Skip to main content

Individualized Assessment of Prelinguistic Communication

  • Chapter
  • First Online:
Prelinguistic and Minimally Verbal Communicators on the Autism Spectrum

Abstract

One of the tenets put forth by the National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC) is that all people communicate (ASHA Suppl 23:73–81, 2003). This is a powerful statement that shapes assessment and intervention practices for individuals communicating at the prelinguistic communication level. It is powerful because it puts the onus on practitioners to learn how each individual communicates. This premise can shift attention away from documenting one’s communication limitations and toward describing extant communication behaviors. These extant behaviors often include idiosyncratic and socially undesirable behaviors that serve communication functions. The focus of this chapter is on discussing strategies that have been developed and implemented to describe communication in individuals with Autism Spectrum Disorders (ASD) who communicate primarily with prelinguistic forms, including gestures, vocalizations, and idiosyncratic forms of communication.

Three complementary assessment strategies will be discussed. The first strategy is informant report—an invaluable strategy that capitalizes on learning about how an individual communicates from those who interact with the individual on a regular basis and therefore know her or him best. The second strategy is direct observation of the learner in naturally occurring contexts in order to confirm and supplement information gained through informant report. The third strategy presented will be structured observation designed to probe a variety of communication responses. This third strategy could include functional analysis of communication behaviors; however, this strategy is discussed more completely in Chap. 7 in this volume. Therefore we will not repeat information on functional analysis here. Following discussion of all three strategies, examples of how using each strategy led to development of a profile of communication strengths and needs for two children with autism will be presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Boisvert, M., Lang, R., Andrianopoulos, M., & Boscardin, M. L. (2010). Telepractice in the assessment and treatment of individuals with autism spectrum disorders: A systematic review. Developmental Neurorehabilitation, 13(6), 423–432. doi:10.3109/17518423.2010.499889.

    Article  PubMed  Google Scholar 

  • Braddock, B. A., Pickett, C., Ezzelgot, J., Sheth, S., Korte-Stroff, E., Loncke, F., et al. (2013). Potential communicative acts in children with autism spectrum disorders. Developmental Neurorehabilitation, 18, 1–12.

    Google Scholar 

  • Brady, N., Bredin-Oja, S., & Warren, S. (2008). Prelinguistic and early language interventions for children with Down syndrome or fragile X syndrome. In J. Roberts, R. Chapman, & S. Warren (Eds.), Speech and language development and intervention in Down syndrome and fragile X syndrome (pp. 173–193). Baltimore: Paul H. Brookes.

    Google Scholar 

  • Brady, N., Fleming, K., Thiemann-Bourque, K., Olswang, L., Dowden, P., Saunders, M., et al. (2012). Development of the communication complexity scale. American Journal of Speech-Language Pathology, 21(1), 16–28.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brady, N., & Halle, J. (1997). Functional analysis of communicative behaviors. Focus on Autism and Other Developmental Disabilities, 12, 95–104.

    Article  Google Scholar 

  • Brady, N., Herynk, J., & Fleming, K. (2010). Communication input matters: Lessons from prelinguistic children learning to use AAC in preschool environments. Early Childhood Services, 4, 141–154.

    PubMed  PubMed Central  Google Scholar 

  • Brady, N., Marquis, J., Fleming, K., & McLean, L. (2004). Prelinguistic predictors of language growth in children with developmental disabilities. Journal of Speech Language and Hearing Research, 47(3), 663–667.

    Article  Google Scholar 

  • Brady, N., McLean, J., McLean, L., & Johnston, S. (1995). Initiation and repair of intentional communication acts by adults with severe to profound cognitive disabilities. Journal of Speech and Hearing Research, 38, 1334–1348.

    Article  PubMed  Google Scholar 

  • Brady, N., Storkel, H. L., Bushnell, P., Barker, R. M., Saunders, K., Daniels, D., et al. (2015). Investigating a multi-modal intervention for children with limited expressive vocabularies associated with autism. American Journal of Speech-Language Pathology, 24, 438–459. doi:10.1044/2015_AJSLP-14-0093.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bruce, S. M., & Vargas, C. (2007). Intentional communication acts expressed by children with severe disabilities in high-rate contexts. Augmentative and Alternative Communication, 23(4), 300–311. doi:10.1080/07434610601179960.

    Article  PubMed  Google Scholar 

  • Carter, C. M. (2001). Using choice with game play to increase language skills and interactive behaviors in children with autism. Journal of Positive Behavior Interventions, 3(3), 131.

    Article  Google Scholar 

  • Dale, P. (1996). Parent report assessment of language and communication. In K. Cole, P. Dale, & D. Thal (Eds.), Assessment of communication and language (pp. 161–182). Baltimore: Paul H. Brookes.

    Google Scholar 

  • Day, H. M., Horner, R. H., & O’Neill, R. E. (1994). Multiple functions of problem behaviors: Assessment and intervention. Journal of Applied Behavior Analysis, 27(2), 279–289. doi:10.1901/jaba.1994.27-279.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dykstra, J., Sabatos-DeVito, M., & Irvin, D. (2013). Using the Language Environment Analysis (LENA) system in preschool classrooms with children with autism spectrum disorders. Autism, 17, 582–594. doi:10.1177/1362361312446206.

    Article  PubMed  Google Scholar 

  • Ellingson, S. A., Miltenberger, R. G., Stricker, J., Galensky, T. L., & Garlinghouse, M. (2000). Functional assessment and intervention for challenging behaviors in the classroom by general classroom teachers. Journal of Positive Behavior Interventions, 2(2), 85–97. doi:10.1177/109830070000200202.

    Article  Google Scholar 

  • Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., … Pickles, A. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375(9732), 2152–2160. doi:http://dx.doi.org/10.1016/S0140-6736(10)60587-9.

    Google Scholar 

  • Haring, T. G., & Kennedy, C. H. (1990). Contextual control of problem behavior in students with severe disabilities. Journal of Applied Behavior Analysis, 23(2), 235–243. doi:10.1901/jaba.1990.23-235.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harte, H. (2009). What teachers can learn from mothers of children with autism. Teaching Exceptional Children, 42(1), 24–32.

    Article  Google Scholar 

  • Houghton, J., Bronicki, G. J. B., & Guess, D. (1987). Opportunities to express preferences and make choices among students with severe disabilities in classroom settings. Journal of the Association for Persons with Severe Handicaps, 12, 18–27.

    Google Scholar 

  • Hwang, B., & Hughes, C. (2000). Increasing early social-communicative skills of preverbal preschool children with autism through social interactive training. JASH, 25(1), 18–28.

    Google Scholar 

  • Kaiser, T., Hancock, T., & Nietfeld, J. (2000). The effects of parent-implemented enhanced milieu teaching on the social communication of children who have autism. Early Education and Development, 11(4), 423–446.

    Article  Google Scholar 

  • Kasari, C., Brady, N., Lord, C., & Tager-Flusberg, H. (2013). Assessing the minimally verbal school-aged child with autism spectrum disorder. Autism Research, 6(6), 479–493.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kasari, C., Paparella, T., Freeman, S., & Jahromi, L. (2008). Language outcome in autism: Randomized comparison of joint attention and play interventions. Journal of Consulting and Clinical Psychology, 76(1), 125–137.

    Article  PubMed  Google Scholar 

  • Kasari, C., Kaiser, A., Goods, K., Nietfeld, J., Mathy, P., Landa, R., … Almirall, D. (2014). Communication interventions for minimally verbal children with autism: A sequential multiple assignment randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53(6), 635–646.

    Google Scholar 

  • Keen, D., Sigafoos, J., & Woodyatt, G. (2001). Replacing prelinguistic behaviors with functional communication. Journal of Autism and Developmental Disorders, 31(4), 385–398. doi:10.1023/A:1010612618969.

    Article  PubMed  Google Scholar 

  • Keen, D., Sigafoos, J., & Woodyatt, G. (2005). Teacher responses to the communicative attempts of children with autism. Journal of Developmental and Physical Disabilities, 17(1), 19–33.

    Article  Google Scholar 

  • Keen, D., Woodyatt, G., & Sigafoos, J. (2002). Verifying teacher perceptions of the potential communicative acts of children with autism. Communication Disorders Quarterly, 23(3), 131–140.

    Article  Google Scholar 

  • Keen, D., Couzens, D., Muspratt, S., & Rodger, S. (2010). The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum Disorders, 4(2), 229–241. doi:http://dx.doi.org/10.1016/j.rasd.2009.09.009.

    Google Scholar 

  • Lawton, K., & Kasari, C. (2012). Teacher-implemented joint attention intervention: Pilot randomized controlled study for preschoolers with autism. Journal of Consulting and Clinical Psychology, 80(4), 687–693. doi:http://dx.doi.org/10.1037/a0028506.

    Google Scholar 

  • McLean, J., McLean, L., Brady, N., & Etter, R. (1991). Communication profiles of two types of gesture using nonverbal persons with severe to profound mental retardation. Journal of Speech and Hearing Research, 34, 294–308.

    Article  PubMed  Google Scholar 

  • Meadan, H., Halle, J. W., & Kelly, S. (2012). Intentional communication of young children with autism spectrum disorder: Judgments of different communication partners. Journal of Developmental and Physical Disabilities, 24(5), 437–450. doi:10.1007/s10882-012-9281-5.

    Article  Google Scholar 

  • Mundy, P., Gwaltney, M., & Henderson, H. (2010). Self-referenced processing, neurodevelopment and joint attention in autism. Autism, 14, 408–429.

    Article  PubMed  PubMed Central  Google Scholar 

  • National Joint Committee for the Communication Needs of Persons with Severe Disabilities. (2003). Supporting documentation for the position statement on access to communication services and supports: Concerns regarding the application of restrictive “eligiblity” policies. ASHA Supplement, 23, 73–81.

    Google Scholar 

  • Ogletree, B. T., & Fischer, M. A. (1996). Assessment targets and protocols for nonsymbolic communicators with profound disabilities. Focus on Autism and Other Developmental Disabilities, 11, 53–59.

    Article  Google Scholar 

  • Paul, R., Campbell, D., Gilbert, K., & Tsiouri, I. (2013). Comparing spoken language treatments for minimally verbal preschoolers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(2), 418–431. doi:10.1007/s10803-012-1583-z.

    Article  PubMed  Google Scholar 

  • Roos, E. M., McDuffie, A. S., Weismer, S. E., & Gernsbacher, M. A. (2008). A comparison of contexts for assessing joint attention in toddlers on the autism spectrum. Autism, 12(3), 275–291. doi:10.1177/1362361307089521.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rowland, C. (2011). Using the communication matrix to assess expressive skills in early communicators. Communication Disorders Quarterly. doi:10.1177/1525740110394651.

    Google Scholar 

  • Rowland, C., & Fried-Oken, M. (2010). Communication matrix: A clinical and research assessment tool targeting children with severe communication disorders. Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach, 3, 319–329.

    Google Scholar 

  • Siegel-Causey, E., & Bashinski, S. M. (1997). Enhancing initial communication and responsiveness of learners with multiple disabilities: A tri-focus framework for partners. Focus on Autism and Other Developmental Disabilities, 12(2), 105–120.

    Article  Google Scholar 

  • Sigafoos, J., Kerr, M., Roberts, D., & Couzens, D. (1994). Increasing opportunities for requesting in classrooms serving children with developmental disabilities. Journal of Autism and Developmental Disorders, 24(5), 631–645. doi:10.1007/BF02172143.

    Article  PubMed  Google Scholar 

  • Sigafoos, J., Woodyatt, G., Keen, D., Tait, K., Tucker, M., & Roberts-Pennell, D. (2000). Identifying potential communicative acts in children with developmental and physical disabilities. Communication Disorders Quarterly, 21, 77–86.

    Article  Google Scholar 

  • Singer-Harris, N., Bellugi, U., Bates, E., Jones, W., & Riossen, M. (1997). Contrasting profiles of language development in children with Williams and Down syndromes. Developmental Neuropsychology, 13, 345–370.

    Article  Google Scholar 

  • Stephenson, J., & Linfoot, K. (1995). Choice-making as a natural context for teaching early communication board use to a ten year old boy with no spoken language and severe intellectual disability. Australia and New Zealand Journal of Developmental Disabilities, 20(4), 263–286.

    Google Scholar 

  • Venker, C. E., McDuffie, A. S., Ellis Weismer, S., & Abbeduto, L. (2011). Increasing verbal responsiveness in parents of children with autism: A pilot study. Autism. doi:10.1177/1362361311413396.

    PubMed  PubMed Central  Google Scholar 

  • Warren, S., Gilkerson, J., Richards, J., Oller, D., Xu, D., Yapanel, U., et al. (2010). What automated vocal analysis reveals about the vocal production and language learning environments of young children with autism. Journal of Autism & Developmental Disorders, 40, 555–569. doi:10.1007/s10803-009-0902-5.

    Article  Google Scholar 

  • Wetherby, A. M., Prizant, B. M., & Hutchinson, T. A. (1998). Communicative, social/affective, and symbolic profiles of young children with autism and pervasive developmental disorders. American Journal of Speech-Language Pathology, 7(2), 79–91.

    Article  Google Scholar 

  • Wetherby, A., & Prizant, B. (1989). The expression of communicative intent: Assessment guidelines. Seminars in Speech and Language, 10, 77–91.

    Article  Google Scholar 

  • Wetherby, A., & Prizant, B. (2002). Communication and symbolic behavior scales developmental profile. Baltimore: Paul H. Brookes.

    Google Scholar 

  • Wetherby, A., & Prizant, B. (2003). Communication and Symbolic Behavior Scales (CSBS) (Normedth ed.). Baltimore: Paul H. Brookes.

    Google Scholar 

  • Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11, 203–214.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nancy C. Brady .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media Singapore

About this chapter

Cite this chapter

Brady, N.C., Keen, D. (2016). Individualized Assessment of Prelinguistic Communication. In: Keen, D., Meadan, H., Brady, N., Halle, J. (eds) Prelinguistic and Minimally Verbal Communicators on the Autism Spectrum. Springer, Singapore. https://doi.org/10.1007/978-981-10-0713-2_6

Download citation

Publish with us

Policies and ethics