Inter Mountain Area Speech and Hearing Convention
The New West: Collaborating In Communication

a unique convention hosted by
Colorado, Idaho, Utah and Wyoming
Speech-Language-Hearing Associations

October 6-8, 2011
Sheraton Salt Lake City Hotel
Salt Lake City, Utah

 


2011 IMASH CONVENTION PROGRAM DETAIL
 

Thursday, October 6


Session 1
                                                     Child Speech-Language Pathology Track

8:30 am - 10:00 am

Improve Speech Intelligibility and Develop Language/Literacy Skills Simultaneously

w/Orthographic Instruction! ,Part 1

Keli Richmond, MS, CCC-SLP, Literacy Speaks!/ Northern Speech Services / Texas School Systems

(Instructional Level: Intermediate)

Orthographic instruction (printed cues) is an approach that simultaneously develops a strong literacy

foundation while improving speech intelligibility, expanding language skills and enhancing phonological

awareness! Traditional techniques do not effectively activate the orthographic processor.  Early intervention, utilizing orthographic instruction, activates the orthographic processor and synchronizes the four processors within the brain by utilizing printed cues. Orthographic instruction endorses a natural progression of “letters-to-literacy” learning steps that create a fun and functional environment for students, clinicians and educators! Students progress quickly!  Workloads of clinicians and educators are lightened!

 

Learner Outcomes:  At the culmination of the session, the participant will be able to explain the rationale for introducing orthographic instruction (printed cues) into therapy and classroom activities. At the culmination of the session, the participant will be able to outline the suggested “letters-to-literacy” natural step progression. At the culmination of the session, the participant will be able to describe the roles of the four reading/writing.

 

Session 2                                                     Rehab Audiology Track

8:30 am - 10:00 am

Neuroplastic and Neurophysiologic Considerations in Hearing Aid Selection and Fitting, Part 1

David Smriga, MA, Etymonic Design, Inc.

(Instructional Level:  Intermediate)

This course will examine two key fundamental principles in amplification decision making. First, the principle of cortical neuroplasticity, which argues that amplification programmed for “day-one” subjective satisfaction risks compromising long-term hearing aid utility. Second, the principle that conventional amplification is only appropriate for patients with peripheral etiology, and that peripheral etiology should be defined as etiology lateral to the inner hair cells.

 

Learner Outcomes:  As a result of this session, participants will re-examine their hearing aid fitting strategies, looking toward a more long-term goal of hearing aid fitting success. As a result of this session, participants will focus on speech audibility as a fundamental indication of hearing aid fitting success. As a result of this session, participants will consider including cochlear dead-region testing in their diagnostic procedures. As a result of this session, participant will consider including brain exercises as part of their auditory treatment strategy. As a result of this session, participants will be able to assess frequency lowering devices, and set their functions for maximum audibility value.

 

Session 3                                                     Multi-Interest Track

8:30 am - 10:00 am

Mild TBI: Serving Wounded Warriors from the Combat Zone to the Community, Part 1

Carol Roth, PhD, CCC-SLP BC-NCD, Naval Medical Center

(Instructional Level:  Intermediate)

Mild traumatic brain injury (mTBI) due to blasts is the most frequent type of injury experienced by American

troops serving in Iraq and Afghanistan. The high incidence of blast-related mTBI and co-morbidities, particularly the psychological component, complicate recovery from mTBI sustained in combat. Persistent symptoms include cognitive-communication deficits that can cause significant functional impairment and disability. This seminar will address the consequences of blast-related mTBI; specifically focusing on evidence-based approaches to evaluation and treatment for cognitive-communication impairments, and intervention models specific to the challenges faced by clinicians who are honored to be working with our veterans.


Learner Outcomes: 
The participant will be able to list five instruments for assessing mTBI. The participant will be able to list three domains of cognitive-communication addressed in the rehabilitation of mTBI. The participant will be able to describe four co-morbidities of mTBI and the impact on cognition. The participant will be able to describe three approaches used for the remediation of metacognition and problem solving.

 

Session 4                                                     Multi-Interest Track

8:30 am - 10:00 am

Evidence-based Practices in Language Intervention with School-Age Children, Part 1

Ronald Gillam, PhD, Utah State University; Sandi Gillam, PhD, Utah State University

(Instructional Level:     Intermediate)

This presentation will focus on evidence-based practices for supporting language and literacy development in children with language impairments, language-based learning disabilities and reading disorders. We will summarize an EBP decision-making process. Then, we will summarize the research evidence on approaches to assessing language in monolingual and bilingual children as well as approaches to language intervention in the areas of vocabulary, syntax, text comprehension, phonological awareness and narration.

 

Learner Outcomes:  Summarize a seven-step process for making evidence-based practice decisions. Explain the rationale and

utility of a decision making process for intervention approaches that support literacy development in children. Describe key evidence-based practices for assessing language in monolingual and bilingual children. Summarize key evidence-based intervention practices for vocabulary, syntax, text comprehension, phonological awareness and narration.

 

Session 5                                                     Child Speech-Language Pathology Track

8:30 am - 10:00 am

Selecting Vocabulary to Facilitate Communication in the AAC User

Anne Kuhlmeier, MA, CCC-SLP, ATP, St Luke’s Elks Children's Rehab

(Instructional Level:     Intermediate)

Do you work with children who have difficulty communicating?  Looking for ways to build communication opportunities and reduce negative behaviors? Or ways to balance curriculum requirements with the needs of your students? Selecting vocabulary, making communication boards or books can be overwhelming. A discussion of how to select the best vocabulary and how to create communication systems that work.

 

Learner Outcomes:  Identify 10 vocabulary words that could be generalized in 3 different activities throughout the day. Identify 3

vocabulary needs of an emergent communicator versus a context dependent communicator. Identify 3 engaging activities to facilitate use of an AAC light tech communication system.

 

 

Session 6                                                     Child Speech-Language Pathology Track

8:30 am - 10:00 am

Software Solutions for Auditory and Language Processing

Julie Daymut, MA, CCC-SLP, Super Duper® Publications

(Instructional Level:  Intermediate)

Experts believe that providing sensory stimulation to the auditory centers of the brain helps students improve auditory attention, auditory memory, and auditory processing of verbal information. This session will discuss current auditory and language processing research and theory and introduce theory-based, direct, systematic software programs for auditory training. Instructor will demonstrate software. Note: This presentation includes a description of educational software products to remediate auditory and language processing. Direct sale will not occur in conjunction with the presentation.

 

Learner Outcomes:  Discuss current theory and research as it relates to auditory and language processing. Identify the impact

of auditory and language processing on success in the classroom. Explain systematic software approaches

for remediating auditory and language processing.

 

Session 7                                                     Multi-Interest Track

10:30 am - 12:00 pm

Mild TBI: Serving Wounded Warriors from the Combat Zone to the Community, Part 1

Carole Roth, PhD, CCC-SLP BC-NCD, Naval Medical Center

(Instructional Level:  Intermediate)

Mild traumatic brain injury (mTBI) due to blasts is the most frequent type of injury experienced by American

troops serving in Iraq and Afghanistan. The high incidence of blast-related mTBI and co-morbidities, particularly the psychological component, complicate recovery from mTBI sustained in combat.  Persistent symptoms include cognitive-communication deficits that can cause significant functional impairment and disability. This seminar will address the consequences of blast-related mTBI; specifically focusing on evidence-based approaches to evaluation and treatment for cognitive-communication impairments, and intervention models specific to the challenges faced by clinicians who are honored to be working with our veterans.

 

Learner Outcomes:  The participant will be able to list five instruments for assessing mTBI. The participant will be able to list three domains of cognitive-communication addressed in the rehabilitation of mTBI. The participant will be able to list five instruments for assessing mTBI. The participant will be able to describe four co-morbidities of mTBI and the impact on cognition. The participant will be able to describe three approaches used for the remediation of metacognition and problem solving.

 

Session 8                                                     Multi-Interest Track

10:30 am - 12:00 pm

Evidence-based Practices in Language Intervention with School-Age Children, Part 2

Ronald Gillam, PhD, Utah State University; Sandi Gillam, PhD, Utah State University

(Instructional Level:  Intermediate)

This presentation will focus on evidence-based practices for supporting language and literacy development in children with language impairments, language-based learning disabilities and reading disorders. We will summarize an EBP decision-making process. Then, we will summarize the research evidence on approaches to assessing language in monolingual and bilingual children as well as approaches to language intervention in the areas of vocabulary, syntax, text comprehension, phonological awareness and narration.

 

Learner Outcomes:  Summarize a seven-step process for making evidence-based practice decisions. Explain the rationale and

utility of a decision making process for intervention approaches that support literacy development in children. Describe key evidence-based practices for assessing language in monolingual and bilingual children. Summarize key evidence-based intervention practices for vocabulary, syntax, text comprehension, phonological awareness and narration.

 

Session 9                                                     Child/Adult Speech-Language Pathology Track

10:30 am - 12:00 pm

How SLPs Can Help Teachers Address Mediating Factors Underlying Phonological Awareness Skills
Katie Squires, MS, CCC-SLP, Utah State University; Abbie Olszewski, MA, CCC-SLP, Utah State University

(Instructional Level: Introductory)
With the recent adoption of Common Core State Standards by 41 states, pressure is being put on teachers to ensure that all children have the foundational skills necessary to succeed academically. Some of the standards in Language Arts focus specifically on the area of reading. While most children use their phonological awareness skills to successfully learn to read, others continue to have difficulty reading. With the addition of literacy to the SLP's scope of practice, SLPs can collaborate with general and special education teachers to identify and address the underlying issues that may undermine children’s reading skills.

 

Learner Outcomes: List Common Core State Standards in Language Arts and Reading. Discuss the role of an SLP in collaboration with the general education classroom teacher to facilitate instruction of Common Core Standards. Identify underlying issues that mediate children’s reading skills that may impact success in academics.

 

Session 10                                                   Multi-Interest Track

10:30 am - 12:00 pm

APD, ADD, EF or Alphabet Soup

Donna Massine, AuD, CCC-SLP, CCC-AUD, EdS and DHH teacher, Douglas County School District

(Instructional Level:  Intermediate)

Students identified with listening concerns frequently present difficulties with attention, auditory memory and have challenges listening in noise. The relationship between ADD, and Executive Function and/or APD is examined using an Information Processing Model.  This model will evaluate how the brain processes auditory information from "hearing" to long term storage.  Obstacles and factors that impact the processing of auditory information will be discussed. An ecological assessment will be summarized to differentiate between ADD, APD and/or EF. Brain based research on classroom strategies to enhance access, memory and retention will be outlined.

 

Learner Outcomes:  The participant will be able to describe an Information Processing Model to explain how the brain deals with

information (auditory) from the environment. The participant will be able to use an Information Processing Model to discuss barriers/factors encountered by students with listening challenges especially in the large group setting. The participant will be able to identify three tools to be used in an ecological assessment of a student's listening skills. The participant will be able to identify 5 research-based strategies to increase student retention of auditory information.

 

Session 11                                                   Child Speech Pathology Track

10:30 am - 12:00 pm

Improve Speech Intelligibility and Develop Language/Literacy Skills Simultaneously w/Orthographic Instruction!, Part 2

Keli Richmond, MS, CCC-SLP, Literacy Speaks!/ Northern Speech Services / Texas School Systems

(Instructional Level:  Intermediate)

Orthographic instruction (printed cues) is an approach that simultaneously develops a strong literacy foundation while improving speech intelligibility, expanding language skills and enhancing phonological awareness! Traditional techniques do not effectively activate the orthographic processor.  Early intervention, utilizing orthographic instruction, activates the orthographic processor and synchronizes the four processors within the brain by utilizing printed cues.Orthographic instruction endorses a natural progression of “letters-to-literacy” learning steps that create a fun and functional environment for students, clinicians and educators! Students progress quickly!  Workloads of clinicians and educators are lightened!

 

Learner Outcomes:  At the culmination of the session, the participant will be able to describe the roles of the four reading/writing

processors within the brain. At the culmination of the session, the participant will be able to outline the suggested “letters-to-literacy” natural step progression. At the culmination of the session, the participant will be able to explain the rationale for introducing orthographic instruction (printed cues) into therapy and classroom activities. At the culmination of the session, the participant will be able to identify literacy skills such as phonological awareness, print awareness, phoneme isolation, phoneme identity, phoneme categorization, phoneme segmentation, phoneme blending, decoding, encoding and silent letters.

 

Session 12                                                   Rehab Audiology Track

10:30 am - 12:00 pm

Neuroplastic and Neurophysiologic Considerations in Hearing Aid Selection and Fitting, Part 2

David Smriga, MA , Etymonic Design, Inc.

(Instructional Level:  Intermediate)

This course will examine two key fundamental principles in amplification decision making. First, the principle of cortical neuroplasticity, which argues that amplification programmed for “day-one” subjective satisfaction risks compromising long-term hearing aid utility. Second, the principle that conventional amplification is only appropriate for patients with peripheral etiology, and that peripheral etiology should be defined as etiology lateral to the inner hair cells.

 

Learner Outcomes:  As a result of this session, participants will re-examine their hearing aid fitting strategies, looking toward a

more long-term goal of hearing aid fitting success. As a result of this session, participants will focus on speech audibility as a fundamental indication of hearing aid fitting success. As a result of this session, participants will consider including cochlear dead-region testing in their diagnostic procedures. As a result of this session, participant will consider including brain exercises as part of their auditory treatment strategy. As a result of this session, participants will re-examine their hearing aid fitting strategies, looking toward a more long-term goal of hearing aid fitting success. As a result of this session, participants will focus on speech audibility as a fundamental indication of hearing aid fitting success. As a result of this session, participants will consider including cochlear dead-region testing in their diagnostic procedures. As a result of this session, participant will consider including brain exercises as part of their auditory treatment strategy. As a result of this session, participants will be able to assess frequency lowering devices, and set their functions for maximum audibility value.

 

 

Session 13                                                   Multi-Interest Track

1:30 pm - 3:00 pm

Mild TBI: Serving Wounded Warriors from the Combat Zone to the Community, Part 2

Carole Roth, PhD, CCC-SLP BC-NCD, Naval Medical Center

(Instructional Level:  Intermediate)

Mild traumatic brain injury (mTBI) due to blasts is the most frequent type of injury experienced by American

troops serving in Iraq and Afghanistan. The high incidence of blast-related mTBI and co-morbidities, particularly the psychological component, complicate recovery from mTBI sustained in combat.  Persistent symptoms include cognitive-communication deficits that can cause significant functional impairment and disability. This seminar will address the consequences of blast-related mTBI; specifically focusing on evidence-based approaches to evaluation and treatment for cognitive-communication impairments, and intervention models specific to the challenges faced by clinicians who are honored to be working with our veterans.

 

Learner Outcomes:  The participant will be able to list five instruments for assessing mTBI. The participant will be able to list three domains of cognitive-communication addressed in the rehabilitation of mTBI. The participant will be able to list five instruments for assessing mTBI. The participant will be able to describe four co-morbidities of mTBI and the impact on cognition. The participant will be able to describe three approaches used for the remediation of metacognition and problem solving.


Session 14
                                                   Multi-Interest Track

1:30 pm - 3:00 pm

Evidence-based Practices in Language Intervention with School-Age Children, Part 3

Ronald Gillam, PhD, Utah State University; Sandi Gillam, PhD, Utah State University

(Instructional Level:  Intermediate)

This presentation will focus on evidence-based practices for supporting language and literacy development in children with language impairments, language-based learning disabilities and reading disorders. We will summarize an EBP decision-making process. Then, we will summarize the research evidence on approaches to assessing language in monolingual and bilingual children as well as approaches to language intervention in the areas of vocabulary, syntax, text comprehension, phonological awareness and narration.
 

Learner Outcomes:  Summarize a seven-step process for making evidence-based practice decisions. Explain the rationale and utility of a decision making process for intervention approaches that support literacy development in children. Describe key evidence-based practices for assessing language in monolingual and bilingual children. Summarize key evidence-based intervention practices for vocabulary, syntax, text comprehension, phonological awareness and narration.

 

Session 15                                                   Child Speech-Language Pathology Track

1:30 pm - 3:00 pm

Expanding Expression: A Multisensory Approach for Improved Oral and Written Language

Sara Smith, MS, CCC-SLP, Expanding Expression

(Instructional Level:  Introductory)

The session consists of a literature review on the following topics: the brain and language, what we know about learning, and a discussion of the norms for how children typically define words at different ages. Participants will help demonstrate how information enters into long term memory during a walk through demonstration. Structures of the brain will be discussed along with how multi-sensory approaches to treatment can facilitate information being sent on to long term memory.

 

Learner Outcomes:  Teach students/clients a multi-sensory approach for including more details in their definitions and descriptions. Use demonstrated strategies to target the following areas: categorization, function, appearance, composition, associated parts, location, and similarities and differences. Explain how to collect baseline data and monitor progress using a multi-sensory treatment approach.

 

Session 16                                                   Diagnostic Audiology Track

1:30 pm - 3:00 pm

Head-Shaking Nystagmus

Spencer Cheshire, AuD, CCC-AUD, Southwest Idaho Ear, Nose & Throat

(Instructional Level:  Introductory)

The head-shake nystagmus (HSN) test can be used to help detect vestibular abnormalities. In tandem with caloric testing the HSN test is used to evaluate the vestibular ocular reflex (VOR) and provides higher frequency information than caloric testing alone. The presenter will discuss the generally accepted technique and protocol of the HSN test, its historical perspective, sensitivity and specificity, and assumed physiologic mechanisms at work during the HSN test. Additionally, classifications of elicited nystagmus and anticipated peripheral and central patterns will be described.


Learner Outcomes: 
Classify nystagmus elicited by the horizontal head-shake nystagums (HSN) test. Describe the most likely patterns of central and peripheral head-shaking nystagmus. Understand how to properly use and integrate the HSN test information into a battery of vestibular assessment. Properly perform the HSN test as generally agreed upon in a review of the literature.

 

Session 17                                                Child Speech-Language Pathology Track

1:30 pm - 3:00 pm

The Impact of Treatment Intensity on a Phonological Intervention

Melissa Allen, PhD, CCC-SLP, University of Wyoming

(Instructional Level:  Intermediate)

Most speech-language pathologists who work with preschoolers will provide treatment for phonological disorders. Approximately 10% of preschoolers (Gierut, n.d.) present with difficulty with specific sound formulations, knowing how to use sounds to signal differences in meaning, or a combination of the two. Fortunately, there is clear evidence that phonological interventions improve phonological skills. The purpose of this study was to investigate the role two commonly provided treatment intensities had upon a phonological intervention outcome.

 

Learner Outcomes:  The participant will analyze a speech sample using a functional approach to determine treatment targets. The participant will describe how he or she would implement the multiple oppositions approach in his or her setting. The participant will list the benefit of providing the multiple oppositions approach three times per week in comparison to one time per week.

 

Session 18                                                   Multi-Interest Track
1:30 pm - 3:00 pm
Adventures In State Advocacy
Jennifer Shroyer Shroyer, PhD, CCC-SLP, Cherry Creek School District; Katheryn Boada, MA, CCC-SLP, The Children's Hospital
(Instructional Level: Intermediate)
Colorado has recently embarked on an adventure in advocacy as part of a concerted effort to pass state licensure for the speech-language pathology profession. Ever wonder how much a lobbyist costs? Learn how to select a lobbyist and how it can help your state association. What about grass-roots activities you can do to raise the profile of speech-language pathologists and audiologists in your state. Learn about what Colorado is doing and share your own experiences in state advocacy.

 

Learner Outcomes: Participants will explain effective self-advocacy strategies.  Participants will discuss costs and benefits of professional representation.  Participants will identify strategies to improve communication and networking.

 

Session 19                                                   Rehab Audiology Track

3:30 pm - 5:00 pm

Implantable Technologies for the Ear

Josara Wallber, AuD, Idaho State University

(Instructional Level:  Intermediate)
Implantable hearing devices are available for a variety of hearing losses and are the subject of intense on-going research and development.   While there are similarities across many of the devices their application and candidacy are often very different.  A client who qualifies for a cochlear implant, for example, would not be a candidate for a bone anchored hearing appliance.  Clients are often confused by this when seeking implants as they may want the ‘smaller, less invasive’ implant not understanding the difference in criteria and application.  As a hearing and speech professional it is helpful to have a working knowledge of the various implantable devices and their application.  Seven types of implantable devices for the ear will be reviewed.


Learner Outcomes: 
Given a list of seven implantable devices for the ear participants will identify the three still in clinical trials (not currently approved by the FDA). Given a picture of an implantable device participants will identify it as a middle ear, bone anchored or cochlear implant. Given three audiograms participants will match each as per FDA candidacy to the appropriate device (bone anchored, middle ear, or cochlear implant).

 

Session 20                                                   Multi-Interest Track

3:30 pm - 5:00 pm

Mild TBI: Serving Wounded Warriors from the Combat Zone to the Community, Part 4

Carole Roth, PhD, CCC-SLP BC-NCD, Naval Medical Center

(Instructional Level:  Intermediate)

Mild traumatic brain injury (mTBI) due to blasts is the most frequent type of injury experienced by American troops serving in Iraq and Afghanistan. The high incidence of blast-related mTBI and co-morbidities, particularly the psychological component, complicate recovery from mTBI sustained in combat. Persistent symptoms include cognitive-communication deficits that can cause significant functional impairment and disability. This seminar will address the consequences of blast-related mTBI; specifically focusing on evidence-based approaches to evaluation and treatment for cognitive-communication impairments, and intervention models specific to the challenges faced by clinicians who are honored to be working with our

 

Learner Outcomes:  The participant will be able to list five instruments for assessing mTBI. The participant will be able to list three domains of cognitive-communication addressed in the rehabilitation of mTBI. The participant will be able to describe four co-morbidities of mTBI and the impact on cognition. The participant will be able to describe three approaches used for the remediation of metacognition and problem solving.

 

Session 21                                                   Multi-Interest Track

3:30 pm - 5:00 pm

Evidence-based Practices in Language Intervention with School-Age Children, Part 4

Ronald Gillam, PhD, Utah State University; Sandi Gillam, PhD, Utah State University

(Instructional Level:  Intermediate)

This presentation will focus on evidence-based practices for supporting language and literacy development in children with language impairments, language-based learning disabilities and reading disorders. We will summarize an EBP decision-making process. Then, we will summarize the research evidence on approaches to assessing language in monolingual and bilingual children as well as approaches to language intervention in the areas of vocabulary, syntax, text comprehension, phonological awareness and narration.
 

Learner Outcomes:  Summarize a seven-step process for making evidence-based practice decisions. Explain the rationale and utility of a decision making process for intervention approaches that support literacy development in children. Describe key evidence-based practices for assessing language in monolingual and bilingual children. Describe key evidence-based practices for assessing language in monolingual and bilingual children. Summarize key evidence-based intervention practices for vocabulary, syntax, and text.

 

Session 22                                                   Child Speech Language Pathology Track

3:30 pm - 5:00 pm

Childhood Apraxia of Speech:  Back to Basics

Amy Krantz, MS, CCC-SLP, Salt Lake City School District and Primary Children's Medical Center

(Instructional Level:  Intermediate)

This seminar is designed to go over basic assessment and treatment techniques that are crucial in treatment of childhood apraxia of speech. Specifically, we will cover: 1. how to differentiate CAS from severe phonological disorders  2. How to select lexical items in a treatment set to maximize progress 3. What role does language play and, 4. Components necessary for successful treatment.

 

Learner Outcomes:  Attendees will list three treatment techniques they can use with a child with CAS Attendees will identify two

targets they can monitor to help them differentially diagnose CAS vs. severe phonological disorder Attendees will collectively select lexical treatment items for a child with CAS based on syllable shape and consonant vowel inventories. Attendees will cite two findings from research to support consideration of language development in children with CAS.

 

Session 23                                                   Child Speech-Language Pathology Track

3:30 pm - 5:00 pm

Conversations with parents and SLPs about Early Intervention

Kathleen Fahey, PhD, University of Northern Colorado; Katheryn Boada, MA, The Children’s Hospital

(Instructional Level:  Intermediate)

Studies show the important impact that early speech-language intervention has on young children. Best practice documents encourage SLPs to involve parents in early intervention, yet the literature does not provide much guidance on what parents need as they support their children in intervention. We will describe the qualitative study, discuss themes from interviews and focus groups with parents and SLPs, and engage the audience in discussion about implications for practice.

 

Learner Outcomes:  Recall general trends in research about parent involvement in early intervention. Describe the characteristics of a qualitative case study. Examine and relate themes from parents and SLPs regarding early intervention. Propose and discuss implications of the themes to working with parents and their children.

 

Session 24                                                   Child Speech-Language Pathology Track

3:30 pm - 5:00 pm

Teaching Inferencing Skills to Promote Students' Academic and Social Success

Gwynne McElhinney, MS, CCC-SLP, Gwynne McElhinney's Lab for Social Intelligence

(Instructional Level:  Intermediate)

A student’s ability to infer is directly linked to both academic and social success. Preschoolers with language impairment and concomitant social learning weaknesses struggle to recognize, and accurately interpret, the non-verbal communication of others. Limited understanding of interpersonal interactions has a direct adverse impact on the ability to read and write well later on. Fortunately, with appropriate intervention, these children can learn to inference effectively. This workshop offers specific strategies to enhance listening comprehension and verbal expression, as well as reading comprehension and written expression for PK-12. 


Learner Outcomes: 
Contrast the evolution of social cognition in neurotypical children with that of children who have social cognitive learning disabilities, including those on the autism spectrum. List reasons why language-impaired students with social learning weaknesses often struggle with reading comprehension. Identify specific strategies to facilitate the development of these students' inferencing skills, to promote their social and academic success.

 

 

Friday, October 7
 

Session 25                                                   Child Speech Language Pathology Track

8:30 am - 10:00 am

Assessment and Treatment of Narratives:  The Rest of the Story, Part 1

Sandi Gillam, PhD, Utah State University; Ronald Gillam, PhD, Utah State University

(Instructional Level:  Introductory)

The first half of this presentation will focus on the assessment of children’s narrative development. We will review a standardized test called The Test of Narrative Language and a progress monitoring tool called Tracking Narrative Language Progress.  Participants will practice some basic narrative analyses. During the second half of the presentation, we will discuss evidence-based practices in narrative intervention. Dr. Gillam will demonstrate recent developments in a literature-based approach to improving narrative ability. This approach to intervention with school-age children begins and ends with children’s books (hence, the name literature-based), but it also includes activities that focus on specific language targets that are designed to affect narration. We will show video clips of the therapy.
 

Learner Outcomes:  Summarize measures of narrative form and content.

Describe a standardized assessment procedure. Explain how to track children’s progress in narration. List the steps in a framework for teaching narrative language.

 

Session 26                                                   Diagnostic Audiology Track

8:30 am - 10:00 am

Efficiency and Effectiveness of Electroacoustic Measures in Identification and Diagnosis of Hearing Problems in Pre-School and School-Age Children, Part 1

James Hall, PhD, University of Florida

(Instructional Level:  Intermediate)

Early identification and diagnosis of pediatric hearing loss is essential for prompt and optimal intervention. The roles of older and newer electro-acoustic techniques in pediatric audiology are reviewed. The session reviews the application of acoustic immittance measures and otoacoustic emissions in screening and diagnosis of auditory dysfunction in the newborn, pre-school and school age population. The effectiveness and efficiency of these procedures in objective assessment of hearing is emphasized, and supported by evidence published in the peer-reviewed literature.


Learner Outcomes: 
List electroacoustic measures used clinically with children List advantages and disadvantages of electroacoustic measures in diagnosis of infant hearing loss. List advantages and disadvantages of electroacoustic measures in the pre-school population List advantages and disadvantages of electroacoustic measures in the school age population.

 

Session 27                                                   Child Speech-Language Pathology Track

8:30 am - 10:00 am

Evidence-Based Social Communication Interventions for Children with ASD, Part 1

Patricia Prelock, PhD, University of Vermont

(Instructional Level:  Intermediate)

This workshop will highlight evidence-based interventions for supporting communication and social interaction in children with ASD. Selected interventions with established or emerging evidence for children with both limited and verbal communication skills will be reviewed including Joint Attention Training, Picture Exchange Communication, Communication Milieu Teaching, More Than Words, Pivotal Response Training, Video Modeling, Social Stories and Comic Strip Conversations.


Learner Outcomes: 
Describe two interventions that support the communication and social interaction of children with ASD and limited verbal skills. Describe two interventions that support the social communication and perspective taking of verbal children with ASD. Identify two parent-based interventions that have evidence for facilitating joint attention and early communication in children with ASD in the home setting.

 

Session 28                                                   Adult Speech Language Pathology Track

8:30 am - 10:00 am

Aphasia

Beth Guryan, MS, CCC-SLP, LPC, Idaho State University; Cally Stone, MS, CCC-SLP, Idaho State University

(Instructional Level:  Intermediate)

There is a critical need for research in the area of communication treatment for persons who have experienced a stroke resulting in aphasia.  We are conducting a research study which examines whether or not treatment outcomes differ if a person with moderate aphasia participates in a communication skills group along with individual treatment, as compared to individual treatment only. Specifically, we want to know if the addition of group therapy makes a difference in linguistic recovery and overall well-being for persons with moderate aphasia.  Our purpose for the presentation is to describe the study as well as give specific information about the Communication Skills Group that we started 6 years ago in our university based clinic.  The benefits of group therapy will be discussed in the form of recorded personal testimonies from group participants and their significant others.  Information about the current structure of our groups will be presented. In addition, information will be given about how we have altered our training program to meet the needs of persons with aphasia, their family members and the educational needs of our graduate students.  Presenters will discuss the fact that group therapy takes several forms and can either be used for social interaction only or a combination of social interaction and communication skills building. Specific group activities that we use in our groups will be discussed, including book clubs, games, current events, expressive art and guest speakers. Our caregiver support groups will also be discussed and the benefits highlighted.  Participants will have the opportunity to ask questions about the reported benefits of group therapy and the changes we have seen in our clients.

 

Learner Outcomes: Participants will name three group intervention strategies used in a communication skills group for persons

with moderate aphasia. Participants will identify 4 psychosocial benefits of group therapy for persons with moderate aphasia. Participants will name 3 strategies to engage family members in promoting functional communication for persons with aphasia. Participants will name 3 group activities that promote turn-taking and topic maintenance for persons with moderate aphasia.

 

Session 29                                                   Multi-Interest Track

8:30 AM - 10:00 AM

Ethics

Paul Rau, PhD, CCC-SLP, CPHQ, FACHE, National Rehabilitation Hospital

 

Session 30                                                  Child Speech-Language Pathology Track

8:30 am - 10:00 am

How to Remediate /S,L,R/ Within 15-20 Sessions

Andrew May, BS, Complete Speech CEO, President; Ann Dorais, MA, Brigham Young University

(Instructional Level:  Introductory)

The Palatometer is an innovative teaching/training tool that can be used to achieve articulation success across many types of unique speech problems and populations. This session will describe what the Palatometer is, how it works, and how it has been used by many clients to achieved accurate production of /s, l, r/ words in 2 to 20 sessions.


Learner Outcomes: 
Learners will be able to appreciate and list 2 benefits of the Palatometer technology Learners will be able to

provide rationale for using the Palatometer Learners will be able to demonstrate basic steps on how use the Palatometer.

 

Session 31                                                   Child Speech-Language Pathology Track

10:30 am - 12:00 pm

Assessment and Treatment of Narratives: The Rest of the Story, Part 2

Sandi Gillam, PhD, Utah State University; Ronald Gillam, PhD, Utah State University

(Instructional Level: Introductory)

The first half of this presentation will focus on the assessment of children’s narrative development. We will review a standardized test called The Test of Narrative Language and a progress monitoring tool called Tracking Narrative Language Progress.  Participants will practice some basic narrative analyses. During the second half of the presentation, we will discuss evidence-based practices in narrative intervention. Dr. Gillam will demonstrate recent developments in a literature-based approach to improving narrative ability. This approach to intervention with school-age children begins and ends with children’s books (hence, the name literature-based), but it also includes activities that focus on specific language targets that are designed to affect narration. We will show video clips of the therapy.


Learner Outcomes: 
Summarize measures of narrative form and content. Describe a standardized assessment procedure.

Explain how to track children’s progress in narration. List the steps in a framework for teaching narrative

 

Session 32                                                   Child Speech-Language Pathology Track

10:30 am - 12:00 pm

Evidence-Based Social Communication Interventions for Children with ASD, Part 2

Patricia Prelock, PhD, University of Vermont

(Instructional Level:  Intermediate)

This workshop will highlight evidence-based interventions for supporting communication and social interaction in children with ASD. Selected interventions with established or emerging evidence for children with both limited and verbal communication skills will be reviewed including Joint Attention Training, Picture Exchange Communication, Communication Milieu Teaching, More Than Words, Pivotal Response Training, Video Modeling, Social Stories and Comic Strip Conversations. Interventions will be described and videotaped examples will be shared. Describe two interventions that support the communication and social interaction of children with ASD and limited verbal skills.


Learner Outcomes:  Describe two interventions that support the communication and social interaction of children with ASD and limited verbal skills. Describe two interventions that support the social communication and perspective taking of verbal children with ASD. Identify two parent-based interventions that have evidence for facilitating joint attention and early communication in children with ASD in the home setting.

 

 

Session 33                                                   Child/Adult Speech Language Pathology Track

10:30 am - 12:00 pm

Clinical Education and SLP Treatment:  A Parallel Universe

Lynda Coyle, MS, CCC-SLP, University of Wyoming

(Instructional Level:  Intermediate)

In 2005 at the first IMASH, I gave a presentation entitled Creating Competent Clinicians: Applying ASHA’s new standards through supervision. This presentation is a reflective look at what has been learned since that time with a specific focus on how the clinical education of graduate students parallels the treatment methods applied to clients treated by speech-language pathologists. The presentation will also reveal the resources clinical educators have today in developing their supervisory knowledge and skills.


Learner Outcomes: 
Locate resources available about clinical supervision. Generate procedures and tools for documenting clinical education interactions with supervisees. Apply supervision tools into current supervisory job responsibilities. Compare and contrast various supervisory styles and methods.

 

Session 34      Adult Speech-Language Pathology Track

10:30 am - 12:00 pm

Eat, Talk, Live: Defining Our Advanced Role in Dysphagia Care

Shauna L. H. Smith, MS, CCC-SLP, Idaho State University, Department of Communication Sciences and Disorders:  Heather L. Robinson, CCC-SLP, St. Alphonsus Rehabilitation Services (STARS)

(Instructional Level:  Intermediate)

Where historical perspectives of dysphagia care have been impairment driven, a contemporary model is proposed encompassing the relationship between swallowing, communication, and quality of life. A primary treatment focus on maximizing participation includes addressing the components of intimacy of eating, communicating, and socially interacting. Modalities such as motivational interviewing, information counseling and education, and critical problem solving of individual plans of care will be discussed with the end goal of balancing patient safety while maximizing quality of life.


Learner Outcomes: 
Identify the components of the SLP scope of practice in the management of dysphagia and the relationship:

between communication, swallowing, and quality of life. Define the expanded perspective of the SLP’s role in the advanced management of dysphagia, including practical applications of motivational interviewing, informational counseling and education, and problem solving individual plans of care to facilitate increased compliance and successful outcomes. Identify the critical barriers that are precursors to transitioning to oral feeding and how to overcome these. Identify the appropriate methods for advancing a patient from ANH (Alternative Nutrition and Hydration) to oral feeding.

 

Session 35                                                   Diagnostic Audiology Track

10:30 am - 12:00 pm

Efficiency and Effectiveness of Electroacoustic Measures in Identification and Diagnosis of Hearing Problems in Pre-School and School-Age Children, Part 2

James Hall, PhD

(Instructional Level:  Intermediate)

Early identification and diagnosis of pediatric hearing loss is essential for prompt and optimal intervention. The roles of older and newer electro-acoustic techniques in pediatric audiology are reviewed. The session reviews the application of acoustic immittance measures and otoacoustic emissions in screening and diagnosis of auditory dysfunction in the newborn, pre-school and school age population. The effectiveness and efficiency of these procedures in objective assessment of hearing is emphasized, and supported by evidence published in the peer-reviewed literature.


Learner Outcomes: 
List electroacoustic measures used clinically with children List advantages and disadvantages of electroacoustic measures in diagnosis of infant hearing loss. List advantages and disadvantages of electroacoustic measures in the pre-school population List advantages and disadvantages of electroacoustic measures in the school age population.

 

 

Session 36                                                   Child Speech Language Pathology Track

10:30 am - 12:00 pm

Infant, Toddler, Preschool Speech/Language Intervention Related to Cleft Palate

Theresa M. Snelling, MA, CCC-CLP, Rose Cleft Palate and Craniofacial Center at Rose Medical Center

(Instructional Level:  Intermediate)

"Early intervention services for Children in Birth to 3 Programs are mandated to be provided in a natural environment, most often in the child's home.  Community-based SLP's are often uncertain as to how to adapt the play-based home intervention setting to specific goals and objectives related to an unrepaired, as well as repaired cleft palate.  Understanding the structural limitations for the infant or toddler with cleft palate or related resonance disorder is critical to understanding the specific therapy approaches that can be incorporated into a play-based early intervention program. The structural limitations associated with cleft palate and related conditions and syndromes will be briefly reviewed.

 

Learner Outcomes:  Participants will be able to identify the compensatory placement errors related to cleft palate and describe strategies to avoid encouraging those cleft palate substitutions. Participants will be able to identify a child's mastery of imitation skills and how to use that skill level to promote speech sound development and expressive language in infants, toddlers and preschoolers. Participants will be able to specify what sound goals are appropriate to target in the presence of an unrepaired cleft palate or velopharyngeal insufficiency.

 

Session 37                                               Multi-Interest Track

2:00 pm - 3:30 pm

Auditory Processing Disorders (APD) in Adults with Traumatic Brain Injury (TBI): Identification, Diagnosis and Management,  Part 1

James Hall, PhD, University of Florida

(Instructional Level: Intermediate)

Auditory processing disorders can affect in persons with TBI, including military personnel and veterans

recovering from neurological insults. This session address the diagnostic and rehabilitative challenges involved with the adult TBI population with central, and often peripheral, auditory dysfunction. Assessment procedures and protocols extend far beyond the audiogram, and treatment strategies are highly varied and must be closely coordinated with other professionals. A practical test battery is presenting combining behavioral and electrophysiology measures to differentiate APD from among a variety of co-existing disorders, such as peripheral hearing loss, cognitive deficits, and language impairment. This session provides the clinical audiologist or speech pathologist with a practical and logical multidisciplinary approach for assessment and management of the TBI population that is based on a foundation of basic and applied science. The session provides the clinician with practical take-home messages.
 

Learner Outcomes:  Describe risk factors for auditory processing disorders (APD) in adult TBI Identify nationally accepted sources of information on APD Describe disorders co-existing with APD in adult persons with TBI Describe treatment options for adult patients with APD offered by audiologists.

 

Session 38                                                   Child Speech-Language Pathology Track

2:00 pm - 3:30 pm

Evidence-Based Social Communication Interventions for Children with ASD, Part 3

Patricia Prelock, PhD, University of Vermont

(Instructional Level:  Intermediate)

This workshop will highlight evidence-based interventions for supporting communication and social interaction in children with ASD. Selected interventions with established or emerging evidence for children with both limited and verbal communication skills will be reviewed including Joint Attention Training, Picture Exchange Communication, Communication Milieu Teaching, More Than Words, Pivotal Response Training, Video Modeling, Social Stories and Comic Strip Conversations. Interventions will be described and videotaped examples will be shared. Describe two interventions that support the communication and social interaction of children with ASD and limited verbal skills.


Learner Outcomes: 
Describe two interventions that support the communication and social interaction of children with ASD and limited verbal skills. Describe two interventions that support the social communication and perspective taking of verbal children with ASD. Identify two parent-based interventions that have evidence for facilitating joint attention and early communication in children with ASD in the home setting.

 

Session 39                                                   Child Speech-Language Pathology Track

2:00 pm - 3:30 pm

Dynamic Assessment of Reading: The Pursuit of Accuracy and Inclusivity

Douglas Petersen, PhD, University of Wyoming; Melissa Allen, PhD, University of Wyoming; Trina Spencer, PhD, The Ohio State University

(Instructional Level:  Introductory)

High prevalence of reading difficulty is one of the greatest challenges facing our public school system today. Over 20% of Eruopean-American, English-speaking children read below grade level at fourth grade, and for children who are culturally and linguistically diverse, the rate of reading difficulty at fourth grade ranges from 50% to 70% (NAEP, 2007). Reading is a fundamental skill necessary for academic success, and difficulty with reading entails life-long repercussions, including limited success within higher education and reduced career pportunities. There is a strong body of evidence suggesting that if reading problems are identified early and if children receive intense, evidence-based instruction, they can become proficient readers. Dynamic assessment, an alternative procedure for identifying at risk readers, has been gaining research support. The purpose of this symposium is to report and discuss the findings of a large-scale study that investigated the extent that dynamic assessment procedures were predictive of future reading difficulty for a diverse sample of students.

 

Learner Outcomes:  Participants will accurately describe foundational principles of dynamic assessment. Participants will define sensitivity and specificity and relate its importance to universal, early literacy screening. Participants will explain how dynamic assessment may serve as a viable alternative for the prediction of reading difficulty for all children, including those who are culturally and linguistically diverse.

 

Session 40                                                   Multi-Interest Track

2:00 pm - 3:30 pmM

Telepractice: The Future Is Now!

Melissa Jakubowitz, MA, Presence TeleCare

(Instructional Level:  Intermediate)

The shortage of Speech-Language Pathologists has become critical, making it difficult for school districts to recruit and retain qualified SLPs. This seminar addresses the use of telepractice to provide school-based speech and language services.  A synopsis of current research on effectiveness of telepractice services will be provided along with an examination of key issues that ensure telepractice services are consistent with face-to-face services. The benefits and limitations of telepractice services will be discussed along with the skills and technology needed to provide quality services.


Learner Outcomes: 
Identify at least 3 available types of video conferencing options needed to provide quality telepractice.

Identify 3 benefits and limitations of SLP telepractice. Identify 5 areas of clinical practice and the knowledge necessary to assist clinicians in providing quality services. Identify the roles and responsibilities of the SLP in relation to telepractice.

 

Session 41                                                   Adult Speech-Language Pathology Track

2:00 pm - 3:30 pm

Voice Aerobics @ Home: Exercise Programs for Patients With Parkinson's

Mary Spremulli, MA, Voice Aerobics, LLC
(Instructional Level:Introductory)

It is estimated that Parkinson’s affects more than one million Americans, with a three to fourfold increase in disease rate within the United States expected over the next ten years. Presently there is no cure, but emerging research supports the benefit of exercise as a means of improving and preserving motor, speech and swallowing function. Following completion of formal speech and swallowing therapy, individuals are typically on their own to independently perform exercises learned and self-monitor changes and improvements they may have achieved. Unfortunately, it has been reported, that improvements made with a regular physical rehabilitation program are not sustained when normal activity is resumed. Voice Aerobics™ is a fun, therapist guided program, designed for patients to perform independently at home before or after formal therapy, and which incorporates training of the substrates of the speech, voice and swallowing mechanism, including diaphragmatic breathing. Regular use may serve to heighten an individual’s awareness about bodily changes caused by Parkinson’s such as: loss of range of motion and flexibility, reduced breath support due to changes in pulmonary function, and reduced vocal quality and intensity.

 

Learner Outcomes:  Describe speech and voice symptoms associated with Parkinson's Disease Discuss reasons for non-adherence to treatment recommendations following formal therapy Examine the effect of self-vocalization on motor performance. Integrate movement and voice exercise for practice and skill repetition

 

Session 42                                                   Child Speech-Language Pathology Track

2:00 pm - 3:30 pm

Writing Meaningful Goals and Monitoring Progress in School-Age Language Intervention, Part 1

Julie Wolter, PhD, Utah State University; Teresa Ukrainetz, PhD, University of Wyoming; Catherine Ross, MS, University of Wyoming; Jill Andrus, MS, Utah State University

(Instructional Level: Intermediate)

In order for children with language impairment to develop functional language skills it is important to integrate language learning and practice into the activities in which children will need to use this language (Ehren, 2002; Johnston, 1998; Ukrainetz, 1998; 2006; Wallach & Ehren, 2004). Contextualized skill intervention, while commonly practiced with toddler and preschool populations in a social communicative context, is challenging when dealing with school-age children with academic language needs. Moreover, as the language of school-age children becomes more metalinguistic in nature, less obligatory in conversational discourse, and thus more nuanced, it becomes increasingly difficult for SLPs to develop specific yet functional language goals within activities which are measurable for progress monitoring. The purpose of this three-hour workshop is to help practicing SLPs to develop functional contextualized language goals/objectives and meaningful ways to manage language data and monitor progress. Two university professors and two clinical supervisors who provide services in schools will present on this workshop panel. Through hands-on activities, attendees will explore new techniques, develop goals, and create progress monitoring protocols for their own school-age clients.

 

Learner Outcomes:  Identify the integral components of a functional contextualized language intervention goal. Develop a functional contextualized language intervention goal. Create a progress-monitoring data keeping system specific to a contextualized intervention goal.

 

 

Session 43                                                   Multi-Interest Track

3:45 pm - 5:15 pm

Auditory Processing Disorders (APD) in Adults with Traumatic Brain Injury (TBI): Identification,

Diagnosis and Management Part 2

James Hall, PhD, University of Florida

(Instructional Level: Intermediate)

Auditory processing disorders can affect in persons with TBI, including military personnel and veterans

recovering from neurological insults. This session address the diagnostic and rehabilitative challenges involved with the adult TBI population with central, and often peripheral, auditory dysfunction. Assessment procedures and protocols extend far beyond the audiogram, and treatment strategies are highly varied and must be closely coordinated with other professionals. A practical test battery is presenting combining behavioral and electrophysiology measures to differentiate APD from among a variety of co-existing disorders, such as peripheral hearing loss, cognitive deficits, and language impairment. This session provides the clinical audiologist or speech pathologist with a practical and logical multidisciplinary approach for assessment and management of the TBI population that is based on a foundation of basic and applied science. The session provides the clinician with practical take-home messages.


Learner Outcomes: 
Describe risk factors for auditory processing disorders (APD) in adult TBI Identify nationally accepted sources of information on APD Describe disorders co-existing with APD in adult persons with TBI Describe treatment options for adult patients with APD offered by audiologists.

 

 

Session 44                                                  Child Speech-Language Pathology Track

3:45:00 pm - 5:15:00 pm

Evidence-Based Social Communication Interventions for Children with ASD - Part 4

Patricia Prelock, PhD, University of Vermont

(Instructional Level:  Intermediate)

This workshop will highlight evidence-based interventions for supporting communication and social interaction in children with ASD. Selected interventions with established or emerging evidence for children with both limited and verbal communication skills will be reviewed including Joint Attention Training, Picture Exchange Communication, Communication Milieu Teaching, More Than Words, Pivotal Response Training, Video Modeling, Social Stories and Comic Strip Conversations. Interventions will be described and


Learner Outcomes: 
Describe two interventions that support the communication and social interaction of children with ASD and

limited verbal skills. Describe two interventions that support the social communication and perspective taking of verbal children with ASD. Identify two parent-based interventions that have evidence for facilitating joint attention and early communication in children with ASD in the home setting.

 

Session 45                                                   Child Speech-Language Pathology Track

3:45 pm - 5:15 pm

Writing Meaningful Goals and Monitoring Progress in School-Age Language Intervention, Part 2

Julie Wolter, PhD, Utah State University; Teresa Ukrainetz, PhD, University of Wyoming; Catherine Ross, MS, University of Wyoming; Jill Andrus, MS, Utah State University

(Instructional Level:  Intermediate)

In order for children with language impairment to develop functional language skills it is important to integrate language learning and practice into the activities in which children will need to use this language (Ehren, 2002; Johnston, 1998; Ukrainetz, 1998; 2006; Wallach & Ehren, 2004). Contextualized skill intervention, while commonly practiced with toddler and preschool populations in a social communicative context, is challenging when dealing with school-age children with academic language needs. Moreover, as the language of school-age children becomes more metalinguistic in nature, less obligatory in conversational discourse, and thus more nuanced, it becomes increasingly difficult for SLPs to develop specific yet functional language goals within activities which are measurable for progress monitoring. The purpose of this three-hour workshop is to help practicing SLPs to develop functional contextualized language goals/objectives and meaningful ways to manage language data and monitor progress. Two university professors and two clinical supervisors who provide services in schools will present on this workshop panel. Through hands-on activities, attendees will explore new techniques, develop goals, and create progress monitoring protocols for their own school-age clients.

 

Learner Outcomes:  Identify the integral components of a functional contextualized language intervention goal. Develop a functional contextualized language intervention goal. Create a progress-monitoring data keeping system

specific to a contextualized intervention goal. 

 

Session 46                                                   Child Speech Language Pathology Track

3:45 pm - 5:15 pm

Common Core Standards Made Easy:  Unpacking the Standards for Language Therapy!

Jocelyn Taylor, EdD, CCC-SLP, Utah State Office of Education

(Instructional Level:  Introductory)

This session will introduce the structure of the English Language Arts Common Core as a framework for designing relevant language therapy sessions. Over 40 states including Colorado, Idaho, Utah and Wyoming have adopted The Common Core State Standards as the curriculum that will be used to prepare high school graduates to succeed in college and careers. Learning to unpack the Standards will help the school based Speech-Language Pathologist to design and provide language therapy services that align IEP goals with Common Core Standards. This session will be packed with information and ideas!

Learner Outcomes:

Identify the structure of the Common Core State Standards. Design school-based language therapy that aligns with the six strands of the student’s grade-level ELA Common Core Curriculum. Unpack the K-12 Speaking and Listening Standards. Infuse rigor in language therapy goals for students advancing from grade to grade.

 

 

Saturday, October 8

 

Session 47                                                   Multi-Interest Track

8:00 am - 9:30 am

Law and dis-Orders: This isn't what I signed up for!

John Ribera, PhD, Utah State University

(Instructional Level:  Introductory)

We live in a litigious society. At some time in their career, audiologists and speech-language pathologists will likely become involved with the legal system, as a plaintiff, defendant or subject matter expert/expert witness. This course is designed to provide an overview of the role of the audiologist/SLP in the legal process. There are general principles that are common to expert witnesses, no matter their career field. The presenter will discuss several of these principles and provide personal experiences from actual cases.

 

Learner Outcomes:  At the culmination of the session the participant will be able to define the role of an expert witness. At the culmination of the session the participant will be able to list and discuss considerations when being deposed. At the culmination of the session the participant will be able to discuss appropriate courtroom etiquette.

 

Session 48                                                   Child Speech-Language Pathology Track

8:00 am - 9:30 am

Pediatric Autism Evaluation Approach for Developing an Individualized Treatment Plan

Jonel Condra, MS, CCC-SLP, Primary Children's Medical Center Outpatient Rehab

(Instructional Level:  Intermediate)

A review of evidence based practice literature for autism suggests that intensive, early and individualized intervention has the broadest and most positive impact on a child’s functional abilities. Intensive intervention is defined as a minimum of 25 hours per week in which the child is engaged actively and productively in meaningful activities.  This intervention cannot begin without a thorough initial speech and language evaluation.  It is the role of the speech language pathologist to take part in providing accurate information to aide in the help of diagnosing autism if it is suspected.  At Intermountain Pediatric Rehab we have developed an evaluation approach that will allow us to build an individualized treatment plan for each patient and also provide specific information to others involved in the care of this child about their current specific communication skills. A variety of intervention approaches are effective but no single approach is effective with every child. Treatment designed to meet the individual needs of the child is essential to success. This evaluation approach allows for individualized treatment planning. At Intermountain Pediatric Rehab our approach is based on a developmental model, which guides our evaluation and intervention. This approach builds on parents’ knowledge and skills and enables them to support their child’s communication, social skills, self-care and play skills in everyday activities and settings.  We are using a combination of standardized assessment instruments and questionnaires along

with a developmental framework to help us assess and establish functional and meaningful goals for children on the autism spectrum. This presentation will focus on how you can develop such an approach in your setting by working with co-workers and families.


Learner Outcomes: 
The participant will be able to identify evaluation options for children on the autism spectrum ranging from

birth through later school age years. The participant will be identify and select potential goals to address

during treatment. The participant will be able identify and select appropriate home programming goals. The

participant will be able to identify 3 to 4 new specific treatment strategies.

 

 

Session 49                                                   Multi-Interest Track

8:00 am - 9:30 am

Student Forum

Paul Rao, PhD, CCC-SLP, CPHQ FACHE, National Rehabilitation Hospital

(Instructional Level: Introductory)

 

Session 50                                                   Adult Speech-Language Pathology Track

8:00 am - 9:30 am

The SLP Role in Working with Patients with Delirium

Terry Eberly, Kindred Hospital Denver

(Instructional Level:  Intermediate)

The incidence of delirium in the medically complex patient is significant and compromises their medical care

and recovery. The serious impact on communication, language processing, memory, safety awareness and functional recovery is affected the ways delirium is managed and treated.  It is critical to identify and differentiate the symptoms of delirium from dementia and depression.  The use of assessments that are sensitive to this differential diagnosis will help the clinician focus on functional therapy goals, activities and strategies.  Knowledge of the effects of acute and chronic medical issues, polypharmacology, and lab tests and values is needed to implement a team approach to working with these patients. The Speech-Language Pathologist's role is to focus on the following: improve the patient's ability to communicate their needs in a timely and appropriate manner; improve their orientation, memory, information processing and awareness of the environment; train caregivers and families on strategies and techniques that deal with the patient's behaviors; and, to improve functional outcomes.


Learner Outcomes: 
Define the differences of delirium; dementia and depression, identify symptoms and behaviors of patients with delirium list 3 assessment tools used for diagnosis and measurement of progress identify the SLP's role in therapy and treatment strategies.

 

 

Session 51                                                   Multi-Interest Track

10:00 am - 11:00 am

Advocacy

Paul Rao, Ph.D. CCC-SLP, CPHQ, FACHE, National Rehabilitation Hospital

This session will focus on skill development in advocacy related to speech/language/hearing regulatory issues. Members of the ASHA Board of Directors will discuss issues targeted by ASHA Public Policy Agenda (PPA) and how speech-language pathologists and audiologists can get involved in legislative and regulatory advocacy efforts related to: Promoting financial aid and research funding opportunities to support recruitment and retention of master’s and doctoral level students and clinicians in education and health care settings; Promotion of the autonomy of audiologists through direct patient access and comprehensive coverage of audiology services; Support of increased funding of IDEA to establish effective service delivery and manageable caseloads; increase participation in early intervening and access to early intervention services and monitoring of effective utilization of federal stimulus funds for education.


Learner Outcomes: 
Identify and describe three the legislative and/or regulatory issues associated with the practice of speech-language pathology and audiology. Describe strategies for advocating at the federal, state, and local level.

 

 

Session 52                                                   Child/Adult Speech-Language Pathologist Track

10:00 am - 11:30 am

Adult and Pediatric Tracheostomy: Application of the Passy-Muir Valve

Mary Spremulli, MA, Voice Aerobics, LLC - Clinical Consultant Passy-Muir Inc.

(Instructional Level:  Intermediate)

Tracheostomy is one of the most commonly performed surgical procedures in the critically ill patient who requires prolonged mechanical ventilation. (1) Early tracheostomy may shorten the ICU days on mechanical ventilation, and the tracheostomized patient may require less sedation and be better able to participate in multidisciplinary treatment. (2)Although the role of the tracheostomy and its causal effect on swallowing function is unclear, many patients with tracheostomy do aspirate (4), requiring team members to understand the role of cuff deflation, tracheostomy tube occlusion, and the use of one way valves. Impairment in communication due to mechanical ventilation has been described as a terrifying experience for critically ill patients, and is a significant factor in the assessment of pain and other symptoms. (3) In the pediatric patient, even without an associated neurological disorder, tracheostomy is reported to affect speech and language development.(5)Therefore, knowing the criteria for use of speaking valves and other communication options may enable all members of the team to reduce the detrimental effects of voicelessness in the adult and pediatric patient.

 

Learner Outcomes:  Examine the physiological effects of tracheostomy on the aero-digestive tract of respiration, speech and swallowing. Describe the indications for artificial airways, including tracheostomy in adult and pediatric patients. Implement a clinical evaluation of the tracheostomized patient, including criteria for use of a closed position speaking valve.

 

Session 53                                                   Multi-Interest Track

10:00 am - 11:30 am

Counseling Dreams and Realities

Gayle Chaney, AuD, CCC-AUD, Idaho School for the Deaf and the Blind

(Instructional Level:  Intermediate)

Counseling in audiology has traditionally used a medical model. This has worked well to impart facts and information.  However, it leaves out the emotional component of counseling. Many audiologists don't feel that they have the background, or the time to provide better counseling to families. This presentation will discuss theories of counseling, child development, and tips on counseling successfully with families.


Learner Outcomes: 
The participants will demonstrate knowledge of family systems theory. The participants will describe the grieving process and the role it plays in effective counseling. The participant will demonstrate and understanding of child development and how this impacts counseling. 

 

 

Session 54                                                   Child Speech-Language Pathology Track

10:00 am - 11:30 am

Reading Comprehension: Clarifying the Role of the SLP

Melissa Allen, PhD, University of Wyoming; Douglas Petersen, PhD, University of Wyoming

(Instructional Level:  Intermediate)

The roles and responsibilities of school-based speech-language pathologists (SLPs) include providing reading intervention (ASHA, 2001). However, many SLPs may feel that they have not received the foundational knowledge about how reading develops or how to provide intervention. In addition, they may have no clinical experience to support this knowledge. If SLPs feel that they have not received this training, then it is logical to assume that they may feel unqualified to provide reading intervention. We contend that conventional definitions of reading have led SLPs to underestimate the degree to which they are prepared to help children become successful readers. Strategy and content approaches are promising reading comprehension interventions that promote students to be active learners. This seminar will discuss ways in which SLPs can provide support for linguistic comprehension within a reading context using strategy and content approaches before, during, and after a child decodes a text.
 

Learner Outcomes:  The participant will define the narrow view of reading and describe the extent that reading comprehension and linguistic comprehension are similar constructs. The participant will describe the differences between a strategy approach and a content approach to reading comprehension instruction. The participant will provide specific examples of reading comprehension intervention approaches that can be used before, during, and after text reading.

 

Poster Sessions

2:30 - 4:30

Normative Data for Toneburst ABR in Infants
Jennifer Holst CCC-AUD, Idaho State University; Hillary Trapp, BA, Idaho State University

If hearing loss is not identified early, it is difficult, if not impossible, for children to acquire the fundamental language, social, and cognitive skills that provide the foundation for later schooling and success in society (U.S. Department of Health and Human Services (HHS), 1990). The proposed research seeks to determine threshold and latency normative data for the 500 Hz, 2000 Hz, and 4000 Hz toneburst ABR in infants with normal hearing. This normative data will provide a comparison for infants with a hearing impairment and will reveal how much gain is necessary at specific frequencies for the best hearing aid fitting possible, which may prevent a language delay as well as other developmental delays.
Learner Outcomes:
The participant will be able to identify if toneburst ABR results are consistent with normal hearing in infants. The participant will be able to list the normal range for toneburst ABR thresholds and latencies in infants. The participant will be able to identify how much gain is necessary at specific frequencies for an accurate hearing aid fitting for infants.

Assessment of Middle-Ear Disorders Using Wideband Aural Acoustic Tests
Chris Sanford, PhD, CCC-AUD, Department of Communication Sciences and Disorders, Idaho State University; Jeff Brockett, CCC-AUD, EdD, Department of Communication Sciences and Disorders, Idaho State University

Emerging research suggests that relatively new wideband (WB) aural acoustic middle-ear tests (e.g., wideband energy reflectance, absorbance, etc.) are potentially more sensitive to middle-ear dysfunction than conventional tympanometric tests (Feeney et al., 2003; Allen et al., 2005; Hunter et al., 2008a) and are accurate predictors of conductive hearing loss (Piskorski et al., 1999; Keefe & Simmons, 2003; Sanford et al., 2010). However, to date, limited WB data for a wide range of middle-ear pathologies are available. If these promising new tests are to be utilized clinically, additional research examining a broad range of middle-ear pathologies is needed. The specific aim of the proposed study is to investigate the hypothesis that different middle-ear pathologies are characterized by unique and significantly different wideband aural acoustic responses.  To evaluate this hypothesis, experimental wideband acoustic measurements from infants, children and adults with a variety of middle-ear pathologies will be obtained and analyzed. Results from the proposed study will provide 1) improved understanding of the effects of different pathologies on the acoustic functioning of the middle ear and 2) data that will help guide decisions regarding selection of populations and types of middle-ear disorders to include in future research, with an overarching goal of improving methods of diagnosing middle-ear disorders and conductive hearing loss.
Learner Outcomes:
Demonstrate knowledge of emerging research investigating the clinical usefulness of wideband aural acoustic explain the potential usefulness of wideband test measurements for assessing middle-ear function in clinical settings. Identify specific wideband test profiles for different middle-ear disorders that are consistent with other audiological test findings.

Audiotory Brainstem Response: A Comparison of Two Recording Systems
Chris Sanford PhD, CCC-AUD, Idaho State University; Jenn Holst AuD, CCC-AUD, Idaho State University; Cory Workman, BS, Idaho State University 

 

Electrical fields generated by stimulation of human sensory systems can be used to monitor neural activity. For audiology the area of greatest concern is the auditory system. Auditory evoked responses (AERs), particularly the auditory brainstem response (ABR), are a powerful and objective responses used for evaluating the auditory system and estimating hearing thresholds. Given the difficulty in measuring these electrical potentials directly at the site of generation, (i.e., directly at the auditory nerve) stimulus and recording systems have been developed and used to measure the electrical activity from the skin through electrodes placed on the head.  The electrical signals are fed through an amplifier to a computer, which utilizes filtering, averaging, and processing to convert the information into waveforms displayed on a screen. The ABR is a powerful diagnostic and screening tool, which can be used to estimate hearing thresholds, perform hospital hearing screenings for infants, neurodiagnostics, and adult hearing testing. A relaxed, quiet or sleep state is best for obtaining an ABR to reduce electrical artifacts such as electromyographic (EMG) noise. For infants who are able to sleep for extended periods of time and adults who are able to stay in a relaxed state, ABR recordings can be completed successfully and consistently. With older children and impaired adults an extended relaxed state may not be obtainable without sedation. Obtaining an ABR with sedation presents not only cost issues for the patient and their family but complications for the audiologist. Sedation must be monitored by medical personnel and performed in a facility that has appropriate emergency recovery systems in place. A traditional ABR system used on older children or adults, who are not in a relaxed state, may not be able to obtain accurate results or be able to record any meaningful responses at all.
Learner Outcomes:
Participants will be able to identify 3 differences between a traditional ABR recording system and the Vivosonic Integrity VI system. Participants will become familiar with the current research related to emerging ABR recording technologies. Participants will be able to identify 3 similarities between a traditional ABR recording system and the Vivosonic Integrity VI system.


Effects of Narrative Intervention on Language Production of Children with Autism
Jennifer Zebre BS, University of Wyoming; Christine De George BS, University of Wyoming; Catherine Brown, MS, University of Wyoming; Douglas Petersen, PhD,
University of Wyoming

 

Children who have autism nearly always present with language impairment, including difficulty producing certain aspects of narration (Davis, Dautenhahn, Nehaniv, & Powell, 2007). The ability to produce narratives is strongly associated with social and academic success (Bishop and Edmondson, 1987; Boudreau & Chapman, 2000). Language intervention that focuses on improving narrative ability has been successfully conducted with preschool and school-age children with language impairment (Petersen, 2010); however, there is currently very little research examining the effects of narrative intervention on the language production of school-age children with autism. Using a multiple-baseline design across behaviors and participants, this study investigated the effects of narrative intervention on specific aspects of story structure and language complexity of narrative retellings and personal story generations produced by 3 children with autism. The narrative intervention program, Story Champs, involved repeated modeling, retelling, and story generation using simple drawings, icons, and clinician prompts to support narrative productions. Following baseline sessions, each child participated in 12, 30-minute individual narrative intervention sessions. The immediate effects of narrative intervention on narrative retells and generations, along with measures of generalization and maintenance were recorded. Results indicated that there were meaningful changes in both story structure and language complexity for all participants.

Learner Outcomes: Participants will describe the narrative intervention process used in this study .Participants will explain the theoretical underpinnings of the narrative intervention procedures used in this study .Participants will identify two positive outcomes and identify two weaknesses of the presented study.

Dosimetryy Studies of Activities of Daily Living
Jeff Brockett PhD, CCC-AUD, Idaho State University; Gabriel Anne Bargen PhD, CCC-SLP, CCC-AUD, Idaho State University – Meridian; Ashley Bahr, BS, Idaho State University

Although there are specific guidelines for occupational noise exposure, there are “very few published guidelines” for recreational exposure (Hoover & Krishnamurti, 2010). Music is one source of recreational noise exposure (see Concert graph), but a variety of potential sources must be investigated to identify the existence of a cumulative effect. The purpose of this study is to explore the idea that noise levels of various activities of daily living (ADLs) which are not individually harmful can compound and cumulatively affect a person's thresholds. It is hypothesized that the cumulative level will be at or near the 100% dose (maximum allowable exposure without increased risk of hearing loss) during an average 24-hour period. The research is targeted toward the young adult.
Learner Outcomes:
Understand that noise can have a significant effect on the hearing of children. Describe noise dose and its relationship to risk for hearing loss. Describe how a dosimeter can be used to predict noise exposure effects.

Application of Melodic Intonation Therapy Using Linguistic Principles: Acquisition and Generalization Effects
Lindsey Shumway, MS, University of Utah; Julie Wambaugh, PhD, University of Utah and Veterans Administration Salt Lake City Health Care System; Christina Nessler, MS, Veterans Administration Salt Lake City Health Care System

This investigation was designed to examine the acquisition and response generalization effects of Melodic Intonation Therapy (MIT). Linguistic principles were applied to the selection of items used for treatment and measurement of generalization effects. Treatment was applied to “Wh-Questions” in the context of a multiple baseline design across behaviors with one participant with chronic Broca’s aphasia and acquired apraxia of speech. Generalization was measured to untrained exemplars of trained items as well as to untrained items with similar and different underlying linguistic representations. Preliminary findings indicated positive acquisition effects and possible generalization effects.
Learner Outcomes: Generalization of MIT may increase when linguistic targets are chosen.MIT may be an appropriate therapy for acute and sub-acute patients.MIT appears to be amendable to application of linguistic principles.

 

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