Miccio, A.W. (2002). Clinical problem solving: Assessment of phonological disorders.
American Journal of Speech-Language Pathology, 11, 221-229.
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Record |
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Main Point:
The main purpose of this article is to inform practicing clinicians of a possible assessment that could be completed within 60-90 minutes with a preschool-aged child with a suspected phonological/articulation deficit. |
Relevance:
The article is relevant to the field of speech-language pathology and student clinicians in the field of speech-language pathology because it provides an outline of a possible assessment that could be completed with a preschool-aged child within 60-90 minutes, which is so often the time that is provided for an assessment. |
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Concepts:
The main concepts presented in this article include: the efficiency of focusing on the suspected problem as opposed to focusing on the nature of the problem and that assessment should be continuous in nature. |
Connections:
I feel that in order to complete a thorough assessment the clinician should take into account both the suspected problem as well as trying to determine the nature of the problem. I think that this would allow the clinician to form a more thorough assessment as well as being time efficient. I agree with this author’s statement that evaluation should be continuous. A clinician should always be evaluating the performance of a client. What is seen in the initial assessment is a snapshot in time of the client. A client is changing continuously and their skills are adapting. The treating clinician is more able to determine the client’s strengths and weaknesses and should add, modify, and discontinue goals as they see fit. |
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Summarize:
To determine the ideal assessment is a difficult task. The author presents what he thinks is ideal for the allotted time and will provide the clinician with the most information. I feel that the author provides a different perspective on assessment that would be beneficial when assessing some children. The articles that I have read on assessment in this forum make me believe that the assessment that is chosen should depend on the client. I believe that this is a good assessment outline, however I do not believe that it could be performed in the allotted time. |
Confusions:
My question is: How can you determine what is more important? To me focusing on the problem and trying to determine the nature of the problem are both important aspects of an evaluation. |
