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Early Diagnosis


Language Delay Language acquisition in the expected sequence, but at a slower than normal rate. May or may not catch up with peers (changes into something else over time; may close, widen, or plateau)
Identifying a Delay Profile of strengths/weaknesses, tracking receptive/expressive skills, look at lang. skills relative to cogn. skills, formal (standardized) and informal testing
Language Disorder Language skills in the areas of form, content, or use, are not consistent with what is typically seen in children of a similar age and a similar cultural and linguistic background.
Identifying a Disorder Assess receptive and expressive language skills (look for atypical profile of skills), use formal and informal testing
Language Difference Communication behaviors meet the norms or the primary speech community, but not Standard English
Basis for Language Difference Race/ethnicity, SES, education, cultural differences (different uses of form, content, and use; use of narratives and turn taking)
Pros of Early Diagnosis Reduces anxiety of not knowing, access to services & therapy, work proactively, develop realistic expectations, provides support, protects child's self esteem
Cons of Early Diagnosis Places limitations on expectations, may harm child's self esteem, may affect parents' view of child, danger of over-medication/misdiagnosis
False positives lead to Receive an inappropriate label, may be stigmatized, low expectations, misdirected services
False negatives lead to Denial of necessary support and services
Client centered intervention Child selects materials and sets pace; clinician facilitates form, content, use within child-selected activities
Clinician directed intervention Clinician selects activities and materials; structures tx for frequent practice of target skills for form, content, and use
Early Intervention for children 3 years and younger: may prevent a disorder from developing and reduce severity of a disorder
Individual treatment best suited for Form and Content
Group treatment best suited for Use
Late talker a toddler (between 18-30 months) w/ good understanding of language, typically developing play skills, motor skills, thinking skills, and social skills, but limited spoken vocab. Specific diff. with spoken or expressive language.
Created by: 100000299709410



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