Home Speech-Language Pathology Screenings: A World of Our Own or a Collaborative Effort?

Screenings: A World of Our Own or a Collaborative Effort?

by Nicole Power

Teacher at table with young students

Photo by woodleywonderworks

(This post originally appeared on Educational Inspirations)

Lately I’ve been reading a lot of comments from SLPs about screenings to identify speech/language issues. There are postings asking what screenings people prefer and sometimes questions about how to go about getting it all done. I’ve also seen some articles discussing the possibility of a universal speech/language screening for RTI purposes. Our changing roles in the school system have really made me look at screenings in a new light.

For instance, how efficient is it to do speech/language screenings? When it comes to articulation it has been my experience that teachers are pretty capable of hearing “funny speech” and sending me e-mails about it. I have never had kids fall through the cracks when it comes to articulation; however, I see the upside to universal screenings for articulation as well. Universal, school-wide screening of articulation three times yearly could identify developmental errors and track progress over time. On the other hand, there are two SLPs in a school of more than 750. The thought of screening 750 kids is enough to have me running for the hills. So, how could this be done?

If teachers are pretty good at identifying when a student’s speech sounds “weird” couldn’t this be used as an initial screening? At our school we talked to the teachers about listening for articulation errors. During our usual reading screenings we asked teachers to mark down the names of students whose speech did not sound appropriate. This is our universal, first line of defense articulation screening. Then the SLP can develop a list of students who need a screening by a more experienced ear.

That sounds pretty easy, but what about language screenings? Language screenings such as the CELF are given individually and can take 10-20 minutes to administer. Completely out of the question when it comes to 750 kids. I have to admit I am intrigued by the idea of an easy to administer universal language screening, but I have to wonder if it is really necessary.

One elementary I work with administers the DIBELS Next to all students. The subtests vary by grade, but the early grades administer phonological awareness, nonsense words, and letter naming tasks. As an SLP, I analyze the results of these quick and dirty screens to determine if there are any students with possible underlying language issues. I look not only at the phonological awareness results, but the emerging phonics skills. A student’s ability to name letters also has some basis for clues about reading (Rathvon, 2004) and thus, language abilities.

For older students, I find it useful to look at screenings like the MAZE (AIMSweb, Shinn) or DIBELS Next DAZE (DIBELS Management Group). These screenings are group administered in 3 minutes and require students to read silently and make semantic and syntactic decisions about their reading. This offers me some clues about the reading comprehension of students. I also like the spelling screenings available from AIMSweb. These are also group administered and give me a bounty of clues about orthographic, morphological, and semantic knowledge of students.

Don’t get me wrong, I’m not opposed to the development of universal speech/language screenings, but I would like to see some research about whether reading screens already in use by schools are effective at also identifying language problems. I also wonder if we could be using the reading screens already in place as a first defense for screening everyone and then possibly do a deeper language screening for those students identified as having possible underlying language problems. As an SLP I’m all about identifying these issues early and doing some preventative work, but I’m also about working smarter, not harder. It seems much easier to me to use what is already in place in a school rather than trying to convince teachers to help me administer a “speech” screening.

What about you? Do you give a separate screening for all students in your school? Do you make use of reading and other literacy screens already in place?

Nicole Power is an SLP and literacy consultant at Bethany Public Schools in Bethany, Oklahoma. She provides language/literacy therapy as well as intervention primarily to elementary students. Nicole is the district coordinator for the Response to Intervention program and collaborates with teachers and other specialists to provide high quality instruction to struggling students. She presents area workshops and created and directs the Oklahoma School SLP Conference.

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Sharon Moschetta October 12, 2010 - 7:12 pm

I work in a K-2 public school. We do whole school screenings. We screen the at-risk students (either children who had 504 plans in preschool or children that we have been following) on the first day of school and the rest of the students soon after. We write down information related to articulation, language, and/or structural issues (ie-missing teeth). We then let our teachers know our screening results. I feel that it is easier to get our screenings done within the first week of school rather than throughout the year. Once we start treating our students, it is difficult to find a chunk of time in our schedules to complete screenings in an entire class. Also, we readily have available information on each student if they get referred to the I&RS committee /RTI or if we receive a referral.

Maryann Potts October 12, 2010 - 11:37 pm

Nicole, Thanks for opening this discussion. We do a Kindergarten Roundup in May for incoming K students with the Joliet 3-min. screening. I give a home program to parents for any early-developing sound errors. I re-check those students in the Fall when school starts, to see if further intervention is needed. I also do a weekly classroom lesson for speech production and phonological awareness skills in every K classroom, so I can monitor the students.

In second grade, we do a school-wide speech and language screening, (repeating the Joliet). It’s been my experience, after 11 years in the schools, that very few teachers hear the artic. errors. I would not feel comfortable relying on them solely, for finding all of the children who need services. I do school-based services (RtI), with parent permission and agreement of daily home practice, for about 10 weeks, to determine if an IEP is indicated.

The DIBELS is a good indication of need for reading intervention and the need for referral to resource services, but not for language issues. Many of the students identified as “high risk” actually do well in the classroom phonological awareness lessons, but struggle with phonics.

Trina Hemmerling May 2, 2011 - 3:17 pm

Maryann, can you give an example of the kind of weekly lesson you would do in the K classroom?

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