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Issues and Strategies for Measuring Outcomes for Children with “Speech-Only’ Eligibility. Jim J Lesko, Ed.D. Delaware Department of Education jlesko@doe.k12.de.us. Assessment Framework for Children with Preschool Delays. Delaware uses the Child Outcome Summary Form

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issues and strategies for measuring outcomes for children with speech only eligibility

Issues and Strategies for Measuring Outcomes for Children with “Speech-Only’ Eligibility

Jim J Lesko, Ed.D.

Delaware Department of Education

jlesko@doe.k12.de.us

assessment framework for children with preschool delays
Assessment Framework for Children with Preschool Delays
  • Delaware uses the Child Outcome Summary Form
    • Multiple sources of information/data are used to determine each child’s COSF rating
  • Approved list of measurement tools
  • Children with disabilities other than PSD assessed with comprehensive curriculum measure aligned with state EC guidelines
  • Measurement typically involves 2 or more on team
assessment framework for children with preschool delays3
Assessment Framework for Children with Preschool Delays
  • Recognize that the SLP may be the only person that completes the ratings
  • Emphasis on parent involvement as an important source of data on other areas of development
  • Emphasis on other care/education practitioners as an important source of data on other areas of development
  • Measurement occurs at entry, every spring and exit
challenges
Challenges
  • Sheer numbers on caseloads
  • Authentic assessment parameters
  • Lack of opportunity for observation
  • “Expertise” area is speech and language
process framework for outcome 1 and 3
Process Framework for Outcome 1 and 3
  • SLP will administer one of four possible assessment instruments to obtain pre/post developmental information
  • Assessment instruments fall into 2 categories
    • Parent Survey
    • Interview Measure
  • Therapist chooses either parent survey or interview measure
approved instruments
Approved Instruments
  • Outcome 1 and 3 Tools
    • Parent Surveys
      • Ages and Stages Questionnaire and
      • Ages and Stages Social/Emotional Quest.
      • Or Child Development Inventory
    • Interview Tools
      • Vineland Scales II
      • Adaptive Behavior Assessment System
  • Outcome 2 Tools
    • Appropriate speech assessment tools such as the Goldman Fristoe Test of Articulation, Language Samples
process
Process
  • The state has made the assumption that children identified as preschool speech delayed are not presenting developmental issues in other areas – hence the use of surveys and questionnaires
  • We are also going with the assumption that parents and/or EC practitioners are fairly accurate reporters of their children’s development
process8
Process
  • We have worked with SLPs to monitor the survey responses and identify when red flags are raised
  • When red flags occur the SLP refers the child/family for further investigation or develops a close monitoring plan
    • ie., child presents with red flag in behavior and child has severe articulation concern
    • ie. – child presents with red flag in language or motor and has moderate articulation concern
process9
Process
  • Literacy levels of families is a concern with the surveys
  • Return rate of surveys is a concern
  • Few complaints from SLPs on the process seen as a success
  • Assessing children that are English language learners remains a concern