Child Observation Essay

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Question 1 (15 points 1 ½ -2 pages)
A 3 year 7 month old boy, JL, is referred to you by his pediatrician for his unintelligible speech. He has a repaired bilateral cleft of the lip and palate (BCLP). He has a restricted sound inventory of /m, n, j, h and ʔ/and has no oral high pressure consonants. His receptive language abilities are WNL. He is struggling in the kindergarten due to his unintelligible speech. According to the teacher he has few friends and often gets excluded from group activities by other children . Plan and describe a treatment plan for JL and his parents by:
- Explaining the framework you would use
I would plan to assess JL using the ICF-CY framework. Starting with Body structure and function, I would perform an oral mechanism and a hearing screening, then assess for resonance and nasal air emission, as well as expressive language. It might be a good idea to do an oral mechanism on this new client due to his history of BCLP. This will ensure no other abnormalities exist or fistulas. It is also important to perform a hearing screening due to children with CLP having otitis media and/or a hearing loss.
Next, I would look at activities and participation; therefore I would give the Vineland II and the FOCUS. Since JL’s teacher is …show more content…

Parental education will be key with LB’s intervention. This intervention approach and parental education will involve face-to-face interaction, natural vocalization times, and imitation (Scherer & Chapman, 2014). The intervention should take place in the clinic and at home with clinician and parents. During sessions in the clinic and at home, the clinician should educate the parents on when and how to imitate vocalization, perform recasts, turn-take, allow for communicative opportunities, and utilize responsive interaction strategies, wait time, and environmental arrangement (Scherer & Chapman,

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