Learning Disability Companion Short Course ~ March 24, 2010 ~ TSHA Convention JoAnn Wiechmann, MA, CCC-SLP & Judy Rudebusch, EdD, CCC-SLP Overview Operational Definitions Role of SLP on MDT Cognitive Processes & the CHC Theory of Intelligence Cross Battery Analysis Interpreting Data for LD Interpreting Data for SI SI Eligibility Guidelines Report Writing As a member of the multidisciplinary team, the SLP may support the team in: Completing a comprehensive evaluation of a students language and learning profile; Identifying whether a learning disability and/or language disorder is present; and Making recommendations to the ARD Committee regarding eligibility for special education services and support based on a learning disability and/or speech impairment. Disorder in one or more psychological processes involved in understanding or in using language, spoken or written, that may manifest itself in the imperfect ability to listen, think, speak, read, write, spell, or to do mathematical calculations, including conditions such as perceptual disabilities, brain injury, minimal brain dysfunction, dyslexia, and developmental aphasia. A language disorder is defined as disruption in the ability to understand/comprehend spoken or written language and/or difficulty in producing language to verbally communicate thoughts. Syntax Semantics Phonology Metalinguistics Pragmatics Speech Language Pathologist evaluates listening and speaking. Speech Language Pathologist supports the MDT in evaluating the language bases of reading and writing. Language is one part of communication Remember the broad context: SI= Communication Disorder + Adverse Effect on Educational Performance Guide identification of Speech Impairment in Language Guide the SLP in assisting MDT in identifying LD in oral expression or listening comprehension Fluid Reasoning (Gf) Crystallized Intelligence (Gc) Visual Processing (Gv) Auditory Processing (Ga) Processing Speed (Gs) Handout 2 Short Term Memory (Gsm) Long Term Retrieval (Glr) Quantitative Knowledge (Gq) Correct Decision Speed (Gt) Reading/Writing (Grw) IDEA 2004 requires the use of a MDT to determine eligibility and develop the individual education plan For students with a suspected disability in the areas of speech, language, or communication, this requirement is met with the inclusion of a speech language pathologist on the multi-disciplinary evaluation team Defining the assessment question. Collecting data from multiple sources. Assessing the cognitive processing area of crystallized intelligence (Gc) in the primary language. The SLP may also need to address language in the following cognitive processes: auditory processing (Ga), fluid reasoning (Gf), long-term retrieval (Glr), and short term memory (Gsm). Determining the impact of Gc, Ga, Gf, Glr and Gsm on language processing with respect to the students pattern of strengths and weaknesses. Identifying the presence of a language disorder. Evaluating the impact of the language disorder on academic achievement. Developing an educational plan to address the students needs. provide direction to the MDT as they collect data at all stages of Response to Intervention (RTI) in the areas of: Listening Comprehension Oral Expression Literacy Second Language Learning Functional Communication Skills Assistive Technology Cross battery analysis provides a framework for conducting assessments that approximate the total range of broad and narrow cognitive abilities represented in a more comprehensive manner than is possible with a single intelligence battery. XBA is grounded in CHC theory of cognitive abilities Cognitive Referencing: comparison of IQ score with language test score ASHA says: cognitive referencing should not be used for identification of speech or language impairment Simple discrepancy calculation not to be used for LD or SI-Language With XBAcognitive referencing is not an issue Language (Gc) is one of the cognitive processes 1. lack of response to intervention in academic or language area 2. significant difficulty meeting grade level expectations 3. re-evaluation: currently SIdisplaying academic concerns 4. re-evaluation: currently LDdisplaying oral language concerns 5. re-evaluation: currently SI but may DNQ and displaying academic concerns A good evaluation always begins with a good plan. Define the assessment question/s Address all areas of FIE Assess all areas of suspected disability Develop evaluation plan with MDT members Define who, what, when Handout: Flow Chart Handout: Step by Step Enter assessment data in analysis tool Compare confidence interval bands Validate low scores Validate broad cognitive areas MDT identifies pattern of strength/weaknesses MDT determines if additional assessment is needed MDT links weaknesses with academic areas SLP considers XBA data with other language assessment data (informal measures) Is there a normative academic deficit? need instructional, intervention, and test data Is there a pattern of strengths and weaknesses? cognitive and academic data show intact skills and deficient skills; if all cognitive areas low, probably not LD; if all academic skills low, probably not LD; low achievement in the absence of cognitive deficits, not LD Do the weaknesses/deficits in cognition underlie/ cause/lead to the weaknesses/deficits in academic skills? must ensure that appropriate narrow abilities/core cognitive processes have been adequately assessed Is there functional impairment? Three stages Stage 1 - Is a Communication Disorder present? Stage 2 - Is there an adverse effect on educational performance resulting from the communication disorder? Stage 3 - Are specially designed instruction or related services needed to help the child make progress in the general education curriculum? The ARD/IEP Committee determines eligibility based on the evaluation information. Make clear recommendations to the three stages of eligibility in the report. (Answer the questions) If you dont answer the questions clearly, how can you expect the ARD/IEP committee to make solid decisions? Is there a (speech/language) communication disorder? Is there a CONDITION? Assessment should include: Parent data Teacher data Samples of student work Targeted observations Informal assessments Standardized assessments Professional judgment Professional Judgment Professional judgment may be needed when: Standardized assessments are lacking Standardized testing, parent data, teacher data disagree What is professional judgment? Professional opinion + student data Provide a description of how data was collected Provide a description of the procedures used to make the determination of a communication disorder Eligibility is NOT to be determined On the basis of another disability On cultural differences On a lack of instruction Is there an adverse effect on educational performance that results from the communication disorder? Is there an adverse effect on academic achievement? Is there an adverse effect on functional performance? What is the students curriculum? General education? (TEKS-based) Special education? (TEKS-based) Is the student making progress in his/her curriculum? Oral communication should be included as part of the curriculum How are oral communication skills impacting the students functioning: socially/emotionally/vocationally/academic ally? Progress in the students curriculum can be measured by: Curriculum based assessments (CBA) Present levels of academic and functional performance (PLAAFP) Progress on current IEP goals/objectives New definition of educational performance Adverse affect on academic achievement Adverse affect on functional performance (c)(1) Each State must ensure that FAPE is available to any individual child with a disability who needs special education and related services, even though the child has not failed or been retained in a course or grade, and is advancing from grade to grade. [emphasis added] Clearly define eligibility recommendations for ARD committee Provide language/communication recommendations (whether qualifies or DNQ) SLP give language recommendations for LD areas Language with Learning Disabilities Eligibility Guidelines ~ Manual approved 2010 SLPs participate on MDT for LD and SI deliberation using Cross Battery Analysis Remember that LD is defined as a disorder of understanding or using language Remember that Communication is more than Language Remember that the SLP concentrates on Language Modalities of speaking & listening