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Multicultural Considerations in Assessment of Play

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.
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Smart Speech Therapy LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition

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Smart Speech Therapy (SST) LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition

ASHA Approved CE Provider Status Demonstrates Commitment to High-Quality CE Programming for Audiologists and Speech-Language Pathologists Continue reading Smart Speech Therapy LLC Receives ASHA Approved Continuing Education (CE) Provider Recognition

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2.         These Terms may be occasionally updated, so please refer back to them in the future.  By using this Website you agree to be bound by the then current version of these Terms. Continue reading Terms and Conditions

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New Giveaway: Creating a Functional Therapy Plan: Therapy Goals, Objectives & SOAP Note Documentation

slide1Recently I did a series of lectures for a graduate speech language pathology program regarding how to create the most effective therapy plan following the client’s assessment.  The learning objectives for the presentation were as follows:

1. Identify the difference between goal and procedure
2. Describe three phases of intervention planning and the nature of goals and procedures at each phase
3. List differences between LTG’s, STG’s and SG’s
4. Explain how to write brief and functional SOAP notes
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What is ND-PAE and how is it Related to FASD?

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 to better serve the complex mental health needs of individuals diagnosed with alcohol related deficits, which the previous diagnosis of 760.71 – Alcohol affecting fetus or newborn via placenta or breast milk was unable to adequately capture.   Continue reading What is ND-PAE and how is it Related to FASD?

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Birthday Giveaway Day Six: Eliciting Language In Pre-verbal Children with ASD

Eliciting Language in pre-verbal ASD-thumbnailToday it is truly my pleasure to bring you a giveaway from Maria Del Duca of Communication Station Blog entitled: “Eliciting Language In Pre-verbal Children with ASD: A Review of Behavioral and Naturalistic Therapy Techniques“.

This is a wonderful 64 page presentation which reviews the research supporting the current behavioral and naturalistic therapy techniques for pre-verbal children with ASD and explains how they are used to elicit verbal communication.  It’s great for any educator who needs a detailed and highly comprehensive introductory crash course on the multitude of therapy techniques used with nonverbal children ASD.

Intended audiences:

  • Graduate SLP students
  • Clinical Fellows
  • New SLP clinicians
  • Mid Career Switch Clinicians
  • Ancillary educational and health professionals
  • Parents of children with ASD interested in learning more regarding research based therapy techniques

Select techniques discussed in this presentation:

  • Applied Behavioral Analysis
  • Discrete Trial Training
  • Verbal Behavior Analysis
  • Rapid Motor Imitation Antecedent
  • Milieu Communication Training
  • Pivotal Response Training
  • Total Communication
  • Picture Exchange Communication System
    • And much much more

I remember when I was just starting out in the field and worked with non-verbal children with ASD, I spent inordinate amount of time looking for and reading much of the research articles listed in Maria’s presentation to learn more re: these approaches. Have I had this material it would have saved me a huge amount of time and effort. The way its written is logical, informative and clear. I like how the limitations are included with each technique’s review, which is a bonus since to read about each technique’s limitations one typically needs to locate even MORE articles, thereby spending even more time on this endeavor.

You can find this wonderful product in Maria’s online store  30% off for the next two days (October 7 and 8) by clicking HERE or you can enter my one day giveaway for a chance to win.

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For the Love of Speech Blog Hop: February Edition

Slide2Today I am very excited to participate along with 27 other talented SLPs in the For the Love of Speech  Blog Hop.  I love being an SLP, and to spread that love around  from February 1-4 I am giving away a Valentine’s Day Product: “The Origins of Valentine’s Day: At thematic language activity packet for middle and high school students” .  

This thematic packet was created to target listening and reading comprehension of middle and high school students diagnosed with language impairments and learning disabilities. The packet contains Response to Intervention (RTI) Tier 2 vocabulary words in story context. Expressive language activities for the packet include production of synonyms and antonyms, fill-in the blank, as well as sentence formulation using story vocabulary. Comprehension questions pertaining to story are provided in an open ended question format. It is great for teaching reading comprehension and sophisticated vocabulary in a thematic context related to familiar to the student events.

You can grab this product  for free for a limited time only in my online store (HERE) and then head on over to Teach Speech 365 to grab her freebie as well. Collect all freebies by the time the blog hop ends on  February 4th!

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For more useful FREE and PAID products check out my online store by clicking HERE or on the picture below SST Graphic

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Deconstructing Auditory Processing Disorder (APD) for Parents and Professionals: Informational Handout

The diagnosis of auditory processing disorder (APD) has long been steeped in significant controversy. I have been writing about the serious issues surrounding it for a number of years. Today I am expanding upon the posts I wrote in the past on this subject by adding a link to a handout for parents and professionals succinctly summarizing the current controversies relevant to APD in a 2-page handout. You can download it from my online store for FREE, HERE

What are some key takeaway points from that handout?

Auditory Processing Disorder (APD) is a condition that is often characterized by difficulty processing orally presented information. Reported symptoms include but are not limited to, the increased processing time to respond to questions, requests for frequent repetition of information, difficulty following directions and attending to speech, difficulty keeping up with class discussions, difficulty listening in noisy environments, difficulty maintaining attention on presented tasks,  difficulty remembering instructions and directions or verbally presented information, as well as poor/weak phonemic awareness, reading, spelling, and writing abilities affecting the student’s social and academic performance. Frequent recommendations for the above difficulties include referral to an audiologist once the student is typically 6-7 years of age in order to undergo auditory processing testing.

Continue reading Deconstructing Auditory Processing Disorder (APD) for Parents and Professionals: Informational Handout
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Birthday Extravaganza Day Twenty Eight: Literacy Checklists for Grades K-3

Today I am bringing you yet another giveaway from the fabulous Maria Del Duca of Communication Station Blog entitled: “Literacy Checklists for K-3rd Grade“. She created a terrific set of checklists to address reading comprehension and written expression in children K-3rd grade because according to Maria: “dynamic assessment of functional skills, when done well, can at times yield more accurate and salient information than standardized tests.”

This 10 page packet uses observational as well as teacher and parent reported information to present a holistic view of a child’s literacy skills with a focus on the following areas: Continue reading Birthday Extravaganza Day Twenty Eight: Literacy Checklists for Grades K-3

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Normal Sequential Bilingual Language Development and Proficiency Attainment

Normal SequentialToday I am excited to introduce another product aimed at explaining one of the aspects of typical bilingual language development. This 31 page introductory material describes typical sequential bilingual language development. It is part of several comprehensive bilingual assessment materials found HERE as a part of a “Multicultural Assessment and Treatment Bundle”  AND  HERE as an individual product entitled “Language Difference vs. Language Disorder: Assessment & Intervention Strategies for SLPs Working with Bilingual Children“.

Learning objectives:
  • —Discuss types of sequential bilingualism
  • —List stages of bilingual language acquisition
  • —Explain the difference between additive and subtractive bilingualism
  • —Review  academic language functions hierarchy
  • —Describe Unified Competition Model
  • —Discuss differences in L2 acquisition in younger and older learners

Presentation Content

  • Sequential Bilingualism
  • Stages of Sequential Language Acquisition
  • Bilingualism categorizations
  • A Note on Subtractive Bilingualism
  • Maintaining L1 while Learning L2
  • Language Proficiency: Terminology
  • Acquisition Time Frames: L2 vs. IA
  • Second Language Acquisition Model
  • What is Academic Language?
  • Academic Language Functions Hierarchy
  • Is there an optimal period for bilingual language acquisition?
  • What is Unified Competition Model
  • Sensitive period for ‘native-like’ L2 acquisition
  • Who learns faster: younger or older children?
  • Let’s talk about younger L2 learners
  • Let’s talk about older learners (before puberty)
  • Let’s talk about older learners (after puberty)
  • Affect of Age on L2 Acquisition
  • Factors influencing success of older learners
  • Conclusion
  • Helpful Smart Speech Therapy Resources
  • References

Would you like a copy? You can find it HERE in my online store.

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