Beyond Scores: Using Converging Evidence to Determine Speech and Language Services Eligibility for Dual Language Learners

Purpose Speech-language pathologists have both a professional and ethical responsibility to provide culturally competent services to dual language learners (DLLs). In this tutorial, we recommend that clinicians use a comprehensive assessment of converging evidence to make diagnostic decisions in DLL...

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Vydáno v:	American journal of speech-language pathology Ročník 29; číslo 3; s. 1116 - 1132
Hlavní autoři:	Castilla-Earls, Anny, Bedore, Lisa, Rojas, Raúl, Fabiano-Smith, Leah, Pruitt-Lord, Sonja, Restrepo, María Adelaida, Peña, Elizabeth
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States American Speech-Language-Hearing Association 01.08.2020
Témata:	Analysis Bilingualism Business ethics Case studies Child Development Children Children & youth Clinical decision making Codes of conduct Communication Communication skills Cultural competence Decision making English language Ethics Evaluation Forum: Innovations in Clinical Practice for Dual Language Learners, Part 2 Hearing Language Language Acquisition Language disorders Language Skills Learning Learning potential Learning Processes Lifelong Learning Medical decision making Medical personnel Native language acquisition Questionnaires Spanish language Speech Speech production Speech therapists Speech therapy Speech-language pathologists Standardized Tests Strength Teachers United Kingdom Spain United States > US
ISSN:	1058-0360, 1558-9110, 1558-9110
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Popis
Shrnutí:	Purpose Speech-language pathologists have both a professional and ethical responsibility to provide culturally competent services to dual language learners (DLLs). In this tutorial, we recommend that clinicians use a comprehensive assessment of converging evidence to make diagnostic decisions in DLLs in accordance with the American Speech-Language-Hearing Association's Code of Ethics. The content of this tutorial is most appropriate for Spanish-English DLLs between the ages of 4 and 8 years. Method We propose a converging evidence approach, in which one single method is not the deciding factor in making diagnostic decisions regarding the dual language and speech production skills of DLLs. Converging evidence refers to the idea that multiple pieces of assessment data must come together and trend in the same direction to make a diagnostic decision. We recommend gathering assessment data using a combination of language experience questionnaires, bilingual language sample analysis using large-scale reference databases, evaluation of learning potential, and standardized testing. These four assessment methods allow clinicians to examine the child in different contexts to determine their strengths and weakness in communication abilities. Conclusion We illustrate the converging evidence framework using two case studies to guide the clinician through the diagnostic decision-making process.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Editor-in-Chief: Julie Barkmeier-Kraemer Editor: Mark Guiberson Publisher Note: This article is part of the Forum: Innovations in Clinical Practice for Dual Language Learners, Part 2. Disclosure: Lisa Bedore and Elizabeth Peña are co-authors of the BESA and receive royalties from its sale.
ISSN:	1058-0360 1558-9110 1558-9110
DOI:	10.1044/2020_AJSLP-19-00179