CSD 2230HUMAN COMMUNICATION

DISORDERS

Topic 4Assessment and Treatment of

Communication DisordersClinical Methods

Differences, Dialects and Disorders

Communication occurs across a continuum

When is it a disorder?1. It bothers the speaker2. Listeners react negatively3. Impairs communication intent

Differences, Dialects, and Disorders

Speech variations that aren’t disorders:

1. Dialects CD ROM Ch.0303 for accents CD ROM Ch03.04-Ch03.06 for AAE

2. Genderlect3. Idiolects

ASHA’s Definition

A communicative disorder, as defined by ASHA, is an impairment in the ability to receive, send, process, and comprehend concepts or verbal, nonverbal, and graphic symbols. It's up to the SLP to decide if a disorder does exist and determine the magnitude of the disorder, since the severity can vary tremendously

Deciding of There’s a Problem: Assessment

Preselection processesReferrals and Screening

Screeningfour possible outcomes

1. false positive. 2. true positive3. true negative4. false negative

AssessmentAssessment is the systematic process

of obtaining information from many sources, through various means, and in different settings to verify and specify communication strengths and weaknesses, identify possible caused of problems, and make plans to address them.

Seven Major Goals of Assessment

1. Verifying the problem

Seven Major Goals of Assessment

1. Verifying the problem2. What are the problem areas?3. What are the individual's

strengths?

Seven Major Goals of Assessment

1. Verifying the problem2. What are the problem areas?3. What are the individual's strengths?4. How severe is the problem?

Seven Major Goals of Assessment

1. Verifying the problem2. What are the problem areas?3. What are the individual's strengths?4. How severe is the problem?5. What are the probable causes of the

problem?? Predisposing cause Precipitating cause Perpetuating cause Organic vs functional

Seven Major Goals of Assessment

1. Verifying the problem2. What are the problem areas?3. What are the individual's strengths?4. How Severe is the Problem?5. What are the probable causes of the

problem??6. What recommendations should be

made?

Seven Major Goals of Assessment

1. Verifying the problem2. What are the problem areas?3. What are the individual's strengths?4. How Severe is the Problem?5. What are the probable causes of the

problem??6. What recommendations should be made?7. What is the likely outcome without and

with intervention?? Prognosis

Assessment Procedures

multiple procedures in several settings

Components of the Assessment Procedure..

Case history written or oral adults and for kids medical history statement of problem identification information from other sources family information

Components of the Assessment Procedure..

Opening interviewSystematic observation

Components of the Assessment Procedure..

Hearing screeningOral-peripheral Exam

Components of the Assessment Procedure..

Formal testso Based on normative datao Important terms:

Validity Reliability Raw score Derived score Percentile rank Age-equivalent score

Components of the Assessment Procedure..

Consolidation of findingsClosing interviewWritten report

InterventionObjectives

1. Behavior should generalize to real world settings

2. Behavior should become automatic3. The client is able to self-monitor4. Optimum progress in minimum time5. Sensitive to client’s personal and

cultural characteristics

Major Steps of Intervention1. Obtaining baseline data2. Listing clear behavioral objectives3. Clinical procedures4. Measuring effectiveness5. Follow up and maintenance