Guideline for the Audiologic Management of Adult Hearing Impairment
PEDIATRIC SPEECH THERAPY… · and language development including articulation, language, auditory...
4
p.2 Cover Story p.2 Ask A Therapist p.3 Spotlight p.3 About Us p.3 Additional Resources p.4 Contact Us SIDE THIS ISSUE IN SPEECH THERAPY NEWSLETTER PEDIATRIC WHAT IS SELECTIVE MUTISM AND HOW CAN SPEECH THERAPY HELP? WHAT IS A COCHLEAR IMPLANT? Selective mutism is a childhood anxiety disorder marked by a child’s inability to successfully engage in acts of social communication (American Speech-Language-Hearing Association, 2019). Children may present with selective mutism in specific environments. For example, it is common for children with selective mutism to make conscious choices of the people and environments with whom they choose to interact. Parents of children with selective mutism may report that their children communicate freely at home but refuse to speak to peers or only whisper to teachers at school. Selective mutism may further restrict a child’s academic performance and overall social performance in school. School provides a safe environment for children to learn and master academic concepts as well as the opportunity to explore new friendships and develop problem- solving skills. Children with selective mutism may miss out on these social opportunities due to their inability to communicate effectively with others in their environment. A cochlear implant is a small electronic device that helps individuals obtain auditory information to improve communication skills. Cochlear implants are surgically implanted and consist of both internal and external components. The four main parts of a cochlear implant include the microphone, speech processor, transmitter and receiver/stimulator, and electrodes (National Institute on Deafness and Other Communication Disorders, 2017). The components of the cochlear implant work together to allow an individual with severe hearing loss to gather auditory information. First, the microphone picks up sound from the environment and sends it to the speech processor. The speech processor selects which sounds to send to the transmitter before being converted into electrical impulses. Electrical impulses complete the work of a cochlear implant by sending information to different parts of the auditory nerve. Last, the auditory nerve transmits information to the brain, and the brain helps us interpret this information as the everyday sounds in our environment (National Institute on Deafness and Other Communication Disorders, 2017). Cochlear implants do not result in completely typical hearing; however, they do allow individuals with severe hearing loss to pick up important sounds in their environment to improve overall communication and safety awareness (Zwolan, 2015). If a child has recently received a cochlear implant, a speech-language pathologist will play an essential role in helping that child adapt to the device and achieve speech and language milestones. References Zwolan, T. (2015). Cochlear Implants. Retrieved from asha.org/uploadedFiles/AIS-Cochlear-Implants.pdf National Institute on Deafness and Other Communication Disorders. (2017). Cochlear Implants. Retrieved from nidcd.nih.gov/health/cochlear-implants ...Continued On Page 2
Transcript of PEDIATRIC SPEECH THERAPY… · and language development including articulation, language, auditory...
p.2 Cover Storyp.2 Ask A Therapistp.3 Spotlight
p.3 About Usp.3 Additional Resourcesp.4 Contact Us
SIDE THIS ISSUEIN
SPEECH THERAPY NEWSLETTER
PEDIATRIC
What is selective mutism andhoW can speech therapy help?
What is a cochlear implant?
Selective mutism is a childhood anxiety disorder marked by a child’s inability to successfully engage in acts of social communication (American Speech-Language-Hearing Association, 2019). Children may present with selective mutism in specific environments. For example, it is common for children with selective mutism to make conscious choices of the people and environments with whom they choose to interact.
Parents of children with selective mutism may report that their children communicate freely at home but refuse to speak to peers or only whisper to teachers at school. Selective mutism may further restrict a child’s academic performance and overall social performance in school. School provides a safe environment for children to learn and master academic concepts as well as the opportunity to explore new friendships and develop problem-solving skills. Children with selective mutism may miss out on these social opportunities due to their inability to communicate effectively with others in their environment.
A cochlear implant is a small electronic device that helps individuals obtain auditory information to improve communication skills. Cochlear implants are surgically implanted and consist of both internal and external components. The four main parts of a cochlear implant include the microphone, speech processor, transmitter and receiver/stimulator, and electrodes (National Institute on Deafness and Other Communication Disorders, 2017).
The components of the cochlear implant work together to allow an individual with severe hearing loss to gather auditory information. First, the microphone picks up sound from the environment and sends it to the speech processor. The speech processor selects which sounds to send to the transmitter before being converted into electrical impulses. Electrical impulses complete the work of a cochlear implant by sending information to different parts of the auditory nerve. Last, the auditory nerve transmits information to the brain, and the brain helps us interpret this information as the everyday sounds in our environment (National Institute on Deafness and Other Communication Disorders, 2017).
Cochlear implants do not result in completely typical hearing; however, they do allow individuals with severe hearing loss to pick up important sounds in their environment to improve overall communication and safety awareness (Zwolan, 2015). If a child has recently received a cochlear implant, a speech-language pathologist will play an essential role in helping that child adapt to the device and achieve speech and language milestones.
References Zwolan, T. (2015). Cochlear Implants.Retrieved from asha.org/uploadedFiles/AIS-Cochlear-Implants.pdf
National Institute on Deafness and Other Communication Disorders. (2017). Cochlear Implants. Retrieved from nidcd.nih.gov/health/cochlear-implants
...Continued On Page 2
Speech-language pathologists (SLPs) play a critical role in helping children with selective mutism develop appropriate communication strategies. If parents or teachers suspect a child has selective mutism, an SLP will collaborate with an interdisciplinary team (e.g., pediatrician, psychologist or psychiatrist, social worker, teacher, parents or caregivers) to conduct a formal evaluation and recommend ongoing therapy if appropriate. During a comprehensive evaluation, an SLP may request video recordings of a child communicating in their preferred environment to assess a child’s communication skills. The results of the evaluation allow a therapist to determine the evidence-based practices that may help a child reach speech and language goals.
Strategies to Encourage Speech and Languagein Children with Selective MutismAllow time to think: Many individuals may fall into the habit of speaking for children with selective mutism. Speaking for a child with selective mutism or expecting a quick response may cause increased feelings of anxiety that reinforce the presence of selective mutism. Rather than filling in responses, it may be helpful to offer other ways of responding (e.g., encouraging pointing or drawing), and affording the child with significant time to process information before expecting a response.
Use Videos: An SLP may encourage parents to video record their children communicating successfully at home. Video recording appropriate greetings or play skills allows an SLP to use these recordings in therapy to promote speech and language skills in non-preferred environments (American Speech-Language-Hearing Association, 2019). For example, a parent may record their child saying ‘hello’ to a sibling at home. This same video may be used by an SLP to encourage a child to say ‘hello’ to a peer at school.
Build off of nonverbal communication: Nonverbal acts of communication, such as pointing, drawing, and gesturing, are acts of social communication that provide a foundation for verbal acts of communication to follow suit. An SLP will be a key individual in both reinforcing a child’s nonverbal acts and encouraging peers to do the same to shape verbal communication.
Strategies to Help Children with Selective Mutism Continued...
What is early intervention?
app oF the month:
Children begin achieving developmental milestones, such as first words and steps, at a very young age. Sometimes, infants and toddlers experience difficulty meeting these milestones at an age-appropriate time. When children have trouble meeting milestones independently, families may turn to early intervention services for resources and support. Early intervention refers to the services for children between birth and 3 years old and their families. Speech therapy, occupational therapy, developmental therapy, and physical therapy are a few examples of services provided through early intervention.
Research supports that children who receive intervention services early in development have an increased likelihood of building age-appropriate communication skills that contribute to successful learning in educational settings (Guralnick, 2011). If a child experiences delays in speech and language, a pediatric speech-language pathologist (SLP) can provide the child and family with strategies to encourage communication. SLPs also have experience in helping children with feeding or swallowing challenges. The scope of practice of SLPs includes several areas such as apraxia, articulation, fluency, oral-motor skills, lengthening sentences, vocabulary development, and more.
Therapists who specialize in early intervention may provide therapy services at a clinic, hospital, or client’s home. Regardless of the discipline, all early intervention services focus on providing parents and caregivers with strategies to promote generalization of skills in the child’s natural environment.
About The AppEmotions 2 helps children identify and understand complex emotions using avariety of real-life pictures!
Ages 4+
Target SkillsEducation
emotions 2
ReferencesAmerican Speech-Language Hearing Association. (2019). Selective Mutism.Retrieved from asha.org/Practice-Portal/Clinical-Topics/Selective-Mutism
Guralnick, M. J. (2011). Why early intervention works: A systems perspective.Infants & Young Children, 24, 6–28.
ASK ATHERAPIST
WE CAN SAY “HI” TO
OUR FRIENDS
About Premiere Speech & Hearing: Hear. Communicate. Live.Premiere Speech and Hearing provides superior services in a personalized, convenient, and caring environment. Our educated and experienced Doctors of Audiology and Speech-Language Pathologists are dedicated to the evaluation and treatment of hearing loss, tinnitus, speech, language, voice, fluency and cognitive disorders. Our efforts are designed to provide patientsand their loved ones with advocacy, education, prevention, and rehabilitation services.As we say, the goal is to “Hear. Communicate. Live.”
Contact Premiere Speech & Hearing at www.PremiereSpeechHearing.com or call (610) 454-1177
Would You Like Additional Copiesof this Newsletter to give
as a FREE Resource?
If so, email Debbie at: [email protected] Please include the address of your office & how
many additional copies you would like.
Concerned About Your Speech or Hearing?
Call us todayfor a free consultation
(610) 454-1177
SPEECH THERAPY SPOTLIGHT
Debbie S. Lombardi, AuD, CCC-A/SLPDebbie Lombardi is the owner and provider at Premiere Speech and Hearing with offices in Collegeville and Lancaster. Debbie has a license and certification to practice audiology and speech language pathology. She has worked in a variety of settings but loves private practice and the attention and care she can provide to the patients. Debbie provides services to both children and adults. She has expertise in the area of childhood speech and language development including articulation, language, auditory processing and aural rehabilitation. Audiologic areas of expertise include diagnostic evaluations, hearing aid fitting and service and assistive listening technology. Debbie is a member of the American Speech-Language-Hearing Association. In 2019 she will serve as the VP of Publications for the Pennsylvania Academy of Audiology.
Kristin Park, MS, CCC-SLPKristin Park is a certified and licensed clinical Speech-Language Pathologist. Kristin has had clinical experience in a variety of settings, but has extensive experience with childhood expressive and receptive language, fluency, and articulation disorders. In addition, she has expertise in the areas of cognitive rehabilitation, verbal apraxia, oral motor planning, and voice assessment and treatment. Kristin works with infants, school-age children and adults. Recently, Kristin completed a certification in the LSVT Loud program that is designed to treat patients with Parkinson’s disease and other neurologic conditions. She is a member of the following organizations: American Speech-Language-Hearing Association and Pennsylvania Speech-Language-Hearing Association.
Testimonials“My experience for years has been nothing but excellent. Very knowledgeable and efficient.” – Joe
“I have had a great experience with the people at this office. They are a great bunch of people. Love it here.” – Cathy
“My son has been a client here for 2 year and we have seen an incredible improvement in his speech. Sue Levy makes therapy fun and exciting, and my son loves coming here!” – Jen
Phone: (610) 454-1177 | www.PremiereSpeechHearing.com
Schedule Your Evaluation Now! Call us today to schedule an appointment: (610) 454-1177Or go to our website: www.PremiereSpeechHearing.com
We Appreciate All of Your ReferralsPremiere Speech & Hearing values your referral!It helps us know we are doing a good job.
Contact Us Today!Do you have thoughts or feedback? If so, we would love to hear from you.Just email: [email protected]
Premiere Speech & HearingCollegeville Office Lancaster Office 555 2nd Avenue, Suite D-204 15 S. State Street, Suite 104 Collegeville, PA 19426 Brownstown, PA 17508Phone (610) 454-1177 Phone (717) 661-1055
Offering Adult & Pediatric Services Including:
Hearing Services • Diagnostic Hearing Testing • Auditory Processing Evaluations • Hearing Aid Evaluations and Fittings • Custom Earmolds • Cochlear Implant and Baha Services • Tinnitus Treatment Options • Communication Needs Assessment • Aural Rehabilitation Classes
Speech Services • Auditory Processing Treatment Plans • Aphasia • Apraxia of Speech • Articulation Disorders • Cognitive Disorders • Dysarthria • Language Disorders • Oral Motor Disorders • Stuttering Therapy • Voice Disorders • LSVT Loud Provider
