Believe It Or Not: The Common Core Standards Can Make Your Job Easier

shutterstock_15584677The Common Core State Standards have changed my life.  I know that’s a bold statement to make, but armed with simple resources and the confidence that I really am integrating the curriculum and assessing academic impact, working as a school based speech-language pathologist is suddenly more fulfilling. And yes, we are talking about the same Common Core State Standards. While some teachers seem to be quivering in their boots about the prospects of implementing the Standards, I think speech-language pathologists should be rejoicing.

Now I’m not going to tell you about the oodles of research that went into developing them (for history on Common Core State Standards, go to the CCSS website and look under ELA Appendices A), nor will I lecture about why you should use them (let someone else do that). I’m here to show you why they changed my practice from a speech-language lens and how it has not only improved my treatment but strengthened my clinical skills too.

Sometimes, as therapists, we can find it hard to know what a child should be able to do when all we see are students with delays, disorders and disabilities. What is grade level, age appropriate and just plain old typical can become confusing when you don’t have a set of norms to compare to. With the added pressure on school-based SLPs to be curriculum- related and demonstrate academic impact, it has been a personal relief for me to simply look up a standard and think, “so that is what my student is expected to do.” Even if you aren’t based in a school but work with school-age clients, the Common Core State Standards can still guide your treatment decisions.

The Common Core State Standards can look overwhelming, but the English Language Arts curriculum is probably the most useful for speech-language pathologists. It focuses on reading, writing, listening and speaking and language. What may seem cumbersome at first will soon become ingrained and you will start to see just how our profession and scope of practice is present in almost every learning outcome. A very simple idea of how different areas of speech-language pathology relate to the curriculum is demonstrated below.

Reading: Focuses on the reading continuum from foundational skills to fluency and integration of knowledge. Areas include phonological awareness, answering key details, identifying main ideas, description, comparing and contrasting, sequencing and retelling.

Writing: Focuses on written compositions of a variety of genres (for example, narratives, explanatory and arguments). Areas include sequencing, linking words, description and comprehension.

Speaking and Listening: Focuses on oral and receptive and expressive language skills. Areas include syntax, pragmatics, narrative skills and comprehension.

Language: Focuses on grammatical conventions and vocabulary. Areas include vocabulary acquisition, syntax, morphology and higher-level language skills such as multiple meaning words.

Most SLPs already know just how much of learning is dependent on language and communication skills. So I encourage you to think outside the box and use the Common Core State Standards in a number of different ways:

  • Refer to them to write grade level Individualized Education Program goals.
  • Use the horizontal/vertical progressions (below) to help with step up/downs in treatment.
  • Use the standards to help guide informal assessments. Take a language sample and compare to the standards’ Language section or do some classroom observations to understand academic impact.
  • If teachers are still unsure of your role and scope, why not do an in-service and use the standards as a reference. This could help with collaboration, response-to-intervention and moving toward working in the classroom.

You can go straight to the Common Core State Standards site and view the English Language Arts Standards, but keep your eye out for ways other states present the standards. Maine breaks down them down into vertical progressions (view writing, language, speaking and listening) so you can see how each skill develops each year, while Arizona provides the standards in a horizontal progression.

Download the free Common Core State Standards app. I love the ease of swiping through the standards, as it is much faster than flipping through papers. Finally, ASHA’s Common Core State Standards: A Resource for SLPs also includes great information and resources for speech-language pathologists. Be sure to click on “Resources and References” to access articles, blogs and useful sites.

Remember, the Common Core Standards are coming to a school district to you soon, so why not start getting familiar with them now?

 

Rebecca Visintin, CCC-SLP,  is an Australian-trained, school-based speech-language pathologist  in Washington state. She has worked in the Australian outback and Samoa and provides information for SLPs working abroad and free therapy resources on her site Adventures in Speech Pathology.

 

Speech Therapy and Aging: Implications for Our Approach to Communication Disorders

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This post is the beginning of a monthly series by Betty Schreiber, M.M.S. CCC-SLP, on Aging, Communication, Cognition, and Speech Therapy.

Thank you for allowing me to be a new blogger on ASHASphere. I currently supervise Graduate Students at the Ladge Speech and Hearing Clinic at LIU/Post in Brookville, New York. Along with my wonderful business partner, Gail Weissman MA. CCC-SLP, and amazing programmers at Objectgraph LLC, I am also creating Apps designed specifically for our older clients.

As I am at the younger end of what would be considered the “baby boomer” generation, and currently working with adults who have begun to age and suffer communication disorders, I am particularly sensitive to the effect of aging and the social impact of communication disorders amongst this population.

As people get older, it is a fact that health and physical mobility are crucial elements in their ability to function in daily life, interact, and participate normally in society. Even older people who have simply aged with no other issues experience increasing isolation. Their spouses and friends move or pass away, leaving fewer opportunities for social interaction.

The baby boomers are aging and will become a large part of the population in the next 20 years. The Center for Disease Control in collaboration with the Merke Company Foundation has developed information on aging in America with a state by state assessment.

They listed 15 key indicators of older adult health:

  • Physically Unhealthy Days
  • Frequent Mental Distress
  • Oral Health: Complete Tooth Loss
  • Disability
  • No Leisure-Time Physical Activity
  • Eating ≥ 5 Fruits and Vegetables Daily
  • Obesity
  • Current Smoking
  • Flu Vaccine in Past Year
  • Ever Had Pneumonia Vaccine
  • Mammogram Within Past 2 Years
  • Colorectal Cancer Screening
  • Up-to-date on Select Preventive Services
  • Cholesterol Checked in Past 5 Years
  • Hip Fracture Hospitalizations

These factors have an impact on our aging family members ability to attend the therapies they need, maintain cognitive function, communicate and be self-sufficient. The majority of our elderly prefer to stay in a familiar environment even if it means living alone or with some outside help.

According to the United States Department of Health and Human Services Profile of Older Americans 2011, about 29% (11.3 million) of noninstitutionalized older persons live alone (8.1 million women, 3.2 million men), almost half of older women (47%) age 75+ live alone. The number of Americans aged 45-64, (I’m in that batch) who will reach 65 over the next two decades increased by 31% during this decade. Over one in every eight, or 13.1%, of the population is an older American. This demographic information along with changes in the federal budget and insurance reimbursement should be of concern to us, as professionals. Not only in terms of how we will make a living, but how will we be able to provide needed support and efficient services so that treatment approaches do not have to cost more money. Therapy can be more effective if we address communication and interaction within the framework of the aging living situation as a whole.

In one of the blogs on our website, I told a story of my own family experience. My grandmother, who was about 83 at the time, was placed in the middle of the livingroom while family and friends spoke to each other around her. (I was about 26 and a SLP for 3 years) She was able to hear well enough, and speak well enough, but the attitudes of the younger people were such that unless she made a ruckus, no one felt it was necessary to include her in the conversation! This isolation while surrounded by a bustling family, negatively affected her attention to her surroundings.

Part of my therapy approach with adult clients is to educate and include the families and caregivers in the therapeutic process as much as possible. Our family questionnaire includes questions such as: How many times do you talk to (our client) during the day. We also ask about the client’s speaking interactions at home or in a group of people. I have found that some family members want us to “fix” their husband or wife and want no additional responsibility. But we can talk to them to help them slowly understand that their situation will be better if they are aware of how they can help and use the adaptive tools we are giving them. We are not asking them to do the therapy or practice. We help them with resources in our community and teach them about paired communication and listening. The families, caregivers, even SNF staff should be encouraged to develop a communication routine that allows interaction not mere reaction.

There will be more on this topic in subsequent postings. Any of the Indicators of Older Adult Health frequency may impact our therapy attendance and reimbursement. What does this mean in terms of available services, advocacy, health care coverage, families and caregivers education/training? How can we, as Speech Language Pathologists recognize and support individuals and families in distress and facilitate communication awareness, not only with our clients who are coming for therapy, but for our aging population as a whole?

Betsy C. Schreiber, MMS, CCC-SLP, received a BA  in Psychology and MMS Master of Medical Science in Speech Pathology from Emory University in Atlanta, Georgia. Her CCC was earned during the 3 years she worked at Hitchcock Rehabilitation Center in Aiken, South Carolina where she had the opportunity to learn about NDT and Sensory Integration with the original, Jane Ayres, working with LD and CP children and neurologically impaired adults. She is currently a clinical supervisor at Ladge Speech and Hearing Clinic at LIU/Post on Long Island, and a partner at Hope 4 Speech Associates, P.C. She has also served as an ASHA Mentor and hopes to participate in ASHA’s  Political Action Committee in the coming year.