwallowing/Dysphasia oraloral motor skills related tomotor skills related to•• Swallowing/DysphasiaSwallowing/Dysphasia –– oraloral--motor skills related to motor skills related to eating in order to maintain healtheating in order to maintain health

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•• A student may exhibit problems in one or moreA student may exhibit problems in one or moreA student may exhibit problems in one or more A student may exhibit problems in one or more of the previous listed areasof the previous listed areas

•• Every student is unique and will reach Every student is unique and will reach milestones in different ways and times Themilestones in different ways and times Themilestones in different ways and times. The milestones in different ways and times. The language spoken at home and cultural norms language spoken at home and cultural norms can influence the way that students can influence the way that students yycommunicate.communicate.

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ArticulationArticulation

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Children may acquire phonemes at different rates. By the age of 8, the typically developing child should beable to produce all phonemes.

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Pre-K or Final Consonant Deletion (ca for cat)

Head Start Initial Consonant Deletion (at for cat)/m,n,p,b,t,d/

Kindergarten Any of the above plus weak syllable deletionKindergarten Any of the above plus weak syllable deletion(elphant for elephant)/f,v,k,g/

First Any of the above plus /l/

S d A f th b l / h h th/Second Any of the above plus /s,sh,ch,th/

Third (and up) Any sound error including /r/Third (and up) Any sound error including /r/

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Languageg g

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Language use should be similar as compared to Language use should be similar as compared to samesame--age peers; if it is significantly different orage peers; if it is significantly different orsamesame age peers; if it is significantly different or age peers; if it is significantly different or delayed, there may be cause for concern…delayed, there may be cause for concern…

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Area of language

Definition & Examples

Syntax & Sentence structure: e.g., omits auxiliary verbs, sentenceyMorphology

g yfragments, shortened length of sentenceGrammar: e.g., using appropriate word endings such as “ing”, “ed”, or “s” to change the meaning of words, using correct verb tense forms (have had has) and correctcorrect verb tense forms (have, had, has) and correct pronoun forms

Semantics Word meanings: e.g., limited vocabulary, difficulty understanding non-literal languageunderstanding non literal language

Pragmatics Social language: e.g., conversation skills (turn-taking, staying on topic, body language), understanding other’s point of view

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•• If you have concerns about what is If you have concerns about what is appropriate for specific grade/ageappropriate for specific grade/ageappropriate for specific grade/age appropriate for specific grade/age levels, please consult your Speechlevels, please consult your Speech--L P th l i tL P th l i tLanguage PathologistLanguage Pathologist

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11 Is there a comm nication disorder?Is there a comm nication disorder?1.1. Is there a communication disorder?Is there a communication disorder?

22 Does the communication disorder have anDoes the communication disorder have an2.2. Does the communication disorder have an Does the communication disorder have an adverse effect on educational performance? adverse effect on educational performance?

3. Is there a need for specialized services of an 3. Is there a need for specialized services of an SLP?SLP?SLP?SLP?

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In order to determine a communication disorder, present In order to determine a communication disorder, present , p, pspeech/language differences or delays CANNOT be the speech/language differences or delays CANNOT be the result of :result of :

lt l difflt l diff––cultural differencescultural differences•• Social customs (such as making eyeSocial customs (such as making eye--contact, speaking out loud contact, speaking out loud

to adults, etc.) to adults, etc.)

––linguistic differences linguistic differences •• Languages have differences in dialect, word order, tense usageLanguages have differences in dialect, word order, tense usage•• Sound/phoneme variations influenced by the primary languageSound/phoneme variations influenced by the primary languageSound/phoneme variations influenced by the primary language Sound/phoneme variations influenced by the primary language

––lack of instruction or opportunitieslack of instruction or opportunities•• Influenced by limited economic status & opportunities, limited Influenced by limited economic status & opportunities, limited

f il i t tif il i t tifamily interactionsfamily interactions

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•• Determined on a caseDetermined on a case--byby--case basis of student’scase basis of student’sDetermined on a caseDetermined on a case byby case basis of student s case basis of student s unique needsunique needs

•• Adverse effect on academic achievementAdverse effect on academic achievementAdverse effect on academic achievement Adverse effect on academic achievement resulting from an influence of the communication resulting from an influence of the communication disorder, disorder,

OROR•• Adverse effect on functional performance inAdverse effect on functional performance inAdverse effect on functional performance in Adverse effect on functional performance in

which the communication disorder limits which the communication disorder limits participation in interpersonal activitiesparticipation in interpersonal activitiesp p pp p p

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•• Can the communication disorder that adversely Can the communication disorder that adversely yyeffects academic performance be addressed by the effects academic performance be addressed by the RtI Team, teacher, other SPED staff, or parent? RtI Team, teacher, other SPED staff, or parent?

•• If no, does the student require specialized services If no, does the student require specialized services which can only be provided by a licensed SLP?which can only be provided by a licensed SLP?which can only be provided by a licensed SLP?which can only be provided by a licensed SLP?

•• What amount/type of support/services are needed toWhat amount/type of support/services are needed toWhat amount/type of support/services are needed to What amount/type of support/services are needed to address academic/functional performance in the address academic/functional performance in the least restrictive environment?least restrictive environment?

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•• DirectDirect –– faceface--toto--face intervention inside the classroom or in a face intervention inside the classroom or in a different locationdifferent location

•• IndirectIndirect –– not facenot face--toto--face with the student, but might include:face with the student, but might include:C lt ti ith t t h t d t f d t i iC lt ti ith t t h t d t f d t i i–– Consultation with parent, teacher or student for determining Consultation with parent, teacher or student for determining carryovercarryover

–– Observation for determining carryoverObservation for determining carryoverMaterial preparationMaterial preparation–– Material preparationMaterial preparation

–– Training staff/parents in order to support communication goalsTraining staff/parents in order to support communication goals•• A combination of models may be used to serve A combination of models may be used to serve

t d tt d tsome studentssome students•• Services should be individualized for each student Services should be individualized for each student

based on educational needbased on educational needbased on educational needbased on educational need

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•• Change in service models for individual studentsChange in service models for individual studentsChange in service models for individual studentsChange in service models for individual students–– Variation of service models Variation of service models –– Change/variation in service frequenciesChange/variation in service frequenciesg qg q

•• Evaluate the educational need for continued Evaluate the educational need for continued service in relation to an adverse effect on service in relation to an adverse effect on academics and functional performance.academics and functional performance.

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•• Begin with Student Support Team (SST) or other schoolBegin with Student Support Team (SST) or other school--g pp ( )g pp ( )based intervention teambased intervention team–– Discuss and implement strategies to address student’s needs Discuss and implement strategies to address student’s needs

(SLPs can participate as a team member, if needed). (SLPs can participate as a team member, if needed).

–– ShortShort--term RtI interventions addressing communication might be term RtI interventions addressing communication might be implemented to focus on articulation and/or languageimplemented to focus on articulation and/or language

–– Document:Document:•• what strategies are implemented,what strategies are implemented,•• how long strategies are implementedhow long strategies are implemented•• the results of interventionthe results of intervention

SST will determine whether:SST will determine whether:–– SST will determine whether:SST will determine whether:•• intervention was successfulintervention was successful•• additional intervention is recommendedadditional intervention is recommended•• referral for evaluation is necessaryreferral for evaluation is necessaryyy

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•• Ensure a process for effective studentEnsure a process for effective studentEnsure a process for effective student Ensure a process for effective student interventionintervention

•• Recognize that all school staff members have aRecognize that all school staff members have aRecognize that all school staff members have a Recognize that all school staff members have a role in contributing to student successrole in contributing to student success

•• Address the statewide issue of overAddress the statewide issue of over--Address the statewide issue of overAddress the statewide issue of overidentificationidentification

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References:References:

•• American SpeechAmerican Speech--LanguageLanguage--Hearing Association. (2010). Hearing Association. (2010). Roles and Responsibilities of SpeechRoles and Responsibilities of Speech--Language Pathologists in Schools Language Pathologists in Schools [Professional Issues Statement]. Available from [Professional Issues Statement]. Available from http://www.asha.org/policyhttp://www.asha.org/policy. .

•• American SpeechAmerican Speech--LanguageLanguage--Hearing Association. Web. "The Role of the SLP in Schools." Hearing Association. Web. "The Role of the SLP in Schools." www.asha.orgwww.asha.org. <http://www.asha.org/uploadedFiles/slp/schools/prof. <http://www.asha.org/uploadedFiles/slp/schools/prof--consult/slprole.pdf>.consult/slprole.pdf>.

•• The Legal Framework for the ChildThe Legal Framework for the Child--Centered Special Education ProcessCentered Special Education Process. Region 18 Education . Region 18 Education Service Center. Web. 12 Jan. 2012. <http://framework.esc18.net>. Service Center. Web. 12 Jan. 2012. <http://framework.esc18.net>.

•• Wright, C., J. Rudebusch, and L. Barbee. "Responsiveness to Intervention." Wright, C., J. Rudebusch, and L. Barbee. "Responsiveness to Intervention." Texas SpeechTexas Speech--g , , , pg , , , p ppLanguageLanguage--Hearing AssociationHearing Association. Mar. 2007. Web. <http://www.txsha.org>.. Mar. 2007. Web. <http://www.txsha.org>.

•• Wiechmann, J., and J. Rudebusch. "SpeechWiechmann, J., and J. Rudebusch. "Speech--Language Therapy Services." Language Therapy Services." Related Services for Related Services for Students with Disabilities Questions and AnswersStudents with Disabilities Questions and Answers. Texas Education Agency. Web. Feb. 2010.. Texas Education Agency. Web. Feb. 2010.

•• HCISD Speech TherapyHCISD Speech Therapy Harlingen Independent School District Web Fall 2011Harlingen Independent School District Web Fall 2011•• HCISD Speech TherapyHCISD Speech Therapy. Harlingen Independent School District. Web. Fall 2011. . Harlingen Independent School District. Web. Fall 2011. <http://www.harlingen.isd.tenet.edu/Rti/speech_therapy.html>. <http://www.harlingen.isd.tenet.edu/Rti/speech_therapy.html>.

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