Speech and Language Screening Procedures
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Questions and Answers

What is the primary goal of a screening procedure in speech, language, and cognitive assessment?

  • To determine if an individual needs further evaluation. (correct)
  • To provide detailed recommendations for therapy techniques.
  • To diagnose specific communication disorders.
  • To offer comprehensive communication strategies for families.

According to the provided information, what is one way that screening results can be used?

  • To determine the exact level of cognitive function.
  • To create individualized education programs (IEPs) for children with language delays.
  • To advise family and other medical professionals on best means for communication. (correct)
  • To prescribe specific medications for cognitive impairments.

Which of the following best describes the scope of a screening procedure?

  • An in-depth analysis of cognitive and linguistic abilities.
  • A pass/fail procedure to identify individuals who require further speech, language, and/or cognitive assessment or referral for other professional and/or medical services. (correct)
  • A brief assessment of speech production.
  • A comprehensive assessment of all communication modalities.

If a child passes a speech and language screening, what is the most appropriate course of action?

<p>No further action is needed regarding speech and language concerns. (A)</p> Signup and view all the answers

A physician refers a 6-year-old child for a speech screening due to parental concerns about articulation. What is the SLP's primary objective during the screening?

<p>To identify communication difficulties to know whether to make a referral for further speech, language, and/or cognitive assessment or referral for other professional and/or medical services. (D)</p> Signup and view all the answers

A school implements a universal screening for language skills in kindergarten. What is the most likely reason for conducting this screening?

<p>To identify students who require additional support in language development. (A)</p> Signup and view all the answers

What is the main distinction between a screening and a comprehensive assessment?

<p>Screenings are broad and quick, while assessments are in-depth and comprehensive. (C)</p> Signup and view all the answers

Which of the following is LEAST likely to be part of a screening procedure?

<p>A detailed language sample analysis. (A)</p> Signup and view all the answers

When interpreting the results of a screening, what is a critical consideration?

<p>Screening results are preliminary and should be followed by a comprehensive assessment if warranted. (C)</p> Signup and view all the answers

Which of the following best describes the primary goal of an assessment in a clinical setting?

<p>To gather, synthesize, and interpret information to form a clinical judgment. (B)</p> Signup and view all the answers

A clinician is using a tool that allows flexible administration and generates qualitative data. Which type of assessment is the clinician most likely using?

<p>Informal Assessment (B)</p> Signup and view all the answers

What is the MOST accurate interpretation of the term 'diagnosis', based on its Greek origin?

<p>The act of distinguishing or knowing apart. (D)</p> Signup and view all the answers

A speech-language pathologist is administering the instruction, “Before pointing to the cow near the barn, show me the shortest tree.” What aspect of communication is MOST directly being assessed?

<p>Receptive Language (B)</p> Signup and view all the answers

Which of the following assessment scenarios would be considered a formal assessment?

<p>A therapist using a standardized test with norm-referenced scores. (C)</p> Signup and view all the answers

A clinician notes a child can point to a dog, but struggles following the direction 'Point to the cat, THEN the bird'. This MOSTLY indicates difficulty with:

<p>Executing multi-step directions. (A)</p> Signup and view all the answers

What is the PRIMARY reason for monitoring a client’s progress throughout treatment?

<p>To track changes in the communication disturbance and adjust the treatment plan. (C)</p> Signup and view all the answers

A therapist suspects a client's communication difficulties might stem from an underlying hearing impairment. According to the purposes of assessment, what is the NEXT appropriate step?

<p>Refer the client to an audiologist. (C)</p> Signup and view all the answers

Which assessment activity BEST reflects the 'integrating' component of the assessment process?

<p>Combining test results, observations, and background information to form a comprehensive understanding. (B)</p> Signup and view all the answers

How does a diagnosis MOST directly relate to the assessment process?

<p>Diagnosis is the outcome or conclusion derived from the assessment process. (C)</p> Signup and view all the answers

In dynamic assessment, what is the examiner's primary role compared to static assessment?

<p>Active participant, identifying modifiability. (D)</p> Signup and view all the answers

Which of the following is a key characteristic that distinguishes dynamic assessment from static assessment?

<p>Employing nonstandardized approaches to identify modifiability. (B)</p> Signup and view all the answers

Within the components of assessment and diagnosis, how do formal and informal assessment measures differ?

<p>Formal measures are standardized, while informal measures are more flexible. (A)</p> Signup and view all the answers

Which of the following tasks falls outside the scope of practice for a Speech-Language Pathology Assistant (SLP-A) in assessment and screening?

<p>Performing an SLP assessment independently. (D)</p> Signup and view all the answers

According to ASHA's Preferred Practice Patterns, what is a crucial aspect of general assessment guidelines?

<p>Utilizing evidence-based methods and conducting ongoing assessment. (D)</p> Signup and view all the answers

When considering contextual factors during assessment, which element requires the most careful consideration to ensure unbiased evaluation?

<p>Understanding the client’s cultural background and social status. (A)</p> Signup and view all the answers

What is the primary distinction between how an SLP and an Audiologist (AuD) student might engage in screening activities?

<p>The types of screenings they conduct are in different domains (speech-language vs. audiology). (D)</p> Signup and view all the answers

How does incorporating ongoing assessment into treatment planning enhance client outcomes?

<p>It allows for continuous adjustment of treatment strategies based on the client's evolving needs. (A)</p> Signup and view all the answers

What is the MOST important reason for Speech Language Pathologists to be familiar with ASHA's Preferred Practice Patterns (PPPs)?

<p>To guide evidence-based decision-making and ensure quality service delivery. (C)</p> Signup and view all the answers

Why is it essential to integrate data from both formal and informal assessment measures during the diagnostic process?

<p>Integrating both provides a more thorough and holistic view of the individual's communication abilities. (C)</p> Signup and view all the answers

A speech-language pathologist is asked to quickly evaluate a new adult patient to determine the need for further, more in-depth assessment. Which type of assessment is MOST appropriate in this scenario?

<p>Formal screening (B)</p> Signup and view all the answers

A clinician wants to use a screening tool that assesses a broad range of language skills in a child. Which characteristic would be MOST important to consider when selecting an appropriate tool?

<p>The test's ability to efficiently evaluate multiple language domains, providing a general overview. (B)</p> Signup and view all the answers

Which of the following data collection methods is LEAST likely to be used during an informal language screening?

<p>Administering a standardized test with normative data. (D)</p> Signup and view all the answers

A speech therapist is choosing between the PLS-5 Screening Test and the CELF-5 Screening Test for a 6-year-old child. What is the MOST significant difference that will likely influence their decision?

<p>The PLS-5 Screening Test screens articulation, connected speech, social skills, stuttering and voice in addition to language, wherease the CELF-5 Screening Test screens language and pragmatics. (A)</p> Signup and view all the answers

A clinician suspects a patient might have aphasia following a stroke. Which screening tool would be MOST appropriate to initially assess the patient's communication abilities?

<p>Frenchay Aphasia Screening Test (FAST) (C)</p> Signup and view all the answers

What is the PRIMARY purpose of using a formal language screening tool?

<p>To determine if an individual needs further, more comprehensive evaluation. (B)</p> Signup and view all the answers

A clinician is using the ASQ-3 to screen a child's development. If the child is 7 months old, which of the ASQ-3 subdomains would be MOST relevant to assess?

<p>Communication, gross motor, fine motor, problem solving, and personal-social. (A)</p> Signup and view all the answers

A multidisciplinary team is deciding on a screening tool to use with adults aged 17-79 to broadly assess communication abilities. Which of the following would be the MOST appropriate choice?

<p>The Communication Checklist - Adult (CC-A) (B)</p> Signup and view all the answers

A school SLP is asked to conduct language screenings on all kindergarten students (ages 5-6) to help determine who needs additional testing. According to the information provided, which combination of screening tests would be MOST appropriate take into consideration the age range?

<p>FLUHARTY-2 and ASQ-3 (D)</p> Signup and view all the answers

A clinician wants to minimize the time required for language screening while still obtaining a standardized measure. Which factor would be MOST important when selecting a screening tool?

<p>The reported completion time for the screening. (B)</p> Signup and view all the answers

Flashcards

Screening (definition)

A pass/fail procedure to identify individuals needing further speech, language, and/or cognitive assessment.

Screening (purpose)

To determine if an individual would benefit from further evaluation.

Screening (primary question)

To answer a broad problem/no problem question.

Screening: Defined

  1. Identify individuals who require further speech, language, and/or cognitive assessment.
  2. Referral for other professional and/or medical services
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Screening: Additional

Advise family and other medical professionals on best means for communication

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Screening

A brief evaluation to identify individuals who may have a communication disorder.

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Purpose of Screening

To check the patient's progress during treatment.

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Screening Characteristics

Less than 30 minutes and covers broad characteristics

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Informal Screening

Based on observations, language samples, and checklists

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Formal Screening

Structured, standardized administration and scoring

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CELF-5 Screening Test

Screens language and pragmatics, ages 5;0 to 21;11.

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PLS-5 Screening Test

Screens language, articulation, and social skills, birth to 7;11.

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Fluharty-2

Screens language and articulation, ages 3-6.

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ASQ-3

Screens communication, motor, problem-solving, and social skills, 1-mo to 5;6.

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CC-A

Screens communication, adults aged 17-79

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Assessment (Definition)

The process of collecting valid and reliable information, integrating it, and interpreting it to make a judgment.

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Diagnosis (Process)

The process of arriving at a diagnosis.

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Assessment Synonyms

Can be synonymous with Assessment: Evaluation and/or Diagnostics.

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Diagnosis (Outcome)

The outcome of an assessment.

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Diagnosis (Purpose)

Distinguishing a person’s problem from a large field of potential disabilities.

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Diagnosis (Origin)

From Greek: to distinguish (dia – apart; -gnosis – to know).

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Assessment (Purpose)

To obtain a good understanding or diagnosis of a client’s problem; Identify need for referral; Identify the need for treatment; determine the focus, structure, length, and frequency of treatment; monitor the client’s progress

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Formal Assessment

Structured/standardized and uses Norm-referenced scores. Commercial.

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Informal Assessment

Flexible administration and Qualitative scores. Clinician-constructed.

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Static Assessment

Examiner observes the client without actively participating.

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Dynamic Assessment

Examiner actively participates to assess the client's modifiability.

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Static Results

Identifies existing deficits.

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Dynamic Results

Identifies how modifiable the client's skills are.

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Ongoing Assessment

A process that continues throughout the client’s treatment.

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Assessment Components

Includes case history, interviews, formal/informal measures, and data integration.

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General Assessment Goal

To thoroughly diagnose and define the nature of the disorder.

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Evaluating Impact

To determine the disorder's effect on the individual's daily life.

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Contextual Factors

Factors like culture, education, and socioeconomic status.

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Evidence Based Methods

Use proven techniques in assessment and diagnosis.

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Study Notes

  • General overview of assessment procedures include Screening, Assessment, Wrap-up, and Discussion.

Screening Defined

  • Screening is a pass/fail procedure to identify individuals who require further speech, language, and/or cognitive assessment or referral for other professional and/or medical services.

Screening Purpose

  • Screening answers a broad problem/no problem question and determines if an individual would benefit from further evaluation.

Screening Additional Purpose For Adults

  • Screening can advise family and other medical professionals on best communication means.
  • Screening assesses progress/no progress during treatment.

Screening Guidelines

  • Screening intended to be quick, less than 30 mins.
  • Screening covers broad, not focused/specific, characteristics.
  • Screening results are based on Pass/Fail.
  • Screening can be formal or informal.
  • Screening may be termed differently in adult settings, such as bedside consultation.

Screening Informal

  • Informal screening includes parent, teacher, and caregiver reports.
  • Observation of the individual.
  • Formal and informal language samples.
  • Checklists, such as developmental milestones.
  • Basic skills exams, like the SLUMS test.
  • Clinician-constructed measures.

Screening Formal

  • Formal screening is structured, with standardized administration and scoring.
  • Formal screening is commercial and includes a protocol.
  • Formal screening results are compared to normative data.

Formal Screening: CELF-5 Screening Test

  • Clinical Evaluation of Language Fundamentals; 5th Edition – Screening Test has an age rage of 5;0 to 21;11.
  • The test screens for language and pragmatics, and takes 15 minutes to complete.

Formal Screening: PLS-5 Screening Test

  • Preschool Language Scale – 5 Screening Test ranges from Birth to 7;11.
  • Screens for Language, Articulation, Connected Speech, Social Skills, Stuttering, and Voice.
  • Takes 5-10 minutes to complete.
  • Languages available; English & Spanish

Formal Screening: FLUHARTY-2

  • Fluharty - 2 test has an age range of 3-6 years of age.
  • Screens for both language and articulation, with a completion time of 10 minutes.

Formal Screening: ASQ-3

  • Ages & Stages Questionnaire; Third Edition has an age range of 1 month to 5;6.
  • Screens communication, gross motor, fine motor, problem solving, and social skills.
  • Takes 10-15 minutes to complete.
  • Languages available; English, Spanish, French, Arabic, Chinese, & Vietnamese.

Formal Screening: CC-A

  • Communication Checklist - Adult age range is 17 to 79.
  • Screens Communication and takes 5 -15 minutes.
  • Languages available; English, Spanish, & French.

Formal Screening: FAST

  • Frenchay Aphasia Screening Test is for patients with Stroke.
  • Screens Comprehension, Expression, Reading, and Writing.
  • Completion Time is 3-10 minutes.

Assessment Defined

  • Assessment is a process of collecting valid and reliable information, integrating it, and interpreting It to make a judgment.
  • The process of arriving at a diagnosis is assessment
  • Assessment can be synonymous with "Evaluation" and/or "Diagnostics".

Diagnosis Defined

  • Diagnosis is the outcome of an assessment.
  • The diagnosis distinguishes a person's problem from a large field of potential disabilities
  • The word diagnosis is from Greek: meaning to distinguish (dia – apart; -gnosis – to know).

Assessment Purpose

  • Assessment obtains a good understanding or diagnosis of a client's problem
  • Assessment identifies need for referral to other professionals
  • Assessment identifies the need for treatment.
  • Assessment determines the focus, structure, length, and frequency of treatment
  • Assessment monitors the client's progress in treatment and describes changes in the communication disturbance.

Types of Assessment: Formal vs. Informal

  • Formal assessments are structured/standardized with norm-referenced scores, while informal assessments are flexible administration with qualitative scores, and are Clinician-constructed

Types of Assessment: Static vs. Dynamic

  • Static assessments are passive, examiner observes the results, identifies deficits, and uses standardized administration.
  • Dynamic assessments are active, examiner participates, results identify modifiability, and uses non standardized administration.

Assessment and Diagnosis

  • Assessment and Diagnosis are ongoing processes that span into the client's course of treatment.

Assessment Components

  • Assessment components include Case history
  • Assessment components include interviews.
  • Formal and Informal Assessment Measures
  • Integration and interpretation of data (Diagnosis)/
  • Counseling and recommendations
  • Documentation and reporting of results

Scope of Practice: Assessment & Screening

  • SLP's can be assessed and screened by a SLP Graduate Student
  • SLP's can be screened by a SLP-A, AuD Student, and Audiologist.

General Assessment Guidelines

  • Make a thorough diagnosis and define the nature of the disorder (body & function)
  • Evaluate the impact of the disorder
  • Consider contextual factors: culture, education, and social status, etc.
  • Conduct ongoing assessment, go beyond formal assessment and use evidence-based methods.

SLP Skills Necessary For Evaluation & Diagnosis

  • Experience, flexibility, healthy skepticism, and empathy
  • Unconditional positive regard, evaluative attitude, persistent curiosity, and objectivity
  • Rapport and focus

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Explore the goal, use, and scope of speech and language screenings. Understand result interpretation and the difference between screenings and comprehensive assessments. Ideal for SLPs and students.

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