This paper describes a new protocol for assessing the phonological systems of two-year-olds with typical development and older children with delays in vocabulary acquisition. The test (Profiles of Early Expressive Phonological Skills (PEEPS), ) differs from currently available assessments in that age of acquisition, based on lexical norms from the MacArthur-Bates Communicative Developmental Inventories, served as the primary criterion for creating a word list. Phonetic and semantic properties of the words were also considered in selecting items for the test. Productions of words using the PEEPS protocol have been gathered from a group of children with typical development and another group with cleft lip and/or palate. By 24 months of age, the children with typical development produced more than 90% of the target words and the children with atypical development produced 73% of the words. Regarding administration, the time needed for administering the protocol decreased with age.

A systemic perspective was employed in completing a phonological analysis and developing an intervention plan for Jarrod, a 7;0 year old child who exhibited a severe speech sound disorder characterized by inconsistency. Results of the Systemic Phonological Analysis of Child Speech (SPACS) revealed a limited sound system that was characterized by phonotactic inventory constraints, positional constraints, and sequence constraints. Mapping the child-to-adult sound systems through phoneme collapses revealed a logical and symmetrical system that maintained systematicity, yet permitted variability. Based on the organizational principles suggested by the phoneme collapses, targets were identified for intervention using the distance metric approach, which is based on the function of sounds within a given system rather than the characteristics of a given sound, and assumes that targets will interact dynamically with the child's unique sound system. Finally, a multiple oppositions treatment approach intended to facilitate learning across phoneme collapses and lead to system-wide phonological restructuring was described.

Abstract A multiple opposition approach to phonological intervention is described as an alternative contrastive approach for the treatment of severe speech disorders in children. The development and theoretical constructs of this approach are presented within the context of a clinical case study. The multiple opposition approach is based on the premise that the systemic level of phonological organization is essential in the description and intervention of disordered sound systems. Phonological descriptions identify phoneme collapses, which are viewed as phonologic strategies developed by the child to accommodate a limited sound system relative to the full adult system of the ambient language. Intervention is then directed systemically across the child’s entire rule, or collapse, by using larger treatment sets of multiple oppositions rather than by one contrast at a time.

A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160?10000?Hz) and input levels (e.g., 50?75?dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories?Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) and high-frequency audibility were traded against a potential risk (i.e., loudness). The modeled performance of each prescription was compared one with another and with the efficient frontier of normal hearing sensitivity (i.e., a reference point for the most return with the least risk). For the pediatric population, NAL-NL2 was more efficient for SII, while DSL m[i/o] was more efficient for high-frequency audibility. For the adult population, NAL-NL2 was more efficient for SII, while the two prescriptions were similar with regard to high-frequency audibility. In terms of absolute return (i.e., not considering the risk of loudness), however, DSL m[i/o] prescribed more outright high-frequency audibility than NAL-NL2 for either aged population, particularly, as hearing loss increased. Given the principles and demonstrated accuracy of desensitization (reduced utility of audibility with increasing hearing loss) observed at the group level, additional high-frequency audibility beyond that of NAL-NL2 is not expected to make further contributions to speech intelligibility (recognition) for the average listener.

No description available.

Rarely is a school-based speech language pathologist (SLP) thought of as an active contributor to the achievement of students or to the learning community in general. Researchers have found benefits for students when members of the learning community collaborate, and the SLP should be a part of this community collaboration. This qualitative case study examined elementary school teachers', administrators', and reading specialists' perspectives related to knowledge of and the inclusion of the SLP in the learning community at a local elementary school in central Georgia. Schon's theory of reflective practice and Coleman's theory of social capital provided the conceptual framework. Via an open-ended questionnaire and intensive interviews, 8 educators with 3 or more years of experience in 1 of the K-5 elementary schools in this local community provided data for this study. Data were recorded, transcribed, and analyzed through inductive methods using open and axial coding with thematic analysis. The results of the study showed 4 common themes that the participants felt were important. These themes included the fact that teachers understood the SLP to be a resource, but were unsure how to access their specialty; teachers and SLPs needed allotted time to work together; teachers and SLPs needed to communicate frequently; and teachers desired more knowledge of the SLP's role in the educational setting. Important implications for social change in elementary school learning communities include increasing involvement of the SLP, promoting SLP involvement in the identification of at-risk students, increasing educator awareness of the SLP's benefit, and increasing collaboration between SLPs and educators promoted through a 3-day professional learning project.

The major goal of supervisors in the area of Speech Pathology is to help student clinicians improve efficiency and effectiveness in attaining a therapeutic goal. This study was designed to provide systemic feedback of recorded data to student clinicians to determine the effect of a particular supervisory instrument on the future performance of inexperienced clinicians. The subjects for this study were six beginning student clinicians in Speech Pathology at Portland State University, two of which were randomly selected to represent the control group. All of the clinicians were observed for a randomly selected consecutive five-minute period from each of six management sessions. During these observations a content analysis was made of the interactions between the clinicians and their clients. The Analysis of Behavior of the Clinician (ABC) System, developed by Schubert and Miner (1971) was used to record interactions on a three-second interval schedule. The observation sessions for the control group coincided in time with the experimental group’s observation sessions, though no feedback was given to the control clinicians and they were unaware that tracking was done.

The purpose of this study was to detect the amount of variability in performance among low, middle and high SES pre-kindergarteners on the entire Boehm Test of Basic Concepts. The study sought to answer the following questions. What is the distribution of BTBC scores among low, middle and high SES pre-kindergarteners? Do the scores of pre-kindergarten children vary significantly as to socioeconomic status?

The purpose of this study was to collect normative data on the auditory memory performance of three- and four-year old children as measured by the Auditory Memory Test Package (AMTP). Specifically, this investigation sought to answer one question: is the AMTP sensitive to age differences when administered to young children ages 3.0-4.11?

The purpose of this study was to investigate which of 26 prepositions are acquired expressively by educable mentally retarded children. This study was designed to 'determine if there was a significant difference between the number of prepositions expressed by an EMR sample and those expressed by normals of similar mental age, and if the same prepositions were used by the two groups at given mental ages. The correlation between chronological age and the number of prepositions expressed by the EMR population was also investigated.