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AAP: Council on Foster Care, Adoption and Kinship Care Presentation

Boston MA- First conference of the Fall 2011 season:

October 17, 2011: Got to co-present with my favorite pediatrician (Alla Gordina, MD, FAAP) an interesting clinical case in front of American Academy Of Pediatrics: Council on Foster Care, Adoption and Kinship Care. Granted my part was via phone and connection wasn’t great but it so nice to see medical professionals being interested in ancillary professionals’ perspective on issues of internationally adopted children.

Presentation Title: A Case of Isolated Social Pragmatic Language Deficits in an Internationally Adopted Child

Presentation Highlights:

Language based deficits may affect internationally adopted children many years post adoption

Even children adopted at very young ages can present with subtle BUT significant delays in select areas of functioning (see below)

One such delay may be in the area of social pragmatic functioning  or the use of language

Select examples of social pragmatic deficits include:

  • Impaired ability to appropriately interpret social situations, events and contexts
  • Impaired ability to create and convey messages to different audiences (adults vs. children)
  • Impaired ability to interpret facial expressions, body language and gestures
  • Difficulty labeling and identifying basic emotions of self and others
  • Poor or absent perspective taking (understanding thoughts and feelings of others)
  • Inappropriate initiation of social interactions (e.g., not knowing how to start a conversation or appropriately interrupt a game)
  • Comprehension of age-level abstract and inferential information (stories, sarcasm, figurative language, etc)
  • Missing “the big picture” (integrating ideas into a whole, synthesizing and summarizing information)
  • Poor connection and relatedness to peers

Implications for Professionals:

Very easy to misdiagnose a child with social pragmatic deficits as someone with psychiatric disturbances (e.g., ADHD or Autism) without multidisciplinary differential diagnosis

“Low risk referrals” do carry a significant risk of deprivation-related issues, which can surface years after adoption

Internationally adopted children with behavioral, listening, sensory, and any unusual deficits need a differential  diagnosis (including assessment of language abilities before a conclusive diagnosis is made)

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Birthday Giveaway Day Three: Fall Into Speech and Language Pack

Today I am  bringing you DAY 3 of my Birthday Month Giveaways by raffling off a Fall into Speech and Language Pack from Felice the author of thedabblingspeechie blog.   

Included in this pack are various craftivities (tree, apples, leaves, turkey) and materials to target categories, multiple meaning words, articulation and synonyms/antonyms for older elementary children. A vocabulary sheet with the definitions of the multiple meaning words is also provided for the SLP.

Included articulation targets:

  • /f/ in initial medial and final position (written support without picture cards)
  • /s/ in initial medial and final position  (written support without picture cards)
  • /k/ in initial medial and final position  (written support without picture cards)
  • /l/ in initial medial and final position  (written support without picture cards)
  • /sp/, /st/ and /sw/ blends (written support without picture cards)

Included semantic flexibility targets: 

  • Categories (written support without picture cards)
  • Multiple meaning words (written support without picture cards)
  • Synonyms (written support without picture cards)
  • Category cards and mats (with written support and picture cards)

You can find this product in her TPT store by clicking HERE or you can enter my one day giveaway for a chance to win.
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Spotlight on Syndromes: An SLPs Perspective on CHARGE Syndrome

Today’s guest post on genetic syndromes comes from Rebecca Freeh Thornburg, who is contributing on CHARGE Syndrome.

Overview:

CHARGE Syndrome is an extremely complex genetic condition encompassing anomalies of multiple systems. CHARGE affects approximately 1 in every 9 to 10,000 live births, worldwide. Respiratory issues and complex cardiac defects often require early and frequent hospitalization and surgical intervention. Characteristic hearing and vision impairments also contribute to delays in development.  Early and ongoing intervention by speech-language pathologists and other members of a multi-disciplinary care team is critical in achieving best outcomes for children affected by CHARGE. Continue reading Spotlight on Syndromes: An SLPs Perspective on CHARGE Syndrome

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The Frenzied SLPs Jan ’15 Edition: Investing Wisely

meet frenzied slps

I am thrilled to be a part of The Frenzied SLPs, which is a group of talented SLP bloggers and TPT sellers who each month bring you a variety of suggestions on how to simplify the life of the frenzied SLPs.  At the beginning of each year, many of us try to make a variety of resolutions on how to live better. These may involve changes in our personal lifestyles or changes in our work routines and schedules. This month I’d like to talk about investments, namely investments, which can make our work load more manageable.

If your schedule is anything like mine, then you are very heavily inundated with paperwork. Evaluation reports, progress summaries, session notes, lesson plans, presentations, articles, it all piles up until you absolutely dread looking at your planner since it highlights all the looming deadlines and not enough time to complete all the paperwork.

That is why recently I decided to invest in some dictation software. After a bit of research I settled on Dragon Naturally Speaking software, which I installed on my PC at work as well as on my Mac at home. For me it was an investment that definitely paid off within a very short period of time. Almost immediately I started noticing how much faster I was able to complete my reports, reply to emails, as well as write blog posts and articles. I also noticed how much easier revising and editing process was on my eyes.

So what has improved?
Well, I’ve definitely noticed a huge improvement in my productivity.  Even though I wasn’t the slowest typist, dictating became a huge time saver, since now I am able to produce 3x as much  written output in the same period of time.

I also noticed that the use of dictation software allowed me to better organize my thoughts out loud and significantly decrease oral revisions when dictating.

However while dictation software is an excellent investment it needs to be made wisely keeping a few things in mind.

For starters the cost of software may be problematic for some. While Nuance, which is the company that sells the software has a variety of decently priced packages, this software is still not cheap. Buying a wireless Bluetooth headset, a professional package, or the licensing software for several different computers, may further significantly increase the price.

Secondly you do need to train the software especially because we a speech pathologist use a lot of esoteric and specialized language to describe our clients’ assessment and treatment needs. The training period take anywhere from several days to several weeks depending on how quickly you’ll learn to navigate the in’s and out’s of all the commands.

Personally I find the Mac version not as user-friendly as the PC version despite the fact that it does not require the usage of a headset in contrast to the PC version.

However, all in all, for a busy professional inundated with paperwork, this investment truly is a valuable time saver that can significantly reduce the time spent on paperwork as well as the amount of strain and effort you put into report writing and editing.

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Introducing a New Series for SLPs and Parents: Spotlight on Syndromes

Today I am excited to introduce to you the new series which will be featured on my blog and will be written by myself as well as numerous knowledgeable contributing authors. It is an SLP’s perspective on genetic syndromes.

Why syndromes you ask?

Because speech language pathologists in a variety of settings (e.g., schools, hospitals, private practice, etc.) often encounter children with diagnosed or suspected syndromes. Yet the knowledge regarding various syndromes and their effects on communication continues to remain very limited in our field. Continue reading Introducing a New Series for SLPs and Parents: Spotlight on Syndromes

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How to Use the Knowledge Acquisition and Transformation (KAT) Framework to Improve Reading and Writing Skills of Struggling Learners

Knowledge Acquisition and Transformation (KAT) framework, developed by Wijekumar and colleagues, involves a systematic approach to teaching students how to comprehend and use text structures to enhance their reading and writing skills. Below is quick review regarding how SLPs can use it in therapy with reading and writing impaired learners.

1. Understanding Text Structures

Teach the Students to Identify the Overall Top-Level Structure of a Text:

o Focus on the four primary text structures: comparison, cause-effect, problem-solution, and cause-problem-solution.

o Use signaling words or discourse markers to aid in identifying the top-level structure.

o Apply these steps to all genres of text, such as expository, narrative, biography, and/or poetry.

2. Introducing Text Structures

Begin by explicitly teaching each text structure. Use the following steps:

  • Define and Explain: Start with a clear definition and explanation of each text structure.
  • Provide Examples: Show students examples of texts that use each structure. Highlight and discuss the organizational patterns and signal words.

3. Teaching the Identification of Text Structures

  • Reading Passages: Provide students with reading passages and ask them to identify the text structures used.
  • Use Top-Level Structures to Answer Multiple-Choice Questions:

o Apply the understanding of text structures to answer questions about the main idea or summary of the text.

  • Answering Inference Questions:

o Integrate the top-level structure, main idea, and prior knowledge to answer inference questions.

  • Developing a Summary:

o Add key details to each part of the main idea statement.

o Focus on the overall text structure and main idea to guide the selection of important details for the summary.

  • Using Graphic Organizers: Use graphic organizers to visually represent each text structure. For example, a cause-and-effect organizer might have boxes connected by arrows to show causal relationships.

Signal Words: Teach students to recognize signal words associated with each text structure. For example, words like “because,” “since,” and “therefore” often indicate a cause-and-effect structure.

Use a Consistent Sentence Stem:

o Based on the overall structure of the text, use sentence stems to generate the main idea statement.

o Example sentence stem: “The problem is ___. The solution(s) is/are ___.”

4. Practicing with Text Structures

  • Guided Practice: Engage students in guided practice activities where they identify and use text structures in reading and writing.
  • Collaborative Learning: Use group activities where students work together to identify and discuss text structures in various texts.

5. Applying Text Structures in Writing

  • Writing Assignments: Assign writing tasks that require students to use specific text structures. For example, ask students to write a cause-and-effect essay on a given topic.
  • Peer Review: Implement peer review sessions where students provide feedback on the use of text structures in each other’s writing.

Example of an Implementation Plan

Week 1-2: Introduction to Text Structures

  • Define and explain each text structure.
  • Provide examples and use graphic organizers.

Week 3-4: Identification Practice

  • Use reading passages for identification practice.
  • Focus on recognizing signal words.

Week 5-6: Writing with Text Structures

  • Assign writing tasks using specific text structures.
  • Conduct peer review sessions.

By following these steps, educators as well as SLPs can effectively implement the Knowledge Acquisition and Transformation (KAT) framework using text structures, thereby enhancing students’ reading comprehension and writing skills.

Select Research Findings

· Studies have shown significant improvement in reading comprehension for students using the KAT framework.

· The approach has been effective for 4th and 5th -grade students, including those at or below the 25th percentile in reading comprehension.

· The KAT framework has also shown success in improving comprehension for Spanish-speaking English learners and in content areas beyond language arts, such as science.

Conclusion

Incorporating text structure-based reading comprehension instruction into both group as well as individual therapy sessions can significantly improve students’ comprehension skills.

Useful Resources:

Select References:

  1. Hudson, A.K., Owens, J.K., Moore, K.A., Lambright, K. & Wijekumar, K. (2021). “What is the Main Idea?”: Using Text Structure as a Framework for Accelerating Strategic Comprehension of Text. Reading Teacher, 75(1), 113.
  2. Meyer, B.J.F., & Wijekumar, K. (2018) Comparative Signaling Words Generated for Expository Texts by 4th – 8th Graders: Variations by Reading Comprehension Levels and Text Structure Strategy Intervention, Reading and Writing: An Interdisciplinary Journal, , 31,9: 1937-1968.
  3. Wijekumar, K., Meyer, B.J.F., Lei, P. (2012). Large-scale randomized controlled trial with 4th graders using intelligent tutoring of the structure strategy to improve nonfiction reading comprehension. Journal of Educational Technology Research and Development. 60, 987-1013.
  4. Wijekumar, K., Meyer, B. J. F., & Lei, P. (2017). Web-based text structure strategy instruction improves seventh graders’ content area reading comprehension. Journal of Educational Psychology, 109(6), 741-760.
  5. Wijekumar, K., Meyer, B.J.F., Lei, P-W, Hernandez, A., August, D. (2018). Improving content area reading comprehension of Spanish speaking English learners in Grades 4 and 5 using web-based text structure instruction. Read Writ (2018) 31:1969–1996.
  6. Wijekumar, K., Graham, S., Harris, K.R., Lei, P., Barkel, A., Aitken, A., Ray, A., & Houston, J. (2019). The roles of writing knowledge, motivation, strategic behaviors, and skills in predicting elementary students’ persuasive writing from source material. Reading & Writing: An Interdisciplinary Journal.
  7. Wijekumar, K., Beerwinkle, A., McKeown, D., Zhang, S., & Joshi, R. M. (2020). The “gist” of the reading comprehension problem in grades 4 and 5. Dyslexia: An International Journal of Research and Practice
  8. Wijekumar, K., Graham, S., Harris, K.R., Lei, P., Barkel, A., Aitken, A., Ray, A., & Houston, J. (2019). The roles of writing knowledge, motivation, strategic behaviors, and skills in predicting elementary students’ persuasive writing from source material. Reading & Writing: An Interdisciplinary Journal.
  9. Wijekumar, K., Hudson, A.K., Lambright, K.L., Owens, J.K., Binks-Cantrell, E., Beerwinkle, A.L., (2023). Knowledge Acquisition and Transformation (KAT) Using Text Structures. The Reading League Journal.
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New Product: Social Pragmatic Deficits Checklist for School Aged Children

Social pragmatic checklist Need a quick way to figure out if a child is presenting with a social pragmatic skills deficits?

Then check out my Social Pragmatic Deficits Checklist for School Aged Children

This checklist was created to assist speech language pathologists (SLPs) with figuring out whether the student presents with social pragmatic language deficits which require further follow up (e.g., assessment). The SLP should provide this form to both teacher and caregiver/s to fill out to ensure that the deficit areas are consistent across all settings and people.

Checklist Categories:

  • Listening/Processing
  • Verbal Expression
  • Problem Solving
  • Pragmatic Language Skills
  • Social Emotional Development
  • Behavior
  • Supplemental* Caregiver/Teacher Data Collection Form
  • Select assessments sensitive to Social Pragmatic Deficits

You can find it in my online store HERE:

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Some Facts About ASHA CEUs, Registry, and Approved Provider Courses

Typically, approximately twice a year, right around late December or at the start of summer vacation in the schools, a flurry of SLPs begin to inquire on a variety of social media forums regarding “free or cheap ASHA CEU’s”.

So today I wanted to take the opportunity to talk about how these CEUs can be acquired in accordance with ASHA compliance.  For newly graduating SLPs as well as Clinical Fellows, CEU’s or Continuing Education Units are the continuing education hours needed by speech pathologists to stay abreast of current developments in the field and maintain their Certificate of Clinical Competence or CCCs. ASHA requires that all holders of CCCs “accumulate 30 Certification Maintenance Hours (CMHs) of professional development during each 3-year certification maintenance interval in order to maintain their ASHA Certificates of Clinical Competence (CCC).” Continue reading Some Facts About ASHA CEUs, Registry, and Approved Provider Courses

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Birthday Extravaganza Day Twenty Six: My First Signs Flash Cards Set

My First Signs Flash Cards

It’s DAY 26 of my Birthday Month Giveaways and I am raffling off a giveaway by Hear My Hands, which is  My First Signs Flash Cards Set. These flash cards are designed to reinforce all the American Sign Language signs taught in Signing Time Volume 1: My First Signs, but can also be used alone. ASL signs taught in this Set include:

Eat/Food – Milk – Water – Ball – More – Bird – Cat – Dog – Fish – Car – Airplane – Want – Shoes – Flower – Mom – Dad – Baby – Sleep.  Cards come with a pre-drilled hole and a plastic yellow D-ring for easy carrying. You can clip them to a bag and take them anywhere—in the car, at the grocery store, etc. Cards will also fit in any standard 4×6 photo album for easy reference. Continue reading Birthday Extravaganza Day Twenty Six: My First Signs Flash Cards Set

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Book Review and Giveaway: My Toddler Talks

 Today it is my pleasure to review a book written by a NJ based, fellow SLP, Kimberly Scanlon of Scanlon Speech Therapy LLC entitled “My Toddler Talks“.

What it’s NOT! As Kimberly points out this book is definitely NOT a replacement for speech language therapy. If you are a parent and are concerned with your child’s speech language abilities you should certainly seek appropriate consultation with a qualified speech language pathologist.

What it is! A nice and functional collection of suggestions on how caregivers and related professionals can facilitate language development in children between 18-36 months of age (give or take). Continue reading Book Review and Giveaway: My Toddler Talks