Win-win: advancing written language knowledge and practice through university clinics.

Speech-language pathologists (SLPs) are uniquely suited for assessing and treating individuals with both spoken and written language disorders. Yet as students move from the elementary grades into the middle and high school grades, SLPs tend to provide fewer direct language services to them. Although spoken language disorders become written language disorders, SLP are not receiving sufficient training in the area of written language, and this is reflected in the extent to which they believe they have the knowledge and skills to provide services to struggling readers and writers on their caseloads. In this article, we discuss these problems and present effective methods for addressing them.

Balanced intervention for adolescents and adults with language impairment: a clinical framework.

Providing effective intervention services for adolescents and adults who struggle with spoken and written language presents a variety of unique challenges. This article discusses the 5S Framework (skills, strategies, school, student buy-in, and stakeholders) for designing and implementing balanced spoken and written language interventions for adolescents and adults. An in-depth case illustration highlights the usefulness of the framework for targeting the language and literacy skills of adolescents and young adults. By describing and illustrating the five key components of the intervention framework, the article provides a useful clinical tool to help guide clinicians and educators who serve the needs of adolescents and adults who struggle with spoken and written language.

Structured Literacy Intervention for Students With Dyslexia: Focus on Growing Morphological Skills.

Purpose Structured literacy (SL) is an umbrella term used by the International Dyslexia Association that refers to evidence-based instructional approaches that incorporate all aspects of spoken language into the teaching of reading, spelling, and writing (International Dyslexia Association, 2016). SL has gained prominence in the field of reading but is less familiar to speech-language pathologists. This tutorial seeks to describe SL with specific attention to the morphological component. Using current research literature combined with descriptions of specific therapeutic practices, this tutorial offers research-informed, clinical strategies for facilitating the development of morphological skills in students with spoken and written language impairments including dyslexia. Method In this tutorial, the authors focus on the research literature and clinical applications related to the topics of (a) spoken and written language impairments, including dyslexia; (b) SL intervention; (c) intervention in the areas of morphological awareness and analysis; and (d) the promotion of academic success in students who struggle with language and literacy. Conclusions SL is a term used to unify and describe evidence-based principles and components that should be included in all effective reading and writing instructions. Among other linguistic skills, morphology holds a prominent place in SL. It is critical that speech-language pathologists become familiar with SL and the evidence-based practices for growing these students' morphological awareness skills in order to promote language and literacy success.

Teaching students with reading difficulties to be close readers: a feasibility study.

PURPOSE: This article describes a program that was designed to help upper elementary students read and understand words as they read texts independently. As a first step in helping middle-to-upper elementary children with mild-to-moderate language and/or reading difficulties engage in textual analysis during reading, the Close Reading program combines instruction in morphological-analysis and context-analysis strategies with guided experiences applying these strategies during reading. METHOD: To carry out an initial feasibility study of the program, we conducted 3 case studies using standardized pretest and posttest measures of language and reading skills and experimental progress monitoring measures administered before, during, and after instruction. Three fourth-grade girls participated in the 12-week program. RESULTS: All 3 students showed improved word reading and comprehension with small to large effect sizes on standardized and experimental measures. Patterns of improvement reflected the initial strengths and weaknesses of the students' reading and language skills. CONCLUSION: The results suggest that further experimental investigation of this program is warranted. Instruction in morphological-analysis strategies with guided practice during reading holds promise as a way to improve word reading and comprehension for struggling readers in the middle-to-upper elementary years.

Providing written language services in the schools: the time is now.

PURPOSE: The current study was conducted to investigate the provision of written language services by school-based speech-language pathologists (SLPs). Specifically, the study examined SLPs' knowledge, attitudes, and collaborative practices in the area of written language services as well as the variables that impact provision of these services. METHOD: Public school-based SLPs from across the country were solicited for participation in an online, Web-based survey. Data from 645 full-time SLPs from 49 states were evaluated using descriptive statistics and logistic regression. RESULTS: Many school-based SLPs reported not providing any services in the area of written language to students with written language weaknesses. Knowledge, attitudes, and collaborative practices were mixed. A logistic regression revealed three variables likely to predict high levels of service provision in the area of written language. CONCLUSION: Data from the current study revealed that many struggling readers and writers on school-based SLPs' caseloads are not receiving services from their SLPs. Implications for SLPs' preservice preparation, continuing education, and doctoral preparation are discussed.

What makes a caseload (un)manageable? School-based speech-language pathologists speak.

PURPOSE: Large caseload sizes and a shortage of speech-language pathologists (SLPs) are ongoing concerns in the field of speech and language. This study was conducted to identify current mean caseload size for school-based SLPs, a threshold at which caseload size begins to be perceived as unmanageable, and variables contributing to school-based SLPs' feelings of caseload manageability. METHOD: Approximately 2,000 public-school-based SLPs from across the country were solicited to participate in an online, Web-based survey between April and May of 2007. Of those SLPs who were contacted, 634 full-time SLPs from 49 states completed the survey. The data were evaluated using descriptive statistics and logistic regression. RESULTS: The mean caseload size for SLPs in this study was 49 students. At the caseload range of 41-50 students, approximately 60% of the SLPs perceived their caseload size as unmanageable. Logistic regression revealed caseload size, years of experience, and extent of collaboration as significant predictors of an SLP's likelihood of feeling that his or her caseload size is manageable. CONCLUSIONS: Caseload size continues to be an area of concern for school-based SLPs, and efforts to address this problem must continue in order to prevent long-term struggles with SLPs' dissatisfaction, shortages, and turnover. Policy, research, and clinical implications are discussed.

Augmentative and alternative communication and literacy teams: facing the challenges, forging ahead.

The development of literacy skills in individuals who use augmentative and alternative communication (AAC) requires the collective efforts of collaborative literacy teams who have expertise in language, literacy, and AAC. Literacy teams responsible for teaching reading and writing skills to students with complex communication needs face many challenges including students who often cannot participate in conventional literacy activities (e.g., reading aloud), a lack of materials and resources, and poor professional preparation in the area of AAC and literacy. In the ongoing effort to improve the quality and effectiveness of literacy services provided to students who use AAC, it is important to evaluate the professional expertise of personnel involved in literacy assessment and intervention. This article uses the current research base to provide a discussion of several issues and challenges faced by school-based literacy teams who provide reading and writing services to students with complex communication needs. Future goals and directions for literacy teams striving to provide effective reading and writing services are also explored in a discussion aimed at the advancement of school-based literacy services for students who use AAC.