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Lucy’s:
(i) Articulation is age appropriate as she is stimulable for all sounds typical for her age.
There is therefore no need to do the Articulation Subtest.
(ii) Inconsistency score (25%), below the criterion of 50%. There is therefore no need to
do the Inconsistency Subtest.
(iii) There is no need to do the Oromotor Subtest because articulation is unimpaired (no
need to check for dysarthria) and her consistencyis typical (no need to check for apraxia
of oromotor ability).
(iv) Phonological error patterns were acceptable except for /v/ being stopped to[b] in
gloves. Additional picture naming of van, TV, andfive showed correct production of /v/,
suggesting the stopping error was perhaps confined to final clusters.
Clinical Decision: Lucy’s articulation and phonology are predominantly age appropriate. Mother
was advised that therapy is not necessary, but that she should arrange another appointment to
assess speech skills if she is concerned about Lucy’s speech at 4;0.
Articulation Assessment: This dynamic assessment*investigates children foundnot to be
stimulable for one or more speech sounds they should pronounce by their age, on the
Screening Assessment.
Administration time: 5 -10 minutes.
How to administer the Articulation Assessment:
i. Picture naming: What’s this? Use cues as necessary to elicit the word, if unsuccessful
ask for imitation, marking with (i). Circle any sounds produced in error.
ii. Speech Sound Stimulability: Attempt to elicit any speech sound produced incorrectly
when picture naming:
‘I am going to say a word and I want you to say it after me’ Give the child three
opportunities, getting them to watch your lips, and providing cues.
If the CVsyllable is not elicited, attempt to elicit the speech sound in isolation, using cues, up
to three times. As examples, these instructions work for some children: /f/ ‘Put your top teeth
on your bottom lip, like this. Now, blow’; /s/: ‘Say /t/. Good. Now say /t/ slowly, let out the
air out really slowly’; /ʃ/: ‘ Let’s practice telling people to be quiet. Put your finger up in
front of your lips, like this. Leave your tongue where it is, now just blow so the air comes
out the middle. Feel it?’
How to score the Articulation Assessment:
Mark the score sheet, as shown below with a √ or a X for total of up to six attempts.
Picture Naming Speech Sound Stimulability
I M F CV/VC T1 T2 T3 Isolation T1 T2 T3
A1 pig p ɡ pie √
A15 sheep ʃ ɪ p shy X X X X √
A12 this ð ɪ s thy X X X X X X
A13 sock s ɒ k sigh X X √ √
A19 ring r ɪ ŋ ing X X X X X X
Highlight those phones that cannot be elicited, then use the DEAP manual to determine whether
it is age appropriate or not for a child not to be stimulable for that sound. As examples, according
to normative data, at least 90% of children are stimulable for /ŋ/ after the age of 2;11, whereas
fewer than 90% of children are stimulable for /ð/ at 6;11.
How to interpret the Articulation Assessment:
If children are unable to articulate, even when given multiple opportunities and cues about
how to say the sound, then oromotor assessment is recommended to determine whether there
is any neuro-motor impairment or anatomical anomaly that is affecting articulation of speech
(see Chapter 2).If no physiological case can be identified as causing a child’s articulation
difficulty, then it is likely that the child has yet to learn the correct sequence of movements to
articulate those phones identified. See chapters 3, 4, 15, 17, 19) for treatment approaches.
*The Articulation Assessment is dynamic because it attempts to teach the child to articulate
any sound that they cannot pronounce in a CVC word in a CV syllable, and if necessary in
isolation, giving cues about manner and place of articulation.
The Oromotor Assessment:This assessment investigates diadochokinetic (DDK) ability,
examining p-t-k sequencing in terms of accuracy, precision and fluency of articulation;
isolated oromotor gestures (tongue elevation) and sequencing of two gestures (e.g., kiss and
blow). Administeringthe assessment also allows observation of oral structure.
Administration time: 5-10 minutes.
How to administer the Oromotor Assessment:
See the score sheet for instructions. Most children tested during normative data collection
were co-operative, but some refuse to make some oral gestures (e.g., tongue protrusion).
How to score the Oromotor Assessment:
See the score sheet for instructions.Reliability studies showed that clinicians needed practice
administering and scoring the Oromotor Assessment before they became reliable assessors.
How to interpret the Oromotor Assessment:
The DDK task provides normative data for eight age groups between 3;0 and 6;11 for
repetitions of patacakefor accuracy, clarity of articulation and fluency. These measures are
considered sensitive for identification of neuro-motor impairment.Isolated and sequenced oral
movements examine specific aspects of oromotor competence and provide initial evidence
justifying more in-depth oromotor assessment.
One study of the DEAP assessments using a clinical population showed that the oromotor
subtest was able to identify children previously diagnosed with oromotor difficulties by
specialist clinical staff, when the DEAP assessors were blind to that previous diagnosis (Dodd
et al., 2009).
Chapters 6 and 7 examine intervention approaches for children with speech disorders due to
dysarthria and childhood apraxia of speech.
The Phonological Assessment: This assessment is done when children are observed, on the
Screening Assessment to be using error patterns that are delayed (should no longer be evident at
the child’s age but typical of younger child) or atypical for any age band.
The assessment is scored to provide the following quantitativemeasures with standard scores:
Percent consonants correct (PCC)
Percent vowels correct (PVC)
Percent phonemes correct (PPC)
Single-words vscontinuous speech ratio (SvsC)
The assessment also analyses error types qualitatively to identify type of phonological disorder
(delay vs consistent disorder) to direct intervention (choice of therapy approach and identifying
intervention targets).
Administration time: 15-20 minutes.
How to administer the Phonological Assessment:
Children are asked to name 50 pictures. If the wrong word is given, or a child doesn’t know a
word, first provide a semantic cue, followed, if needed, by request for imitation (marking
with i). Phonetically transcribe all responses. For the picture description task, coax as much
connected speech from children as possible; comment rather than ask questions, give
response time, take conversational turns. Transcribe relevant productions onto scoresheet.
How to score the Phonological Assessment:
1. To work out quantitative severity measures:
Percent Consonants Correct
Count the number of consonants produced correctly. Divide this number by 141(total
possible) minus the number of consonants in any target words not attempted. This does NOT
include consonants deleted in attempted words (e.g., due to weak syllable deletion, cluster
reduction, final consonant deletion, etc). Then multiply by 100.
eg100 consonants correct out of 135 consonants attempted (141-6) = 0.74 x 100. PCC = 74%
Percent Vowels Correct
Count the number of vowels produced correctly. Divide this number by 78 (total possible)
minus the number of vowels in any target words not attempted. This does NOT include
vowels deleted in attempted words (e.g., due to weak syllable deletion). Multiply by 100.
eg74vowels correct out of 76vowels attempted (78-2) = 0.97 x 100. PVC = 97%
Percent Phonemes Correct can be calculated by combining consonants and vowels.
174 / 211 = 0.825 x 100. PPC = 82.5%
Single words versus continuous speech
Compare transcriptions for single word naming (P24 to P36) with the same words elicited in the
picture description task. Count the number of words produced the same in both tasks, divided by
the total number of words produced in both tasks (same + different).
eg 10 / 12 = 0.83 x 100. SvC = 83%.
Look up the normative data to determine the child standard score for the four measures.
2. To work out qualitativemeasures:
i. Code the error type(s)for each word that contains errors: see worked example.
Some errors are coded twice. As examples: [baɪv]five, mark stopping and voicing; [tɛə] square
mark cluster reduction twice (as two members of the cluster are omitted) as well as either
fronting (if child shows velar fronting in other examples) or stopping (if word initial fricatives
are stopped in other examples). That is, the type of error is sometimes unclear, but may be
inferred from other errors.
Some errors can be coded by marking one of the columns for typical errors (gliding,
deaffrication, cluster reduction, fronting, weak syllable deletion, stopping, and (de)voicing) or
common atypical errors (assimilation, consonant deletion, backing).
Some errors need to be marked in the other column. As examples, [tʃip]sheep writeaffrication in
the far right column; [gɛg] egg should be coded as addition in the other column; [βʌvz] gloves
should be coded as cluster reduction but also in the other column as bilabial fricative.
ii. Count the number of examples coded for each type of error, writing it at the bottom of
the line labelled Total(see worked example). If there are many errors listed in the
other column, there is some blank space on the back of the scoresheet where atypical
errors can be listed, with their number of occurrences.
Typical Errors: If a child makes five errors of a particular typical developmental error pattern
(gliding, deaffrication, cluster reduction, fronting, stopping, and (de)voicing), or two examples of
weak syllable deletion, then the child is credited with using those error patterns. This is an
arbitrary criteria and reflects how the normative data were calculated. The normative data show
the ages at which more than 10% of children in each age band typically use these error patterns.
Dodd, B., McIntosh, B., Leahy, M. & Murphy, N. (2009). Atypical Speech in Irish Children:
Identification and differential diagnosis. Journal of Clinical Speech & Language Studies, 17:
4-24.
Dodd, B., Zhu H., Crosbie, S., Holm, A., &Ozanne, A. (2002) Diagnostic Evaluation of
Articulation and Phonology. London: Psychological Corporation.
Activity A: Interpreting Diagnostic Screening Data
DEAP Diagnostic Screen: William 5;4
Instructions
1. Naming: Elicit target words and transcribe in column 1. Note if word was imitated (i).
2. Sound stimulability: Circle sounds produced incorrectly in IPA column. Ask the child
to imitate error sounds in isolation (not in clusters).
3. Naming: Repeat naming task and transcribe in column 2. Calculate inconsistency score.
Results (Is further assessment needed? If so, what subtests does the screen indicate?)
Age appropriate speech skills
Further speech assessment indicated -> Articulation assessment
Oromotor assessment
Phonology assessment
Inconsistency assessment
DEAP Diagnostic Screen: Kelly 4;8
Instructions
1. Naming: Elicit target words and transcribe in column 1. Note if word was imitated (i).
2. Sound stimulability: Circle sounds produced incorrectly in IPA column. Ask the child
to imitate error sounds in isolation (not in clusters).
3. Naming: Repeat naming task and transcribe in column 2. Calculate inconsistency score.
Results (Is further assessment needed? If so, what subtests does the screen indicate?)
Age appropriate speech skills
Further speech assessment indicated -> Articulation assessment
Oromotor assessment
Phonology assessment
Inconsistency assessment
DEAP Diagnostic Screen: Ellen 5;3
Instructions
1. Naming: Elicit target words and transcribe in column 1. Note if word was imitated (i).
2. Sound stimulability: Circle sounds produced incorrectly in IPA column. Ask the child
to imitate error sounds in isolation (not in clusters).
3. Naming: Repeat naming task and transcribe in column 2. Calculate inconsistency score.
Results (Is further assessment needed? If so, what subtests does the screen indicate?)
Age appropriate speech skills
Further speech assessment indicated -> Articulation assessment
Oromotor assessment
Phonology assessment
Inconsistency assessment
DEAP Diagnostic Screen: Declan4;0
Instructions
1. Naming: Elicit target words and transcribe in column 1. Note if word was imitated (i).
2. Sound stimulability: Circle sounds produced incorrectly in IPA column. Ask the child
to imitate error sounds in isolation (not in clusters).
3. Naming: Repeat naming task and transcribe in column 2. Calculate inconsistency score.
Results (Is further assessment needed? If so, what subtests does the screen indicate?)
Age appropriate speech skills
Further speech assessment indicated ->Articulation assessment
Oromotor assessment
Phonology assessment
Inconsistency assessment
Diagnostic Evaluation of Articulation and Phonology
The DEAP is a test that assesses children’s speech and is used with children from the age of
3yrs. Whilst the DEAP has five subtests, the LOCHI study is only using one of these, the
phonology subtest. This subtest examines how children say all of the sounds in English in
isolated words.
It is important that the speech pathologist is able to elicit your child’s spontaneous production
of the target word. To do this, the speech pathologist will ask your child questions in a
specific way. Firstly the speech pathologist will try to elicit the target word by saying “What
is this?”. If your child does not respond to this, the speech pathologist will give your child a
clue without saying the target word, e.g. “you need this to protect you from the rain”. If you
child does not respond, the speech pathologist will ask your child to choose the correct word
e.g. “is it an umbrella or an elephant?”. The target word is always the first choice in the
sentence so if the child responds, he is not directly imitating the word that has just been said.
If your child doesn’t respond to this, the speech pathologist will ask him to directly imitate
the target word e.g. “say umbrella”.
The DEAP also looks at the accuracy of your child’s speech by calculating the number of
sounds your child produced correctly out of all the sounds in the test. There are three
measures used – percentage consonants correct (PCC), percentage vowels correct (PVC) and
percentage phonemes correct (PPC). The DEAP has been administered to a large number of
Australian children so it is possible to view your child’s performance in relation to his peers.