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Mapping assessment to intervention for children with pragmatic language impairment Jacqueline Gaile,

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Jacqueline Gaile, Gillian Earl, Elaine Clarke and Catherine Adams ... Effectiveness of intervention for children with PLI. Led by Dr Catherine Adams & Dr Elaine Clarke ... – PowerPoint PPT presentation

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Title: Mapping assessment to intervention for children with pragmatic language impairment Jacqueline Gaile,


1
Mapping assessment to intervention for children
with pragmatic language impairment Jacqueline
Gaile, Gillian Earl, Elaine Clarke and Catherine
Adams Speech and Language Therapy Researchers
Social Communication Intervention Project School
of Psychological SciencesUniversity of
Manchester, UK
2
Overview
  • Pragmatic Language Impairment
  • Social Communication Intervention Project
  • Intervention framework
  • Assessment framework
  • Mapping assessment to intervention
  • Sample data from one child
  • Reflections on intervention planning

3
Main characteristics of PLI
  • Variety of pragmatic behaviours
  • Domination of conversationVerbosityTopic
    switching
  • Language impairment features
  • Word-finding difficultiesNarrative
    organisationComprehension of text
  • Some have features of mild autism
  • Social immaturity relationship
    problemsPerceptual and sensory features Dislike
    of change in routines

4
Social Communication Intervention Project
  • Effectiveness of intervention for children with
    PLI
  • Led by Dr Catherine Adams Dr Elaine Clarke
  • Randomised control trial 90 children
  • 21 intervention to control
  • Control group received intervention as usual
  • Intensive intervention in school by SCIP team
  • Manualised intervention

5

6
Models of mapping
  • Mapping practice onto theory the SL
    practitioners construction of RLI Law et al
    (2007)
  • Age of child
  • Skills acquisition v metacognitive
  • Theory of deficit v theory of practice
  • Research needs to be able to describe deficit and
    parameters of the deficit that are to be targeted
    in intervention

7
Aspects
8
Assessment Framework
  • In depth assessment of language and social
    understanding
  • CELF 4
  • ACE naming non literal
  • TROG2 BPVS
  • ERRNI
  • HappĂ© strange stories
  • ALICC
  • Parent and teacher measures
  • Childrens communication checklist 2nd edition
  • SCIP parent and teacher interviews

9
Making links to intervention
  • Standard scores limited to SSlt 5
  • Overall strengths as well as weaknesses
  • Mapping to sections within a prescribed manual of
    activities
  • Parent and teacher perspectives
  • Mediating skills required to make progress

10
SCIP mapping framework
  • Model created to represent childs needs across
    all 3 domains
  • Intervention aspects are triggered from
    assessments
  • Triggers are tallied to give an overall
    impression of areas of need

11
Child A
  • 8 years 4 months at baseline
  • Year 4 in mixed year 3-4 class
  • Statement of SEN 20 hours LSA time
  • Support in all core subjects
  • Reading recovery every day
  • Diagnosis of autism at age 4 years Mum says
    its not relevant now

12
CELF4 Language Processing
13
Language Processing
14
Language Processing
15
Intervention Profile - LP
16
Intervention Profile - Pragmatics
17
Intervention Profile - SUSI
18
Intervention Profile Child A
19
Is mapping useful?
  • Allows adherence to theoretical framework of
    intervention
  • Allows consideration of complexity of childs
    communication needs
  • Spreads observations across social and linguistic
    domains
  • Allows for interactions in intervention amongst 3
    domains

20
Expert assessment and planning
  • Building relationship to support therapy
  • Probing for impact of how difficulties interact
  • Establishing baseline skills
  • Metapragmatic skills
  • Narrative
  • Perspective taking
  • Understanding social context
  • Comprehension monitoring

21
Summary
  • Model how assessment to intervention planning
    works
  • How to implement a manualised intervention
  • Consideration of the interaction of social,
    pragmatic and language needs
  • Requires detailed planning, specific expert
    observations and probing for skill and
    interaction of difficulties
  • Need to understand how expert practitioners map
    assessment to intervention in order to allow
    expertise to be built up

22
SCIP website
  • www.psych-sci.manchester.ac.uk/scip/
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