Case History
This is one major purpose of collecting a case history before an evaluation: it helps the clinician identify areas that need additional follow-up, additional information from family/caregivers, or potential future referrals. These also guide an evaluation, depending on the type.
What are red flags?
Before beginning standardized testing, these should be prepared and marked so the clinician can administer the test efficiently.
What are copies of testing protocols/forms with basals and ceilings?
A full speech and language evaluation will always observe/address language, articulation, voice, fluency, pragmatics, and this area.
What is swallowing or oral motor skills?
Dynamic testing goes beyond this type of measurement to determine how a client responds to support.
What is standardized measurement?
Standard scores should never be the only basis for making this decision.
What is the qualification for speech therapy services?
If a case history has already been completed, clinicians should review all answers, make notes, and do this with parents/caregivers when more information is needed.
The presentation recommends including these two visual supports in the preparation for a pediatric evaluation.
What are a visual schedule and reinforcement schedule?
The GFTA-3 and Arizona are examples of standardized assessments used to evaluate this area.
What is articulation?
One purpose of dynamic testing is to determine whether varying levels of this can increase participation or accuracy.
This principle means that multiple sources of information should support the basis of a diagnosis or qualification.
What is a preponderance of evidence?
When a caregiver has not completed the case history, clinicians should attempt to call and email at least this many times before the Evaluation Staffing/Evaluation Prep meeting.
What is call them three times and document each attempt?
During testing, one student administers the evaluation while both students should do this.
What is score/record results on their own protocols?
The presentation says informal observation of atypical disfluencies such as blocks, prolongations, and repetitions is required when evaluating this area.
What is stuttering?
Name two examples of cues that can be used during dynamic testing.
What are verbal cueing, re-casting, extra time, chunking, explicit teaching, or visual support?
An adequate evaluation summary should align informal and standardized observations to determine severity and formulate this conclusion.
What are the biggest functional needs or areas of need?
For a pediatric birth history, clinicians should document gestational age, maternal age, medications after delivery, birth trauma, NICU information, and these conditions given at birth or in early childhood.
What are medical diagnoses?
For pediatric clients, the presentation recommends approximately this amount of play before testing and this amount of task/check-in time for adults.
What are 2–4 minutes of play for children and 1–2 tasks for adults?
During a pragmatic evaluation, clinicians should observe greetings, eye contact, conversational responses, awareness of jokes/idioms, and this type of language.
What is figurative language?
Dynamic testing can be used during standardized testing only after this has occurred.
What is completion of standardized assessment/Completion of the subtest?
When reporting to caregivers, clinicians should use what type of language?
What is "layman's terms" or caregiver-friendly language?
A caregiver says, “I can’t understand him.” According to the presentation, caregiver concerns should be recorded in this manner.
What is verbatim?
In a school evaluation, this document must be signed before the evaluation can begin.
During an oral-motor examination, the clinician may ask the client to puff their cheeks and hold them closed with the lips to assess this.
What is intraoral pressure?
A client scores 5 on Following Directions and is 40% accurate, but improves to 80% with chunking, repetition, and visual support. This information should be reported because it demonstrates what aspect of the client's performance?
What is how supports/accommodations affect functional performance?
A caregiver asks, “How is this going to help my child?” The evaluation report should connect testing results and identified needs to these, which then guide intervention.
What are the recommended goals and frequency of services?