What is your favorite thing to do as an SLP? Do you have a specific age group you like to work with or a specific area you enjoy teaching?
My favorite thing to do is evaluate and treat pragmatic language. I even like to write the reports. *gasp*
Try not to judge me too harshly though, because I want to share my method for pragmatic language evaluation with you. I am hoping it will save you time, and maybe help you enjoy writing those reports a little bit more. (Hey don’t look at me like that, I said maybe).
First, I want to take a moment to discuss what ASHA says indicates an area of concern when it comes to social communication.
According to ASHA, “Social Communication includes 3 major skills…using language for different reasons, changing language for the listener or situation, and following rules for conversation and storytelling”.
Nonverbal communication such as understanding/ using gestures, facial expressions, tone of voice, proxemics, and eye contact all fall within that last section- “following rules for conversation and storytelling”. (To read more about what ASHA says, click here).
So if you are like me you might be thinking, “Whoa…that is A LOT of really complicated things to evaluate, how do I do this in a methodical way that will get me all the information I need so I can write good strong goals (and a parent friendly report)”? Well, keep reading my friend, and I will tell you how.
As with all evaluations, I start my assessment process by sending out checklists and questionnaires to the parents and the teachers. I have created some that specifically ask questions regarding the areas outlined by ASHA. I created them to be a rating scale, because I have found most student’s rarely fall into a “they always do it” or “they never do it” category with these skills. In my experience, parents and teachers find rating scales easier to fill out, and I find they give me more useful information.
The next step- try and observe the student in his or her natural habitat…or the lunch room, or recess, or centers…you get my point. Students act different for us in one-on-one settings, so watching them interact with other children in less-structured settings can give you a wealth of information. Even though I know this takes a lot of time out of your day, I strongly advise not skipping this step if possible. To keep me organized during this step, I use a checklist to remind me to try and observe #allthethings. If you are in a position where you cannot observe the student, you will have to rely on the parent/teacher rating scales.
The rest of the evaluation takes place in my room. I like to give the student structured tasks that revolve around those ASHA guiding principles. Personally, I find that I get more/better data from my own personal evaluation than I have gotten from a formal assessment. I know those assessments have their place, but I personally find them too rigid and not quite as thorough as I would like them to be.
Nonverbal Communication/ Theory of Mind
This is probably my favorite area of the evaluation because you never know what is going to come out of the student’s mouth. I just love getting a glimpse into their little brains.
So just a quick reminder, theory of mind is “the ability to understand the desires, intentions, and beliefs of others”, and typically develops between 3-5 years of age. It is well documented that students who have Autism and/or social language deficits often struggle in this area, so it is extremely beneficial to evaluate this area.
I evaluate theory of mind and nonverbal communication together because you can’t have one without the other. Think about it. What strategies do you use when you are trying to guess what someone else is thinking or feeling? You look at their facial expressions, body language, gestures, eye contact…AKA their NONVERBAL LANGUAGE!
To evaluate both areas at the same time, I show my student a picture of someone displaying an emotion. I have the student identify what the person is feeling and then they have to tell me two things the person in the picture might be thinking. I like to show pictures depicting both basic emotions and more complex emotions. (To read more about complex emotions click here). Usually my students do a good job identifying simple emotions, but asking them to tell me what the person in the picture is thinking (AKA theory of mind) is much more challenging. I have even had students tell me “How am I supposed to know what they might be thinking?!”
Since ASHA states that deficits in storytelling accompany social language disorders, I definitely want to assess that area. I like to give my students a prompt, then, as they tell the story I listen for the following skills:
- The story is on topic
- The story contains details
- There is a clear beginning middle and end
- The student uses nonverbal communication to enhance the story
As for what kind of prompts I like to give, I usually use the following hierarchy:
- How to do a familiar task (i.e how to do a chore)
- A story about a personal event (i.e. a time the student got hurt/felt scared—these are usually easy for the student to remember)
- Retelling a familiar story (i.e. fairy tales or summarizing a book)
- Creating a new story (i.e. “Tell a story about a time a boy went to outer space”)
When I evaluate conversation skills, I look to see if the student does the following: initiates a conversation, stays on topic, asks questions, makes comments, takes turns speaking, and ends the conversation appropriately. I try to let the student lead the conversation as much as possible so that the student has the opportunity to use these skills. Usually though, I find that the student needs to me to lead the conversation.
Even though ASHA does not explicitly outline deficits in these areas as a potential indicator of social language disorders, I still like to take a look at some of these skills. This is because in order for an individual to understand humor or figurative language, they must be able to take on someone else’s perspective (which they do by utilizing those nonverbal communication and theory of mind skills).
Let Me Save You Some Time
If you like this method of completing informal pragmatic language evaluations then I have some good news for you! I have already created an informal pragmatic language evaluation resource that follows this method of evaluation. I personally use this resource for all of my evaluations and I have found it to be very helpful.
This resource contains everything that I talked about in this blog post: a parent/teacher rating scale, an observation checklist, plus stimuli for evaluating theory of mind and nonverbal communication, conversation prompts, story prompts, and jokes and idioms to help you evaluate figurative language.
Click the image below if you would like to learn more!
If you’re interested in upping your pragmatic language therapy/evaluation game then you have come to the right place. Let me share my tips and tricks with you so that you can approach this tricky area with confidence. Click here and we can start learning together–I even want to give you a free pragmatic language evaluation checklist so you can sample my work. If my style isn’t your cup of tea, you can unsubscribe at anytime 🙂