Dobela Posted July 16, 2009 Share Posted July 16, 2009 We are almost certain ds9 hs dyslexia. We are just waiting for the final reports and evals to be scheduled. He has enough criteria matched we will be surprised if it doesn't happen. In the partial psych eval report (she just did a quick summary for me to take to the PCP today for the well child check up, full report to come later) the evaluator recommended that we have another speech language assessment due to his significant phonetic awareness problems, and to assess his auditory/receptive processing skills. For a 9 yr old his reading was 1.8 grade level, his spelling was preK, and his processing time was slow. He had a complete eval for speech and language 2 years ago but didn't qualify. He wasn't even close or boarderline. Would it be worthwhile to do it again? Is there a large enough difference (or big jump in skills) between 7 and 9? His PCP saoid he would sign any referrals at this point so that won't be a problem. He just began a Scotrtish Rite program with a well qualified tutor 2 weeks ago. Am I missing anything? Quote Link to comment Share on other sites More sharing options...
Renee in NC Posted July 17, 2009 Share Posted July 17, 2009 It may be that the initial evaluation did not include a phonemic awareness evaluation. I specifically asked for that with my 8yo because I knew it was an issue. What you describe, though, is dyslexia - the tutor will probably cover the phonemic awareness and auditory processing herself. Quote Link to comment Share on other sites More sharing options...
newbie Posted July 17, 2009 Share Posted July 17, 2009 Perhaps an audioligist eval for auditory processing disorder, the earlier a dx for APD, the easier to remediate. Plus a completed neuropsych eval, my niece got a dx of MR for yrs by the ps before I had her tested w/audio and neuropsych, that was at 17, now we are doing major catchup. The earlier definitive, the better. If you can get the referrals, go for it. Quote Link to comment Share on other sites More sharing options...
Dobela Posted July 17, 2009 Author Share Posted July 17, 2009 It may be that the initial evaluation did not include a phonemic awareness evaluation. I specifically asked for that with my 8yo because I knew it was an issue. What you describe, though, is dyslexia - the tutor will probably cover the phonemic awareness and auditory processing herself. ok. I had not considered that it may not have been part of the eval the first time. That is a good reason to have it done again. I will follow up on that. Tomorrow I can call the center where he receives OT and ask for a more specific eval. I know insurance will pay because it has been over a year so that will help. Thanks! Quote Link to comment Share on other sites More sharing options...
Dobela Posted July 17, 2009 Author Share Posted July 17, 2009 Perhaps an audioligist eval for auditory processing disorder, the earlier a dx for APD, the easier to remediate. Plus a completed neuropsych eval, my niece got a dx of MR for yrs by the ps before I had her tested w/audio and neuropsych, that was at 17, now we are doing major catchup. The earlier definitive, the better. If you can get the referrals, go for it. So what so I need to ask for and from where? I have been looking into APD and wondering. He definately has visual processing issues (in VT for that) but I wonder if there is more going on. The psych eval just completed included WISC-IV and the WIAT. His tutor administered the C-TOPP about a month ago and it shows that he is at the 16%ile for phonological awareness and the 5%ile for rapid naming for his age. Phonological memory was his strongest at the 50%ile for his age. Quote Link to comment Share on other sites More sharing options...
TraceyS/FL Posted July 17, 2009 Share Posted July 17, 2009 I'd ask for an Auditory Processing Eval - from an audiologist. Don't make me find that website tonight that listed people that test! LOL!! oh, maybe i'm not as tired as i think..... http://pages.cthome.net/cbristol/capd-rf1.html There! I might end up trying to get another eval at UF, the guy i used with Nemours is on the list (John Ray), but the UF testing sounds great. Given the depth of our issues, i'm keeping it in mind. Waiting for the neurology referral too. Anyway, back to you :P Have you read any from "When teh Brain Can't Hear"? It's an interesting book.... Did the Vision testing have much of an auditory portion? They told me that my DD tested at 6y2m (at 10y0m) which is consistent with the audiologists findings. And now, i have no clue why i'm up - so i'm going back to bed! Quote Link to comment Share on other sites More sharing options...
LizzyBee Posted July 17, 2009 Share Posted July 17, 2009 I third the suggestion for an APD evaluation. You can google audiologist + auditory processing disorder + your city to find people in your area who do the testing. Audiologists who test for APD have extra training, so you can't just go to any audiologist. Second, I would definitely get an updated speech/language eval. Sit in on the eval, though, so that if your slp tells you there are no phonemic awareness issues, you'll know whether she tested thoroughly. At my dd's last eval, the slp did nothing for phonemic awareness except have my dd pull apart compound words like cupcake, then told me my dd doesn't have p.a. issues. Well, no, if you don't test for it, you won't notice any problem. :glare: The same slp also didn't think my dd had any apd issues; never mind that she couldn't pass ANY part of the APD evaluation. When you get the full report, will you post whether the psychologist made any recommendations for processing speed? My middle dd has a slow processing speed, and our EdPsych said it can't be remediated, only accomodated. But I still hold out hope that new research will find something that helps in this area. Quote Link to comment Share on other sites More sharing options...
siloam Posted July 17, 2009 Share Posted July 17, 2009 We are almost certain ds9 hs dyslexia. We are just waiting for the final reports and evals to be scheduled. He has enough criteria matched we will be surprised if it doesn't happen. In the partial psych eval report (she just did a quick summary for me to take to the PCP today for the well child check up, full report to come later) the evaluator recommended that we have another speech language assessment due to his significant phonetic awareness problems, and to assess his auditory/receptive processing skills. For a 9 yr old his reading was 1.8 grade level, his spelling was preK, and his processing time was slow. He had a complete eval for speech and language 2 years ago but didn't qualify. He wasn't even close or boarderline. Would it be worthwhile to do it again? Is there a large enough difference (or big jump in skills) between 7 and 9? His PCP saoid he would sign any referrals at this point so that won't be a problem. He just began a Scotrtish Rite program with a well qualified tutor 2 weeks ago. Am I missing anything? First of all if you want to see what is going on for yourself you can use the Barton screening to figure out where he is struggling. If he can pass all three tests then the level 1 of Barton Reading would probably solve any problems he has. If he can't pass the screening then the recommendation is to usually use LiPS to remediate. LiPS works on hearing sounds and how the mouth moves to make the sound as well as how the sounds are similar and different from one another. I am currently using it for both speech therapy and phonological awareness with my 6yo ds. Neither program is inexpensive, but usually a lot more cost effective than doing professional therapy. My understanding is the Scottish Rite program starts where Barton Reading does. I would talk to the instructor about how your ds is doing and what they feel he needs. Heather Quote Link to comment Share on other sites More sharing options...
HeidiD Posted July 17, 2009 Share Posted July 17, 2009 Second, I would definitely get an updated speech/language eval. Sit in on the eval, though, so that if your slp tells you there are no phonemic awareness issues, you'll know whether she tested thoroughly. At my dd's last eval, the slp did nothing for phonemic awareness except have my dd pull apart compound words like cupcake, then told me my dd doesn't have p.a. issues. Well, no, if you don't test for it, you won't notice any problem. :glare: The same slp also didn't think my dd had any apd issues; never mind that she couldn't pass ANY part of the APD evaluation. I agree - sit in on the SLP evaluation so you'll know what was included in the test. I just got my son's report, and am sitting here puzzling over the results. "Hearing aid" is checked off, although a recent audiology report was provided indicating "no amplification needed". Some of the results listed in the report contradict his typical performance; when presented at home with the same specific examples cited in the report, he responded correctly without hesitation. I'm not sure how to interpret this report, but maybe if I had been able to observe the testing, it would make more sense to me at this point. :tongue_smilie: Quote Link to comment Share on other sites More sharing options...
Dobela Posted July 17, 2009 Author Share Posted July 17, 2009 First of all if you want to see what is going on for yourself you can use the Barton screening to figure out where he is struggling. If he can pass all three tests then the level 1 of Barton Reading would probably solve any problems he has. If he can't pass the screening then the recommendation is to usually use LiPS to remediate. LiPS works on hearing sounds and how the mouth moves to make the sound as well as how the sounds are similar and different from one another. I am currently using it for both speech therapy and phonological awareness with my 6yo ds. Neither program is inexpensive, but usually a lot more cost effective than doing professional therapy. My understanding is the Scottish Rite program starts where Barton Reading does. I would talk to the instructor about how your ds is doing and what they feel he needs. Heather He has failed the Barton screening more than once. He has difficulty with voiced and unvoiced (insert correct term here). When I spoke to Susan Barton last time she said that he would not do well with Barton unless we did LiPS first and then combined with his other errors she still wasn't sure Barton would work for him. I did have a friend work with him some (She is an SLP) but we didn't seem to get far and I admit it was inconsistent. I looked into doing Lips at home but didn't do it. I was, well, hoping for something else to click and then got busy with dd2 and her special needs. The Scottish rite tutor is using their newsest program called Take Flight. It has a Lips type program incorporated into it at the beginning. My ds is starting at the beginning. She is also a reading specialist with lots of training so I really feel she will be bringing in those as he needs. I was going to spend more time with her today but had a family issue and couldn't. Quote Link to comment Share on other sites More sharing options...
Dobela Posted July 17, 2009 Author Share Posted July 17, 2009 I agree - sit in on the SLP evaluation so you'll know what was included in the test. I just got my son's report, and am sitting here puzzling over the results. "Hearing aid" is checked off, although a recent audiology report was provided indicating "no amplification needed". Some of the results listed in the report contradict his typical performance; when presented at home with the same specific examples cited in the report, he responded correctly without hesitation. I'm not sure how to interpret this report, but maybe if I had been able to observe the testing, it would make more sense to me at this point. :tongue_smilie: I would ask them about it. I know when I was doing preK evals we had a standard form we filled out with information and a secretary typed the report. It sounds like she forgot to clear her format before making a new report. Quote Link to comment Share on other sites More sharing options...
siloam Posted July 17, 2009 Share Posted July 17, 2009 He has failed the Barton screening more than once. He has difficulty with voiced and unvoiced (insert correct term here). When I spoke to Susan Barton last time she said that he would not do well with Barton unless we did LiPS first and then combined with his other errors she still wasn't sure Barton would work for him. I did have a friend work with him some (She is an SLP) but we didn't seem to get far and I admit it was inconsistent. I looked into doing Lips at home but didn't do it. I was, well, hoping for something else to click and then got busy with dd2 and her special needs. The Scottish rite tutor is using their newsest program called Take Flight. It has a Lips type program incorporated into it at the beginning. My ds is starting at the beginning. She is also a reading specialist with lots of training so I really feel she will be bringing in those as he needs. I was going to spend more time with her today but had a family issue and couldn't. Yea! Well hopefully the Scottish Rite will take care of it. If not LiPS does cover this, working on finding vocalized and unvocalized pairs by how the mouth is moved to make them, then labeling them with labels that help them remember how they are formed. It is scripted, though more for a classroom setting. I don't find it difficult to modify to fit a single child. It also has an extensive section on phonological awareness, so if you had to buy LiPS you should be able to skip the first level of Barton. Oh and my ds would probably fail the screening too. He is so inconsistent, just to drive me more nuts. ;) This week I put the sentence in front of him: Fun in the sun is hot. and he reads it. :blink: This is after not being able to remember the sound of u in 5 different words the day before (you would think by the 5th he would remember short /u/, right?). So I check and the only word we have dealt with before is the, so he couldn't have memorized them. Something just clicked. Of course, Thursday he is back to not remember half the sounds, can't even hear that yawn starts with the /y/ sound let alone read something. :glare: Life is never boring here, but my sanity might be in question. :D Heather Quote Link to comment Share on other sites More sharing options...
Dobela Posted July 17, 2009 Author Share Posted July 17, 2009 I third the suggestion for an APD evaluation. You can google audiologist + auditory processing disorder + your city to find people in your area who do the testing. Audiologists who test for APD have extra training, so you can't just go to any audiologist. Second, I would definitely get an updated speech/language eval. Sit in on the eval, though, so that if your slp tells you there are no phonemic awareness issues, you'll know whether she tested thoroughly. At my dd's last eval, the slp did nothing for phonemic awareness except have my dd pull apart compound words like cupcake, then told me my dd doesn't have p.a. issues. Well, no, if you don't test for it, you won't notice any problem. :glare: The same slp also didn't think my dd had any apd issues; never mind that she couldn't pass ANY part of the APD evaluation. When you get the full report, will you post whether the psychologist made any recommendations for processing speed? My middle dd has a slow processing speed, and our EdPsych said it can't be remediated, only accomodated. But I still hold out hope that new research will find something that helps in this area. I will share what I learn. I am new to all of this end of special needs.... Quote Link to comment Share on other sites More sharing options...
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