Purpose: Phonologically complex targets (e.g., [pl-]) are understood to facilitate widespread gains following speech sound intervention, and yet, available research largely features word-"initial" clusters. The present study investigates intervention effects following treatment of complex clusters presented in word-"final"…

Background: Many speech and language therapists (SLTs) in the UK work with speech and language therapy assistants, and the numbers of SLT assistants is expected to grow. There has been very little empirical investigation of how SLTs feel about this situation or the effect on working practices of working indirectly. Aims: To investigate SLTs'…

This article addresses the rationale for and issues related to the use of speech appliances, especially a removable speech appliance that positions the tongue to produce the correct /r/ phoneme. Research results suggest that this appliance was successful with a large group of clients. (Author/DB)

This article uses a case study to suggest that some children view speech-language therapy as a separate situation for learning practicing new sounds and language forms whereas the purpose of talking outside of therapy is meaningful communication. Clinical implications of this potential incompatibility between practicing speech and communicating…

Introduces six articles which address treatment outcomes and efficacy in audiology and speech-language pathology in the schools. Stresses the importance of practitioners participating in studies of treatment outcomes and efficacy to demonstrate that their evaluations and treatments make a significant difference to individuals served. (DB)

This article provides information from a speech-language perspective pertaining to transitions in the early years, especially between preschool settings and kindergarten. It highlights challenges in transition and delineates critical components of transition planning including family-school partnerships, collaboration, and written policies and…

This article reviews problems faced by researchers in the association between otitis media with effusion and phonological impairment and then summarizes currently established findings concerning otitis media and its effects on phonological acquisition. Professionals are cautioned to neither ignore nor exaggerate the possible influence of otitis…

This article proposes a synergistic, interactive model of cluttering, a fluency disorder manifested in rapid or erratic speech rates, reduced intelligibility, and language deviations. Clinical strategies are presented in a framework of several working assumptions about cluttering. Despite encouraging reports, further research into the nature and…

Guidelines for teachers of a student with a cleft palate include understand the physical problem; know what kind of speech problem to expect; be alert to the possibility of language-based learning difficulties; watch for signs of hearing loss; be alert to socialization problems; help the student make up work; and avoid self-fulfilling prophecies.…

Two studies, one within subjects and the other across subjects, evaluated the efficacy of teaching sounds in developmental sequence to nine young children (ages three to five). Treatment of later-acquired phonemes led to systemwide changes in untreated sound classes, whereas treatment of early-acquired phonemes did not. Findings suggest…

Teaching techniques that enhance the functional communication skills of children in primary-level classes are presented. The techniques focus on articulation, receptive and expressive language, and auditory processing. The role of the teacher as a communication model is noted. (JDD)

Provides guidelines for using portfolios for speech-language evaluations and assessments in school settings. Following a case example, specific guidelines are presented for initiating the use of portfolios into case management procedures. The relevance of portfolios to federal, state, and district special education policies are addressed. (CR)

Examines issues related to designing and conducting randomized studies of speech/language treatment effects (clinical trials) in the public school setting and provides suggestions regarding how such studies can be effectively organized and implemented in schools by clinicians. The work of the Communication Sciences and Disorders Research Group in…

This article urges speech language pathologists (SLPs) to avoid the tutoring role in the effort to provide individualized services to children in regular classroom settings. Suggested alternatives to the tutoring role include acting in a consultative role to help modify classroom practices early in the year and later on providing direct services…

Presents the symptoms of selective mutism and historical background for treatment. It provides a case study which illustrates successful multidisciplinary treatment outcomes for a child who was selectively mute. Issues relevant to speech-language pathologists working with elementary school children are discussed and treatment guidelines provided.…