Monday, November 26, 2007

Background:
My client, D, is a nine year old male. He is diagnosed as delayed speech and language(DSL). D has been receiving speech and language therapy from West Virginia University Speech and Hearing Center since the summer of 2004. Before he came to WVU, D received treatment at his elementary school. The client has trouble with velopharyngeal closure, syntax, word finding and reading.

Treatment:
D is still presenting a lot of trouble with reading. This seems to be one of his mothers main concerns. Along with continuing to read we have moved on to more simplistic methods. His inconsistency and frustration shows that he may be having trouble with the groupings of words and word families. It was suggested on several education sites to work on word families. There also several articles in which it is stated that working on word families particularly helps out struggling readers. Ones such article is Helping Low Readers in Grades 2 and 3: An After-School Volunteer Tutoring Program Darrell Morris; Beverly Shaw; Jan Perney
The Elementary School Journal, Vol. 91, No. 2. (Nov., 1990), pp. 132-150.
Stable URL: http://links.jstor.org/sici?sici=0013-5984%28199011%2991%3A2%3C132%3AHLRIG2%3E2.0.CO%3B2-Y . We take word family cards and separate them into beginning and ending of words. Then we take turns moving the cards around to try and form words. I also take one or two endings and go over them thoroughly.


Effectiveness: D seems to be catching on to this theory. He still guesses at times and has some trouble remembering the sounds of the words. He does however get a spark every now and again and he takes off. He understands that the words all have the same ending. He needs more practice but I really could see this making a difference.

Monday, October 15, 2007

Clinical Treatment 1

Background:My client, D, is a nine year old male. He is diagnosed as delayed speech and language(DSL). D has been recieving speech and language therpy from West Vriginia University Speech and Hearing Center since the summer of 2004. Before he came to WVU, D recieved treatment at his elementarty school. The client has trouble with velopharyngeal closure, syntax, word finding and reading.

Treatment: To work on reading in the past, the clinician would help D read a book from home and help him sound words out. He would then have to answer questions on the story. I have decided to havethe client do sometihning new. D is interested in science. I pick out a science project for us to do in therapy. D will read the instructions to me as we do the project. I believe that since he is more interested in the subject matter and it seems fun to him, that he is reading better. He is also trying harder and showing less frustration.

Evidence: In the article cited below researchers address the topic of using games and fun materials to help children (especially those with learning dissabilities) learn. It focuses on motivation of the children adn how it maintains a positive learning environment for the children.
Deacon, H., Kowalyk, S. (2007) 'Not All Fun and Games'. Literacy Today. 22

My supervisor also suggested that we try to do something that would lean more toward his interest. His frustration with reading was growing and she wanted to make it as smooth as possible for him.

It was also very rough for D's mom to see him struggle. It was upsetting to her and she wanted a setting that would be more postitive for him.

Effectivness: D seemed to really respond positivly to the change in treatment. He went from struggling on every single word and guessing, not even using context clues, to sounding out words with ease. He of course sill has some problems and needs help with a few words but the change had been profound. He takes a lot longer to get frustrated now and focuses more on the reading material. I have seen such a vast improvement!

Friday, August 17, 2007

Today is the second day of orientation for my first year of Graduate School in speech-language pathology. It is a long day for me. As soon as I am finished here I have to go straight downtown to ride buses with the freshmen as part of my wonderful new job. Can NOT wait for this day to end.