Highlighting Highlights®

– a post by Elissa

So my daughter is in kindergarten. For the last 2 years she has been receiving Highlights® High Five™Magazine each month. I remember how much I LOVED looking at these magazines in waiting rooms when I was a kid. And wow, what a goldmine. School-based SLPs look at how ANYTHING we see, touch, experience can be used in therapy, right?? And lucky for me, my slightly type-A daughter doesn’t like to do anything but read her copies – she doesn’t pull any pages apart, color or draw in it – she keeps them looking pristine. Score for mom. Because I can create a multitude of lesson plans out of these babies!!!

A little background in case you’re not familiar with these gems:

Highlights® has magazines for 2 different age groups. There is the High Five™ Magazine for ages 2-6 and the Highlights™ Magazine for ages 6-12.

Both have a variety of activities including recipes, crafts, Hidden Pictures® scenes, puzzles, games and short stories. Many of the stories incorporate the same characters from month to month and include themes related to the season or upcoming holidays/events. The older version even includes science experiments and nature topics. There are silly pictures to find ͚what͛s wrong͛, 2 picture scenes to discuss similarities and differences, riddles and jokes and matching games. Is your head spinning yet with all of the skills you can target and goals you can address?

Look at some of this fun stuff…

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There is always something to discuss using the front cover-describing, predicting, something silly…

 

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Spot makes an appearance each month. Sequencing pictures? Done! A little inferencing. Describe characteristics of fall. Talk about feelings. Always an adventure with Spot!
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The title alone, right???  These twins always have a social obstacle to overcome. And cute, short stories allow for wh-questions and so much more!

 

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Articulation anyone? I think I see a few verbs in there too…
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So much comparing and contrasting!
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Wrap it all up with a recipe or a craft…step by step instructions for sequencing and following directions. Throw in some fine motor activities at the same time!

Are you drooling yet? There is so much more I could share!!!

Don’t have access to a subscription? Have you checked your school or county library?

No worries…check out Highlights Kids for even more – did I mention it is FREE.

Find Hidden Pictures® Puzzles, art activities, games and jokes in the Play It section. Looking for some short stories to work on comprehension? They have that covered in the Read It section. Stories can be read aloud – and some are even animated. How about poetry and articles as well as The Timbertoes: Comic Creator. Why not have the students create their own dialogue describing the pictures, talking about sequencing, constructing sentences…

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The Make It section has crafts and recipes plus science experiments!

There is even a Share It section where kids can read what other kids have asked and even ask their own questions!

So basically I have a stockpile of 2 years’ worth of High Five™ Magazine and pretty soon I͛ll be adding Highlights™ Magazine to it…so many preschool and elementary school lessons DONE!

Have you ever used Highlights® in therapy? Comment below and tell us about it!

Bilingual evaluations: Documenting results

In our two previous posts, we talked about the importance of interpreters and how to effectively collaborate with one before, during and after an evaluation.

Once you’ve completed your evaluation it’s time to write up the results…(sigh).

writing-bilingual

For the most part, this won’t be too different from how you report on any of the other endless number of evaluations you complete as a school-based SLP. But there are some very important pieces to include when a student is evaluated in more than one language, with an interpreter.

Remember, most of the tests you just administered weren’t normed in the client’s primary language and they certainly weren’t normed through administration with an interpreter! So be sure you are documenting this information. Specify when and how you collaborated with the interpreter. Which portions were given by you, and which portions by the interpreter?

When documenting your analysis of the test results, be sure to discuss instances when the student may have responded incorrectly in one language but then correctly in the other.

Be careful not to report standard scores when a test is not administered per standardization requirements – read those manuals!

Was the test normed on an English speaking population? Most of them are!

Did you administer it with an interpreter to a student for whom English is not his first language?  Chances are, yes!

Can you report the standard score? Ummmm, no!

However, looking at the score certainly can help guide you as to whether the student is performing within normal limits or not.

And don’t forget to consider the responses in EITHER language. If the question was answered correctly in one language or the other, count it as correct…we’re looking at the SKILLS the student does or does not have, not in which language she demonstrates it.

Keep in mind that we are looking for language disorder, not difference (discussed further in Part 1, here).

One of the trickiest areas is syntax. So much of our English syntax (forms and word order) is different in the primary language. Take a close look at the errors in both languages with these syntax concepts. If the errors are present in both languages (with a syntax form that is expected and developmentally appropriate in both languages), that would be considered an error in syntax.  However, if the errors are only present in English, this would not be considered an impairment with syntax.  Make sure discussion of all of this is included in the report.

Remember, most of the tests you just administered weren’t normed in the client’s primary language and they certainly weren’t normed through administration with an interpreter!

There are a multitude of resources available to delve into the differences between languages – phonemic inventories, influences of one language on another, dialectal differences. ASHA includes phonemic inventories for various languages along with a brief discussion of how to use this information and links to additional resources. Celeste Roseberry-McKibbin has a great book titled Multicultural Students with Special Language Needs-4th Edition covering various topics.

Do you have any go-to resources? Share below.

Effective Collaboration with Interpreters

In our previous blog we discussed the importance of when to work with an interpreter.  Now let’s take some time to discuss some tips on how to best collaborate with an interpreter when testing the speech and language skills of students for whom English is not the first language.

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We’ve broken it down into three parts:

  • Prior to testing

  • During testing

  • After testing

In all phases, when working with the interpreter, be sure you are speaking directly to the student, not the interpreter.  It is best to speak in short sentences, giving the interpreter time to translate.  Also, stay away from professional jargon – keep it user friendly!

Prior to testing

It is vital to the process that you are able to meet with the interpreter prior to beginning your testing.  You can do this on a prior day or before you start testing (we know time is never on a school-based SLP’s side).  During this meeting, you will need to walk through what you expect to accomplish during the testing session.

  • Allow the interpreter time to become familiar with the actual tests that will be administered.

  • Explain that what the student says must be interpreted as closely as possible into English, even if there are mistakes. Just as we record exactly what the student says, there will be times that the interpreter will need to record exactly what is said, even if there are errors.

  • Discuss allowable prompts and what NOT to say to the student. Ensure that the interpreter understands that we are trying to keep things as standardized as possible to get a true picture of what the student can and cannot do regarding speech and language.

During testing

Start with introductions (of course)! Make sure the student understands what each person’s role is. You may want to conduct these introductions in both the child’s native language as well as English to increase comprehension.

You may consider following up these introductions with a short conversation with the student.  This will allow the student to warm up to both of you.  Also, with the interpreter’s assistance, you may determine some valuable information regarding the give and take of conversation (including if the student responds appropriately to the interpreter).  What about with you in English? It may be a good idea to audio or videotape this.  Make sure the student knows that he or she can answer in either English or their native language.  Make note of which the student prefers.  If the student is responding in English (as many prefer to do), remind them or cue them to answer in their native language when they seem to not give an answer.  If the student struggles to provide an answer in their native language, prompt them for the answer in English.

Remember, our goal is to find out what speech and language skills the student has PERIOD – in either language!

Now you may be thinking, what language should I start testing in?

One tool we use is the student’s English proficiency which is derived from the CALP score to help determine if we want to start in English or the first language.  If the CALP score is 3.5 – 4, we recommend administering the test in English and then re-administering the missed items in the first language with the help of the interpreter.  If the CALP score is below 3.5, you may choose to administer the test in the first language and then re-administer missed items in English.  By doing it this way, you can better determine which may be considered the stronger language.

Whichever language you start with, it is a good idea to state the directions in English and then have the interpreter state the directions in the native language. This gives the student a better chance to understand the task he or she is expected to do.

When administering the test in the primary language, the interpreter would state the stimulus in the primary language.  The interpreter would write down exactly what the student says (for the expressive portions). You would probably need to take a break to review the expressive responses with the interpreter in order to determine which answers are correct or incorrect.  For the receptive parts, where the student is just pointing, the interpreter would present the stimulus and you can record the answer.

Keep in mind that testing with an interpreter takes longer so you will likely need more than one session to complete the evaluation.

After testing

Once testing is completed with the student for that session, you and the interpreter still have quite a bit to discuss! How did the student do during the initial conversation?  For answers recorded in the primary language, what did the client actually say?  What errors did the interpreter notice in the primary language?  What are the interpreter’s overall impressions of the student’s speech and language skills? How does this compare to what you have identified with their skills in English?

At this point it may or may not be necessary to arrange another time for the interpreter to come and assist in completion of testing.

ASHA provides some tips for school-based SLPs working with culturally and linguistically Diverse (CLD) students including collaborating with interpreters.

We would love to hear some of your tips for collaborating effectively with an interpreter.

Stay tuned for our next blog post where we will provide some tips on writing up the results of your evaluation.

How important IS that interpreter anyway?

If you ask us, pretty important!!!

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We are coming across increasing numbers of ELL students in our schools – those who are bilingual or monolingual, whose first language is one other than English.  Are you noticing this where you work?

Many of us may not have access to a bilingual SLP for that student’s primary language.  Some of us may have a test normed with a Spanish speaking population, but there aren’t that many options out there…and languages other than Spanish? Nope!   Some of the students may be fluent in their native language but may tell you they prefer English.  Others may not speak fluently in either language.

Language difference does not equal language disorder!

There are also a variety of normal processes related to second language learning. Some of the students brought to our attention are just in the process of learning English.  As SLPs, we certainly want to identify if the student has a language impairment; however, we don’t want to place them in special education if their primary language is within normal limits and they are learning English typically.

So when is it necessary to collaborate with an interpreter?  Sometimes it’s obvious and sometimes it’s not.

For the student who uses very little English, you would typically use an interpreter (if a bilingual SLP is not available) – kind of a no-brainer.  For the student who speaks some or quite a bit of English, you have to determine in which language he is stronger; how well does he understand and speak English?  One thing to look at is his CALP (Cognitive Academic Language Proficiency) level.  A student can receive a score of 1-6 (negligible-very advanced).  In our experience, a CALP score of 4 (fluent) or lower, would necessitate working with an interpreter for some level of testing in the first language.  If the CALP score is above 4, the individual should have enough English to take standardized tests; however, it is possible the student has some language skills in the first language that are not present in English – collaboration with interpreters can help you discern these skills. Also, the student may still be demonstrating some of those normal processes of second language acquisition we just talked about!

Gaining background information and a case history from the parent(s) is also vital to making accurate determinations with ELL students. You may need an interpreter when doing this – whether through questionnaires or interviews.  The answers to some of the questions can help point you in certain directions during your assessment. For example, maybe there are other siblings in the household and parents indicate that this child did not develop language at the same rate as the other child(ren).  That’s a big red flag.  But it doesn’t automatically mean this student is disordered in their first language and lead you to believe that you don’t need an interpreter!

Think of the role of the interpreter and the purpose of your testing. You need to determine if the student has a language disorder. You have to tease out if what the student demonstrated difficulties with is due to second language acquisition or due to a language impairment. The interpreter will be invaluable in helping you through this process.

Certified interpreters are definitely the best for this process! They are specially trained to work with professionals in administering assessments. Stay tuned for our next blog post where we will discuss some tips on effective collaboration with interpreters.

How do you determine when to call in an interpreter? Comment below

Proving your value as a school-based SLP

A post by Elissa…

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During my first year as a speech-language pathologist, a CF, in the school system, I had an interesting conversation with a classroom teacher. I was walking down the hall one day (who knows where I was headed- to pick up a student, to attend a meeting, to talk to a teacher…). She was standing at the door and commented, “I wish I could walk around all day…how do I become a speech teacher?”

I’m sure the look on my face was priceless and I took in this statement and calmly responded as non-condescendingly as possible. I don’t remember my exact words but it was something to the effect of, “Well after I completed my undergraduate degree I spent 5 semesters getting my Master’s degree including practicum experience in about 5 different settings…”

Silence, wide eyes…and, “Oooooohhhhh, maybe not”

That was the first (and definitely not the last) time that I had to justify my worth and the value I add to the students, the teachers, the classrooms, the school.

It’s frustrating, right? Who really understands what we do?

“why does he go to speech; he talks fine”

“you can’t pull him from reading, it’s really hard for him”

“why do you need bigger room?”

Even better “why do you need your own room?”

So whose job is it to show everyone what you have to offer? Only you can!!

Most non-SLPs are really never going to fully understand your role but that shouldn’t stop you from trying.

Some ways I’ve done this include:

  • Trainings for staff (and parents) on communication disorders:

highlight the relationship between language and the curriculum

highlight the relationship between articulation/phonology and phonemic awareness/reading

share the impact of a social language impairment

teach about the communication impairments associated with some of the common syndromes or disabilities

invite administrators to observe some of your sessions-I know they’re busy but keep trying to get them in there

  • Go into the general education classrooms – even if you pick one room, one teacher…word of mouth is powerful and good news travels fast!

 

  • Be seen in the school – don’t hide out in your room; eat lunch with staff; get in on their conversations about struggling students – give suggestions to show what you know

 

  • Give your students tools to be successful in the classroom so they can show what you are capable of – and share them with the teachers

 

  • Take on an extra responsibility in your school – I know you are already SO busy but even a small effort can make a huge difference. You may be pleasantly surprised by the things that get offered to you after that – and of course you can say no!

What are some of the ways you have had to advocate for yourself and show your value in the schools you serve? Comment below…

Speech language pathology by the numbers: A new school year begins

It’s that time of year……

Isn’t it amazing how quickly the summer flies by?  For many school based SLPs the summer is over and they are reporting back to work.  Hopefully you used the summer to get recharged, whether it be by resting, traveling, organizing yourself, or planning.  Looking at the start of our new year by the numbers……

SPIRITED

# of preplanning days: 4 – definitely not enough

# of SLPs to start the school year: 175+

# of vacancies: it changes everyday

# of schools they serve: 101 plus a couple dozen daycares

# of weeks until winter break: too many to count

 

# of new SLP trainings to deliver: we’ll start with 3, but do they ever really end?

# of new CFs to mentor: 14 (we have some help with that)!!!

# of SLP Assistants to supervise: 6 (and they are the best!)

# of professional learning days: 3

# of SLP department meetings to plan: 6

# of audiometers to distribute: 300! That may be a slight exaggeration…or NOT

# of students on [average] caseload: can we stay below 40?

# of IEP meetings to attend: to be determined…

# of times my computer will crash: Please, no, not again!

Making it count for the 16-17 school year!

Are you off to a great start? Tell us how your numbers are adding up!

LifeRs

Lifers

 

Did you ever have those clients that have been working on the /r/ sound for years?  We all have. You’ve tried placement using a tongue depressor, peanut butter, mirror, or anything else you can think of but you still get a distorted /r/ sound.  These students may have been working on this sound at 6, 7, 8 years of age.  By this time he is BORED as he has been working on the same thing and can’t get it right.

You know Albert Einstein’s definition of insanity right?

Insanity

It’s time to try a different approach.  You have nothing to lose.

So what can you try that you may not have already attempted? Why not try an oral motor approach?

While the efficacy of oral motor exercises is a controversial topic, all you have to gain is the chance at a correct /r/ production.  Have you done an extensive oral motor examination? Give it a shot!

You will likely find some weaknesses in the oral musculature impacting correct placement for /r/.  Focus on making these weak muscles stronger and getting the articulators in the correct placement and the odds are you will get better productions.

Remember that the oral motor strength and movements are NOT the goal of treatment. The production of the sounds and speech intelligibility are the ultimate goal!

Don’t be the definition of insanity…try something different.

What are some of your successful oral motor exercises for improved production of /r/?

For more information and interesting reading on the oral motor controversy, check out The Oral Motor Institute including monographs on the oral motor debate and a recent narrative review by Dr. Kay Kent.