What is my job as a Speech-Language Pathologist (SLP) in a school?
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Transcript of What is my job as a Speech-Language Pathologist (SLP) in a school?
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WHAT IS MY JOB AS A SPEECH-
LANGUAGE PATHOLOGIST
(SLP) IN A SCHOOL?
Created and Presented By:Ms. Ashley Ciecko, M.S. CFY-SLP
Glen Oak Community Learning CenterPeoria School District #150
Peoria, ILFall 2012
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HOW IMPORTANT IS COMMUNICATION? Good
communication skills lead to success in…ReadingListeningWritingSpeakingLEARNING!
Bad communication skills lead to problems with…Understanding
& participating in classroom instruction
Developing & maintaining relationships
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HOW DO STUDENTS QUALIFY TO RECEIVE SPEECH SERVICES?
Individuals with Disabilities Act (IDEA) provides speech and/or language services for school-age children who…Have communication disorders that
adversely affect their educational performance
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A.K.A. “SPEECH THERAPISTS” OR “SPEECH TEACHERS”… (OR “THAT SPEECH PERSON”)
Work with children who have communication problems that affect success in…Classroom activitiesLiteracyLearningSocial interaction
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WHAT DOES THE QUALIFICATION AND THERAPEUTIC PROCESS LOOK LIKE?
Prevention Identification Assessment Evaluation Development of IEPs Remediation/Therapy Progress Monitoring
…a variety of speech and language disorders
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WHAT ELSE IS AN SLP IN THE SCHOOLS FOR?
Documentation of outcomes
Collaboration with…TeachersAdministratorsOther
professionalsParents/GuardiansTHE STUDENT!
Advocacy for teaching practices & implementation of techniques into the curriculum
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WHAT TYPES OF DISABILITIES/DISORDERS DO SLP’S WORK WITH?
Language Pragmatic Language Articulation/Phonological Voice Fluency Auditory Processing and
Comprehension Hearing Impairment Oral-Motor Swallowing/Feeding
(a.k.a. Dysphagia)
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WHAT IS A LANGUAGE DISORDER? Language
disabilities include the slow development of…Semantics (vocab)Syntax (grammar)Concepts
Pragmatic (social) language disabilities include… Inability to use
different communication styles in different situationsOverall…
Child has poor building blocks for understanding/expressing ideas, social development, learning, reading, and writing
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WHAT IS AN ARTICULATION/PHONOLOGICAL DISORDER? Children have
difficulty producing speech sounds
Substituting one sound for another (i.e. /w/ for /r/)
Omitting a sound in a word (i.e. “top” for “stop”
Distorting a sound (i.e. “thee” for “see”)
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WHAT IS A VOICE DISORDER? Speech that is…
Too high, low, or monotonous in pitch
Interrupted by breaks Too loud or soft in
volume Harsh, hoarse, breathy,
or nasal
Children who have prolonged vocal issues come to therapy to learn how to use their voice properly, without mistreating it
SLPs also refer some children to the ENT(ear, nose, and throat doctor) to rule out any growths that can appear on the vocal chords from prolonged vocal abuse
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WHAT IS A FLUENCY DISORDER? A.K.A. “stuttering” Defined by…
Interruptions in the flow or rhythm of speech
Possible hesitations, repetitions, or prolongations
Can affect individual sounds, syllables, words, and/or phrases
**Side note: Identify as a “child who stutters” NOT “a stutterer”
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WHAT IS AN AUDITORY PROCESSING/COMPREHENSION DISORDER? Comprehension
disorders are characterized by…Difficulty with word
meaning, sequencing skills, and problem solving
Auditory processing disorders are characterized by…Difficulty
distinguishing and discriminating speech soundsOverall…
Children with either of these disorders have difficulty understanding (receiving) spoken/written (expressive) language
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HOW DOES AN SLP HELP A CHILD WITH A HEARING IMPAIRMENT? “Aural Rehabilitation”
includes…Lip reading skillsArticulation and voice
therapy SLPs in the schools
also…Perform hearing
screeningsCheck hearing aids &
other hearing devices
Work with the classroom teacher to develop strategies to maximize the child’s classroom performance
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WHAT DOES IT MEAN WHEN A CHILD HAS ORAL-MOTOR ISSUES? Apraxia of speech or
Childhood Apraxia of Speech (CAS) Children demonstrate
difficulties coordinating the movement of structures in the mouth during speech
Problem is due to the inability to form a coordinated “movement plan” to produce speech
Weak tongue and/or lip muscles can decrease the clarity of speech
Treatment includes… Muscle strengthening
and coordination activities
Structured, repetitious practice of movements required to produce accurate speech
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WHAT IS DYSPHAGIA? Child will demonstrate
difficulty with… Sucking Chewing Triggering a swallow Moving food into the
stomach Can interfere with…
Eating snack and lunch Opportunities to build
friendships Social and
communication skills Learning
SLPs will help by… Setting up a feeding
program that indicates the foods that are appropriate vs. inappropriate
Teaching techniques that help the child eat safely Modify the texture of foods Reposition the body
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WHAT CAN SPEECH & LANGUAGE DISORDERS BE ASSOCIATED WITH?
Hearing loss Cleft palate Learning
disabilities Cerebral palsy or
other motor problems/disorders
Autism Spectrum Disorders
Developmental delays
Traumatic brain injuries (TBI)
Variety of emotional, behavioral, and/or medical issues
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WHAT ARE SOME SIGNS THAT MAY INDICATE A CHILD HAS A COMMUNICATION DISORDER? Below
expectations in the classroom
Difficulty learning to read or write
Late talker Inability to
express thoughts, ideas, wants, and/or needs
Problems understanding others
Difficulty following directions
Issues getting along with others
Problems taking tests
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HOW DOES AN SLP GO ABOUT WORKING WITH THESE CHILDREN? Combine
communication goals with academic & social goals Integrate classroom and
curricular objectives Help them understand
and use basic language concepts
Support reading and writing
Increase understanding of classroom lessons and texts
Services may vary depending on each individual student’s needs Monitoring/periodic
screenings Collaborating & Consulting Classroom-based services
(“push-in”) Small group or individual
sessions (“pull-out”)
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WHAT DO YOU DO IF YOU THINK A STUDENT IN YOUR CLASS HAS A COMMUNICATION ISSUE OR DISORDER?
COME SEE ME!Ask me questions
and express your concerns
Request an observation or screening
Bring examples and/or details (The more the merrier!)
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Remember…One of the most important connections
between the students and myself isYOU!!!
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ANY QUESTIONS, COMMENTS, OR CONCERNS?!
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REFERENCES American Speech-Language-Hearing Association
(ASHA). (2010). The role of the slp in schools: a presentation for teachers, administrators, parents, and the community. Retrieved from http://www.asha.org
Lilienthal, Nicole. (2008). What does a speech-language pathologist (slp) do? Speech-Language Pathology Information. Retrieved from http://www.speechpathologyguru.com
Merkel-Piccini, Robyn. (2001). I know you’re a speech pathologist… but what do you do? Super Duper Publications. Retrieved from http://www.superduperinc.com