This article discusses the risks involved for speech-pathologists in making choices about controversial practices and offers a clinical practice framework for gathering information about controversial approaches and for implementing and motioning their use. The framework is illustrated using facilitated communication as an example of a…

This epilogue discusses potentials in future clinical decision-making using the emerging functional neuroimaging technology, including identification of the mechanisms underlying cognitive functions and prediction of spared/impaired cognitive functions, those related to recovery of function and prediction of treatment candidacy; and those related…

This introduction to a clinical forum on children with speech, language, and hearing difficulties focuses on assessment validity. The paper emphasizes that assessment validity depends on the purpose for which the clinician employs the assessment and the inferences the clinician intends to draw, and that assessment interpretation involves degrees…

Analysis of responses of school-based speech-language pathologists found that respondents spend their time on the following activities: monitoring, screening and Individualized Education Program review activities; conferring with teachers; and other activities such as direct intervention and inservice training. Respondents spent most of their time…

This article uses a developmental model of language (Situational- Discourse-Semantics or SDS), along with a constellation or neuro-network model, to describe the developmental emergence of phonemic awareness. Ten sources of phonemic awareness are profiled along with developmental continuum, providing an integrated view of this complex development.…

Describes Web sites for special-needs students, parents, and teachers: The Bridge School, servicing students with severe speech and physical impairments; Overbrook School for the Blind; and Bruce Street School for the Deaf. Lists Web sites of special schools, resources on accessible Web design, and resources for special needs. Highlights…

The relationship between specific subtypes of speech language impairment (SLI) and concomitant social competence and behavioral adjustment was investigated. Teachers and parents completed behavior ratings of SLI preschoolers enrolled in a language-based intervention program and preschoolers without language impairment, including the Parent-Child…

Background: Research into the practices of speech-language therapists in clinical sessions is beginning to identify the way communication in clinical interactions both facilitates and potentially impedes the achievement of therapy goals. Aims: This target article aims to raise the issues that arise from critical reflections on the communication of…

Background: The diadochokinetic (DDK) rate represents an index for assessing motor skills. It is commonly used in routine clinical evaluation of diseases of the central nervous system, disturbances of the peripheral sensory motor formations and immaturity of the speech mechanism. "Oral" DDK rates are a popular guideline for the…

Purpose: This qualitative study explored mothers' perceptions of their children's communication disabilities, emergent literacy development, and speech-language therapy programs. Method: Participants were 14 Mexican immigrant mothers and their children (age 17-47 months) who were receiving center-based services from an early childhood intervention…

This brief fact sheet examines key aspects of communication, communication disabilities, and intervention. The fact sheet addresses the following questions: the nature of communication; communication disabilities (definitions of hearing impairments and speech and language impairments are given); effects of communication disabilities (factors…

This paper presents a case study of successful intervention with a boy (in fourth grade at the time of the intervention) who would not speak in the school environment. Intervention involved medication with Fluoxetine to relieve anxiety, parental involvement, and a six-step behavioral therapy plan of gradually increasing speech demands in the…

Describes factors leading to the recent statewide introduction of speech-language paraprofessionals called speech-language pathology assistants (SLPA) in Kentucky's public schools. Also describes the licensure model, requirements for SLPA licensure, and the scope of practice associated with the position. Reports results of a survey indicating…

This article describes a functional approach to language intervention that uses storybook reading contexts with preschool children who exhibit delayed phonological development. Oral scaffolding techniques, including discussions of narrative structure and content words, provide the modeling and metalinguistic descriptions typically used in…

This article describes results of a survey of licensed Midwestern school-based speech-language pathologists (N=326) regarding methods used to assess the language of children ages 3 to 5 years, 6 to 11 years, and 12 to 18 years. Striking similarities were found in methods used for each age group. The relationship of these methods to recommended…