https://doi.org/10.23641/asha.5965510.

Purpose The purpose of this article is to discuss the social impact of speech sound disorders for children, specifically in the public school system, and to examine different methods of social impact assessment for speech-language therapy services using 3 hypothetical cases. Method This article presents 3 common cases seen by school-based speech-language pathologists and discusses the types of assessments that may be conducted for each child's needs. One child has errors on many sounds, 1 child has errors on only /r/, and 1 child produces strident sounds with a lateral lisp. Results As these are hypothetical cases, possibilities are discussed for each case. Similarities and differences exist among the 3 cases in terms of assessing the social impact of their speech sound disorder; however, each child could qualify for services based on social impact assessments. Conclusion Social impact assessments are an important portion of a speech sound evaluation; however, they are often overlooked. Emphasis is placed on articulation assessments and/or commonly accepted developmental norms. The determination of social impact supplies a more complete picture for making eligibility decisions for children with speech sound disorders and may lead to more meaningful treatment methods for the student.

Purpose The purpose of this study was to examine whether children's identification of misarticulated words as real objects was influenced by an inherent bias toward selecting real objects or whether a change in experimental conditions could impact children's selections. Method Forty preschool children aged 4 years 0 months to 6 years 11 months across 2 experiments heard accurate productions of real words (e.g., “leaf”), misarticulated words (e.g., “weaf” and “yeaf”), and unrelated nonwords (e.g., “geem”). Within the misarticulated words, the commonness of the substitute was controlled to be “common” or “uncommon.” Using the MouseTracker software, children were asked to select between a real object (e.g., a leaf) and a novel object (Experiment 1) or between a real object (e.g., a leaf) and a blank square, which represented a hidden object (Experiment 2). Results Consistent with previous findings, children chose real objects significantly more when they heard accurate productions (e.g., “leaf”) than misarticulated productions (e.g., “weaf” or “yeaf”) across both experiments. In misarticulation conditions, real object selections were lower than in the previous study; however, children chose real objects significantly more in the common misarticulation condition than in the uncommon misarticulation condition. Conclusions The results of this study are consistent with previous findings. Children's behavioral responses depended upon the task. Despite these differences in the task, children demonstrated ease in integrating variability into their word identification.

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Preschoolers born preterm are at an increased risk for adverse neurodevelopmental outcomes; however, the impact of preterm birth on speech development has not been fully investigated. The primary objective of this study was to document the conversational speech production abilities of preschoolers born preterm via speech sample analysis. A secondary objective was to investigate the association between speech and language skills in this population. The speech production abilities of children born preterm ( n = 29) and full term ( n = 22) were assessed using whole-word measures of phonological complexity and accuracy. No significant differences were found between the preterm and full-term groups on any of the speech variables. One of the speech variables, pMLU, was significantly correlated with several variables assessing language skills in the preterm group. Comprehensive communication evaluations, which may include the use of speech sample analysis, remain an important component of the follow-up care of children born preterm.