Chapter 6

Speech Disorder- difficulty producing sounds & the disorders of voice quality. As well as fluency (aka stuttering) Language Disorder- difficulty receiving, understanding or formulating ideas and information Speech vs. Language Disorders Receptive Language Disorder Difficulty receiving or understanding information Expressive Language Disorder Difficulty formulating ideas and information These disorders can occur alone, in combination or in conjunction with other disorders Cleft Palate or Lip- a condition in which a person has a split in the upper part of the oral cavity or upper lip.

“Differences DO NOT always mean disorder” Speech & Language Disorders Students from different cultures have speech or language differences. Accents Dialects

Speech- oral expression of language. Language- structured, rule-governed symbolic system for communication. Phonemes- the sound of a single letter. Morphology- the sound of an entire word when phonemes are put together. Syntax- the arrangement of morphemes into a sentence. (appropriately) Semantics- the meaning of what is expressed. Pragmatics- the use of communication in contexts. A child’s language development is associated with social interactions -Lev Vygotsky Speech Development

Articulation- a speaker’s production of individual or sequenced sounds Substitutions- a speaker’s substitution of sounds in phonemes Omissions- a speaker leaves out a phoneme from a word Additions- a speaker places a vowel sound between two consonants While these are common in preschoolers and school age children, in most cases these speech difficulties will disappear with maturation. It is when these difficulties do not disappear with maturation that we get concerned. Apraxia- affects the way a student plans to produce speech Types of Speech Disorders

Organic Disorders Caused by an identifiable problem in the neuromuscular mechanism on the person Can originate in the nervous system, muscular system or the chromosomes. Can include hereditary malformations, prenatal injuries, tumors, trauma, etc. Functional Disorders -no identifiable organic or neurological cause Determining the Causes Congenital Disorder Disorder that occurs before birth Acquired Disorder Disorder that occurs after birth

Evaluating These Students Observation Screening Prereferral Referral Nondiscriminatory evaluation & procedures Determination From teacher or medical personnel of child not achieving developmental milestones Assessments performed in areas where child is having difficulty School based team will make suggestions After attempts of interventions, child is referred to a multidisciplinary team Records of health, curriculum-based assessment & direct observations If the team finds a disorder, the IEP team develops appropriate options

A piece of commercial or hand-made equipment that assists an individual to perform communication functions. Augmentative and alternative communication system (ACC) can assist students with gestures, speaking or writing. Teams of parents, teachers & aids should collaboratively make decisions for implementing an ACC. These AAC’s can be individualized to meet the specific vocabulary needs of each student. Plans set in place by the student's educational team will evaluate and regulate the usage of the ACC. Assistive Technology (AT)

Facilitating Language Development In Early Childhood: A child’s educational center should promote social interaction during all parts of the day in order. In Elementary and Middle Schools Help bridge the gap between learning reading and writing to reading and writing to learn. Use of graphic organizers Secondary and Transitional Schools Working towards the child’s ability to communicate without an ACC Instructional Strategies

Because speech is highly based on social interactions, it is important that students with a speech disorder spend % of their day in a general education classroom. Inclusion

Assessing Progress Curriculum-based Assessments -Best form of assessment because it measure’s a students progress in the general curriculum. -Work towards lowering the discrepancy between the student's current communication skill level and the curriculum standard. Making Accommodations for Assessments What is being assessed? Where does the child need help communicating? -Word processor, extra time, etc. -Use formats of tests that best compliment a student’s most common means of expression. Assessing & Accommodating