SpeechPathology.com Phone: 800-242-5183


Sunbelt Banner 2- June 2021

Evaluation of Severe CAS

Peter Flipsen, Ph.D. Jr., S-LP(C), CCC-SLP

April 22, 2013

Share:

Question

I am currently working on an evaluation for a child who appears to have a severe form of CAS.  After completing the GFTA, it was apparent that he made only six sounds.  No final sounds.  Is this typical or does it seem more like severe phonological disorder?  Any suggestions for language testing since he is so unintelligible?

 

 

Answer

Certainly you are talking about a child with a limited phonetic inventory.  That is one of those features that is not necessarily unique to childhood apraxia.  This may be a case of the child simply having not really mastered very many of the sounds yet.  It could be an articulation disorder.  It could be a phonological disorder.  It could be apraxia.  You would want to start looking at factors like consistency and transitions.  Do those DDK tasks.  Look at conversation and look at use of stress.  Look at those three key features to see whether or not the child is in fact producing that.   I tend to advocate that with a child who is highly unintelligible, we actually cannot make a judgment on their language skills until we make them more intelligible.  Until we get them to where they are more intelligible, we really cannot know what their expressive language skills are.  You can assess receptive language skills, but that is pretty much the best you can do.  

Dr. Peter Flipsen Jr. is a Professor of Speech-Language Pathology at Idaho State University. He is the author of more than 20 peer-reviewed journal articles and the co-author (with John Bernthal and Nicolas Bankson) of "Articulation and Phonological Disorders: Speech Sound Disorders in Children."


peter flipsen

Peter Flipsen, Ph.D. Jr., S-LP(C), CCC-SLP

Dr. Peter Flipsen Jr. is a Professor of Speech-Language Pathology at Idaho State University. He is the author of more than 20 peer-reviewed journal articles and the co-author (with John Bernthal and Nicolas Bankson) of Articulation and Phonological Disorders: Speech Sound Disorders in Children. His current research focuses on speech and language development in children with cochlear implants as well as on the measurement of intelligibility of speech in children.


Related Courses

DIRFloortime®: Beyond Playing on the Floor
Presented by Joleen R. Fernald, PhD, CCC-SLP, BCS-CL
Video

Presenter

Joleen R. Fernald, PhD, CCC-SLP, BCS-CL
Course: #9642Level: Advanced4 Hours
  'Pace and case examples'   Read Reviews
The DIRFloortime® framework can be used not only with children with autism, but with a wide variety of ages and diagnoses. This 4-hour master class describes DIRFloortime principles and concepts such as Functional Emotional Developmental Capacities (FEDCs) and relationship-based intervention. Case studies provide examples of goals and therapy activities, including virtual experiences, for various populations.

Assessment of Childhood Apraxia of Speech
Presented by Jenya Iuzzini-Seigel, PhD, CCC-SLP
Video

Presenter

Jenya Iuzzini-Seigel, PhD, CCC-SLP
Course: #9705Level: Intermediate1.5 Hour
  'I was satisfied'   Read Reviews
This is Part 1 of a two-part series on childhood apraxia of speech (CAS). Differential diagnosis of CAS and other speech sound disorders (SSDs) can be challenging. This course demonstrates the steps of the differential diagnosis process, including rating perceptual features of CAS and interpreting test results. Case studies are included for additional practice.

ApPARENTly This Is Not Going Well: Difficult Conversations with Parents
Presented by Marva Mount, MA, CCC-SLP
Video

Presenter

Marva Mount, MA, CCC-SLP
Course: #9726Level: Intermediate1 Hour
  'Very important information explained very clearly with good examples'   Read Reviews
This course explores emotional intelligence (EQ) and how to "plug in" and use it in situations that go awry with parents of clients. Specific strategies for handling difficult situations and de-escalating arguments are discussed.

Treatment Approach Considerations for School-Aged Children with Speech Sound Disorders
Presented by Kathryn Cabbage, PhD, CCC-SLP
Video

Presenter

Kathryn Cabbage, PhD, CCC-SLP
Course: #9472Level: Intermediate1 Hour
  'The course provided me with current information on the topic'   Read Reviews
This course will address the theoretical underpinnings and research base related to differential diagnosis and treatment of articulation and phonological deficits in children with speech sound disorders. Special considerations for how to tailor evaluation and intervention to meet the needs of school-age children will be discussed.

Research Watch Report: Evidence-Based Treatment Approaches for Acquired Apraxia of Speech
Presented by April Garrity, PhD, CCC-SLP
Text

Presenter

April Garrity, PhD, CCC-SLP
Course: #9226Level: Advanced1 Hour
  'The information was conveyed well'   Read Reviews
This Research Watch Report focuses on some of the most current research in the area of acquired apraxia of speech (AOS). Three research articles are summarized and potential clinical applications of the evidence are discussed.