We read about preschoolers all the time. The Middle School years are just as unique and developmentally important. If certain skills are not acquired during the Middle School years, higher level language development and learning could be effected. I hope to provide you with some basic information about language development during the ages of 11-14 and practical suggestions on how to interact with the middle schooler in your life. I welcome any questions, concerns or comments. Teresa
Questions and Answers
Thursday, August 6, 2009
Interesting and Informative Web Site
http://www.nelms.org/parent_links.html
Book Review-Alphabet Kids

By Robbie Woliver
I picked this book up at my public library a few weeks ago. The title and cover caught my attention. It’s a book that highlights and explains many childhood syndromes. In a nutshell, I like the book and feel it could be a very useful tool for both professionals and parents.
Mr. Woliver explains syndromes their possible causes, symptoms and typical expected behaviors in a way that is easy to read and easy to understand. I obviously didn’t read the whole book but I did peruse the syndroms with speech and language disorders along with syndromes I’ve become familiar with over the years. I felt the information he provided was both accurate and again easy to understand. Some of the syndromes have “true stories” to go along with the general information. “True stories” are good and bad in this context but for everyone they provide some perspective to the syndrome.
I wouldn’t recommend that every parent go out and buy this book but it is certainly a good reference book for anyone who’s child is in the process of being diagnosed or was recently diagnosed. However, any professional who works with families trying to understand and cope with early diagnosis of a syndrome would find this book very useful (guidance professionals, early intervention programs, hospital evaluation teams, neuropsychologists). I could also see this book on the shelf of every school psychologist to provide teachers with quick and easy information to help parents understand particular syndromes. Teacher’s lack of understanding and in honesty the special education team’s lack of helping teachers to understand syndromes and disorders is usually a problem especially at the middle school level. Yes, I include myself as lacking in this area.
Pediatricians need this book. Over the course of my 20+ years as a speech language pathologist, I can’t even begin to tell you how many times I have heard parents report that their Pediatrician told them to wait for development to kick in, they’d grow out of it or that nothing was wrong. I hope this has changed and I hope Pediatricians now take more intense courses on child development. I also hope they are more aware of syndromes, disabilities, mother’s intuition, assessment and services available. It wouldn’t hurt to have this book sitting on their shelf too as a reference.
It is obvious that a lot of this information is on line. However, I am old school and still like to have the reference in my hand. I do believe Alphabet Kids presents information in an easy to read and easy to understand format. Mr. Woliver takes out the medical jargon and clearly explains acronyms. Parents especially need a format like this. I’ve worked with families from all different economic backgrounds and levels of education. It’s interesting that parents with the higher levels of education often have more difficulty understanding and accepting their child’s needs.
Hopefully, most students arrive at the middle school with a diagnosis. That doesn’t mean that everyone working with the child understands the behaviors presented by the child. It also does not mean that we are super educators and can immediately design the perfect program for the student. Alphabet Kids could be very helpful in providing initial information for all professionals, staff and administration (administration often does not have a good understanding to the extent of disabilities related to syndromes) in order to help design that almost perfect program.
Tuesday, July 21, 2009
Assessment Question: Higher Level Language
Hello!
I just read about higher level langauge skills on your website.
I am a speech pathology graduate student working on a question, and was wondering if you could give me some guidance.
Here's the situation:
I am a school SLP that needs to make an assessment plan for a 12 year old girl who sustained traumatic brain injury in a car accident 2 months ago. She received care at an inpatient rehab facility. The rehab report states she has residual mild executive functioning difficulties as well as difficulty with higher level langauge skills, including mild response delays, word finding and circumlocutions.
So, in order to develop her IEP, I must have standardized test results. But where I am getting stuck is choosing an appropriate test. I don't want to test this girl to death but I think I may have to give her a couple of different tests so that I can set goals for her langauge skills as well as the executive function skills. Do you have any recommendations?
Thank you,
B
Hi B,
Thanks for taking a look at my blog. Lets see if I can give you some good suggestions. First thing I would do is look over old school reports to see if this child had any difficulities in school before the injury. I would then pour over any post injury testing. In these situations or similiar (outside evals) I always try to include previous testing if I think it is valid rather than re-test using different measures. In my report I usually include past findings again only if I think they are credible.
As far as the executive functioning goes, your school psychologist should be able to focus on that either through her testing or interpreting past testing. At my school my school psych is much better at explaining/brainstorming around this area. The school psyc should also be able to shed more light on the response delays.
Remember, most kids are still developing their higher level language skills at this age. What I am finding now is most of my students (without significant disabilities) who have difficulty with higher level language development sometimes come from homes that are not very enriching, stimulating or lack expectations. So I guess my point is you have to also consider the environment in which the child was exposed to before the injury. That probably won't impact your findings and I might not add it to a report but it is good for you to know this.
12 is a tricky age to assess higher level language because most tests cut off around 12 so are too easy for most 11 year olds. And the adolscent versions 12 and up, sometimes have content that is not appropriate to present to a 12 year old. I run into that a lot with the Test of Problem Solving. I do like the TOPS but I am careful how I interpret when the kids are around 12. I have recently begun using the Test of Auditory Perception Skills-cohesion portion to screen or confirm higher level language difficulities. However, that is almost too easy for older children and does not pick up the specific problems in the older children. The WORD test might be an option. However, I have not used it in years or review either elementary or adolscent versions.
I haven't tested for word retrieval in years. I use clinical observations, comparision of PPVT and EVT and sometimes the CELF rapid naming. I seem to remember the WORD test being good for clinical observations around word retrieval.
For a general test battery I use the CELF but that does take some time to administer. In my building we have a reading specialists for reading issues and as far as writing goes our school psych and special ed teachers assess that. I often comment on difficulty with organization of verbal language impacting writing.
Let me see if I can put together some samples of how I write up my evals. I will e-mail those separately. Hope this was helpful. If you don't mind I may post your e-mail-editing your name out on my blog.
Teresa
Teresa,
Thank you very much! Your suggestions really helped to solidfy what I was thinking in terms of types of tests and directions I should go. I was thinking that I might like to use the Test of Language Development as well as the Expressive & Receptive One Word tests to help substantiate the resulsts of the TOLD. What do you think?
I absolutely don't mind if you post my question. I hope that it can help someone else!
Thank you again,
B
Tuesday, June 30, 2009
10 Ways to Enhance That Summer Reading
So why should this stop just because they are older? OK so maybe they don’t want to curl up on the couch with you to read anymore but there are ways to enhance the reading skills of older children.
1. Show interest in what they’re reading. Make sure you know the types of book they like, subjects that interest them. Ask questions and encourage discussion.
2. Every once in awhile read the same book as your child. That way you can talk with your child about the book. Expand your questions to include character, setting, plot, conflict, climax and ending. Don’t read every book they read because they will see that as an invasion. Summer reading is perfect for this because during the school year, teachers guide them through books (almost too much sometimes to the point where they end up hating the book, another subject for another time) so some kids might need a little extra help or encouragement to get through a book on their own. Summer reading book are usually books they are not their choice therefore not real personal to them.
3. If the summer reading book is on audio, get it. Fill those long car rides to and from summer activities listening to something productive. Make sure is it the unabridged edition. And check out the library. That way is doesn’t cost you and arm and a leg.
4. Just like homework, you have to provide an atmosphere that is conducive to reading. If you have a child who is obsessed with video games, computers or TV, cut them off. Put limits on those things. Kids need structure just as much in the summer. However, don’t make reading time too formal or they might balk at it. The idea is to make reading more natural rather than forced.
5. Encourage fun summer reading. This includes magazines, newspapers, comics and internet articles. All reading has value even some of the most questionable material such has Mad (which I personally love for older middle schoolers) or superman comics. You want to child to read challenging material that will improve their vocabulary but reading mindless material is ok too. We all pick up People Magazine in the doctors office every so often, it’s a quick easy read.
6. Set a good example. Let your child see you reading.
7. Drag them to the library or bookstore several times over the summer. Encourage them to pick out something that they are interested in. At the very least, you are exposing them to a library/study/research atmosphere. Knowing how to behave in and use a library properly is a skill they will need for success in high school and college.
8. Have your child bring books with them so whenever there is down time they're able to read and get something productive done. Some suggestions are: car/plane/train rides, trips to the beach, while waiting to pick up your other children at activities, rainy days
9. Try to get through the assigned reading early in the summer so they have time to make some fun summer reading choices. This also alleviates stress at the end of August when the reading/projects are not complete.
10. Hit the used book stores, used book sales and even garage sales, looking for used books. Sometimes you can pick up a bag of books for a buck. Even if your child only looks at on book in the bag, you’ve gotten your money’s worth. It can actually be a lot of fun perusing old books. This also adds a nice variety to your library.
If you don’t think the books are appropriate for your child in terms of reading level or topic, speak up. Talk to the teachers about alternatives immediately. However, if teacher’s choices are just books that you or your child don’t like, do your best to help them get through the books (and follow up paper or project “aggggg” if there is one). Do not put down the teachers choices in front of your middle schooler (or even younger child). In high school and college they will have to read a lot of things that are not of interest but important. Reading challenging and varied material is how children continue to develop their adult vocabulary.
Summer reading should be enjoyable, relaxing and somewhat natural. Some kids will just not want to read. Try to find out why reading isn’t coming easy for them and see what you can do about it. However, make your expectations clear. Summer reading is important and it is their responsibility.
Thursday, June 25, 2009
The Essential 55

I recently picked up the book The Essential 55, An Award-Winning Educator’s Rules for Discovering the Successful Student in Every Child, by Ron Clark winner of the 2001 Disney Teacher of the Year Award. The title caught my eye, I see so many kids that are bright but seem to be lacking the tools for success. In the Essential 55, Ron Clark gives his opinion on the 55 rules that can make every child successful as a student. His rules are not on the order of study more, read more or stay after school for help. Clark’s rules are rules for life. The focus of the rules is on enriching pragmatic awareness, improving pragmatic skills and expecting basic etiquette. Not to mention his rules make sense.
The Essential 55 also focuses on providing clear cut expectations for a child. If you read my blog, you know I am BIG on providing expectations for children. Six of The Essential 55 that I like best are:
#1 Responding to Adults
Mr. Clark suggests that you tell/expect children to say, “Yes sir” and “no ma’am. He says it set the tone for the kind of respect he expects from his students. For him a nod of a head or a “yeah” is not good enough. I sometimes feel the child/adult relationships, especially in schools, are too casual. This is great tool for kids to have, saying, “yes sir” and “no ma’am” usually makes a very good impression on others.
#2 Eye Contact
Eye contact is so important in communication. When you make eye contact, you are attending to and acknowledging the speaker. From my perspective, eye contact is also important because without eye contact you miss many of the non-verbal cues that clarify messages. Plus it’s polite. When a child’s disability effects their ability to make good eye contact, I spend a lot of time trying to get eye contact to the best level possible.
#6 If you are asked a question in conversation, ask a question in return
This is an excellent habit to get into. Again, it shows people you are listening and interested. This is a good foundation for developing good conversation skills.
#11 Surprise others by performing random acts of kindness
This is an excellent suggestion and should jut go without saying. However, we all need reminders to do this from time to time. How many times have you said to yourself “I should have helped……..”, when regretting that you did help someone out. This one goes in effect at my house today. We all seem to be lacking in that lately. Recently, one of my very disabled students in the middle of a tough moment said to me “Stop being nice to me!” When I responded with a smile “No, I can’t do that, I am just a nice person”, he was so taken back by my kind response he calmed down almost immediately. A little kindness actually made a tough situation easier and almost humorous for me.
#15 Do not ask for a reward
Mr. Clark rewards his student’s often but asking for a reward is out of the question. He feels students should strive to do their best all the time not just for a reward. He states that in the real world rewards are not always given for a job well done. He feels that that this rule helps kids appreciate their efforts over their rewards.
#48 If anyone is bullying you let me know
He wants the kids to feel safe in school and know that he will stand up for him. Kids should never have to put up with bullying in school (we would not expect or put up with bullying at work). A big step to preventing bulling is to empower children to report bullying incidents since most happen out of earshot or view of adults.
If you notice Ron Clark’s rules are not just school or student rules they are rules for life. It was hard to pick just 6 to highlight. I would like to tell you more of them but you will just have to pick up his book.
With the Essential 55, Ron Clark has developed a “hidden curriculum”. A “hidden curriculum” is defined as the rules we all know but are never taught. I could see his Essential 55 presented weekly or expanded and presented daily at announcements instead of (or in addition to) “word of the day”.
This is a good read for both teachers and parents. The reality is if you expect good things from kids and are willing to teach them, they usually deliver.
Sunday, March 8, 2009
Michael G. Thompson PhD Lecture
A few weeks ago I attended a lecture at my son’s high school by Dr. Michael Thompson, topic “The Pressured Child”. Dr. Thompson is the author of many books dealing with topics on raising boys, social lives of children/families and pressures children face at school at home and with peers. I’ve read a couple of his books own a few more of them and should read the rest. Some of the points Dr. Thompson makes in his books are very insightful and extremely helpful for both parents and those working with children. I would recommend these books to parents in a heartbeat. If I could also get the staff at my school and my administrators to read them, I think we would have a better understanding of children in general.
I found Dr. Thompson to be an engaging speaker and I wish I had taken more notes. Here are some key ideas that I felt were noteworthy.
School is a deeply flawed institution but it is the best we’ve tried. In school, things are thrown at the kids and by the time they master it, we take it away and give them something different to work on. Adults do not have that issue we get to take our time and master information/skills. He also pointed out that attending 6 hours a day to different subjects cannot be easy.
School is not a competition. Apparently, traits and abilities are fixed easily by 4th grade. I believe Dr. Thompson directed that statement to parents who believe their kids are in competition with other kids.
A lot of his lecture was directed at parents who’s expectations are too high and think their kids are better than everyone else. Pointing out that just because your child is in the top of his class does not assure their top college choice because every school in America has top kids. He also laughed a little at the parents who have their students tutored several nights a week to improve SAT scores or other skills. I was under the impression he spends a lot of time telling over the top parents to let up on their kids.
Towards the end of the lecture, he made the following statements that really made me think. I may not have gotten it down word for word
“Learning is an act of exposure.”
“Follow their journey” then he added something about staying about a quarter step off your child’s journey so it is their journey not yours.
“They are doing their best at any given moment.”
If you are interested in reading more about Dr. Thompson and his insights and advice, his web site is
http://www.michaelthompson-phd.com/
Friday, March 6, 2009
Speech Language Pathologists...I need your opinion.
I have three topics I would like you to sound off on..........
1. Does your school have formal entrance and exit criteria? If so what is it and do you use it? Several years ago I was under the impression that you could not use specific entrance and exit criteria but I guess that changed with the new changes in the laws.
2. Do you have a problem with teachers and administrators understanding your role? I believe that most still think all we do is articulation, which could not be further from the truth. I also think that they do not understand that these so called artic kids could be shooting up red flags for reading and discrimination disabilities.
3. What is your district doing about RTI/co-teaching/integrating therapy (whatever you want to call it....it seems to be interpreted differently by many) ? What is their model and how will it effect your job?
Contact me through comments on this site or at tsdesignsandmore@comcast.net