Archive for category child language impairment

Can I give the BESA with an Assistant if I don’t Speak Spanish?

I’ve been asked this question a couple of times now, the most recent was a few days ago, so I thought I’d write about it here. The bottom line is YES, WITH TRAINING. But, let me explain. Read the rest of this entry »

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Reporting Bilingual Results

A question that often comes up about our research is how to apply it clinically. Much of our work is motivated by clinical questions and ultimately we aim to have some clinical solutions. It’s hard sometimes to move directly from research to application. Sometimes the clinical questions we pose have no or very little research available to move to the next step. So, we have to step back and do the more basic descriptive work to understand the nature of bilingualism and of bilingual impairment before we can then more forward again to answer questions about assessment and treatment. Now that we’ve done more work that has implications for assessment and have the BESA available for clinicians we can start to think about more direct application.

I wrote a year ago that we can get the most accurate indicator of language impairment on the BESA when we combine the best language across domains. So, we might combine Spanish morphosyntax with English semantics for a language composite. But, how do you write up results to incorporate into a report?

In a fairly recent paper, we provide some illustrations of how to use test information to make clinical decisions using the BESA. We go through the parent and teacher interview we use to determine possible concern about speech and language ability in each language and how we determine language use and exposure. Finally, we demonstrate how we combine and compare Spanish and English performance across each domain to determine language impairment. I hope these help in writing up your clinical reports.

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Bilingualism for Children with Disabilities

I have a new paper out that is part of a special issue in the Journal of Communication Disorders. I encourage you to read the whole issue. It is based on an international collaboration where researchers used different methods including interviews, observations, record and policy review to understand current perspectives on bilingualism in children with developmental disabilities. The set of papers is excellent and shows that indeed we as a field have increased and evolved in what we know about bilingualism. Teachers, special educators, parents, and policy makers understand that it is important for children who speak different language at home and at school to be bilingual. There is a growing awareness that bilingualism can be an advantage. This is very good news. For me, I was heartened to know that the message is getting through, that there is a broader awareness, and that there is more attention and effort to putting these ideas into practice.

At the same time, it’s hard to do. We still need to figure out the practicalities of supporting the home and school languages. We need to learn more about what can transfer between languages and how parents and teachers can support and reinforce language learning to best benefit the child. There are many people trying to do what’s best for these kiddos but we need more practical, applicable methods. I talk a little about this and how the knowledge base has increased in my paper. Read it– it’s available through the journal for free till the middle of December, 2016.

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Bilingual AND Special Education: YES!

When I was a practicing SLP I remember sitting in IEP meetings and arguing for BOTH speech-language therapy services AND ESL for bilingual or ELL children who had speech and/or language impairment. Often, I would be told that, no, their district POLICY said that we would have to pick that it would be EITHER ESL or SLP services but NOT BOTH! Read the rest of this entry »

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Bilingual Research Needs

I’m at the airport in Washington DC after participating in a workshop at tha NIH on dual language learners. We talked about the state of the art. What’s cool is that there has been so much progress. We know that bilingualism isn’t bad for you and that in fact it could be good for you. We have better ideas about how to diagnose bilinguals with language impairment. At least in some languages. We know about what works for Spanish and English. We have emerging data for Mandarin-English and Vietnamese-English as well as other language pairs. We have an emerging picture about bilingual development in two languages. 

But, there’s still a lot we don’t know. We don’t fully understand how changes in the linguistic environment affect child performance on language measures. We still don’t have a God handle in intervention for bilinguals with langquge impairment.  Do we treat in one language or both? Do we use translanguaging approaches?  

I don’t think we fully understand how bilingualism affects the brain. Nor do we know how the environment shapes the brains of children with language impairment.

We heard about reading disorder and mechanisms associated with dyslexia. Children can and do learn to read in two languages but we don’t really understand how those languages interact and how languages that have different writing systems interact in the bilingual brain. 

Even though we’ve made progress in identification of impairment we don’t do such a great job across languages and at all ages. 

So we know a lot we have a ways to go 

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Flashback!

I haven’t posted for a while, things have been pretty busy finishing up a project and starting another, applying for grant money so that we can pay for proposed projects and so on. But, today I got a message from a bilingual SLP who works in early intervention. She had some concerns about some decisions and procedures being made by the local school district. She was working to do an assessment of a 3-year old child who had approximately 10 words in his or her vocabulary. Now most of us would see this as strong evidence of a language delay or impairment. But, what if the child’s first language is not English?

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You Tube Channel

John Consalvi from LinguaHealth interviewed me last summer about the BESA’s development and use. Here is the You Tube channel. In time for Valentine’s Day!

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Combining Tests Results across 2 Languages

We have been working on the question of how to best identify language impairment in bilinguals for a long time. One guideline that has been around for a long time is to test in both languages. In workshops and in presentations I often will repeat TEST IN BOTH LANGUAGES, test in both languages… But, how should results from two languages be combined? Read the rest of this entry »

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Screening for Speech & Language Impairment

Well, it’s that time of year— fall is upon us. At UT, that means new students (and likely their parents) driving down San Antonio (a one way street) in the wrong direction. So far, I’ve spotted one driver doing this and it’s sure to increase as students move in and as classes start in a couple of weeks.

For those of you who work in elementary schools or preschool settings, screening may be part of the fall routine. I remember I worked for a few years in Head Start and we would screen children every fall. My first year (1984) I remember we just made up a screener. The SLPs and I got together and came up with a form and a few questions that we would talk to kids about while we observed their speech and language. Later on as there was less money to spend on things like screening, we relied on teacher referral. I did notice that often teachers made referrals if children had articulation errors but not much else. And many of the 3 year olds were being referred for typical developmental errors. So, we went to a modified screening procedure where we asked teachers to complete a form that focused their attention on aspects of speech and language that might be problematic for given ages. We would sit together to then determine if the child had more typical developmental errors or if a referral was really warranted. It also helped us to pick up on children who might have language-based impairment as well. Read the rest of this entry »

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