Trisha L. Self

Pragmatic Language Intervention for Children with Language and Emotional/Behavioral Disorders

Children diagnosed with emotional/behavioral disorders experience expressive and pragmatic language disorders that can negatively affect educational success. This article describes a classroom-based pragmatic language intervention program that was conducted with children diagnosed as having an emotional/ behavioral disorder. Results of the program suggested that the classroom-based pragmatic language intervention may have positively influenced the ability of the participants to employ pragmatic skills, such as providing sufficient and detailed information, stating opinions, and using verbal language to negotiate with others.

Initial Mental Graphemic Representation Acquisition and Later Literacy Achievement in Children With Language Impairment: A Longitudinal Study

The purpose of this study was to examine the relation between the ability to quickly acquire initial mental graphemic representations (MGRs) in kindergarten and fourth grade literacy skills in children with typical language (TL) and children with language impairment (LI). The study is a longitudinal extension of a study conducted by Wolter and Apel in which kindergarten children with LI and TL were administered early literacy measures as well as a novel written pseudoword task of MGR learning (spelling and identification of target pseudowords). In the current study (4 years later), the authors administered reading and spelling measures to 37 of the original 45 children (18 children with LI, 19 children with TL). The children with LI performed significantly lower than their peers with TL on all fourth grade literacy measures. For both groups, kindergarten initial MGR acquisition ability significantly related to fourth grade real-word reading and spelling. For the children with LI, kindergarten initial MGR acquisition ability also related to fourth grade pseudoword decoding and reading comprehension. Collectively, the findings suggest that initial MGR learning in kindergarten is an essential skill that may uniquely relate to later literacy abilities.

Autism Spectrum Disorder Early Screening Practices A Survey of Physicians

The American Academy of Pediatrics (AAP) released a policy statement in 2007 urging physicians to screen for autism spectrum disorder (ASD) at 18 and 24 months. This study sought to identify the screening practices of pediatricians and family physicians (FPs) in following the AAP guidelines for ASD. A survey was mailed to 1,500 pediatricians and FPs in Kansas, Oklahoma, and Iowa. A total of 481 participants (32%) returned surveys. Results revealed 66 (17%) of the respondents routinely screened for ASD according to AAP guidelines and 162 (41%) respondents screened for ASD but did not follow the guidelines. Pediatricians were more likely to screen for ASD than were FPs. Respondents’ pre-professional education in ASD was significantly associated with their tendency to routinely screen and be confident identifying warning signs of ASD. When physicians administer ASD-specific screenings and identify early signs, they can put children and families on the right path for receiving desperately needed services.

An Evidence-Based Practice Model Across the Academic and Clinical Settings

This tutorial is designed to provide academic communication sciences and disorders (CSD) programs, at both the undergraduate and graduate levels, with a comprehensive instructional model on evidence-based practice (EBP). The model was designed to help students view EBP as an ongoing process needed in all clinical decision making. The three facets of EBP (research, client/contextual factors, and clinical expertise) are addressed through explicit teaching practices and assignments in didactic coursework and considered in parallel with a concurrent clinical practicum. At the graduate level, the reciprocal nature between theory, research, and practice is emphasized using components such as structured EBP protocols in coursework and clinic, application of clinical case studies that emphasize EBP procedures, and the integration of authentic research assignments. Examples are provided, and ways in which academic faculty and clinical educators can actively engage in creating a shared language and culture at all levels in a CSD program are presented.

Assessing personal constructs of adolescents with autism spectrum disorder: a person-centered measure of social cognition

Many protocols assessing social communication skills of adolescents with autism spectrum disorder (ASD) are based on behavioral observations. It has been suggested, however, that social cognition encompasses processes underlying observable behaviors. Such processes include personal constructs, which can be assessed using repertory grids. Personal constructs of five adolescents with ASD with average or above average intelligence and receptive and expressive language skills were explored using repertory grids in this study. With visual structure and verbal scaffolding, all participants successfully engaged in the repertory grid process. Data suggest participants had well organized, complex construct systems, a significant understanding of social roles, and were interested in social interactions. Repertory grids may provide additional person-centered information for assessing social communication skills in ASD.

Developing a University-Based Interprofessional Education Diagnostic Team to Identify Children With Possible Autism Spectrum Disorder:

Upon entering the workplace, speech-language pathologists (SLPs) are required to work on interprofessional teams, yet many of these professionals have not received adequate preservice instruction on how to collaborate. Furthermore, collaborating to provide services for children with autism spectrum disorder (ASD) has been found to improve developmental outcomes; however, many SLPs are not prepared to engage in this type of collaborative practice. Based on the American Speech-Language-Hearing Association’s (ASHA) recommendation that university programs include interprofessoinal education (IPE) into Communication Sciences and Disorders programs, coupled with the need to prepare students to provide interprofessional services for children with ASD, Wichita State University developed a field-based interprofessional diagnostic team for SLP students. The process used to develop this team followed Pickering and Embry’s recommended steps for cultivating interprofessional collaboration within a university environment. The purpose of this article is to describe the procedures used to develop the team and activities used to target competencies for interprofessional collaborative practice.

Students’ self-perceptions of interprofessional education following participation on a diagnostic team for autism spectrum disorder

ABSTRACT Interprofessional education is essential for producing future allied-health and education professionals. Unfortunately, opportunities for students to get authentic interprofessional field-based experiences are lacking. This pilot study explored students’ self-perceptions towards interprofessional education (IPE) following participation on an interprofessional diagnostic team designed to rule in or out the diagnosis of autism spectrum disorder (ASD). Thirty-nine students from seven professions responded to a survey before and after completing this interprofessional education experience. The results indicated that the students’ self-perceptions remained consistent during the experience. They reflected positive self-perceptions in the areas of collaboration, professional identity, and the desire to work with others, all in the context of an ASD-focused team. The findings suggest that students entering the IPE experience with positive expectations remained positive during the experience. This pilot study provides support for the benefits of providing students with the opportunity to engage in authentic collaborative practice when working with children with ASD.