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Parent Consultation Services

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Today I’d like to officially introduce a new parent consultation service which I had originally initiated  with a few out-of-state clients through my practice a few years ago. The idea for this service came after numerous parents contacted me and initiated dialogue via email and phone calls regarding the services/assessments needed for their monolingual/bilingual internationally/domestically adopted or biological children with […]

Recommendations for Assessing Language Abilities of Verbal Children with Down Syndrome (DS)

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Assessment of children with DS syndrome is often complicated due to the wide spectrum of presenting deficits (e.g., significant health issues in conjunction with communication impairment, lack of expressive language, etc) making accurate assessment of their communication a difficult task. In order to provide these children with appropriate therapy services via the design of targeted […]

Assessing and Treating Bilinguals Who Stutter: Facts for Bilingual and Monolingual SLPs

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Introduction: When it comes to bilingual children who stutter there is still considerable amount of misinformation regarding the best recommendations on assessment and treatment. The aim of this article is to review best practices in assessment and treatment of bilingual children who stutter, to shed some light on this important yet highly misunderstood area in […]

What if Its More Than Just “Misbehaving”?

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Frequently,  I see a variation of the following scenario on  many speech and language forums. The SLP is seeing a client with speech and/or language deficits  through early intervention,  in the schools, or in private practice, who is having some kind of behavioral issues. Some  issues  are described as mild such as  calling out, hyperactivity, impulsivity, […]

Dear Pediatrician: Please Don’t Say That!

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Recently, a new client came in for therapy.  He was a little over three years of age with limited verbal abilities,  and a number of stereotypical behaviors consistent with autism spectrum disorder.  During the course of parental interview, the child’s mother mentioned that he had previously briefly received early intervention services  but  aged out from the early intervention […]

What is ND-PAE and how is it Related to FASD?

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The DSM-5 was released in May 2013 and with it came a revision of criteria for the diagnosis and classification of many psychiatric disorders.  Among them a new proposed criteria was included relevant to alcohol related deficits in children, which is Neurobehavioral Disorder Associated  With Prenatal Alcohol Exposure (ND-PAE) (DSM-5, pgs 798-801). This proposed criteria was included in order […]

Why Developmental History Matters: On the Importance of Background Information in Speech-Language Assessments

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Lately I’ve been seeing quite a few speech language therapy reports with minimal information about the child in the background history section of the report. Similarly, I’ve encountered numerous SLPs seeking advice and guidance relevant to the assessment and treatment of difficult cases who were often at a loss when asked about specific aspects of their […]

Sunny Articulation Phonology Test Kit Review Update and Giveaway

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In February 2013 I did a review of the Sunny Articulation Test by Smarty Apps. At that time I really liked the test but felt that a few enhancements could really make it standout from other available articulation tests and test apps on the market. Recently, the developer, Barbara Fernandes, contacted me again and asked […]

Guest Post: Eliciting Language from the “SHUT-DOWN” kid

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Today’s guest post on how to elicit language from children with “shut-down” tendencies secondary to significant expressive language delay comes from Rachel Arntson, M.S., CCC-SLP of the  Talk It Rock It  Blog. Have you ever worked with a child who would shut down the minute she thought you wanted her to say something? I find this […]

Comprehensive Assessment of Monolingual and Bilingual Children with Down Syndrome

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Assessing speech-language abilities of children with genetic disorders and developmental disabilities is no easy feat. Although developmental and genetic disorders affecting cognition, communication and functioning are increasingly widespread, speech-language assessment procedures for select populations (e.g., Down Syndrome) remain poorly understood by many speech-language professionals, resulting in ineffective or inappropriate service provision. (more…)

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