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•  Length of service/termination • AAC

• Teaming •  Development

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•  Behavior management •  Special populations •  Peers in intervention •  Intervention strategies • Treatment types

Intervention practices •  WhatWhhat typesttypes off relatedrellattedd servicesserviices are appropriateappropriiatte forffor secondaryseconddary studentssttuddentts alreadyallreaddy inin a specificspecifiic learninglearniing didisabilitiessabilities class?class? • Types of services availablee •  What is the difference between direct and indirect services?

•  WhatWhhat toolsttoolls couldcoulld beb recommendedrecommenddedd forfor assessingassessiing a studentsttuddentt withwith mentalmenttall retardationrettarddation or autismautism • Assessment of severe IDD spectrumspectrum disorder who is low verbal?verbal?

•  How do you provide services ifif your district does not have enoughenough personnel with appropriate training or experience to serve students with severe ?

•  Lack of services/resourcess •  What if myy child is not learningg because the SLP does not have the skills to teach my child?

•IsI itit toottoo latellatte toto dod communicationcommuniicaatition trainingtraiiniing afterafftter age 22?22?

•  IsIs iti necessarynecessaryy oorr appropriateappprp oppriiate to bbegineggiin communicationcommuniicac tition servicesserviccees for a child younger than 2 years old? • Age and eligibility •  HowHow doesdoes my child’schild’’s cognitivecogniitive ageage relaterellatte tot his/herhiis/her learninglearniing tot communicate?communiicatte?

•  Does mymy child have to have certain cognitivecognitive or thinkingthinking skills to be readyready to learn to communicate?communicate?

•  Cognition and eligibility • Arent there cognitive prerequisites for language??

•  How do IQIQ tests take into account speech delays?delays?

•  HowHow longlong shouldshhould a SLPSLP continuecontinue providingprovidiing communicationcommuniicattiion servicesserviices andandd supportssupportts tot an individualiindiviidduall withwith •  Length of service/termination severe disabilities when s/hes/he is not able to document progress on treatment goals?goals? •  When should a person be discharged from SLP treatment?treatmenttre ?

•  Should I terminate services if the individual has made no progressprogress in the past? • Teaming •  WhoWhho areare membersmembbers ooff an iinterdisciplinaryntterdisciiplinary team?team?? WhatWhhat isi theirthheiir role?rolle?? WhatWhhat doesddoes anan SLPSLP do?ddo?

•  HHowow can I hhelpelp provprovidersiders ununderstandderstand mmyy cchildhild anandd encouraencouragege communcommunication,ication, as s/hes/he transitions to newnew classescllasses at tthbii thethe beginningbeginning ofo fthhlf thethe schoolschool year?year??

•  Some professionals from other disciplines are makinmmakingak g recommendations about AAC anandd SGDs.SGDs. IsIs thisthis ok?ok? (          -  !!.

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Accessing services: Assessmentsment and EligibilityEligibility Fundingg issues in serviceservice delivery • Types of services available •  Need/qualification • Assessment of severe ID •  Communication services •  Lack of services/resources •  Medicare/Medicaid •  Eligibility (age, cognition)

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•  I hhaveave a coupcouplelle ofof studentssttuddentts withwith autismautism on my caseload.caselloadd. WhatWhhat program shouldshhould I use?use?

•  What communication services are available forfor children who are deaf-blind?deaf-blind?

•  Is it appropriate to work on communication skills if the child has a degenerative condition? •  Special Populationsns •WhatWhat approach is best forfor enhancing communication skills forfor my child’s or specificspecific ?disability?

•WhatWhat are the recommended assessment and intervention strategies for individuals with ?syndrome?

•  Do children with severe disabilities reallyreally benefit from beingbeing around typicaltypical peers?

•  Peers in interventionon •  How are typically developing children affecteddb by interactions with children who have severe disabilities?disabilities?

• AreAre yes/noyes//no questionsquestions a goodgoodd wayway toto startsttart teachingtteaching someone toto communicate?communiicatte??

•  WhatWhat shouldshould wewe do ifif an individualindividual doesdoes notnot communicatecommunicate withwith signs or pictures?

•What if the child shows no interestint in communication?

•Intervention strategieses •  WhatWhhat shouldshhould wewe dod ifif a childchhild demonstratesddemonsttrattes communicationcommuniication skillsskkills at home,home, but doesn’t use thosethose skskills ills aat t scschool? hool?

•  Why would an SLP work with a child who doesn’t talk?

•  IfIf we areare supposedsupppop sed tot provideproviidde “communication“communiicattiion servicesserviices andandd supports”,supports”, what is that supposed to include beyond teaching and therapy?therapy?

• Treatment typeses •  What is evidence based practice and how do I determine if an intervention is evidence based?

•WhatWhatt isis thethe differencedifference betweenbettween individualinddiividual andand group treatment?ttreattment?

•  Does oral motor treatment helphelp with speechspeech and communication development?development? 4      )      .

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Accessing services: Assessmentsment and EligibilityEligibility Fundingg issues in serviceservice delivery • Types of services available •  Need/qualification • Assessment of severe ID •  Communication services •  Lack of services/resources •  Medicare/Medicaid •  Eligibility (age, cognition)

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• Teaming •  Development

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•  Behavior management •  Special populations •  Peers in intervention •  Intervention strategies • Treatment types

Intervention practices • AreAre communicationcommuniicatiion servicesserviices typicallytyypipically consideredconsideredd medicallymeddiicallllyy or educationallyedducatiionally necessary?necessary?y?

•  How can communication services, includingg AACA services, be documented as educationallyeducationally necessary?necessary? •  Need/qualificationn • TheThhe sschoolchhool didistrictsttriictt ATAT tteteamam says thatthatt aas studentttuddentt we serve doesddoes not nott qualifyqualiqualifyf forfor AACAACC becausebecause ssheh has some speech. The student is about 50%50% unintelligible to familiarfamiliar partners in known context conditions.conditions.

•  Does a school’s obligationobligation to provideprovide AT devices/servicesdevices/services mean that the district alwaysalways payspays forfor them?them?

•  If my child needs communication services,s, including AAC, who pays for it? •  Communication serviceses • AreAre ccommunicationommuniication sservices,erviicess,, includinginclludingg AAC,AAC, ccocoveredvev red forffor childrenchhilddren ageageg birthbiirth ttoo threethree years?yey arss??

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• AreAre sserviceservices freeffree forfor childrenchildren bibirthrth to threethree years?years?

•  Can a healthcare provider be reimbursed for indirect services? Do Medicare, Medicaid, or private insurance pay for indirect services?

•  Maintenance serviceses • Are “maintenance services eligible for coverage under insurance, special , or other payment/reimbursement systems? (             )   .

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Accessing services: Assessmentsment and EligibilityEligibility Fundingg issues in serviceservice delivery • Types of services available •  Need/qualification • Assessment of severe ID •  Communication services •  Lack of services/resources •  Medicare/Medicaid •  Eligibility (age, cognition)

•  Length of service/termination • AAC

• Teaming •  Development

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•  Behavior management •  Special populations •  Peers in intervention •  Intervention strategies • Treatment types

Intervention practices •  CanCan allall childrenchildren learnllearn howhhow tot communicate?communiicatte? •  Development •  WhatWhat areare functionalfunctional communicationcommunication skills?skills?

•  CanCan childrenchildren withwiith severe disabilitiesdisabilities learnlearn toto readreadd or write?write??

•  What are the signssigns of “emergent“emergent literacy”literacy” in a child with severe disabilities?

•  IfIf a student is nonspeaking, and so cant read out loud, how can I assess his or her reading sskills?kills?

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•When should I start readingg tot my child?

•  Literacy •  WhatWhhat is i AAC? AACC? • Are there prerequisites to useus AAC?

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•  Who uses AAC and how do I know AAC is rightright for mymy child?

•  CanCan signsign language help improve my child’s communication?communication?

•  Who would I contact to learn more about AAC? •  Basics of AACAC •  Does the child have to understand the symbols on the device before I put them there?

•  How do youyou decide what kind ofof symbolssymbols or AACAAC device to use?use?

•  How do I decide whether a highhigh technologytechnology or low technologytechnology communication device is better?

•  What considerations are there when determining the best mode ofof communication to target?target? FForor example, are pictures alwaalwaysys better than sisigns?gns?

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•  WhatWhhat rolerolle doesdoes cultureculture playpllay inin servingserviing childrenchhilddrenn andandd familiesfamiliies withwiith severesevere communicationcommuniicattiion didisabilities?sabilities? 4    (      .

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• "  000            % • "           *   S   * # .  . 00  0   *1 $% • "     .              % • "  0.   .       ..         <   . % :4HH Admission/Discharge Criteria in Speech-Language Pathology Ad Hoc Committee on Admission/Discharge Criteria in Speech-Language Pathology (ASHA, 2004)

About this Document This guideline document is an official statement of the American Speech-Language- Hearing Association (ASHA). The ASHA Scope of Practice states that the practice of speech-language pathology includes making admission and discharge decisions. The ASHA Preferred Practice Patterns are statements that define universally applicable characteristics of speech-language pathology practice. The guidelines within this document fulfill the need for more specific procedures and protocols for serving individuals with speech, language, communication, or feeding and swallowing disorders across all settings. It is required that individuals who practice independently in this area hold the Certificate of Clinical Competence in Speech-Language Pathology and abide by the ASHA Code of Ethics, including Principle of Ethics II Rule B, which states: “Individuals shall engage in only those aspects of the professions that are within the scope of their competence, considering their level of education, training, and experience.” Admission and discharge criteria originally were prepared by the Ad Hoc Committee on Admission/Discharge Criteria in Speech-Language Pathology . . . .In 2002, with input from the National Joint Committee for the Communication Needs of Persons With Severe Disabilities (NJC) and Tables Discharge Flow Chart

Figure 1

Admission/Discharge Criteria in Speech Language Pathology, ASHA 2004

http://www.asha.org/docs/html/GL2004-00046.html =   D4 www.asha.org/njc

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