Michigan Speech Language Guidelines
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Michigan Speech-Language Guidelines: Suggestions for Eligibility, Service Delivery, and Exit Criteria Revised. Michigan Speech-Language–Hearing Association Public School Committee December, 2006 Edited by Maureen Staskowski, Ph.D., CCC-SLP Consultant for Speech and Language Impaired Macomb Intermediate School District To duplicate materials---------------------------------------------------------------------------------------------- You may duplicate these materials with the inclusion of the following credit statement: Permission to use this material granted December 2006 from The Michigan Speech-Language Hearing Association. To reference materials, please use----------------------------------------------------------------------------- Michigan Speech-Language Hearing Association. (2006). Michigan Speech-Language Guidelines: Suggestions for Eligibility, Service Delivery, and Exit Criteria Revised. Lansing, MI: Author. Thank You to the many professionals and their school districts responsible for this document With Special thanks to Dr. Lizbeth Stevens Keisha Nolan Karen Graham Terry Lange-Winkel Kendall Giovannini Lana Budde Jan McCosky Tina Kunarski Yvonne Belleman Andrea Phillips Heather Webber Belinda Andrews Gail Elliott Arlene Millman Deborah Beeler Kelly Falter Stephanie Nagy Georgia Boyle Laura Griffith Nickola W. Nelson Michele Bridges Marybeth Grosfield Kimberly Renshaw Robin Brighton Katy Hime Sue Rosko, Darlene Broome Anne Howard Susan Swarz Kathleen Bungart Cathryn Kelenske Megan Shuboy Beth Burkhard Yeary Ilene Klegon Sally Shumway Mary Lee Campbell Mary Ann Knittel Susan Smith Laurie Capoferi Jill Konwinski Gail Speiwak Sheila Carrier-Woods Dr. Alicia Li Maureen Spryshak Angela Ciraulo Judy Lytwynec Gail Sterling Joan Cortright Dara Ludeus Carol Washchuk Gail Curi Lynn Marshall Katy West Candy Cuttner Shirley Matuszewski Alesia Williams Susan Dilgard Mary McAuliffe Jane Witkop Amy Dinno Carrie McCarter-Barnes Johanna Bauer Sandra Ponzetti Yvette Hyter Kelly Cosguff Colin Macpherson Annett Lauria Diane Shovan Elizabeth Semple, Marianne Fish Julie Angeli Eileen Presnell Deanna DeVlaminck Ray Mandell Susan Hardin Karen Sabuda Kathleen Juhl Lisa Boike Nancy Garan Katie Flannery Mary Towler Lee Timer Thank you to many others who contributed in some way. Special Thanks to Macomb Intermediate School District and the local districts in Macomb County for supporting this project, as well as many other districts across the state for support in writing and reviewing this document. December, 2006 Michigan Guidelines for Speech-Language Services Table of Contents Table of Contents Forward School Practice & Professionalism & Ethics P-1 Workload Approach to Caseload WC-1 Culturally and Linguistically Diverse – Introduction CLD I-1 Speech and Language Impaired (SLI) as a Primary Disability Eligibility Guidelines SLI-1 Language L-1 . Language Services for Adolescents AL-1 . Language Services for Preschool-age Students PL-1 . Language Services for Infants/Toddlers LI -1 . Considerations for Culturally and Linguistically Diverse- Language CLD L-1 Articulation A-1 . Considerations for Culturally and Linguistically Diverse- Articulation CLD A-1 Fluency F-1 Voice V-1 Speech and Language as a Related Service (Decision-making for Students with other Primary Impairments) Guidelines SLRS-1 Autism Spectrum ASD ASD-1 Cognitively Impaired CI CI-1 Early Childhood Developmental Disorder ECDD ECDD-1 Emotionally Impaired EI EI-1 Hearing Impaired HI HI-1 Learning Disabled, LD LD-1 Otherwise Health Impaired OHI OHI-1 Physically Impaired PI PI-1 Severely Multiply impaired SXI SXI-1 Traumatically Brain Injured TBI TBI-1 Visually Impaired VI VI-1 Special Issues Assistive Technology AT-1 Auditory Processing Disorders APD-1 Feeding and Swallowing FS-1 Selective Mutism SM-1 12/2006 Michigan Speech-Language Guidelines: Suggestions for Eligibility, Service Delivery, and Exit Criteria Revised Forward This document is a revision of guidelines originally developed by the Michigan Speech- Language-Hearing Association, Public School Committee (MSHA, PSC) in 1992. An addendum was added in 1995 related to standards for service delivery. Since then, the reauthorization of IDEA in 1997 and in 2004, as well as the passing of NCLB (reauthorization of ESEA) has had a significant impact on service delivery in the schools. In addition, there have been changes in population, such as increased numbers of children in Michigan schools for whom English is a second language and changes in practice, such as increased understanding of speech-language pathologists’ (SLPs’) roles and responsibilities related to reading and writing. In some cases there has been both a change in population and professional practice. For example, there are more children in school who are medically fragile and have difficulties with feeding and swallowing and there is increased understanding of SLPs’ roles related to feeding and swallowing in the schools. This revision includes additional information related to the delivery of speech and language as a related service to each of the disability areas. Finally, guidelines related to special issues that are frequently encountered, or those for which SLPs frequently ask for guidance, are included in the last section of the document including: assistive technology, auditory processing, and selective mutism. This document is intended to serve as a resource to SLPs and administrators, as local practices are established. It is hoped that this document facilitates discussion. SLPs must follow the procedures and policies in their district. This document is not intended to supersede district policy, but rather to inform. We are most grateful to all of the individuals who participated in the development of this document and to the school districts that supported its development. We hope that it is a valuable resource. Comments or questions may be directed to the MSHA Public School Committee, in care of the Vice President for Public schools at [email protected] Maureen Staskowski, Ph.D., CCC-SLP Consultant, Speech-Language Impaired Macomb Intermediate School District 12/2006 Professionalism Michigan Speech-Language Guidelines SCHOOL PRACTICE AND PROFESSIONALISM The practice of speech-language pathology within schools is shaped by numerous factors including the needs of the children served, the requirements of the employer or job, the law as it relates to such services and the individuals who need them, the culture of the school(s), and the professionalism of the SLP who applies his/her skills in addressing these factors. Professionalism defined is “the qualities or typical features of a profession or of professionals, especially competence, skill, etc. (Pocket Oxford American Dictionary of Current English, 2003).” According the American Speech-Language-Hearing Association Code of Ethics (ASHA, 2003) “the goal of the profession of speech-language pathology and its members is provision of the highest quality treatment and other services consistent with the fundamental right of those served to participate in decisions that affect their lives.” Accordingly, SLPs practicing in schools who are members of the ASHA and/or MSHA seek to uphold these standards as described within their respective codes of ethics. (See Appendix for Codes of Ethics). Such codes provide professionals with a compass for navigating through the myriad of decisions they must make in order to practice competently. While professionals are legally bound by rules of law (and in the case of school practice, the rules of both federal legislation such as No Child Left Behind and the reauthorized Individuals with Disabilities Education Improvement Act of 2004 as well as state rules and codes) ethical codes are suggested ways of acting which are enforced by the particular organizations which have enacted them. Members voluntarily subscribe to upholding them as members of the organizations. At times such ethical principles are congruent with existing rules of law; in such cases violations of the code of ethics may also constitute breaking the law. The burden and benefit of professionalism is borne by individuals who strive to maintain a code that ensures a standard of conduct that is thought to be shared by all who seek to be called a speech-language pathologist. The code of ethics is the overarching umbrella that covers all of the particular and specifically articulated/outlined directions, which are seen in the scope of practice and preferred practice patterns. The four main principles of the ASHA Code of ethics follow: Principle of Ethics I Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally. Principle of Ethics II Individuals shall honor their responsibility to achieve and maintain the highest level of professional competence. Principle of Ethics III Individuals shall honor their responsibility to the public by promoting public understanding of the professions, by supporting the development of services designed to fulfill the unmet needs of the public, and by providing accurate information in all communications involving any aspect of the profession. 12/2006 P-1 Professionalism Michigan Speech-Language Guidelines Principle of Ethics IV Individuals shall honor their responsibilities to the professions and their relationships with colleagues, students, and members of allied professions. Individuals shall uphold the dignity and autonomy of the professions, maintain harmonious interprofessional and intraprofessional relationships