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SALT assessment for AS child

9 replies

debs40 · 30/06/2010 09:35

We have an independent SALT seeing DS today as his current NHS SALT report is completely lacking in specific suggestions.

Any ideas about what kind of tests you would aspect a SALT to do for a child with Asperger's?

I know he has problems with working memory/initiating conversation etc.,

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claw3 · 30/06/2010 10:00

Have one of ds's SALT reports here in front of me, not sure what formal tests were carried out as doesnt state, just that formal and informal tests were carried out. But the results might give you some idea of the tests.

Strengths
Ds attended well to the adult-led activities throughout the 30 minute session, with minimal prompting.

Was able to follow a simple convo and appropriately respond to wh-questions, who, what, where, when.

Could understand the concepts first and last.

Difficulties
Experiences some residual difficulty producing some sounds.

Cannot understand the concepts before and after.

Not familiar with days of the week and named most of them backwards.

Needed prompting in order to sequence sets of 3 pictures in a logical manner.

Ability to tell a short story (create a narrative is immature for his age.

Uses general purpose words ie that, this, there when describing a picture, with might be due to a limited vocabulary knowledge or word finding difficulties.

Had great difficulty interpreting a range of basic emotions by looking at peoples facial expressions and explaining why they are feeling certain ways.

Difficulty understanding using higher level/abstract language, as he cannot explain cause-effect relationships, opposite analogy or identify differences between two objects.

Poor eye contact.

debs40 · 30/06/2010 10:49

Thanks Claw, that is helpful. Our NHS report was so poor - bit about talking to me and to teacher, weeded out any language delay (for ASD dx purposes) and a list of generic resources.

School were then left without any clear picture of what the problems were and no strategies to try and work towards. Look at your LA toolkit and figure it out for yourself!

Hence the private report.

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claw3 · 30/06/2010 11:10

The targets set in that report were

Ds will be able to produce the sound 'l' in isolation.

Ds will be able produce the consonant blends 'pr', 'dr' 'tr' at the beginning of words

Ds will be able to understand and use appropriate facial expression with adult prompts in small group.

Ds will be able to tell a member of the teaching staff when he has soiled himself.

10-15 minutes 1:1 help once or twice a week to work on the above!

Same targets he had when he was 3 years old and still hasnt achieved them and doesnt cover many of his difficulties.

Not sure if a private SALT will be specific or offer just more general stuff. But at least his difficulties will be highlighted.

debs40 · 30/06/2010 11:21

Specific I'm hoping! She specialises in Tribunal work and setting out exactly what support is needed and the provision to required to produce it.

DS needs to look at stuff like auditory processing and working memory, initiating communication and reciprocal communication. He is actually ok on identifying faces but has little exppressive language.

Fortunately, this was brought out to some extent by the dx report or you'd think you were going mad!

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claw3 · 30/06/2010 11:33

She sounds brill. A 'mum reports concerns with' did feature in my SALT report and my concerns were back up with her findings.

2nd specialist SALT report identified further difficulties and her recommendations were one line 'school to focus on social and communication difficulties' and she did say to me that on the day of assessment, that class teacher had described ds as 'average'. she was very surprised he was managing an average as he clearly had many difficulties and clear processing difficulites (this wasnt mentioned in her report though and she refused to add it!)

Im sure if you mention what your concerns are, she will include in her assessment and identify more.

StarOfValkyrie · 30/06/2010 12:23

How old is he again?

StarOfValkyrie · 30/06/2010 12:28

The most likely one is the CELF (Clinical Evaluation of Language Fundamentals). It is likely to be the best one, but it does depend on the individual. hth

debs40 · 30/06/2010 12:50

He's 7. NHS SALT did that and he scored ok but his problems are more to do with initiating communication, memory, ability to communicate needs/worries etc, reciprocal communication which I'll as her to look at

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StarOfValkyrie · 30/06/2010 13:00

see page 81

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