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Lang Dis Birth to 5

Why are we concerned with prelinguistic development? 1-Nip early communication problems in the bud. 2-Spare child and family frustration. 3-Save therapeutic time and money. 4-More positive prognosis.
Pre-Linguistic Assessment Focus is on monitoring risk factors, not medical/developmental diagnosis
Pre-Linguistic service models (2) 1-Family-centered model: IFSP provided under Early Intervention (EI) 2-Medical model: NICU services provided under a treatment plan under medical supervision.
Counseling component Important for both service models. These parents are at their most vulnerable.
Family model strengths? Family involvement. SLP becomes a familiar support and advocate.
Family model challenges? SLP may be more likely to side with family even when family values/culture conflict with best Tx (e.g., no AAC)
Where can you obtain additional information for prelinguistic assessment? Call the family ahead for medical Hx, prior Dx (e.g., cleft palate), dev. milestones, time since onset, etc. Only speak with consent.
Prelinguistic Assessment info •Medical history •Family structure and concerns •Feeding, oral-motor abilities •Vocal behavior (babbling) •Hearing •Social-Cognitive Considerations •Infant behavior (Homeostasis) •Physiological stability •Parental Styles
Intentionality Ability to engage in purposeful behavior
Stages of Intentionality 1-Perlocutionary Stage = pre-intentional. 2-Illocutionary Stage = intentional, prelinguistic. 3-Locutionary = intentional, linguistic
Prelinguistic Communication Stages (3) 1-Pre-intentional Communication Stage. 2-Intentional Communication Phase. 3-The “Muddy Area”.
Pre-intentional Communication Stage •0 and 8-months •Infant demonstrates a behavior that has a communicative effect on a listener, but the child is NOT cognizant of this fact
Intentional Communication Phase •8 to 9-months: purposeful communication, coordinated attention. •12-months: 1-points to objects out of reach. 2- use vocalizations to gain attention. 3- use gestures. 4-combine gestures and vocalizations
The “Muddy Area” 12 to 18-months •Pre-linguistic Period begins to fade into the Linguistic Period: first single words and short phrases to begin communicating about the familiar environment.
Suggestions for communicative stimulation •Turn-taking (Respond as if baby initiated). •Imitation (“wait and match”) •Joint attention (attend to infant’s focus). •Anticipatory sets/expectant delay: (Peek – a – boo)
Created by: ashea01