Final exam module 8

Question 1

3 major transitions in first year of life

Answer 1

preintentional, intentional, presymbolic

Question 2

Individualized family service plans

Answer 2

Requires IFSP be established for birth-3 who qualify for early intervention services

Question 3

IFSP falls under

Answer 3

• Part C
• Administered by CMS

Question 4

IFSP characteristics

Answer 4

• different then any other treatment plan
• for childs AND families needs
• designed to maximize childs developments
• designed to optomize family capacity to address childs special needs

Question 5

Prelinguistic period: newborn

Answer 5

young infants at rist for developmental disorders are at risk for language disorders, even though they may not have a communication disorder yet

Question 5

prenatal factors

Answer 5

• alcohol
• abuse/drugs
• enviromental toxins
• utero infections

Question 6

prematurity factors

Answer 6

• low birth weight
• prolonged NICU stays
• medications that treat LBW can be toxic to auditory systen

Question 7

Genetic & Congenital

Answer 7

• syndromes
• craniofacial disorders

Question 8

other risk factors after birth

Answer 8

identified after birth
- hearing impairment
- child find
- autism
- ID
- Specific LD
- abuse/neglect
- toxic stress

Question 9

Part C eligibility 2 factors:

Answer 9

• documented disability (or at risk)
• delay established through evaluation

Question 10

3 states to determine readiness for infants:

Answer 10

turning in: not able to engage

coming out: emergent is responding to enviroment

reciprocity: responsive to parent interaction

Question 11

infants “preintentional” have not developed cognitive skills to

Answer 11

• represent ideas in their minds
• pursue goals

Question 11

Areas of assesment in infants 0-8 monthes (preintentional) (perlocutionary)

Answer 11

• feeding/oral motor
• hearing conservation/aural rehab
• child behavior/development (Bayley Scales of Early Learning)
• parent/child communication (formal/informal)

Question 11

Intervention with NICU infants:

Answer 11

noisy environment= hearing loss
NICU remain under 45 DBA

• otoxic effects of medications

Question 12

Preintentional Intervention goals (perlocutionary)

Answer 12

• support vocal development (model babbling, baby talk, vocal play w/ siblings)
• enhance parent-child communication (TIPS)
• monitor hearing

Question 13

TIPs strategy (0-8 monthes- perlocutionary)

Answer 13

T: take turns (establish reciprocity)
I: imitate (elicit vocal productions, support visual focus/attention)
P: Point things out (establish shared visual attention,s upport development of joint attetion)
S: Set the stage (child begins to anticipate role in their routine)

Question 13

Assessment infants 9-18 months (illocutionary)

Answer 13

• assess if shift from perlocutionary to illocutionary has happened
• focus on functional communication
• formal/informal assessment

Question 14

self talk/parallel talk

Answer 14

for child NOT yet intending

Question 14

General principles to support intentional communication

Answer 14

• provide responsive environment
• respond with language facilitation strategies

Question 15

Contingent imitation

Answer 15

for child who is NEWLY initiating

Question 16

Language facilitation

Answer 16

mapping meaning into childs language/model target language behavior (self talk, expansions,recast etc)

Question 17

Scaffold

Answer 17

shape,prompt,cue more frequent/more sophisticated productions

Question 18

upping the ante (shaping,prompting/cueing, scaffolding)

Answer 18

• provide oppurtunity
• wait
• recognize
• respond
• respond

Question 18

Response Education TX (RE)

Answer 18

Caregiver education

Goal: teach how to be optimally responsive to their children’s nonlinguistic or linguistic communicative bids

Question 19

Prelinguistic Milieu Teaching (PMT)

Answer 19

For children with limited intentional communication Goal: increase frequency and complexity of prelinguistic behaviors (gaze, gestures, vocalizations) for two communicative functions (requests and comments)

Question 20

RE/PMT used for:

Answer 20

- developmentally functioning at 9 – 16 months - have limited intentional communicative acts - less then or equal to 5 spontaneous referential content words (nouns, verbs adjectives) or signs - Have intellectual and language disabilities - children diagnosed with Autism, Down syndrome, developmental disabilities

Question 21

Important concept

Answer 21

Providing PMT to children who are already frequent producers of commenting and using canonical syllables for communication has the potential to do harm by slowing children’s rates of development in certain areas

Question 22

2 goals within routines

Answer 22

- increase frequency of communication behaviors - increase complexity of communicative behaviors

Question 23

PMT long term goals

Answer 23

Establish/increase frequency, clarity, and complexity of nonlinguistic communicative acts - Gaze - Gestures - Vocalizations 2 broad types of acts - requests - comments

Question 23

PMT short term goals

Answer 23

- Establish and maintain social routines - Increase frequency of non-linguistic vocalizations - Increase frequency/spontaneous coordinated eye gaze - Increase frequency/spontaneous gestures - Combine the components of intentional communication acts (eye gaze, vocalization, and gesture)

Question 24

Children with ASD

Answer 24

- often in the pre-intentional/ prelinguistic stages of communication into their preschool and school-age years

Question 25

Assessment in ASD:

Answer 25

- dynamic assessment - examine joint attention - complete reinforcer inventory - consider AAC options

Question 26

Important concept in ASD

Answer 26

Children may use unconventional or maladaptive communication when they lack more appropriate ways to express themselves, but these behaviors still serve an important communicative purpose.

Question 27

Important concept in ASD:

Answer 27

Two strategies to support these clients include: differential reinforcement of behavior and positive behavioral support.

Question 28

Pivotal skills for prelinguistic ASD

Answer 28

- symbolic play - gestures/vocalizations coordinated with gaze - joint attention - imitation