ProceduresfortheuseoftheSLIGuidelines

1. UsetheCommunicationScalesmatricestoratethestudentscommunicationinall
areas.Identifyandcirclethescoresineachrowofascale.Sincescoresineachrow
contributetothetotalscore,itisnecessarytodetermineascoreforeachindividual
subscale.Forexample,soundproduction,formalassessment,stimulability,
intelligibility,oralmotorstructureandfunction,andadverseeffectoneducational
performance/communicationareallweightedinimportanceinthedeterminationof
adisability.Donotaltertheseweightedscores.Forexample,donotscore
intelligibilityasa7orstimulabilityasa2.5.

Nozeros(0)aretobeusedonthesescales.No23or34ratingsshallbeused.

2. ThefollowingscaleswouldbeusedforstudentswhoareservedunderIDEAPartB
(321years):
a. ReceptiveLanguageRatingScale
b. ExpressiveLanguageRatingScale
c. PragmaticsSocialLanguageRatingScale
d. ArticulationRatingScale
e. StutteringRatingScale
f. VoiceRatingScale

3. Thefollowingscaleswouldbeusedforstudents/children,birth3yearsofage.
a. Birth3CommunicationRatingScale:Onthisscale,ratetheresultsof
normativeassessments(ifadministered);theobservationaldataonlanguage
complexity,vocabularyandevidenceofwordfindingissues(determined
usinglanguagescales,developmentalinventorychecklists,languagesamples,
orotherobservationalmeans);thechildsperformanceasperagelevel
developmentalexpectations;and,adverseeffectoncommunication.
b. ArticulationRatingScale
c. StutteringRatingScale
d. VoiceRatingScale

4. Alloftheindividualratingsofthesubscalesshouldbeusedtodeterminethefinal
overallrating.ForchildrenwhoarebeingevaluatedforPartCservices,theratings
arebasedonthePartCStatePlanscriteriaforsignificantdelay.Thefinalratingwill
bebasedonthepresenceofoneormoreofthefollowingratings:

PartBstudents
PartCchildren

Ratingof1=
1(WithinNormalLimits)
1(WithinNormalLimits)

Ratingof2=
2(Mild)
2(MildDelay)

Ratingsof3=
3(Moderate)
3(SignificantDelay)

Ratingsof4=
4(Severe)
4(SignificantDelay)

5. Theoverallratingisusedtodetermineeligibilityforspeechlanguageservices.
OverallRatingof1:
WithinNormalLimits
OverallRatingof2:
MildImpairmentforPartBstudentsorMildDelayfor
PartCchildren
OverallRatingsof3or4: ImpairmentispresentforPartBstudentsora
SignificantDelayispresentforPartCchildren
6. UnderPartB,studentswithoverallratingsof3or4maybeeligibleforspeechor
languageservices.Themodelofservicedeliveryshouldbebasedontheneedsof
thestudent,ensuringtheleastrestrictiveenvironment,accesstothegeneral
educationcurriculumand/orappropriateagerelatedactivities,andreasonable
educationalbenefitfromservices.UnderPartC,earlyinterventionisindicatedifa
childisdeterminedeligiblebytheCommunityCenteredBoard(CCB)basedonthe
statescriteriaforasignificantdevelopmentaldelay.
7. IndividualAdministrativeUnits(AUs)mayhaveuniqueguidelinesregarding
eligibilityforservicesforstudents.

VarianceinDeterminingtheOverallRating

DuringtheevaluationprocesstheSLPdeterminestheOverallRatingbasedonassessment
resultsandtheRatingScales.Attheeligibilitymeeting,theSLP,incollaborationwiththe
MultidisciplinaryTeam,mayuseprofessionaljudgmenttoaddorsubtractoneratingpoint
fromtheOverallRating.TheMultidisciplinaryTeammayconsiderthefollowing:student
attendance,cognition,rateofprogress,responsetointerventions,culturalandlinguistic
differences,orotherenvironmentalorneurologicalfactors.Theuseofthevarianceshould
beconsideredonlyduringtheeligibilitymeetingsothatallteammembersareableto
discussthefactorsinvolved.MultidisciplinaryTeamdiscussionandanychangesinthe
OverallRatingmustbedocumentedwithintheIEPandinthePriorWrittenNotice.

STUTTERINGRATINGSCALE

STUDENT:__________________________________________________ SLP:_________________________________________DATE:__________________________________

NormativeAssessment
SCORE=1
SCORE=2
SCORE=3
SCORE=4

ofStuttering:
Comprehensive,standardized
measure/sandscores

Observational
AssessmentofCore
Stuttering
Characteristics:
Checkdescriptivetoolused:
Stuttering
Speechsample
Checklist(s)
Observations
Other______________

1standarddeviationfromthe
mean

forexample:
StandardScore(SS)=85when
themeanis100andthe
standarddeviationis15

Speechfluencyandrateare
WithinNormalLimits.

>1.01.5standarddeviations
fromthemean

forexample:
StandardScore(SS)=
8478whenthemeanis100
andthestandarddeviationis
15

Speechcontainswholeword
orphraserepetitions;rateof
speechdoesnotinterferewith
intelligibility.

Averagedurationofstuttering
moment:0.5secondorless
(fleeting)

Frequencyofdisfluency:
Lessthan5%ofaspeech
sampleof100words.

>1.52.0standarddeviations
fromthemean

forexample:
StandardScore(SS)=7770
whenthemeanis100andthe
standarddeviationis15

Speechcontainssound,
syllable,and/orword
repetitionsorprolongations,
and/orsilentblocks;ratemay
interferewithintelligibility.

Averagedurationofstuttering
moment:.69.0secondsor
less

Frequencyofdisfluency:
511%ofaspeechsampleof
100words.

>2.0standarddeviationsfrom
themean

forexample:
StandardScore(SS)=69or
belowwhenthemeanis100
andthestandarddeviationis
15

Speechcontainsahigh
frequencyofsound,syllable,
and/orwordrepetitionsor
prolongations,and/orsilent
blocks;rateinterfereswith
intelligibility.

Averagedurationofstuttering
moment:10.0secondsormore

Frequencyofdisfluency:
12%orgreaterofaspeech
sampleof100words.

StutteringRatingScale

STUTTERINGRATINGSCALE

STUDENT:__________________________________________________ SLP:_________________________________________DATE:__________________________________

Observational
Assessmentof
SecondaryStuttering
Characteristics:

Checkdescriptivetoolused:
StutteringSpeech
sample
Checklist/s
Observationsover
multipledaysand
settings
Other:__________

SpeechfluencyisWithin
NormalLimits

Nosecondarycharacteristics
areobserved

Oneofthefollowingareasis
deficient

Checkareasofconcern:
Speechflow

Intelligibility
Rateand/orProsodyof
Speech
Tension,Tremor,Tics
EscapeBehaviorsand
Avoidances
Circumlocutions
Pitchandloudnessrises

Thelistsarepossiblesuggestions
andareNOTintendedtobeall
inclusivelists.

Other______________

AdverseEffectof
Stutteringon
Educational
Performance:

FluencyskillsareWithin
NormalLimitsforthe
studentsparticipationin
educationalsettings.

Disfluenciesoccasionally
impactstudentsparticipation
ineducationalsettings.

Atleasttwoofthefollowing
areasaredeficient

Checkareasofconcern:
Speechflow

Intelligibility
Rateand/orProsodyof
Speech
Tension,Tremor,Tics
EscapeBehaviorsand
Avoidances
Circumlocutions
Pitchandloudnessrises

Other______________

Disfluenciesfrequentlyimpact
studentsparticipationin
educationalsettings.

Disfluenciesconsistently
impactstudentsparticipation
ineducationalsettings.

AdverseEffectof
Stutteringon
Communication:
Birththrough3

Fluencyskillsarewithin
normallimitsforthestudents
participationinappropriate
agerelatedactivitiesand
settings.

Disfluenciesoccasionally
impactthestudents
participationinappropriate
agerelatedactivitiesand
settings.

Disfluenciesfrequentlyimpact
thestudentsparticipationin
appropriateagerelated
activitiesandsettings.

Disfluenciesconsistently
impactthestudents
participationinappropriate
agerelatedactivitiesand
settings.

StutteringRatingScale

Inadditiontotheinformationgatheredabove,alsoconsiderthefollowingpertinentinformationwhenevaluatingeligibilityinthe
areaofstuttering:

FamilyHistory:Isthereanyoneelseinthefamilywhostutters?
Howawareandselfconsciousisthestudentofhis/herstuttering?
Aretheparentsoverlyconcerned?
Howlonghasthestudentbeenstuttering?(Stutteringformorethan6monthsisofgreaterconcern.)

Instructions:
1.TheSpeechLanguagePathologistwilldeterminewhetherornottouseaCOMPREHENSIVEASSESSMENT(S)(Normative(Standardized),ObservationalCore
Characteristics(Descriptive),ObservationalSecondaryCharacteristics(Descriptive),AdverseEffect)oranOBSERVATIONALASSESSMENT(ObservationalCore
Characteristics(Descriptive),ObservationalSecondaryCharacteristics(Descriptive),AdverseEffect)only.
2.Circleappropriatescoreineachofthecategoriesabove.
3.Addallofthescoresabove.
4.CircletheTotalnumberbelowtodeterminetheOverallRating.

COMPREHENSIVESTUTTERINGASSESSMENTTOTALSCORE:Normative(Standardized),

ObservationalCoreCharacteristics(Descriptive),ObservationalSecondaryCharacteristics(Descriptive),

AdverseEffect

________4/5678910/1112131415/16__17181920

NoImpairment/Mild(MildDelayPtC)/Moderate(Sign.DelayPtC)/Severe(SignificantDelayPtC)

Rating=1 Rating=2
Rating=3

Rating=4

OR

OBSERVATIONALASSESSMENTONLYSTUTTERINGASSESSMENTTOTALSCORE:

ObservationalCoreCharacteristics(Descriptive),ObservationalSecondaryCharacteristics(Descriptive),
AdverseEffect

________3/45678/9101112/13141516_

NoImpairment/Mild(MildDelayPtC)/Moderate(Sign.DelayPtC)/Severe(SignificantDelayPtC)
Rating=1 Rating=2
Rating=3

Rating=4

FinaldeterminationofdisabilityismadebytheMultidisciplinaryTeam.

StutteringRatingScale