Case study K'N' 5 yrs 7 mths

1
Case study K.N. (5 yrs 7 mths)

• Speech/language history
• 2005 seen for speech and lang. ax
• March 2007 seen by AAC clinic
• Communication book dispensed and assessed
• for SGD (July 2007)
• - 2007-2008 was seen by school board SLP 1x/month

2
Case study K.N. (5 yrs 7 mths)

• Child Development Team assessment findings
  (September 2008)
• OT testing strength with gross motor skills,
  emerging fine motor skills mild difficulties
  with sensory processing skills (in visual and
  touch domains)
• Psychology testing average nonverbal cognitive
  ability, well below average verbal skills.
• Developmental Ped. testing (ADOS) dx ASD

3
Case study K.N. (5 yrs 7 mths)

• SLP assessment
• formal assessment (speech, apraxia, language)
• informal assessment
• deletion of sounds at beginning, end of words
  (e.g.up for cup, ba for ball)
• speech understood only in context
• SGD repeated labeling (people at school and at
  home)
• gestures for more, all done
• observation of communication skills during ADOS

4
Case study K.N. (5 yrs 7 mths)

• Language testing
• - Preschool Language Scale 4
• Speech testing
• - Goldman Fristoe Test of Articulation 2
• - Test for Apraxia of Speech and Oral Apraxia
  Childrens Battery

5
Case study K.N. (5 yrs 7 mths)

• Some team ax recommendations
• OT sensory diet, slant board
• Psychology develop an IEP
• Developmental Ped. IBI therapy
• SLP - SLP support, total communication approach,
  social communication

6
Discussion issues

• Developmental perspective one of many
  (behavioral, medical, AAC)
• Functionality of devices for kids with ASD?
• How to determine functionality use of device for
  communication?
• Is there a preferred type of AAC to use with kids
  with ASD? high tech vs. low tech vs. no tech for
  kids with ASD