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20Q: A Comprehensive Pre-assessment Process for Differentiating Language Difference from Language Impairment in English Learners in Schools - Part 1

20Q: A Comprehensive Pre-assessment Process for Differentiating Language Difference from Language Impairment in English Learners in Schools - Part 1
Celeste Roseberry-McKibbin, PhD, CCC-SLP, F-ASHA
October 15, 2020

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From the Desk of Ann KummerAccording to the National Institute of Deafness and Other Communication Disorders (NIDCD), approximately 15% of American adults (about 37.5 million) report some difficulty hearing and about 28.8 million of those adults could benefit from wearing hearing aids. Presbycusis (an age-related form of sensorineural hearing loss) is particularly common in individuals over the age of 60.  Unfortunately for me, I am one of those individuals! As I was recently being fitted for hearing aids by my audiologist colleague, it was clear to me how little I know about hearing aids, despite my audiology training several decades ago (LOL!). Actually, I suspect that most speech-language pathologists, particularly those who graduated a few years ago, could benefit from a tutorial on hearing aids as well. Therefore, I am particularly excited about this 20Q from Dr. Gustav (“Gus”) Mueller!Dr. H. Gustav Mueller holds faculty positions with Vanderbilt University, the University of Northern Colorado, and Rush University. Dr. Mueller is a Founder of the American Academy of Audiology and a Fellow of the American Speech and Hearing Association.  He has co-authored over ten books on hearing aids and hearing aid fitting, including the recent Hearing Aids for Speech-Language Pathologists.  Gus is the co-founder of the popular website www.earTunes.com.  Gus is my audiology counterpart as he is the Contributing Editor for AudiologyOnline, where he has the monthly column “20Q With Gus.” (He taught me all the tricks to this trade.) Finally, he has a private consulting practice on the tropic (his description) North Dakota island, just outside the city of Bismarck. Check it out at http://www.gusmueller.net/fox-island-audiology-north-dakota-nd.htmIn this 20Q article, Dr. Mueller will answer common questions about modern hearing aids and provides a description of new and innovative technology. In addition, he discusses strategies that are used to obtain an optimum fitting.Now…read on, learn, and enjoy!Ann W. Kummer, PhD, CCC-SLP, FASHA, 2017 ASHA HonorsContributing Editor Browse the complete collection of 20Q with Ann Kummer CEU articles at www.speechpathology.com/20Q20Q: A Comprehensive Pre-assessment Process for Differentiating Language Difference from Language Impairment in English Learners in Schools - Part 1Learning OutcomesAfter this course, readers will be able to: Describe clinical tests that are used to evaluate the hearing aid candidate.Describe the patient benefit expected from advanced hearing aid technology.Describe the evaluation and verification process for the fitting of modern hearing aids.Celeste Roseberry-McKibben1. I recently saw that you wrote a book on hearing aids that is geared toward speech-language pathologists?Right, along with my colleague Lindsey Jorgensen.  To be honest, we weren’t too sure what you all need to know about hearing aids, or what you want to know about hearing aids, so we included a little bit of everything.  To make it a more general audiology reference, we even added chapters on diagnostic testing, auditory pathologies, implantable devices, and rehabilitative audiology.I know your interest at the moment lies with hearing aids, so we’ll stick with that.  It’s always fun to talk about the latest technology, but I do need to emphasize that there is a systematic fitting process entailing several steps—it’s a lot more than the instruments themselves.  Both the ASHA and the AAA have detailed step-by-step guidelines regarding the selection and fitting of hearing aids.  In general, they go something like this:...

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celeste roseberry mckibbin

Celeste Roseberry-McKibbin, PhD, CCC-SLP, F-ASHA

Celeste Roseberry-McKibbin received her Ph.D. from Northwestern University.  She is a Professor of Communication Sciences and Disorders at California State University, Sacramento.  Dr. Roseberry is also currently a part-time itinerant speech pathologist in San Juan Unified School District where she provides direct services to students from preschool through high school.  Dr. Roseberry’s primary research interests are in the areas of assessment and treatment of culturally and linguistically diverse students with communication disorders as well as service delivery to students from low-income backgrounds.  She has over 70 publications, including 16 books, and has made over 500 presentations at the local, state, national, and international levels.  Dr. Roseberry is a Fellow of ASHA, and winner of ASHA’s Certificate of Recognition for Special Contributions in Multicultural Affairs as well as the Excellence in Diversity Award from CAPCSD. She received the national presidential Daily Point of Light Award for her volunteer work in building literacy skills of children in poverty. She lived in the Philippines as the daughter of Baptist missionaries from ages 6 to 17.



Related Courses

20Q: English Learners and Developmental Language Disorder - ​Strategies to Develop Academic Vocabulary Skills
Presented by Celeste Roseberry-McKibbin, PhD, CCC-SLP, F-ASHA
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Course: #10266Level: Intermediate1 Hour
This course discusses Developmental Language Disorder (DLD) in English Learners (EL). Specific, research-based strategies are provided for developing academic vocabulary skills and phonological awareness skills in this group of students.

20Q: A Pre-assessment Process for Differentiating Language Difference from Language Impairment in English Learners in Schools, Part 2
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This 2-part series is geared to public school SLPs who serve English Learners with potential language impairment. Part 2 will describe components and implementation strategies for Response to Intervention (RtI), as one part of a pre-assessment process designed to help SLPs differentiate between language impairment and language difference in English learners with environmental challenges, such as poverty, limited schooling experience, and lack of home literacy experience.

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The definition of childhood trauma, the experiences that constitute trauma in a student’s life, and the concept of trauma-informed intervention are described in this course. Practical, hands-on suggestions are provided for strategies that support students with communication disorders who have experienced trauma, and activities to improve their social and executive function skills.

20Q: Sensory and Fine Motor Activities for Children with Communication and Sensory Processing Disorders
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Speech-language pathologists are receiving more referrals of students with communication disorders with accompanying Sensory Processing Disorder (SPD) and fine motor delays. The nature of these delays, their impact on communication and behavior, and signs to watch for are discussed in this course. Free and fun activities that can be integrated into therapy to boost these skills simultaneously with communication are described.

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