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INDEX PAGE | REFERENCES | LINKS | RESOURCES | JOSIE'S THERAPY



2008
Moderate and Severe

Speech Sound Disorders

A Master Class by Caroline Bowen

Resources


1. Activities and Resources for "Josie"
When Josie (not her real name) was aged 6;6 she had a Severe Developmental Phonological Disorder in the context of mid-average receptive and expressive language performance. Aspects of Josie's speech assessment data are here, on the index page for the Master Class, and her therapy is reported, with her family's permission, in the Master Class handout. Follow this link to access some of the resources used in Josie's therapy on a page constructed for the 2007 and 2008 events.


2. Analysis of a Speech Sample
Independent and Relational Analyses

This is a 1-page pdf summary of the various clinically useful analyses that can be performed once a child's single word and connected speech samples have been gathered.


3. ASHA Position Statement on CAS
Ratified by the American Speech-Language-Hearing Association (ASHA) in March 2007, the ASHA Position Statement on Childhood Apraxia of Speech (CAS) is now available here with permission, as a 3-page pdf for you to download.


4. ASHA Technical Report on CAS
Also approved in March 2007, the ASHA Technical Report on Childhood Apraxia of Speech (CAS)  is available, with the kind permission of the American Speech-Language-Hearing Association (ASHA) as a 74 page pdf.

The Position Statement and Technical Report represent lengthy, meticulous and painstaking work on the part of the ASHA ad hoc Committee on Childhood Apraxia of Speech that began in 2003. Those serving on the committee were Lawrence Shriberg (chair), Christina Gildersleeve-Neumann, David Hammer, Rebecca McCauley, Shelley Velleman, and Roseanne Clausen (ex officio). In addition to the committee members, the monitoring officers from ASHA wereCelia Hooper, ASHA vice president for professional practices in speech-language pathology (2003–2005), and Brian Shulman, ASHA vice president for professional practices in speech-language pathology (2006–2008).


5. Aspiration Trick
On the Therapy Facts and Tricks! web page is an explanation of the 'aspiration trick' for working with children who 'stop' fricatives, as well as several work sheets.


6. Backward Build-ups for polysyllables
WEB PAGE ON BACKWARD BUILD-UPS THE APRAXIA-KIDS SITE
A therapy technique for multi-syllabic words

Backward build-ups have long been used used in ESL and teaching (and in teaching children and adults other languages too). Velleman (2003) advocates backward build-ups as a therapy technique for multi-syllabic words, especially with children with CAS. You start with as much of the end of the word a child can say. This might even be ALL of the word except the first syllable. Here are two examples.

dictionary
teach and strengthen "arry"
THEN
teach and strengthen "shun-arry"
THEN
teach and strengthen "dick-shun-arry"
THEN
modify the stress and timing (prosodic features)
until you have dictionary

California
teach and strengthen "yuh"
THEN
teach and strengthen "forn-juh"
THEN
teach and strengthen "lee-forn-yuh"
THEN
teach and strengthen "callie-forn-yuh"
THEN
modify the stress and timing (prosodic features)
until you have California


 7. Backward Chaining (key, king)
Backward  chaining is another technique that has been around for a long time, and it can be used to facilitate the production of two-syllable words in children who only produce monosyllables. Find it on the Therapy Facts and Tricks! page.


8. Chaining for SI stops (key, king)
It is quite common among speech disordered populations to find children who can produce stops word finally (SFWF) and syllable finally within words (SFWW) but not word initially (SIWI) and at the beginnings of syllables within words (SIWW). This is particularly the case for /k/ and /g/. A variation of backward chaining can be used to address this difficulty. You use final velars that the child can produce to facilitate initial velars. The details are on the Therapy Facts and Tricks! page.


9. Child Speech Work Sheets
On the Phonology and Articulation Resources web page is a selection of child speech work sheets. The sheets were made in MS Word, using pictures from Microsoft Clip Art and Media and converted into portable document files files (pdfs) using Adobe Acrobat (the program, not the free reader).


10. Consumer Slide Shows

Adult Communicative Styles
Adults can modify the way they talk to reticent children in order for facilitate richer conversational exchanges. The slide show, Adult Communicative Styles, can be found on the Consumer Slide Shows page. This is a slide show for SLPs to use when 'educating' parents, teachers, and other adults about talking to children with speech and language impairments.

Modelling and Recasting
Here on the Consumer Slide Shows page is the 2006 version of an old favourite. It is a slide show for Speech-Language Pathologists to use when communicating with parents and caregivers about skills providing feedback and encouragement to children with speech sound disorders.

Frequency of recasting
Also on the
Consumer Slide Shows page is a 'parent training' slide show about the intensity with which recasting needs to occur in order to be effective with many children with speech impairment.

The fixed-up-one routine
On the The Fixed-up-One Routine page you will find an introductory handout and the slide show that goes with it for this metalinguistic technique that allows adults to talk to young children simply about self-monitoring, revisions and repairs. As well there is a collection of "fixed-up-one routines" made for specific children, around specific therapy targets, that you might find useful with similar clients or that you might like to adapt.


11. Markedness
This is a 1-page explanation of the concept of implicational relationships or markedness.

Relationships don't always work out, and implicational relationships are no exception. It is worthwhile, however, to experiment with target selection based on the marked properties of phonemes.

Markedness is a concept from the study of the sound systems of all natural languages. A marked feature in a language implies the necessary presence of another feature – hence “implicational relationship”. For example, there are languages, like English, that have stops and fricatives. There are languages that have stops, but no fricatives. But no language has fricatives and no stops. This means that fricatives are a marked class of sounds because the presence of fricatives necessarily implies the presence of stops in a particular language (an implicational relationship between fricatives and stops).

FRICATIVES are marked because they imply STOPS

VOICELESS SOUNDS are marked because they imply VOICED SOUNDS

AFFRICATES are marked because they imply FRICATIVES

CLUSTERS are marked because they imply SINGLETONS

Some research suggests targeting MARKED consonants in order to facilitate the acquisition of unmarked ones, or more precisely, targeting marked PROPERTIES in order to facilitate acquisition of unmarked aspects of the system.


12. Quick Screener for SLPs
This is a child speech screening procedure for SLPs. Download the stimulus pictures administered as a PowerPoint slide show, the 1-page data collection form and the 1-page data analysis form, from this page here.


13. Quick Screener for Teachers
This is a child speech screening procedure for Teachers, School Psychologists and others. Download the stimulus pictures administered as a PowerPoint slide show, the 2-page record form and three instructional slide shows, from this page here.


14. Target selection considerations
Target Selection Criteria from the Recent Literature
These suggestions arise from the literature from the late 1990's to the 2000's.

Target Selection Criteria from the "Older" Literature
These guidelines arise from the 1970's to 1990's literature.


15. Vowels
Vowel Contrasts for Phonological Therapy
This page comprises minimal pair pictures for a range of vowel (and diphthong) contrasts. The vowel contrasts represent (non-rhotic) Australian English pronunciation, but most of them will "work" in other dialects of English.


16. Yahoo! Groups
CHILD SPEECH DISCUSSION for SPEECH-LANGUAGE PROFESSIONALS
phonologicaltherapy

Phonologicaltherapy was established in 2002 and now has over 4,000 members. It is a listserv (discussion group) for clinicians, including student clinicians, speech and language researchers and university teachers. Most participants are Speech-Language Pathologists and Linguists. Members explore theoretical and research issues related to developmental phonological disorders, childhood apraxia of speech, and other childhood speech sound disorders, and their clinical management. Interested consumers are welcome to join. Note that the group is for professional discussion not consumer advice and support.

CHILD SPEECH RESOURCES for SLPs
speechfiles
Speechfiles is relatively new. It is a collection of child speech resources of interest to members of the phonlogicaltherapy group (see above). It was created in February 2006 because we were about to exceed our 20MB storage capacity on our main page. It is not a discussion group.

MORE INFORMATION
There is more about phonologicaltherapy and speechfiles here.

SLT/SLP STUDENTS AND NEW GRADUATES
slt-slp-students-and-new-grads

Discussions here focus on speech-language pathology/speech-language therapy student and new graduate interests, issues and concerns, internationally.

COPYRIGHT ã Caroline Bowen ALL RIGHTS RESERVED

Page updated March 23, 2010

http://speech-language-therapy.com/04mc.htm