practical implications for_the_monolingual_therapist
TRANSCRIPT
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Derick D. Deweber, M.S., CCC-SLP
Bilingual Speech-Language PathologistDeweber and Associates, PLLC
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- Diverse Demographics of United States- Overview of Culture and Belief Values- Models of Bilingual Language Development- ASHA Guidelines for Bilingual Language
Assessment- Methods for Assessment- Working with Interpreters- Therapy Ideas for this Population- Case Study- Questions
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US census data from 2000 show that during the 1990s: Hispanic population increased by 58% Asian population increased by 48% Native American, Pacific Islander increased by
35% and African American Population increased by 16%
In last 20 years, the non-hispanic white population grew by 7.6%
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Population of US of Hispanic or Latino origin projected to increase from 12.6% in 2000 to 24.4% in 2050
Overall, 87% of Hispanic Population in the United States is concentrated in 10 states:
California, Texas, New York, Florida, Illinois, New Jersey, Arizona, New
Mexico, Colorado and Massachusetts
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Legend
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Estimated that 19.6% of US population speaks a language other than English at home
Of these families 63% speak Spanish, while 37% speak one of the 100 different minority languages
By year 2070, 47% of the US population is expected to speak Spanish as a first language
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Legend
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Some Hispanics may prefer to organize into extended family systems
Some Hispanics may tend to be more person oriented
Some Hispanics may only seek help only when perceived crisis exists
Use of Spanish Language is an important social tool
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Value Implication Respect Elders Greet family and elders Circularness, wholeness Work with student and
family Silence is valued Listen. Wait for answers Priv. for personal matters Tell why asking
questions Congeniality Accept food/drinks Accept what is Prevention not as
important Time is viewed differently Family over therapy Healers give tangible objects Leave something at end
of appointment (i.e., pamphlet, toy, etc)
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The continuum of language input Parental beliefs Aspects of culture Environmental factors
Parental education Parental economic resources Parental psychological status
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Silent Period Code-switching Transfer Interference Subtractive bilingual environments Additive bilingual environments Immersion Simultaneous Bilingual Sequential Bilingual
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Unitary Language System Hypothesis (Volterra and Taeschner, 1978) Children’s brains process with a single language
system that combines rules and input from their two language input
Dual Language System Hypothesis (Genesee, 1989) Assumes that children exposed to two languages
from birth establish two separate linguistic systems from outset of acquisition
See Cummins Handout
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See Roseberry-Mckibbin Handout
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A child who simultaneously develops two languages reaches some language development milestones in a way similar to a monolingual child
For example, these children speak their first words and word combinations at the same age that monolingual children do (Kayser, 2002)
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A child learning a second language manifests normal characteristics and processes as the second language is being acquired
Some of these are: Silent period Code-switching Transfer Language loss
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In the early stages of learning a second a second language (L2), most students focus on comprehension and very little speaking
The younger the student, the longer the silent period usually lasts
Students introduced to L2 during the preschool years may speak very little L1 or in L2 for an extended period of time (Brice, 2002; Hakuta 1978; Krashen 1992)
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This is the phenomenon of alternating between 2 languages within a single phrase, sentence, or discourse
Bilingual children commonly use this strategy (Brice & Anderson, 1999)
Generally, code-switching is a normal communication behavior
Code-switching is used by multilingual adults and children around the world
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When students are learning an L2, they make errors that reflect the influence of L1
For example: in Spanish, a child would say “la casa verde” (the house green)
If a Spanish-speaking child pointed to a picture and said, “Look-I see the house green” this would be transfer from Spanish, not a sign of a clinically significant problem with syntax
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Transfer can occur in all areas of speech and language: syntax, morphology, phonology, semantics, and pragmatics
Errors of transfer from L1 are NOT signs of a communication disorder. These errors indicate a communication difference, not a disorder
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Many ELL students’ L1 is not maintained in school through bilingual education
Unfortunately, they experience language loss in L1
This, in combination with other variables, can lead to achievement of low test scores in both L1 and English
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Simultaneous acquisition occurs when a child is exposed to 2 languages from infancy in natural situations
Interference between L1 and L2 is minimal Early infancy is the ideal time for a child to
be exposed to 2+ languages
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The child is exposed to L1 during infancy, and learns L2 at a later time
Sequential learners may show greater diversity in rates and stages of acquisition (Kayser, 2002; Langdon, 1992)
If L2 is introduced sequentially before a strong L1 foundation has been established (6-8 yrs.), L1 development may be arrested or even regress while L2 is being formed
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These students, for a while, achieve low test scores in both L1 and L2—this can cause them to appear language-learning disabled when they are not
Preschool children who learn English in a sequential manner are especially vulnerable to this situation
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Additive vs. Subtractive Bilingualism Additive Bilingualism – the ideal situation,
where the student’s L1 is nurtured and developed along with L2 Research shows that additive bilingualism has
great cognitive and linguistic benefits Subtractive Bilingualism- the student’s L1 is
not nurtured or developed It is replaced by L2; language loss in L1 occurs In many cases can lead to academic failure
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At-Risk factors Macarthur found that persons who spoke
languages other than English were at least twice as likely to drop out of school
Low family incomes and low parental education Cultural change/language shift
Civil Rights Legislation Special Education Legislation
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Title VI of Civil Rights Act of 1964 Update 2000: Executive Order 13166: Institutions
could lose funding if found to be discriminatory in provision of services to those who speak a language other than English at home
Equal Educational Opportunities Act of 1975 Sec. 1703(f) requires SEAs to take action to over come
language barriers that impede ELL students from participating in district education programs
IDEA 2004 Title 1, Part B, Sec. 614, paragraph (b), assessments
are “provided and administered in the language and form most likely to yield accurate information on what the child knows and can do academically, developmentally, and functionally, unless it is not feasible to so provide or administer.”
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Transitional Bilingual Education involves education in a child's native language, typically for no more than three years, to ensure that students do not fall behind in content areas like math, science, and social studies while they are learning English.
Two-Way or Dual Language Immersion Bilingual Education. These programs are designed to help native and non-native English speakers become bilingual and biliterate.
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Dual Language program that has students study in two different ways: 1) A variety of academic subjects are taught in the students' second language, with specially trained bilingual teachers who can understand students when they ask questions in their native language, but always answer in the second language; and 2) Native language literacy classes improve students' writing and higher-order language skills in their first language. Research has shown that many of the skills learned in the native language can be transferred easily to the second language later.
Late-Exit or Developmental Bilingual Education. Education is in the child's native language for an extended duration, accompanied by education in English. The goal is to develop literacy in the child's native language first, and transfer these skills to the second language.
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ASHA has several policy documents pertaining to service delivery in CLD populations
All consistent with federal policies and regulations
There are a number of policies and documents specifically useful for individuals who work with 3 to 5 year old populations
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The Clinical Management of Communicatively Handicapped Minority Language Populations (1985) Simply reminds us to provide assessments in
languages used by child If you do not speak language, should include
bilingual service providers If unable to find bilingual provider should use
TRAINED interpreter Document lists, in order of preference, who
should be contacted as interpreter Intervention should be provided in languages of
assessment
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The Knowledge and Skills Needed by Speech-Language Pathologists and Audiologists to Provide Culturally and Linguistically Appropriate Services (2004) Provides guidance for monolingual service
providers Providers required to have knowledge to
determine if child has a difference or disorder In addition, they should be able to work with an
interpreter
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Provision of Instruction in English as a Second Language by Speech-Language Pathologists in School Settings (1998) Position paper/technical report to clarify that
ASHA-certified SLPs do not provide ESL services unless they have applied for and have been hired for that position
It is appropriate to provide tips to classroom teachers
ESL service is a general education service ASHA members work with persons who have
communication impairments/differences
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General considerations Is student manifesting characteristics of normal
SLA and/or bilingual development that are mistakenly identified as a language-learning disability?
Is there a mismatch between the student’s background/environment and the school’s expectations?
Review Diagnostic Pie SLPs only serve children in Quadrants 3 and 4
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IDEA permits the use of qualitative, subjective measures
But…standardized, formal tests are generally preferred for schools, educational programs
Many SLPs operate from the belief that we must always obtain quantitative data
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Very few standardized tests in most languages
Most standardized tests are developed from a Western, literate, middle class framework
Tests have assumptions Students will cooperate Students will be comfortable with unfamiliar
adult Students will be proficient in verbal display of
knowledge Students will understand and perform unfamiliar
tasks
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Types of clothing Foods Money US nursery rhyme and fairy tales Electrical appliances Snow and cold weather
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Work with Trained Interpreters Modify Standardized Tests Informal, Non-standardized Assessments
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Interpreters and Translators in Communication Disorders Henriette W. Langdon, EdD
Thinking Publications, 2002
BID Process Briefing Interaction Debriefing
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Need to have these skills: Literacy in both English and Spanish Ability to interact appropriate in both languages Ability to maintain confidentiality Knowledge of educational system and relevant
terminology Areas of training:
Ethical practices Professional terminology Rationale for procedures used in assessment Implementation of strategies
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Training strategies: Role-playing Practice administering procedure to a speaker of
English of the same as a child Use the cultural informant as a resource for
evaluating the interpreter’s skills
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Give instructions in L1 and English Rephrase confusing instructions Give extra examples and demonstrations Give the student extra time to respond Repeat items when necessary
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If student gives “wrong” answer ask for explanation
Omit items student will probably miss Test beyond the ceiling Complete assessment in several sessions Count as correct answer in either language
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Team Approach to Comprehensive Assessment Handout
Checklists Interviews Portfolio Assessment Narrative Assessment Observe child in a number of communication
environments Dynamic assessment
Evaluates a student’s ability to learn when provided with instruction
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Review of information gained from formalized assessments and informal methods
Comparison of child’s ability to language norms Thorough understanding of language differences
that exist between English and Spanish languages Semantics Phonology Syntax Morphology Pragmatics
Awareness of heterogeneity of bilingual children
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Linguistic Feature
Spanish English
Word order variation
High Low
Inflectional morphology
Rich Sparse
Morphological regularity
Multiple regular and irregular forms
One regular; multiple regulars
Omission of sentence constituents
Subjects can be omitted
Not permitted
Lexical ambiguity Low (due to inflectional markings)
High (esp. for nouns and verbs
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Linguistic Feature
Spanish English
Use of compounding
Low High
Grammatical cues to word identity
Gender and form class (masc. and fem)
Form class only
Word length in syllables
Long Short
Canonical syllable shape
CV CVC
Orthographic regularity
Highly regular Highly opaque
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Depends on age/stage of learning Evidence from sequential bilinguals suggests that
starting with teaching words in L1 and later teaching in English is more efficient than starting with words in L2
In adults with limited L2, form-meaning mappings appear to be mediated by relating L2 word to an equivalent word in L1
For sequential learners past beginning L2 stages, may be more effective to introduce new items in whichever language it is needed
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BothPeopleFunctionsCategor-izationPart-Whole
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Language of intervention is often not apparent SLP may use child’s knowledge of shared and
unshared phonemes SLPs might treat shared phonemes initially and
monitor and transfer that takes place SLPs might treat unshared phonemes initially and
monitor the effect on the other phonemes in inventory
SLPs may choose intervention targets based on type and rates of errors found in the two languages
NEITHER CROSS-LINGUISTIC EFFECTS NOR DIALECT FEATURES ARE APPROPRIATE INTERVENTION TARGETS
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Case Study
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34 month old Vietnamese male named “Frank”
Referred to SoonerStart at age 27 months Parents self-employed at nail salon No significant health/learning difficulties
reported in family history
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Full term vaginal birth with weight of 6 lbs and length of 20 inches
Hernia repair early at age 6 months Upper respiratory allergies Continuous rash on arms and hands No other medical history known or reported
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- No interest in communication- Low muscle tone- First walked at 26.5 months- Does not hold bottle/self-feed- Picky eater/poor appetite- Minimal eye contact
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Battelle Developmental Inventories – II Birth to Three - Language SoonerStart vision screen SoonerStart hearing screen Modified Checklist for Autism in Toddlers (M-
CHAT)
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Adaptive
Personal-Social
Communication
Motor
Cognitive
Self Care -3.00
Personal Responsibility -2.00
Total -2.40
Adult Interaction -2.33
Peer Interaction -3.00
Self-Concept and Social Role
-2.67
Total -2.40
Receptive -3.00
Expressive -3.00
Total -3.00
Gross Motor -1.67
Fine Motor -2.00
Perceptual Motor -2.33
Total -2.00
Attention and Memory -2.67
Reasoning and Academic -1.67
Perception and Concepts -2.00
Total -2.27
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TargetArea
AgeEquivalent
PercentDelay
ReceptiveLanguage 7.5 months 71%
Expressive Language 9.0 months 68%
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Frank passed SoonerStart vision screening at time of evaluation
Family reports no concerns with Frank’s vision
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Hea
ring
Res
ults
June
6,
2009
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Child fails M-CHAT when 2 or more critical items or any 3 items are failed
Frank is indicated to be at risk for Autism as he failed 12/23 items on checklist
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Family does not speak the same language as the service providers
Why could this be a problem? What is one possible solution to this problem?
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Family is unwilling to follow up on recommended follow-up screenings (e.g., hearing, autism, and weight) due to belief that issues will resolve themselves
Why could this be a problem? What is one possible solution to this problem?
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Family does not utilize intervention strategies in their daily routines with child and do not practice intervention targets
Why could this be a problem? What is one possible solution to this
problem?
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Child is allowed to hit mother and service providers, pull hair, throw toys, and to exhibit other inappropriate behaviors and is encouraged to do so by parents’ laughing when behaviors are performed
Why could this be a problem? What is one possible solution to this problem?
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Assessment/Intervention materials that are provided to families who access school services are not available in family’s language
Why could this be a problem? What is one possible solution to this problem?
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What’s next for this child?
Based on the information provided in this talk, what barriers do you think this child/family will encounter as they access intervention services in the public schools?
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If you have questions that were not answered during today’s talk or would like additional information please contact me at:
Derick D. Deweber, M.S., CCC-SLP [email protected] 405-601-7080 (Office) 405-305-8762 (Cell) http://www.derickdeweber.com