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Presenter(s): Katie Christensen, MS, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: School-based SLPs who serve students with severe disabilities face unique challenges related to student outcomes, intervention planning, and workload. This recorded session from ASHA’s 2021 Schools Connect online conference explores ways to support student outcomes while balancing workload concerns. The presenter discusses long-term student outcomes, writing SMART IEP goals, and an integrated intervention approach, as well as strategies to implement these ideas in your workplace.
Presenter(s): Ruchi Kapila, MS, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Focusing on the perspectives of transgender and gender nonconforming (TGNC) individuals and communities, this session explores ways SLPs who currently--or aspire to--provide voice and communication services to TGNC individuals can better meet the holistic needs of this client population.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: In this SIG 3 activity, experts in pediatric voice disorders present a series of interactive cases to help speech-language pathologists develop their knowledge and skills completing voice evaluation and treatment planning for children with bilateral benign vocal fold lesions, unilateral vocal fold paralysis, and sulcus vocalis.
Credit(s): PDHs: 5.5, ASHA CEUs*: 0.55
Summary: This Perspectives activity focuses on communication choice and agency for individuals on the autism spectrum. These individuals are the key informants in decisions around the conceptualization, implementation, and evaluation of educational programming for autistic learners. Speaking autistic adults encourage families, professionals, and society to promote and accept all communication as equal.
Presenter(s): Shannon M Theis, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Voice disorders in children necessitate a thorough evaluation, including a complete case history and intake, perceptual assessment, acoustic/aerodynamic measurement, and laryngeal visualization. This session discusses low-tech and high-tech voice assessment techniques that school-based clinicians can employ, along with a series of cases that highlight the importance of voice evaluations in a school setting.This course is a recorded session from the 2022/2023 online conference "Assessment, Eligibility, and Dismissal in Schools: Strategies, Tools, and Decision-Making."
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This SIG 5 activity includes three articles from a forum aimed at sharing research conducted in clinical settings around the world. Two research articles analyzed surgical and parent-led therapy approaches for improved speech and resonance outcomes. A third tutorial described characteristics needed in an evaluation to analyze clinically obtained data for research purposes. The first research article is based in Brazil. It demonstrates positive long-term outcomes in children with hypernasality/velopharyngeal dysfunction using the Sommerlad procedure of palatal re-repair to treat residual velopharyngeal insufficiency. The reported scores were in the categories of: “hypernasality, global impression of velopharyngeal function, and/or active speech symptoms.” Overall, this study shows significant improvement in a large percentage of children, with less effect on older individuals ages 17–22 years. The second research article includes parents from a previously published twocenter study in Ireland and the United Kingdom. The aim was to analyze parents’ experiences with parent-led articulation therapy (PLAT) following in-depth training. After a detailed outline is provided regarding inclusion and teaching of the participants, four main themes are identified. These include growth of parents, undertaking PLAT, changes in children, and the future. Ultimately, the majority of parents are in favor of a parent-led therapy approach with the caveat that in-depth training and direct supervision from a speech-language pathologist is needed. The third article, a tutorial, addresses the research–clinical practice gap. A description is provided of a perceptual speech assessment protocol for cleft palate speech, to enable clinical data to be used for research purposes. The article provides detail related to determining the most appropriate standardized assessment tools as well as the best ways to collect and analyze this data. Further details related to implementation within the clinical setting are outlined. The data is easily accessible through networking between cleft teams and Sweden’s national cleft lip and palate registry, making retrospective research attainable in a clinical setting.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: This activity presents a diverse perspective, including four different speech science articles focused on a variety of topics. Kimball and Sayce discuss the pros and cons of research using behavior and functional assessment and treatment in the areas of speech science and voice, specifically their limitation in outlining etiology or explaining treatment resistance. They also provide an overview of genetic research approaches as a possible path forward to develop additional evidence-based treatment approaches. Neel reviews the production and perception of extralinguistic information regarding sex/gender, sexual orientation, age, non-native accent, regional and social dialect, and race and ethnicity. The article explores the literature in the above areas reviewing acoustical features and common misperceptions, concluding with instructional activities to enhance student awareness of indexical characteristics. McAllister et al. studied the effects of biofeedback for residual rhotic errors in a preliminary case series. Participants were five native English speakers who had not yet generalized rhotic production. Treatment consisted of either electropalatographic or visual-acoustic biofeedback using the Challenge Point Program software. Although participant responses to treatment were variable, the median effect size tended to exceed the minimum value considered clinically significant. Gritsyk et al. examined three measures to determine which best predicted change in production accuracy during a vowel learning task. Using 20 female college students, researchers administered three tasks: an oral stereognosis task, a bite block task using auditory making, and a new phonetic awareness task. The bite block task with auditory masking, measuring proprioceptive awareness, was the only task significantly related to performance in speech learning.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: The theme for this Perspectives course is clinical considerations in assessment of children and adults from culturally and linguistically diverse (CLD) backgrounds and providing culturally supporting treatment settings. Topics include (a) acoustic parameters of retroflex sounds, (b) the two-question method for assessing gender identity, (c) assessment recommendations for new language learners, and (d) creating culturally supportive settings to foster literacy development.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The first two articles in this SIG 19 activity provide information to better our assessment and treatment of individuals in the area of voice, while the latter two articles focus on treatment of individuals in the area of speech production. The authors for all four articles present a review of the literature as well as challenges and future directions. First, Van Hook and Duffy conducted a pilot study to trial the Gender Spectrum Voice Inventory. This article provides a review, discussion of validity, and speech-language pathologists’ perceptions of the inventory in an effort to address a gap in available clinical tools for transgender and nonbinary people. Next, Hammer reviews the relationship between air flow with sound pressure level during syllable production while holding fundamental frequency and subglottic air pressure constant. The results have clinical implications that stress the importance of an increase in air flow and focus on vocal fold contact. Then, Gritsyk et al. describe their study to determine which measures of somatosensory acuity best predicted change in production accuracy during vowel learning tasks while controlling auditory acuity. Results indicate only bite block adaptation with auditory masking was significantly associated with performance. Finally, Zajac et al. discuss their preliminary study that indicated cleft type contributes to production errors, specifically backing, in children with repaired cleft palate. Additionally, a history of otitis media affects the spectral contrast of alveolar consonants in children without clefts.
Presenter(s): Lissa Power-deFur, PhD, CCC-SLP, BCS-CL
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Speech-language pathologists working in schools include measurable goals and benchmarks in students' IEPs. By reviewing speech sound assessment information, including narrow transcription of a student's utterances, the goals can be tailored to the student, thereby facilitating goal attainment. Treatment data can be invaluable for adjusting goals throughout the child's eligibility for special education.
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