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Question 1

Phones VS Phonemes

Answer 1

Contrastive and meaningful

Question 2

Word shapes VS syllable shapes

Answer 2

Early words, monosyllabic

Multisyllabic, more telling

Question 3

Word position

Answer 3

Prevocalic
Postvocalic
Intervocalic
Syllabic consonants
Initial
Medial
Final
Coarticulation

Question 4

Speech sound disorders

Answer 4

Diverse populations
Umbrella term
Inconsistent definitions
Distinct from language disorders
Can affect any age
Known and unknown causes
Artic / phonology
Primary / secondary

Question 5

What is the ultimate goal when we work with clients with SSD?

Answer 5

Improve participation and connection!

Question 6

Critical Age

Answer 6

If SSDs persist after 5;6, there is a higher risk of comorbidity and impact on learning, reading, and socializing

Question 7

Matthew Effect

Answer 7

The richer get richer, and the poorer get poorer. As those with SSDs scramble to catch up, everyone else is already rapidly progressing.

Question 8

Impacts of SSD

Answer 8

Success in literacy, learning, and socializing

Comorbidity

Cost

Question 9

Epidemiology of SSD

Answer 9

3 year olds: 10-15%
6 year olds: 6%
Males (3:1) to Female
56% of caseload for school SLP

Question 10

Populations with SSD

Answer 10

Children
Teenagers
Adults

Question 11

WHO-ICF

Answer 11

Targeting barriers to participation.

Less “fixing”, more centered on client and family by focusing on strengths to enhance participation. Forward thinking!

Question 12

F Words

Answer 12

Fitness
Function
Friendships
Family
Fun
Future

Question 13

First speech sounds typically emerging

Answer 13

Stops, nasals, and glides!

Question 14

How to classify SSD?

Answer 14

Topological
Etiology
Comorbidity
Severity
Delay / Disorder / Deviance

Question 15

Shirberg’s SDCS

Answer 15

Speech Delay

• Genetic
• OME
• Pyschosocial

Motor Speech Disorder

• AOS
• Dysarthria
• Not Specified

Speech Errors

• /s/
• /r/

Question 16

Differential Diagnosis - Dodd

Answer 16

Phonemic

• Phonological Delay
• Consistent Atypical Phonological Disorder
• Inconsistent Phonological Disorder

Phonetic
-Articulation

Motor Planning & Programming
-CAS

Question 17

Articulation Disorders

Answer 17

• Substitutions/distortions of the same speech sounds, both in isolation and in all phonetic contexts
• Attributed often to motor/physical mis-learning
• Limited to a few speech sounds (not whole classes)

-Doesn’t typically change meaning/
contrastiveness

• Affects 12% of children with SSD
• Treated with traditional articulation therapy