Intervening at the language-for-learning stage

Chapter 12


Intervening at the language-for-learning stage




imageWillie had been late to begin talking when he was a toddler. His parents were concerned about him and asked their pediatrician about it. The pediatrician had Willie’s hearing tested and found that he had a mild sensorineural loss in the right ear and a moderate loss in the left. He began wearing hearing aids and was enrolled in an early intervention program. His oral language skills began to improve, and by the time he reached kindergarten, he was able to pass a screening for entrance into a mainstream program. The regular kindergarten teacher referred him for additional speech and language intervention midway through the year, though, because of some mild problems with the intelligibility of his speech and a concern about “immature language.” He worked with a speech-language pathologist (SLP), Ms. Johnson, during kindergarten and first grade on basic oral language skills, including increasing intelligibility, use of auxiliary verbs and verb marking, increasing vocabulary, and other skills at the developing language level. Ms. Johnson helped his teachers set up and use a classroom amplification system to improve Willie’s reception of the teacher’s language input. His first grade classroom included an responsiveness to intervention (RTI) program for reading development, and Willie was placed in Tier II instruction for one marking period when he began to struggle with early reading achievement. By the end of first grade, though, he had mastered most of the basic oral language skills his Tier II group had targeted, and he moved back into Tier I. Language analysis showed he was functioning at or above Brown’s stage V in most areas of productive language. He scored within the normal range, although at the low end, on receptive language and vocabulary assessments. Ms. Johnson put Willie on monitoring status at the end of first grade, and Willie went on to second grade.


Toward the end of his second-grade year, Ms. Johnson received another referral for Willie. His second-grade teacher reported that Willie was “not listening” in class; was having trouble with reading and writing; couldn’t organize his materials or complete independent work; and was “acting out,” getting attention by being silly and boisterous. Generally, he seemed unable to keep up with the other second-graders in “getting” the information being studied in the subject areas. The second-grade teacher felt he could not function in a mainstream classroom and needed a special program for children with hearing impairments.


Willie was seen by the Student Success Team. They made modifications in his assistive listening system, moved his seat to the front of the room, and advised the teacher to look directly at him when she spoke to him. However, when another marking period went by without much improvement in his classroom performance, it was decided that he needed more help. After an intensive evaluation including both standardized and criterion-referenced assessments in collaboration with the audiologist and learning-disability and reading specialists on the school assessment team, as well as two classroom observations for some curriculum-based evaluation, Ms. Johnson concluded that Willie could benefit from speech/language services. This time, though, his needs were different. They were not in the area of basic oral language skills, but concerned his ability to use and understand language to participate fully in the life of the classroom and to move beyond basic oral language to higher level linguistic functions, including reading, writing, and the complex discourse demands of the classroom. Still, Ms. Johnson felt that Willie had enough language skill to continue to progress in a mainstream classroom if he received the appropriate support. Ms. Johnson began to work with Willie’s family and with the reading and learning-disability specialists and audiologist to design a program for Willie’s third-grade year that would meet his needs and help him succeed in the mainstream setting.



Although Willie’s hearing impairment figures in his difficulties in school, the pattern of his development is in some ways typical of many children with problems at the language-for-learning (L4L) level. They may start out with a primary problem in oral language, grow out of that (with some help from the SLP), and grow into a different kind of problem, one with managing in school. Let’s talk about how to plan and deliver intervention for children whose language skills lead to difficulty in meeting the demands of the school curriculum.



Planning intervention in the L4L stage


Students being seen for language intervention in the L4L period usually require transdisciplinary planning, which, you’ll remember, means that specialists and teachers work together, not just within but across their disciplines, to design an effective intervention program. Services need to be coordinated among the specialists, in consultation with the regular or special education teacher, to ensure that the student’s program is coherent and addresses all aspects of the student’s needs and includes the family’s perspective (Prelock, Beatson, Contompasis, & Kirk, 1999), since family involvement predicts academic achievement, social and emotional development, and a variety of other positive school outcomes for all children, including those with special needs (Howland et al., 2006).


The Individualized Educational Plan (IEP) meeting provides an excellent opportunity to engage in this kind of collaborative planning. Since the IEP meeting is required by law, everyone involved in the student’s program will be present. Parents will be there, too, so their input can be incorporated. If the SLP serves as service coordinator, he or she can initiate a discussion among the team as to who will do what and when and how to be sure the program flows smoothly and makes sense for the student. To make the intervention truly transdisciplinary, the SLP needs to work with the other educators to outline the client’s needs and figure out how each can best be served. Take Willie, for example. His hearing impairment needs to be carefully monitored and his aids and assistive listening devices managed. He needs to work on basic reading and writing skills. He also needs to learn to communicate more effectively in the classroom, be more organized in his work habits, and improve his use of the hearing he has in classroom situations. And he needs help learning the material being presented in the classroom. Who helps him with what?


In transdisciplinary intervention, specialists don’t work independently on separate intervention agendas. Instead they decide with the classroom teacher what Willie’s most immediate needs are and divide up the responsibilities according to the strengths of each professional. Monitoring his hearing and managing his audiometric equipment would fall to the audiologist. Work on basic reading and writing skills would obviously be under the direction of the reading specialist. The learning-disability (LD) teacher might work with Willie or in consultation with the classroom teacher to develop better organizational and study skills and help with mastering classroom content. The SLP might work with the classroom teacher to give Willie some listening strategies in the classroom and might help the teacher to modify some of the classroom procedures to make it easier for Willie to succeed. The speech-language pathologist also might consult with the full team about some of the higher level oral language skills that Willie needs to work on to succeed in the other areas of the curriculum. The SLP could address these skills in oral language activities, developing comprehension-monitoring and metacognitive strategies for Willie to use in focusing on these higher level targets. The SLP might share these strategies with the classroom teacher, who would encourage Willie to use them in the classroom. The reading and LD specialist also might encourage Willie to use the same comprehension monitoring and metacognitive strategies in their work with him. In this way, a focused and coherent program might be developed in which the work of each specialist would contribute interactively to fostering Willie’s development (Silliman, Ford, Beasman, & Evans, 1999).



Planning intervention with the IEP


The IEP for a school-aged child differs somewhat from the Individual Family Service Plan (IFSP) for infants and toddlers, as we have discussed. It still requires participation and signature of all parties, from both the family and the school, at the IEP meeting. And, since the law emphasizes including children with disabilities in the mainstream curriculum, the regular education teacher must also be part of the team. The IEP also includes a statement of the student’s present levels of educational performance, a statement of annual goals and objectives with criteria for determining whether each has been achieved, a summary of all special educational and related services (such as transportation) to be provided, a statement of the extent of participation in the regular education program, a justification of the student’s placement in the least-restrictive setting for that pupil, a statement of modifications needed in the regular classroom program to accommodate the student, the projected dates for initiating services, the duration of services, and the proposed date of review.


IEP goals at the L4L stage may include targets in traditional oral language areas, such as increasing sentence length, expanding vocabulary, and increasing use of appropriate request forms. They also can include goals directed at improving classroom performance and integrating oral language and literacy. Sample IEP goals for these kinds of targets might include following classroom directions, demonstrating comprehension of classroom textbooks, producing a cohesive story, or explaining the meaning of technical terms in the curriculum. Nelson (2010) and Simon (1999) provided some examples of ways to design curriculum-based goals for the IEP. They suggested, for example, that objectives be embedded into larger goals based on the curriculum. An IEP goal might state “Willie will be able to define target vocabulary with 80% accuracy when discussing key vocabulary items from classroom lessons,” or “Willie will demonstrate understanding of –ing and –ed morphemes by correctly spelling words with these endings on weekly spelling tests.” Farber, Denenberg, Klyman, and Lachman (1992); Nelson (1988, 2010); and Prelock, Miller and Reed (1993) also provided extensive examples of IEP goals that can be written to address classroom performance and literacy development in students with language-learning disorders (LLDs).


Procedures for modifying the classroom environment so that the child with special needs can participate are an especially important aspect of the IEP for a child at the elementary school level. These modifications might include providing auditory training equipment for a child like Willie or modifying grading so that a child with a developmental disability can be graded on a pass/fail basis. Other modifications might involve providing an aide to help a student with ASD participate in classroom activities or a Sign or oral interpreter to translate classroom language for a hearing-impaired or deaf-blind student. Tests might have to be modified for a student with attention-deficit hyperactivity disorder (ADHD), so that there are only a few questions per page. Written texts might need to be read to a blind student or to one with a severe reading disorder. Any such modification would have to be stated on the IEP.


Justifying a placement as least restrictive is also important in this age range. Any placement that moves the student away from the regular classroom or neighborhood school must be justified on the basis of an inability to provide appropriate education in the mainstream setting. Particularly for students with mild to moderate disabilities, the Individuals with Disabilities Education Act (IDEA) gives strong support for inclusion, or integrated education within the general classroom. Silliman, Ford, Beasman, and Evans (1999) provide one model for achieving this inclusion for students with LLD. Appendix 12-1 provides a model of what an IEP form might look like. Each educational agency must develop its own form, so the one your school uses may not look just like this. Although there are no mandatory forms for use in creating IEPs, the 2004 reauthorization of the IDEA provides for the development of model IEP forms. However, as of this writing, these models have not yet been disseminated. Whatever form is used, however, it must contain the components we’ve discussed.

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Apr 19, 2017 | Posted by in PSYCHOLOGY | Comments Off on Intervening at the language-for-learning stage

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