A Functional Approach to Language Assessment, Intervention & Parent/Professional Interactions

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A Functional Approach to Language Assessment,

Intervention & Parent/Professional

Interactions

By Dr. Harold Johnson/Michigan State University

2007 Michigan Early Hearing Detection & Intervention Annual Conference

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Outline

• Participant Identification & Expectations• Functional Language…

• …Goals• …Assessment• …Intervention

• Resources• References• Q&A• Contact Information

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Participant Identification & Expectations

• My professional background and why I am doing this presentation.

• Who is in attendance today?• Parents…• Teachers…• Speech Pathologist…• Audiologist…• Others…

• What do you hope to take away from this presentation?

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Functional Language: Goals1. Recognize and support parents as the “experts” on

their children.• Why is this goal important?

2. Provide parents with objective, comprehensible and timely information and resources.

• Why is this goal important?3. Assist parents in understanding, responding,

documenting and sharing their children’s evolving patterns of interactional, communicative and linguistic behaviors.

• Why is this goal important?4. What additional goals would you suggest we add to

this list?• Why is this goal important?

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Functional Language: Assessment

Goal #1: Recognize and support parents as the “experts” on their children.

• Assessment: • Parental evolving ability to gather and share accurate, in

depth information concerning their child’s history, abilities and needs

• Product: • Longitudinal Case Study

• How difficult would it be to do this?

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Assessment (cont.)

Goal #2: Provide parents with objective, comprehensible and timely information and resources.

• Assessment: • Parent’s questions and available resources…changes

over time. • Product:

• Longitudinal Q&A Log & Resource Map• How difficult would it be to do this?

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Assessment (cont.)Goal #3: Assist parents in their ability to establish an

effective language learning environment for their child.

• Assessment: • Evolving ability of the parent to effectively and efficiently observe,

recognize, respond to, document, and share their child’s emerging patterns of interactional, communicative and linguistic behaviors.

• Increasing ability of the child to understand and be understood, i.e., • Topics…focus of the interaction• Tasks…purpose of the interaction• Turns…length of the interaction• Modalities…sign and/or speech• Contexts…physical & interpersonal

• Product: Longitudinal, Multimedia Baby Book• How difficult would it be to do this?

(cont. next page)

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Assessment (cont.)Goal 3: • Assessment (cont.)

• *Level 1: (*Bromwich, R. (1981)• The parent enjoys her child

• Level 2: • The parent is sensitive observer of her child, reads his behavioral cues

accurately, and is responsive to them• Level 3:

• The parent engages in a quality of interaction with her child that is mutually satisfying and that provides opportunity for the development of attachment.

• Level 4: • The parent demonstrates an awareness of materials, activities, and

experiences suitable for her child's current stage of development. • Level 5:

• The parent initiates new play activities and experiences based on principles that she has internalized from her own experiences, or on the same principles as activities suggested to or modeled for her.

• Level 6: • The parent independently generates a wide range of developmentally

appropriate activities and experiences, interesting to the child, in familiar and new situations, and at new levels of the child's development.

• Product: Longitudinal Observational Notes• How difficult would it be to do this?

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Assessment (cont.)

• Goal #4: [provided by the participants]• Assessment:

• Why is this goal important?

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Functional Language: Intervention

Goal #1: Recognize and support parents as the “experts” on their children…*Strategies: (*Bromwich, R. (1981)

1. enabling parents to remain in control 2. avoiding the "authority-layman" gap3. dealing with parents' priorities and concerns4. building on parents strengths5. respecting parents' goals for their children6. involving parents in planning7. respecting individual styles of parent-child interaction8. using reinforcements is not enough9. giving parents an "out"10. sharing how it feels to get no response

*Bromwich, R. (1981)How difficult would it be to do this?

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Intervention (cont.) Goal #2: Provide parents with objective, comprehensible

and timely information and resources…*Strategies: • “We wish for Choices

• Unbiased information about communication options. • Provide us with the information we need to make well informed

decisions. • Respect the choices that families make. Let us, the parents, make the

final decision. • We wish for Information

• When we ask for your professional opinion, don't be afraid to give it, but please don't deliver your opinion in "absolutes".

• Give us books, pamphlets, phone numbers, support groups, anything that will be helpful to us in understanding our child's hearing loss and where to find help.

• If we ask a question, and you don't have the answer, help us find the resource where we can find the answer.

• As children and parents grow, their choices and need for information grows.” *Hands & Voices (2007)

How difficult would it be to do this?

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Intervention (cont.)Goal #3: Assist parents in their ability to establish

an effective language learning environment for their child…*Strategies: (*Spencer, P. (2003)

• Sensitivity to infant• visually aware and responsive to opt. to interact…treat

behavior as intentional…expect com.• Topic responsiveness

• follow child’s lead• Talking to infant

• melodic & repetitive • Use visual & tactical cues…

• pointing & stroking

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Intervention (cont.)Goal #3:• Strategies (cont.)

• Exaggerated facial expression• Establish mutual eye gaze

• moving into child’s line of vision• Commenting on what the child is doing & feeling

• associating language with actions• Expanding on child’s communicative behavior

• providing more conventional communicative models• Waiting for the child to look up• Producing short utterances, w/ repetition, of single signs or

words• Pointing or tapping objects being discussed…

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Intervention (cont.)Goal #3:• Strategies (cont.)

• Moving interesting objects up to face• Tapping the child to signal “look at me”• Attempting to prolong the interaction for as many

“turns” as possible• Use action orientated vs. naming activities• Provide opportunities for parents of newly identified

children to talk with parents of older children who are d/hh + observe the parents interacting with their children

How difficult would it be to do this?

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Intervention (cont.)

• Goal #4: [provided by the participants]• Strategies:

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Resources

• Communication Choice Decision• Wisconsin’s babies & hearing: An interactive notebook for

families with a young child who is deaf or hard of hearing - Building blocks for communication.

Web Site: National Center for Hearing Assessment & Management

(www.infanthearing.org/familysupport/wisconsin/index.html)

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Resources (cont.)• Comprehensive Guide

• Hearing & Amplification• Language & Learning

• Decisions…Decisions• Building Conversations• Building Concepts• Positive Parenting• Learning from my family• Learning through play

• Parent to Parent

Web Site: my baby’s hearing(www.babyhearing.org/nextsteps.asp)

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Resources (cont.)• Speech & Language Developmental Milestones

• What are speech and language? • How do speech and language normally develop? • What are speech and language developmental milestones? • How do I know if my child is reaching the milestones? • What should I do if my child's speech or language appears to

be delayed? • What research is being conducted on developmental speech

and language problems? • Where can I get additional information?

Web site: National Institute on Deafness and Other Com. Disorders (www.nidcd.nih.gov/health/voice/speechandlanguage.asp )

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Resources (cont.)

• Parent to Parent • Resources• Services• Chapters• Events

Web Site: Hands & Voices(www.handsandvoices.org/)

• What additional resources would you suggest?

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References• Bromwich, R. (1981). Working with parents and infants:

An interactional approach. University Park Press: Baltimore, MD.

• Hands & Voices (nd). Early intervention: The parent perspective. Downloaded on February 14, 2007 from: http://www.handsandvoices.org/articles/early_intervention/wishlist_early_int.html

• Spencer, P.E. (2003). Parent-Child interaction: Implications for intervention and development. In Bodner-Johnson & Sass-Lehrer. The young deaf or hard of hearing child: A family-centered approach to early education. Paul Brooks, Baltimore, MD.

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Q&A

• What questions would you like to ask?• What information would you like to share?

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Contact Information

• Harold Johnson/Professor – Deaf Education• Dept. of CPSE• 343A Erickson Hall• East Lansing, MI 48824-1034• 517 432-3926• [email protected]• IP 35.8.171.220