INITIAL EVALUATION: LANGUAGE Referral and Background *BOY, age 11.5, is a fifth grader at Hassan Elementary School. *BOY’s classroom teacher, Ms. Rosso referred *BOY for special education assessment. Ms. Rosso reported concerns about *BOY’s communication skills in the area of language. Ms. Rosso performed two interventions in the classroom over a 4-6 week period with no change to *BOY’s performance. There were no other concerns reported by the team at the time of assessment planning. Currently, *BOY is in the low reading group and receives additional support in the Targeted Service Program. During the first quarter of this year, *BOY was sent to the Academic Study Room (ASR) five times to complete homework assignments. *BOY’s first quarter grades for 5th grade were: Language ArtsD, Math-D, Social Studies-C, and Science-D. *BOY’s mother, Ms. *BOY, reported *BOY had a normal birth and delivery and that *BOY achieved most developmental milestones in an average pattern. *BOY has a history of ear infections and speech therapy in early childhood. He lives at home with both parents and an older sister. Test Results To determine *BOY’s present level of communication functioning in the area of LANGUAGE, Sarah Peterson, Speech Language Pathologist administered the following tests: WORD TestElementary (WORD-E), Listening Comprehension Test-2 (LCT-2), and Test of Problem SolvingElementary, Revised (TOPS-ER). Additionally, a review of records (including subtest results from intellectual and academic testing) and a Structured Language Sample & Conversational Analysis Checklist were completed. The PPVT-4 is a test of receptive language. It is designed to measure a student's understanding of single word vocabulary. Vocabulary knowledge is a form of achievement-it represents the words and word meanings that a person has learned both in and out of school. Understanding of word meaning is important for extracting meaning from text, so students with limited vocabularies often struggle to comprehend what they read in the classroom. In this test, a student is shown four pictures and is asked to select one that most closely represents a target words’ meaning. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 61 (56-68), percentile of .5, and grade equivalent of pre-k to first grade. This score fell in the EXTREMELY BELOW AVERAGE range for understanding SINGLE WORD VOCABULARY as compared to *BOY’s same aged peers. Examples of words that *BOY missed include…. *BOY may have difficulty understanding words and concepts presented at grade level. *BOY may benefit from direct instruction in vocabulary for classroom units and from reading assignments that are appropriate for his vocabulary level. The WORD-E2 is a test of expressive vocabulary. It is designed to assess a student’s ability to recognize and express critical semantic attributes. The more words a student understands, the more likely he/she is to be a successful producer of language in both speaking and writing. In this test, a student answers questions related to associations, synonyms, semantic absurdities, antonyms, definitions, and flexible word use. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 79 and percentile of 8. This score fell in the MODERATELY BELOW AVERAGE range for EXPRESSIVE VOCABULARY SKILLS compared to *BOY’s same aged peers. *BOY performed best on subtests that required him to make associations between words (‘Tell me which word doesn’t belong and how are the others alike?’); recognize and fix absurd statements (‘The plumber fixed the lights’); provide one-word antonyms (‘What’s the opposite of hot?’); provide one-word synonyms (‘Tell me another word for happy.’); explain the meaning of words (‘What is an island?’); and use words flexibly (‘What does the word watch mean?’). *BOY struggled most with subtests that required him to… *BOY may benefit from direct instruction related to attributes (class, function, color, shape, quality), compare/contrast, vocabulary, paraphrasing, absurdities, and word retrieval. The ASSET is a test of expressive and receptive language. It is used to measure a student’s semantic and vocabulary skills through the use of familiar scenes and themes of everyday life like ‘around the house’ and ‘eating’. Students learn new information best with contextual instruction that emphasizes experience, interaction, and learning through all of the senses. In this test, a student is asked to point to and answer questions related to labels, categories, attributes, functions, and definitions. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 79 and percentile of 8. This score fell in the MODERATELY BELOW AVEAGE range for SEMANTIC AND VOCABULARY SKILLS compared to *BOY’s same aged peers. There was no significant difference between *BOY’s expressive (standard score 34) and receptive (standard score 31) standard scores, which indicated that *BOY understood as much as he said. *BOY performed best at tasks that required him to recognize similarities among different objects (Show me some things you can string, What are these called: 1. 4. 7?); attach a purpose to an object (Show me something you can serve, What do you do with a puzzle?); attach names to objects and actions (Show me the crayons, What is this called?), distinguish critical elements of an object (Show me something that spins, What does paste feel like?), and give clear definitions (Show me some things we can multiply and divide, This boy is doing a somersault, what does somersault mean?) *BOY struggled most with tasks that required him to…. *BOY may benefit from direct instruction to identify/label items from a story/unit, to compare/contrast; to identify attributes and describe/define items; to re-tell stories, The WABC is an expressive and receptive language test. It is used to measure a student’s understanding and use of basic word opposites and related concepts. Basic concepts such as colors, numbers, location words, and descriptive words are the building blocks that students need to follow directions, engage in classroom routines, and provide descriptors. Understanding these concepts is fundamental so that student’s can perform everyday tasks such as listening, speaking, reading, writing, and arithmetic. In this test, a student is shown colorful storybook illustrations and asked to point to objects and to name aloud an attribute, feature, or location associated with the pictured entities. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 93 and percentile of 31. This score fell in the MODERATELY BELOW AVERAGE range for UNDERSTANDING AND USE OF BASIC CONCEPTS compared to *BOY’s same age peers. *BOY’s understanding and use was well established for the following semantic categories: color/shape, (e.g. ‘orange’) weight/volume (e.g. ‘heavy’ ‘deep’), quantity/completeness (‘most’, ‘whole’) condition/quality (e.g. ‘rough’, ‘new’) and sensation/emotion/evaluation (e.g. ‘hard’, ‘easy’). *BOY’s struggled more to understand and use semantic categories for… *BOY may benefit from direct instruction to better understand and use the concepts of …. The TAPS-3 is a test of auditory skills. It assesses auditory skills that are necessary for the development, use, and understanding of language commonly used in academic and everyday activities, including auditory attention, basic phonemic skills, phonological segmentation, auditory memory, and auditory cohesion. Auditory processing is simply what we do with what he hear. When auditory signals are received, a person must attend to, analyze, store, and retrieve information related to the signal. In this test, a student is asked to listen, repeat, and respond to a variety of information presented. Composite standard scores ranging from 85-115 are considered average. Subtest standard scores from 9-13 are considered average. *BOY obtained a composite score of 73 (69-77) and subtest standard scores that ranged from 2-9: Phonologic (90), Memory (81), and Cohesion (78). These scores fell in the range of LOW AVERAGE TO MODERATELY BELOW AVERAGE range for AUDITORY SKILLS compared to *BOY’s same age peers. *BOY performed best on tasks for a) basic phonologic skills like discriminating between sounds within words, segmenting sounds into morphemes, and blending sounds into words. These skills are important for understanding language and when learning to read; b) memory processes, including sequencing. If a student cannot retain what has been heard and maintain it in correct sequence, this student cannot process that information accurately. For example, students are often required to retain and manipulate information before determining an answer, such as when learning to spell or when learning arithmetic processes; c) auditory cohesion. This is a higher-order linguistic skill that requires the student to understand exactly what was said and to use inference, deduction, and abstraction to understand the meaning of a passage. The student is asked questions about a passage that cannot be answered correctly using only the words presented in the passage and must instead use more complex language constructions to answer the queries... Additionally, *BOY demonstrated the following: poor listening skills; difficulty understanding spoken language in the presence of back-ground noise or in areas with poor acoustics; poor auditory memory; mumbling and indistinct articulation patterns; reading and spelling problems; and auditory overload-difficulty screening out irrelevant auditory stimuli and, as a result, being overwhelmed by auditory input. *BOY may benefit from direct instruction The LCT-2 is a test of receptive language. It assesses a student’s strengths and weaknesses in specific listening comprehension skill areas related to classroom listening situations. Listening is a large part of learning in the classroom (50-75%) and is one of our primarily means of interacting with others. Students must listen well in order to accurately follow directions, make inferences, explain, participate in discussions, and to feel. In this test, a student listens to short paragraphs of information and is asked to answer questions related to main idea, details, reasoning, vocabulary, and understanding messages. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 93 and percentile of 31. This score fell in the LOW AVERAGE range for LISTENING COMPREHENSION SKILLS compared to *BOY’s same aged peers. *BOY performed best on subtests that required him to listen to and identify the main idea of short informational paragraphs (‘What am I talking about?’); to remember and answer questions about details (‘Where was the party?’); to make inferences about information he heard (‘What might Ray’s friends do to get ready for his party?’); to provide definitions to words used in passages (‘What’s another word for gift?’); and to differentiate the most relevant from irrelevant information in a passage. *BOY struggled most with subtests that required him to… *BOY may benefit from direct instruction that…summarizes/outlines the main idea and details of a unit beforehand 2) allows students to draw conclusions/reconstruct view points/ formulate solutions to problems in a particular unit (e.g. In a science unit on photosynthesis, asking students to generate a solution to the question, “What would happen if all green plants died?’); pre-teaches vocabulary/concepts and uses concepts maps; and practices sorting out important from nonimportant details, The SPELT-3 is an oral language test of morphology and syntax. It measures a student’s ability to generate specific grammatical structures and complex sentence and question types. In this test, a student is presented with photographs of everyday activities and asked to respond to statements or questions. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 72. This score fell in the MODERATELY BELOW AVERAGE range for MORPHOLOGIC AND SYNTACTIC KNOWLEDGE compared to *BOY’s same aged peers. *BOY demonstrated a mastery of the following grammatical structures: ….prepositional phrases ‘un/under’), plural nouns (addition of ‘s’ or ‘ez’), possessive marker ‘s (‘Mary’s’), pronouns (‘my’, ‘mine’,’ himself’), verb forms and tenses (‘walked’, ‘build/built’), present progressive verb (‘walking’). *BOY also demonstrated mastery of complex sentence constructions that used… conjunctions (‘and’, ‘because’), negatives (‘I don’t want to play’), complex sentences using clauses (‘after it rained, it was wet’), passive voice (‘the ball got hit.’), and formulated questions (‘Where is my shoe?’). *BOY struggled more with grammatical and sentence structures for:.. *BOY may benefit from direct instruction for… The TOPS-ER is a test of language-based problem solving and critical thinking. Language is the foundation of critical thinking. Critical thinkers must be able to listen carefully; understand and interpret what they see, hear, or read; and express their thoughts clearly to others. Difficulty in any one of these language-based areas limits the ability to use good strategies to think and communicate with others. In this test, a student is presented with 14 photographic pictures and asked to answer questions about the information depicted. Questions focus on a broad range of critical thinking skills including evaluating, determining word meaning from context, inferring, generating solutions, and affective thinking. Composite standard scores ranging from 85-115 are considered average. *BOY obtained a standard score of 72. This score fell in the MODERATELY BELOW AVERAGE range for PROBLEM SOLVING and CRITICAL THINKING SKILLS compared to *BOY’s same aged peers. *BOY performed best on questions that required him to.. evaluate what was happening in a picture using context/visual clues (‘What do you think is happening with the two boys in this picture?’); determine word meaning and use strategies to give a clear definition without using vague words like ‘thing’, ‘it’ ‘stuff’ (‘BJ just enrolled in this school, what does enrolled mean?’); infer information (What do you think is on his mind?); and generate reasonable solutions to problems and identify consequences (‘Tell me two ways kids could help him’). Additionally *BOY demonstrated …strategies for giving clear definitions; appeared to process questions efficiently without misinterpretation’ didn’t perseverate answers across items; understood another’s perspective—a prerequisite to persuading, explaining or role-playing.*BOY struggled most with questions that… *BOY may benefit from direct instruction to… The CELF-4 is a broad-based test of language that measures different expressive and receptive language abilities. These include word meaning, word and sentence structure, and recall and retrieval of spoken language. Core Language scores ranging from 85-115 are considered average. Subtest standard scores from 9-13 are considered average. *BOY obtained a core language score of 73 (69-77) and obtained subtest standard scores that ranged from 2-9 (see below). These scores fell within the MODERATELY LOW range of EXPRESSIVE and RECEPTIVE LANGUAGE SKILLS as compared to *BOY’s same aged peers. *BOY performed best on subtests that that required him to… complete directions (e.g. “xxx’); to recall spoken sentences (e.g. ‘If the rain doesn’t stop before noon, the field trip will have to be cancelled’); to understand/explain relationships between words (e.g. ‘Listen to these words and tell me the two words that go together best and why: school. Cake, street, teacher’ ‘); to interpret/create meaning from spoken sentences (xxxx); to formulate complete and grammatically correct sentences using given words (‘if, because’, ‘otherwise’); to label/identify/define people, objects and actions; to listen, answer questions, and think critically about information presented in paragraphs; *BOY struggled more to on subtests that… *BOY may benefit from direct instruction that… Concepts and Directions Recalling Sentences Formulated Sentences Word Classes Core Language Score 2 7 4 9 73 (69-77) The TOLD is a broad-based test that measures expressive and receptive language abilities. These include listening, organizing, speaking, grammar, semantics, and general spoken language. Composite standard scores ranging from 90-110 are considered average. *BOY obtained the following composite standard scores: Listening (82), Organizing (62), Speaking (73), Grammar (76), Semantics (75), Spoken Language (73). These scores fell within the MODERATELY BELOW AVERAGE range of EXPRESSIVE AND RECEPTIVE LANGUAGE SKILLS compared to *BOY’s same aged peers. *BOY performed best on subtests that that required him to.. understand spoken language; relate incoming speech with various kinds of memory and associative operations that are necessary for making oral responses; to communicate thoughts orally; to construct words and sentences; to understand words. *BOY struggled more to on subtests that… *BOY may benefit from direct instruction that… A Social Language Assessment Checklist was completed to examine *BOY’s pragmatic skills informally. Interpretation of verbal and nonverbal communication, knowledge of social scripts, and understanding of implied social rules are required for school and non-school success. In this checklist, an examiner looks for examples of 51 communication acts during a student’s language sample and determines whether each act is used appropriately. The checklist is made up of four sections: Conversation, Paralinguistic, Non-Verbals, and Social Rules/Etiquette. For Conversation, *BOY demonstrated difficulties with conversational topic, turn taking, and cohesion/clarity. For example,... For Paralinguistics, *BOY demonstrated difficulties in vocal intensity, prosody, fluency, and intelligibility. For example,... For Non-Verbals, *BOY demonstrated difficulty with gestures, eye contact, facial expression, and proxemics. For example,... For Social Rules/Etiquette, *BOY was not aware of things going on around him during class time (e.g. students lining up at door to go to the lunch) and *BOY frequently got up out of his seat to wander the room at inappropriate times. Overall, the burden of communication will likely rest on the shoulders of *BOY’s communication partner. This listener will often need to ask questions to clarify *BOY’s thoughts; especially for wh-questions, as *BOY struggles to formulate these question types. *BOY would benefit most from direct instruction that targets his use of …conversational topics and turn taking. A Structured Language Sample & Conversational Analysis Checklist was completed to examine *BOY’s functional communication informally. In this checklist, an examiner looks for examples of 38 conversational skills and determines whether each skill was used appropriately. The checklist is made up of two sections: Listening Skills and Speaking Skills. For Listening Skills, *BOY appeared to struggle with attention and comprehension throughout the testing session. For example, *BOY was observed to fidget in his seat and to frequently look around the room. He responded ‘I don’t know’ to eight test questions. Restlessness appeared to increase for test questions that were more lengthy and difficult. Unless prompted by the examiner, *BOY did not ask for repetition or clarification of directions and questions-though *BOY’s test performance appeared to increase on subtests that allowed repetition and provided practice trials. He did best when information was repeated 1-2 times. For Speaking Skills, *BOY appeared to struggle to convey his thoughts in an organized manner and to use grammar and vocabulary precisely. For example, *BOY’s descriptions of pictures depicting the outdoors contained many false starts and revisions. He was observed to formulate a thought and to revise it several times over within the same breath. Descriptions contained many non-specific referents including ‘it’, this’ , and ‘like’. Also, during a story re-tell task, *BOY related events in a fragmented and non-sequential manner. He did not use terms like ‘first’, ‘second’, ‘finally’ or ‘then’ to help orientate his listener. The examiner had to clarify the story’s order of events. *BOY willingly accompanied the examiner to each test session and was pleasant and cooperative throughout the time together. *BOY’s use of social language was judged as within normal limits, as he was observed to use appropriate paralinguistics like eye contact, facial expression, and gesture. *BOY also initiated and maintained conversation with the examiner about a variety of topics like.., No speech sound errors were noted and *BOY’s voice was judged as within functional limits for fluency, pitch, prosody, quality and loudness. Results from current intellectual and academic testing were reviewed. On the Wechsler Intelligence Test for Children-IV (WISC-IV), *BOY obtained a standard score of 72 for verbal ability. This subtest…. On the Woodcock Johnson Tests of Achievement-III (WCJ-III), *BOY obtained standard scores of 72 for written expression, 75 for reading comprehension, and 82 for oral language/expression. These subtests…These scores fell within the below average range of language functioning. *BOY struggled with language-rich subtests for intellect and academics. Interpretation Language learning is a gradual process that begins in infancy and continues through a child’s later school years. Particular skills are present by general age ranges in most children, and these developmental ‘milestones’ help specialists determine whether a child’s language is developing normally. As school years progress, a greater emphasis is placed on a more complex use of language and language competence is simply assumed. Older students and adolescents are expected to possess an expanded vocabulary repertoire, to demonstrate advanced sentence structures when speaking and writing, and to command an ability to use different language when interacting socially with peers and adults. A child with who has problems with language may demonstrate a marked slowness in the development of vocabulary and grammar necessary for communicating effectively. This child may have poor speaking abilities, including problems using word endings and sentence structure to ask questions. He/she may also experience difficulty following directions, or varying language to fit a variety of social situations. PLAAFP *BOY’s communicative skills and interaction were judged as different. On tests of language, *BOY obtained composite scores that ranged from low average to extremely below average compared to his same age peers. *BOY struggled most to complete tasks that required him to make associations between related words automatically and efficiently; to perceive relationships in word meaning; to interpret and infer information; and to use functional communication in manner that was coherent and concise. Additionally, *BOY obtained below average scores on language-rich subtests for intellectual and academic measures in this assessment battery. *BOY performed better on tasks that required him to... *BOY’s performance increased when practice trials were provided, directions and test items were repeated, and responses to questions required short, verbal output. *BOY’s articulation, fluency and voice were informally examined and judged as appropriate. Overall, *BOY’s communication skills in the area of language were judged as different. Needs *BOY has difficulty understanding and using LANGUAGE to convey his ideas in a coherent and precise manner. Grade level work may be more challenging for *BOY. *BOY needs to improve his skills related to …grammatical structures, self-expression, basic concepts, processing & listening, association & vocabulary, social language, and language-based critical thinking in order to 1) better understand and use language and 2) to meet Language Arts Benchmarks for …Vocabulary Expansion, Comprehension, Literature, Spelling/Grammar/Usage, and Speaking/Listening. Adaptations Parents and teachers may help *BOY improve his language skills by: a) modeling correct language when *BOY uses inappropriate grammatical structures. For example, if *BOY says ‘I goed to the bathroom’ then respond by saying ‘Oh, you went to the bathroom’. Over emphasize the target you wanted *BOY to use. This helps *BOY by letting him know you understood and provides a model from which to learn b) pre-teaching new unit vocabulary c) using visual aides to supplement lectures like pictures, diagrams, and graphic organizers d) breaking tasks in to small steps e) writing out and sequencing directions for class projects and homework f) providing reduced or alternate requirements for oral presentations, like a poster board or graphic organizer to demonstrate learning g) providing examples of end-products of projects to be completed h) increasing ‘wait time’ to 3-5 seconds before expecting *BOY to follow an instruction or to answer a question i) having a peer take notes to share with *BOY j) Provide opportunity to respond orally instead of written k) Provide opportunity to leave class for resource assistance l) Allow peer to read materials m) Modified tests and assignments by limiting the number to be completed, reduce multiple choice questions from 4 to 2, provide a word bank n) Allow special education staff to read tests o) Preferential seating close to area of instruction p) 3) When absent or missing instruction, assignments can be adapted, modified or exempt. An educational handout about language with specific activities for at-home practice will be provided to *BOY’s parents, and on-line games that support the development of language skills also can be accessed for at-home practice using Ms. Peterson’s school website: www.elkriver.k12.mn.us/webpages/sapeterson/ Criteria In order for a student to receive special education service, he/she must meet MN State Criteria. *BOY DOES MEET CRITERIA for a communication disorder in the area of LANGUAGE. *BOY scored two standard deviations below the mean on two tests administered and *BOY’s communicative interaction was judged as different from what would be expected given consideration to chronological age/developmental level/cognitive level. Special education service for a communication disorder in the area of language is recommended. Language support is typically provided in a small group setting, two times per week, within a resource room at Hassan Elementary School. The specific days and times of sessions are scheduled in conjunction with a student’s classroom teacher/schedule. In order for a student to receive special education service, he/she must meet MN State Criteria. *BOY did not score two standard deviations below the mean on two tests administered and *BOY’s communicative interaction was not judged as different from what would be expected given consideration to his cognitive level. HOWEVER, *BOY did demonstrate pervasive difficulty understanding and using language across measures in this assessment test battery. Compared to *BOY’s same age peers, *BOY obtained composite scores that ranged from low average to extremely below average on test of language, and *BOY obtained below average scores on language-rich subtests for intellectual and academic testing. As a result, grade level work be more challenging for *BOY and he may struggle to meet academic benchmarks—especially those related to Language Arts, including vocabulary expansion, comprehension, literature, spelling/grammar/usage, and speaking/listening. Special education service for a communication disorder in the area of LANGUAGE is recommended BASED ON NEED. This service is typically provided in a small group setting, two times per week, within a resource room at Hassan Elementary School. The specific days and times of sessions are scheduled in conjunction with a student’s classroom teacher/schedule. The child does NOT meet the state criteria… HOWEVER, since ...... met educational criteria under the category of Developmental Delay, he/she only needed one test at -1.5 to receive language services on a CONSULTATIVE basis. This means that the speech and language clinician will be available to consult with the ECSE / classroom teacher to provide ideas and strategies to support the learning of new language skills in the classroom setting. These consultative services can continue until .... reaches the age of 7 or until the educational team completes an evaluation to consider categorical K-12 special education placement. At that time, ------ would need to meet the state criteria of two language tests at -2.0 in order to receive language services. *Be sure to include statement in ‘accommodation section’: SLP will assist student in learning and/or maintaining new skills through consultation with service providers. Be sure to include services as consultative from drop down menu and write a note to document each observation in contact log and/or provide to case manager. Treatment no longer results in measurable benefits. Jack demonstrates behavior that interferes with improvement and participation in treatment (e.g. noncompliance, malingering). Efforts to address these factors have not been successful. There does not appear to be any reasonable prognosis for improvement with continued treatment. Reevaluation should be considered at a later date to determine whether the student’s status has changed or whether new treatment options have become available. Jack will be brought from home to Hassan Elementary to receive direct instruction in Jack’s level of language skill is not commensurate with same aged peers and significantly affects his performance in the academic setting. Based on need, Jack receives additional support in special education for math and English classes. A small group setting, assignment monitoring, and help with work completion are all required to increase Jack’s success in school as he would have difficulty reading and comprehending the language used in general education materials. The student requires extensive, direct instruction and/or supports in multiple settings to acquire, maintain, and generalize academic and life skills to actively participate in school, work, home, and community environments.