telleseff

Tatyana Elleseff MA CCC-SLP Professional Credentials Ms. Elleseff graduated New York University Summa Cum Laude with a Master's Degree in Speech Language Pathology. She is a certified member of the American Speech-Language and Hearing Association with dual speech-language licensure from the states of New York and New Jersey. She also holds a Teacher Speech and Language Disabled (TSLD) certificate from the state of New York as well as a Speech Language Specialist certificate from the state of New Jersey, which qualifies her to provide speech language services in school settings. In addition to the above credentials she also holds Bilingual Certification from Columbia University's Teacher College which qualifies her to provide bilingual speech evaluations & services.

May 092012
 

Recently I did a webinar for SpeechPathology.com entitled “Assessment of Social Skills in Children with Psychiatric Disturbances

Below are just a few of the course reviews:

Average Rating 5 stars  :-P :-P :-P :-P :-P

 

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Review by: Member on Mon May 7 2012
very well organized
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Review by: Member on Mon May 7 2012
 in-depth explanation of the various assessments
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Review by: Member on Mon May 7 2012
Clarity and organization. I work with the same population and she was right on target in her descriptions and assessment protocol
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Review by: Member on Mon May 7 2012
The presenter shared valuable info about testing these kids
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Review by: Member on Mon May 7 2012
 review of useful standardized tests and the overall discussion of assessment procedures was very informative
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Review by: Member on Mon May 7 2012
information given about what assessments to use
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Review by: Member on Mon May 7 2012
Speaker was enthusiastic and had good command of subject matter. Seemed like she really cared and had interest in topic.
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Review by: Member on Mon May 7 2012
I am an SLP who also has a child with ADHD and it was presented very well
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Review by: Member on Mon May 7 2012
Presenter is very knowledgeable
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Review by: Member on Mon May 7 2012
comprehensive approach to social assessment
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Review by: Member on Mon May 7 2012
went over specific tests to use with this population
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Review by: Member on Tue May 8 2012
Very organized information. Speaker shared her clinical expertise
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Review by: Member on Tue May 8 2012
Very organized presentation. The speaker was engaging in what she presented
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Review by: Member on Tue May 8 2012
Sharing of various materials and populations
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Review by: Member on Tue May 8 2012
Great explanation of informal assessments

Course Abstract

The number of children who present with non-spectrum emotional, behavioral, and psychiatric disturbances (oppositional defiant disorder, mood disorder, etc) has been steadily increasing in recent years. Many of these children attend district schools as well as receive services through private providers. Due to high incidence of communication issues associated with these conditions, speech language pathologists are frequently among the professionals who assess them. This presentation is aimed at increasing the participants’ knowledge regarding the role of speech language pathologists in the assessment of social pragmatic language abilities of school-age children with psychiatric impairments.

Time-ordered Agenda

0-5 Minutes Overview of Psychiatric Diagnoses and Language Disorders
5-10 Minutes Role of SLP in Assessment of Pragmatic Language Disorders
10-20 Minutes Overview of social pragmatic skills
20-25 Minutes Overview of Relevant Assessment Areas
25-35 Minutes Overview of Standardized Testing
35-50 Minutes Overview of Informal Assessment Procedures
50-55 Minutes Case Examples
55-60 Minutes Conclusion; Q & A

Course Learning Outcomes

  • After this course, participants will be able to describe the impact of psychiatric disturbances on language development of children.
  • After this course, participants will be able to list common pediatric psychiatric (non-autistic) diagnoses affecting language abilities.
  • After this course, participants will be able to describe the role of SLP in assessment of pragmatic language and social cognitive abilities of school-age children.
  • After this course, participants will be able to list formal assessment instruments used to assess pragmatic language and social cognitive abilities of school age children.
  • After this course, participants will be able to describe informal assessment procedures used to assess pragmatic language and social cognitive abilities of school age children.
Mar 272012
 

Will be presenting a webinar via speechpathology.com on May 7th 2012 at 12pm EDT entitled

Assessing Social Skills in Children With Psychiatric Disturbances

Course Abstract:

The number of children who present with non-spectrum emotional, behavioral, and psychiatric disturbances (oppositional defiant disorder, mood disorder, etc) has been steadily increasing in recent years. Many of these children attend district schools as well as receive services through private providers. Due to high incidence of communication issues associated with these conditions, speech language pathologists are frequently among the professionals who assess them. This presentation is aimed at increasing the participants’ knowledge regarding the role of speech language pathologists in the assessment of social pragmatic language abilities of school-age children with psychiatric impairments.
Course Objective:
  • After this course, participants will be able to describe the impact of psychiatric disturbances on language development of children.
  • After this course, participants will be able to list common pediatric psychiatric (non-autistic) diagnoses affecting language abilities.
  • After this course, participants will be able to describe the role of SLP in assessment of pragmatic language and social cognitive abilities of school-age children.
  • After this course, participants will be able to list formal assessment instruments used to assess pragmatic language and social cognitive abilities of school age children.
  • After this course, participants will be able to describe informal assessment procedures used to assess pragmatic language and social cognitive abilities of school age children.
Mar 272012
 

Received a fellowship to attend the Stuttering Foundation’s  Eastern Workshop: Using Cognitive Approaches with People Who Stutter from June 25-29 2012, sponsored by Boston University.

Amazing opportunity to learn Cognitive Behavior Therapy (CBT) and Solution Focused Brief Therapy (SFBT) in relation to the assessment and treatment of stuttering as well as to receive certification in Palin PCI (parent child interaction therapy), an evidence based therapy program for young children who stutter and Family Communication Skills Therapy for older children.

Mar 022012
 

As speech language pathologist part of my job is to play! Since play assessment is a routine part of speech language evaluations for preschool and early school-aged children, I often find myself on the carpet in my office racing cars, making sure that all the “Little People” get their turn on the toy Ferris Wheel, and “cooking” elaborate  meals in complete absence of electrical appliances.  In fact, I’ve heard the phrase “I want toy” so many times that I actually began to worry that I might accidentally use it in polite company myself.

The benefits of play are well known and cataloged. Play allows children to use creativity and develop imagination. It facilitates cognition, physical and emotional development, language, and literacy.  Play is great!  However, not every culture values play as much as the Westerners do.

Cultural values affect how children play. Thus play interactions vary significantly across cultures. For instance, many Asian cultures prize education over play, so in these cultures children may engage in educational play activities vs. pretend play activities. To illustrate, Farver and colleagues have found that Korean preschool children engaged in greater parallel play (vs. pretend play), initiated play less frequently, as well as had less frequent social play episodes in contrast to Anglo-American peers. (Farver, Kim & Lee, 1995; Farver and Shinn 1997)

To continue, cultures focused on individualism stress independence and self-reliance.  In such cultures, babies and toddlers are taught to be self sufficient when it comes to sleeping, feeding, dressing, grooming and playing from a very early age. (Schulze, Harwood, and Schoelmerich, 2001) Consequently, in these cultures parents would generally support and encourage child initiated and directed play. However, in many Latin American cultures, parents expect their children to master self-care abilities and function independently at later ages.  Play in these cultures may be more parent directed vs. child directed.   These children may receive more explicit directives from their caregivers with respect to how to act and speak and be more physically positioned or restrained during play. (Harwood, Schoelmerich, & Schulze, 2000)

In Western culture, early choice making is praised and encouraged.  In contrast, traditional collective cultures encourage child obedience and respect over independence (Johnston & Wong, 2002).  Choice making may not be as encouraged since it might seem like it’s giving the child too much power.  It would not be uncommon for a child to be given a toy to play with which is deemed suitable for him/her, instead of being asked to choose.   The children in these cultures may not be encouraged to narrate on their actions during play but expected to play quietly with their toy.  Furthermore, if the parents do not consider play as an activity beneficial to their child’s cognitive and emotional development, but treat it as a leisure activity that helps pass the time, they may not ask the child questions regarding what he/she are doing and will not expect the child to narrate on their actions during play.

Consequently, in our assessments, it is very important to keep in mind that children’s play is affected by a number of variables including: cultural values, family relationships, child rearing practices, toy familiarity as well as developmental expectations (Hwa-Froelich, 2004).  As such, in order to conduct balanced and objective play assessments, we as clinicians need to find a few moments in our busy schedules to interview the caregivers regarding their views on child rearing practices and play interactions, so we could objectively interpret our assessment findings (e.g.,  is it delay/disorder or lack of  exposure and task unfamiliarity).

References:

  •  Farver, J. M., Kim, Y. K., & Lee, Y. (1995). Cultural differences in Korean- and Anglo-American preschoolers’ social interaction and play behaviors. Child Development, 66, 1088- 1099.
  • Farver, J. M., & Shinn, Y. L. (1997). Social pretend play in Korean- and Anglo- American pre-schoolers. Child Development,68 (3), 544-556.
  • Johnston, J.R., & Wong, M.-Y. A. (2002). Cultural differences in beliefs and practices concerning talk to children . Journal of Speech, Language, and Hearing Research, 45 (5), 916-926
  • Harwood, R. L., & Schoelmerich, A and Schulze, P. A. (2000) Homogeneity and heterogeneity in cultural belief systems. New Directions for Child and Adolescent Development 87,  41-57
  • Hwa-Froelich, D. A. (2004). Play Assessment for Children from Culturally and Linguistically Diverse Backgrounds. Perspectives on Language, Learning and Education and on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations, 11(2), 6-10.
  • Hwa-Froelich, D. A., & Vigil, D. C. (2004). Three aspects of cultural influence on communication: A literature review. Communication Disorders Quarterly, 25(3),110-118.
  • Schulze, P. A., Harwood, R. L., & Schoelmerich, A. (2001). Feeding practices and expectations among middle-class Anglo and Puerto Rican mothers of 12-month-old infants. Journal of Cross-Cultural Psychology, 32(4), 397–406.
Feb 262012
 

While the prevalence of stuttering varies according to age groups (preschool, school-age, etc), the incidence of stuttering is reported to be at approximately 5%, with the onset mainly occurring during the preschool years.  Based on the above,  it is estimated that approximately 2.5% of children under 5 years of age stutter (The Stuttering Foundation).

Despite the strides made by the current stuttering research, much confusion and misconceptions exist with respect to the treatment of stuttering in preschoolers. Many clinicians still continue to recommend that the parents ignore the child’s stuttering or use indirect environment modification approaches in the hopes that the child’s stuttering goes away. Further complicating this issue is that oftentimes many preschool children DO spontaneously recover from their stuttering several months post onset.

While oftentimes, it may be prudent to wait a few months to see how the onset of stuttering progresses, waiting too long may be quite problematic.  This is especially true for those children who become increasingly frustrated with their stuttering or those who begin to develop secondary stuttering characteristics (reactions to stuttering such as gaze avoidance, facial grimaces, extraneous body movements, words avoidance, etc).

When it comes to preschool children one intervention approach which has been highly successful to date is The Lidcombe Program. Developed in Australia, the Lidcombe Program is a fluency shaping program, which is highly effective for children 2-6 years of age who stutter.

It’s goal is to eliminate stuttering.  The program focuses on behavioral feedback provided in response to a child’s fluent speech.  However, it’s not the therapist who provides the treatment but the PARENTS. The researchers who developed the program firmly believe that the intervention has to take place in natural environments, and there’s nothing natural regarding the therapist’s office!

Based on theories of operant conditioning, the premise of the program is simple: parents praise stutter free speech and request for correction of stuttered speech.  The Lidcombe focuses on raising the child’s awareness of stuttering and encourages verbal reactions to stutter free speech.

To start, child and parent/s attend therapy sessions once a week.  The therapist teaches the parents the types of verbiage to use with their child in treatment as well as  how to rate their child’s weekly stuttering incidence on a 10-point stuttering severity scale in order to obtain a percent of stuttered syllables (%SS). Parents and therapist compare severity ratings (SR) and discuss discrepancies, if any. Therapist then supervises as parent administers treatment in session. For the rest of the week parents administered treatment in structured home setting in short increments (10 to 15 minutes each) 1 to 2 times per day.  As child’s awareness improves, parents’ switch from structured to unstructured settings in an effort to initiate generalization.

For more information about whether the Lidcombe Program is right for your child, visit their website or contact the speech language professionals specializing in this approach in your area.

Feb 232012
 

Standardized speech language tests are not valid for assessing bilingual/LEP students.

One alternative assessment method, which has been gaining popularity in recent years is the Dynamic Assessment Approach

The method is simple:

Test –Teach-Retest  (concepts such as grammar, vocabulary, narratives, etc)

This method allows the clinician to:

•Determine the skills child has and his/her learning potential
•Determine the child’s response to clinical interactions
•Differentiate between a typical L2 learner and a bilingual child with an impairment
•Determine if the child can identify, produce and generalize taught information
•Determine the child’s potential for change given appropriate support

For more information see ASHA’s Dynamic Assessment Resources @ www.asha.org/practice/multicultural/issues/additional.htm

Feb 222012
 

Webinars are sponsored by AAP/NJ but are open for everybody who are interested in the subject.

 

NJPCORE<br /><br />
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Please note that only those participants attending the LIVE webinars will be eligible for CMEs/CNEs.

 

Register Below:

 

March 6th

  

Part I: Prenatal Alcohol Exposure

https://www3.gotomeeting.com/register/683005094

 

March 20th 

 

Part II: Assessment and Management of FASD

https://www3.gotomeeting.com/register/223050326