Traumatically head-injured individuals who reach the higher stages of recovery typically exhibit cognitive communication disorders. Patient management requires, among other considerations, a focus on functional communication competency, an ecologic-systematic perspective, and use of compensatory techniques. A case study applies this management…

Summarizes factors which make delivery of human services extremely difficult in Micronesia, noting problems of geographic distance and isolation and cultural and linguistic diversity. Presents a plan for providing services to persons with communication disorders using a speech-language pathologist and an audiologist with doctorates to supervise…

This digest discusses the difficulty of assessing the speech and language of culturally and linguistically diverse students and recommends strategies for identifying communication disorders. It begins by reviewing what qualifies as a communication disorder, discussing the limitations of speech and language tests, and outlining test considerations.…

Describes how focus groups comprised of speech-language professionals, paraprofessionals, general and special education teachers, and parents in Iowa were used to conduct a needs assessment of issues in staff development and use of paraprofessional personnel and to design job-relevant personnel development programs. An attached chart lists themes…

Describes the role of mental health and educational consultants working with a five-year-old selectively mute child in Head Start. Describes strategies implemented in the interdisciplinary work with the teachers, parent, speech therapist, and child. Suggests that the more flexible and adaptive the consultant, the more accepted he or she will be…

Describes the types of children with autism that would benefit from visual teaching strategies. Discusses the benefits and disadvantages of some of the more well-known programs that use visual teaching strategies, including movement-based systems relying on sign language, and materials-based systems such as Treatment and Education of Autistic and…

A discussion of language disorders that often occur with learning disabilities focuses on definitions, characteristics, alternative assessment methods, and service delivery models and interventions. Use of standardized test batteries, curriculum-based language assessment, and portfolio assessment is reviewed. Principles and methods to enhance…

Themes during the 1990s included the bootstrapping effects between oral and literate language, importance of supporting emergent literacy, parallels between oral language impairment and academic failure, and challenges in facilitating language learning. This article addresses questions posed in Part I related to use of computer technology for…

A study of very low birth weight babies with (n=89) and without (n=71) bronchopulmonary dysplasia (BPD) and term controls was conducted at age 8. The BPD group demonstrated reduced articulation, receptive language skills, performance IQ, and gross and fine motor skills, and almost half were enrolled in speech-language therapy. (Contains…

Reports on research to develop a descriptive framework capable of revealing relevant linguistic features of aphasic speech. Spontaneous speech samples collected from aphasic and normal speakers in dyadic conversational settings and from monologic picture descriptions are transcribed; lexical, phrasal and causal elements are coded and quantified.…

This article reviews ethical and legal issues regarding school-based integration and application of technologies, particularly when used by speech-language pathologists and audiologists. Four issues are addressed: (1) software copyright and licensed use; (2) information access and the right to privacy; (3) computer-assisted or…

This article describes a discourse-based language intervention strategy in which children with pervasive developmental disorders are taught to make use of prior linguistic context to participate verbally in structured, interactive dialogues. The paper also describes the use of behavioral methodologies, especially milieu therapies, and the need for…

This column describes British technological aids that can support children with communication and writing difficulties, including (1) writing aids such as predictive typing, abbreviation expansion systems, and alternative keyboards; and (2) socially interactive communication aids such as synthetic speech using portable computers. (JDD)

Discussion of the changing role of the speech-language pathologist in the schools notes trends toward collaborative service-delivery models in place of traditional "pull-out" approaches. A case example illustrates how speech-language services can be implemented within a collaborative framework. (Author/DB)

Awareness of issues of social competence and challenging behavior related to childhood language and communication disorders has been increasing. The purpose of this clinical exchange is to provide speech-language pathologists with basic information on communication disorders and challenging behaviors, as well as with insights into ways to support…