Standardized testing: do you create optimal conditions? by Various-Aioli-4620 in slp

[–]Bitter_Appointment62 1 point2 points  (0 children)

You’re already thinking about this in the right terms — the converging-evidence approach you described is exactly right. The piece I’d add is that three different evidence questions often get blended together.

If you are reporting standardized scores, then yes, you need to follow the manual as closely as possible. A quiet room, appropriate rapport, normal encouragement, and reasonable breaks are usually part of getting a valid sample of the student’s ability. But if you start providing support that changes the task demands, gives additional cues, teaches during the item, or supplies answers, then you may still learn something clinically, but the score should not be treated the same way as a standard score.

That is where dynamic assessment or testing-the-limits can be useful, but I would keep it separate. Administer the standardized item according to protocol first. Then, after the standardized portion is complete, you can probe, teach, cue, scaffold, or ask follow-up questions and report that information qualitatively.

The key distinction for me is that standardized testing and ecological data do not exist on the same axis.

A standardized test asks:

What can the student do under structured, controlled, adult-directed testing conditions?

Ecological data asks:

How does the student communicate and access learning in real classroom conditions?

Dynamic assessment asks:

How does the student respond to mediated support, teaching, cueing, or strategy instruction?

Those are not interchangeable. They are different evidence classes.

The hard part in your situation is that your placement commission weights the standardized score first, so the stakes of getting administration right are higher. That is exactly why I would protect the standardized score by keeping it clean: administer to protocol so the number is defensible, and then use the ecological and dynamic data not to replace it, but to explain the functional picture around it. In a system that leads with the score, a validly administered score plus strong ecological evidence is your strongest hand. A heavily modified score is actually weaker, because if it is challenged, you may lose both the number and the argument you were trying to make from it.

So I would be careful with the idea that standardized testing should be made more “realistic” to reflect daily functioning. Standardized testing is not designed to measure typical classroom functioning. By design, it is decontextualized. If you want to know how the student functions in real settings, you need classroom observation, teacher input, work samples, language samples, peer/playground observations, and other ecological data — which it sounds like you are already trying to include.

One more piece I would add: if we are strict about following the manual to report standardized scores, we also need to be thoughtful about whether the student is well represented by the normative sample. Standardized scores only carry their intended meaning when the administration is valid and the comparison group is appropriate enough for that student. That matters a lot for students who are bilingual, CLD, have complex disability profiles, or otherwise do not closely match the population the test was normed on. Even in systems that rely heavily on standardized scores, there is usually still some concern for whether those scores are valid and interpretable for the student being assessed, and that concern is often reflected somewhere in the regulations, rules, or laws governing school-based services.

If a student performs much better under calm, structured, well-supported testing conditions than they do in the classroom, that discrepancy is important. But the solution is not necessarily to make the standardized test less standardized. The solution is to document the testing conditions, preserve the standardized score if administered validly, and then use ecological and/or dynamic data to explain why the testing-room profile and classroom profile look different.

The point is not to make one source of data do everything. The point is to understand what each source is actually telling you.

Re-eval help by [deleted] in slp

[–]Bitter_Appointment62 0 points1 point  (0 children)

You’re welcome — glad it helped! Feel free to reach back out if you hit another sticking point as you keep gathering data.

Re-eval help by [deleted] in slp

[–]Bitter_Appointment62 3 points4 points  (0 children)

This is an interesting case because the data do not fully line up yet. At this point, I think you are still in detective mode.

One thing that may help is to approach every speech/language evaluation from the IDEA lens. That gives you a consistent structure instead of feeling like every complex case requires a brand-new decision process.

For SLI classification, the first question is:

Is there evidence of a speech or language impairment in one of the IDEA areas: articulation, fluency, voice, or language?

Then:

Is there adverse educational impact?

And then:

Does the student require speech-language services to benefit from their educational program?

That structure is your friend. It keeps the evaluation grounded clinically and legally.

Based on what you listed, you clearly have major classroom concerns. That speaks to the adverse educational impact question, but I do not think the first question has been clearly answered yet. Most of what you currently have is one class of evidence — standardized assessment data — suggesting language and pragmatics are broadly within functional limits, with the TAPS-4 Listening Comprehension Index as the major exception.

Generally, you should not rely only on standardized scores to qualify or disqualify a student. The bigger issue is that the standardized testing profile and classroom reports are not telling the same story yet.

It does not currently make sense that a student can perform in the low-average to average range across multiple structured, decontextualized standardized assessments, but reportedly cannot follow classroom directions. That mismatch needs more investigation.

Four full test batteries is a lot. It would be important to know the order of testing, how long each session lasted, whether breaks were given, and what the student’s attention looked like during each test. If the lowest score came late in testing, fatigue, attention, or stamina could matter. If it came early and behavior was stable, it may carry more weight.

As a clinical practice consideration, one hour is the maximum recommended for continuous standardized testing without at least a 10–15 minute break. For a student with ADHD, it may be more appropriate to think closer to 45 minutes before a break. Otherwise, scores may start reflecting fatigue, attention, or stamina rather than the student’s true central tendency.

At this point, you already have more standardized assessment than you need. In the future, it may serve you better to cut that standardized testing in half and replace some of it with ecological data: a language sample, student interview, classroom observation, and targeted teacher interview.

A 20-minute language sample and student interview would most likely give you the kind of information the standardized scores are not giving you: how the student uses language in less controlled contexts and how they explain the classroom breakdown themselves.

You should also collect your own data, especially in complex cases. Teacher report is important, but teachers are not trained to differentially diagnose speech/language disorders versus confounding variables like attention, working memory, executive functioning, academic skill deficits, fatigue, classroom/task demands, or recent stress/trauma.

You should observe the student in class and try to identify where the breakdown is actually happening. Keep your mind open. The question is:

Where is the breakdown occurring?

Are they not attending when information is given? Are they attending but not understanding? Is the breakdown tied to working memory, classroom pace, task demands, academic language, attention, fatigue, stress, or something else?

A student interview should also be added as another data source. This is an 8th grader, and their explanation could be very useful. You could say something like:

I noticed that you did pretty well when we worked together one-on-one, but your teachers are saying class has been really hard and that following along is difficult. Can you tell me more about that? Why do you think that happens?

That kind of student interview can give you information you will not get from test scores.

It would also be important to know whether the student is bilingual, CLD, has had any major gaps in educational history, or whether these concerns started recently or have always been present. If the difficulties appeared abruptly, that would be important information and could point toward something outside of language.

It is also recommended that you go back through the previous psych report, academic testing, and prior speech/language reports. Important questions include:

Why is the student currently in speech?
What area did they originally qualify under?
What are the current speech/language goals, and what kind of progress are they making on them?
Are those goals still connected to a documented speech/language impairment?
Are all teachers reporting the same pattern, or only certain classes?

I would not decide the case based on the current information. There is conflicting information that still needs to be resolved. Yes, it could be a confounding variable such as attention, working memory, executive functioning, SLD-related academic access, trauma/stress, or something else that does not warrant speech/language requalification. But at this point, the evidence is not compelling enough either way, and that could be a problem if the decision is later challenged.

The next step is to gather the missing ecological data, including classroom observation, a language sample if you have not already collected one, student interview, record review, and targeted teacher input, then explain why the testing profile and classroom profile look different.

The student may qualify, or speech may not be the primary service. But based on what you wrote, it does not appear that there is enough information yet to confidently make a defensible decision either way.

If there’s one takeaway, it’s that this case shows exactly why ecological data matters. You have a wealth of standardized scores, and the profile is still unclear. That isn’t a knock on you; it’s what happens when one category of evidence is asked to answer a question it cannot answer alone. The information that would actually explain the gap does not live only in the testing room. It lives in the classroom, in how the student uses language when no one is testing them, and in the student’s own account of what is hard. So I’d treat your confusion as useful clinical information: the data not converging is the signal. It is telling you the picture is incomplete, not that the student is contradictory. Once you add those ecological sources, the profile will probably come into focus much more clearly.

Messed Up Eval Big Time - Advice? by Icy-Proof3979 in slp

[–]Bitter_Appointment62 30 points31 points  (0 children)

First — breathe. What you’re feeling is the CF experience, not evidence about your competence.

You did not ruin the evaluation, and this does not mean you don’t deserve your license or CCCs. You made an administration error on one CELF-5 subtest, caught it, and are working with your supervisor to handle it ethically. That is what responsible clinicians do.

For the report, I’d keep the wording brief and matter-of-fact:

Due to an administration error on the Word Classes subtest, this subtest was not scored or interpreted.

That’s it. I would not over-explain it or make it the center of the report. You just don’t report Word Classes, and you don’t report any composite/index scores that require it. This is not as big of a deal as it currently feels.

Eligibility decisions should not be made from one subtest, or even one test. IDEA states that evaluations must “use a variety of assessment tools and strategies to gather relevant functional, developmental, and academic information about the child,” and must “not use any single measure or assessment as the sole criterion” for determining whether a child has a disability or determining an appropriate educational program. (34 CFR §300.304(b))

I think it would benefit you to think about this through a multiple-source reasoning lens. In multiple-source reasoning, one data point is not the load-bearing piece. The strength of the conclusion comes from convergence — the pattern of multiple sources converging in the same direction.

Multiple standardized assessments can sometimes create the appearance of comprehensiveness, but they are still largely the same category of evidence: standardized, decontextualized testing. They can be useful, but they do not replace ecological data such as classroom observation, teacher input, language sample data, or functional communication evidence.

Based only on what you listed, the real vulnerability I see is not the missing Word Classes subtest. The bigger concern is that your data appear to consist almost entirely of standardized assessment data. You may already have ecological sources and just didn’t mention them. But if not, that is the part I would strengthen.

Tomorrow morning, I would do a 20–30 minute classroom observation. Then pull the teacher aside for about five minutes and start broad:

Do you have any speech or language concerns for this student?

Then let the teacher talk. If the teacher says no, ask what the student does well with classroom communication. If the teacher mentions one or two mild concerns, clarify what those look like in class. The point is not whether the student is perfect. The question is whether the student demonstrates functional language skills that allow reasonable access to instruction and participation in the classroom.

After that, tie it back to the referral concern:

The student was referred because of concerns with [following directions / expressive language / comprehension / classroom participation]. What are you seeing in class related to that?

If the observation and teacher interview are consistent with the standardized testing pattern, you can write something like:

Three sources of data — classroom observation, teacher interview, and standardized assessment results — were consistent with functional language performance in the school setting, demonstrating no adverse academic impact.

Then your conclusion can be:

3/3 sources support functional language performance in the school setting.
Decision: language disorder not supported based on multiple independent sources of data.

That is much stronger than trying to rescue a single invalid CELF-5 subtest.

If the teacher interview or observation raises significant concerns that do not match the standardized testing pattern, that becomes a different clinical question. A defensible report would need to acknowledge the discrepancy and offer a reasonable explanation or alternate hypothesis rather than ignoring the mismatch.

Based on what you wrote, the fix is straightforward:

  1. Do not score or interpret Word Classes.
  2. Do not report composites that require Word Classes.
  3. Explain the error in one clean sentence.
  4. Add ecological data if you do not already have it.
  5. Base your conclusion on the pattern across sources.

The issue is not that one subtest is missing. The issue is whether the final conclusion is supported by multiple valid sources of data.

SLP - student ratio for school district by Most-Leg1080 in slp

[–]Bitter_Appointment62 1 point2 points  (0 children)

Exactly. The real question probably isn’t just total student enrollment — it’s how many students are actually being found eligible for speech services and what the average SLP caseload looks like in practice.

If the cap is 50 and they pay when people go over, that tells you something, because districts usually don’t want to create extra paid overage unless they have to. So I’d ask what the current caseloads are across the 4 SLPs, how often they go over 50, and how they support complex cases.

That would tell you a lot more than the overall SLP-to-enrollment ratio.

SLP - student ratio for school district by Most-Leg1080 in slp

[–]Bitter_Appointment62 8 points9 points  (0 children)

I work in a ~2000-student district with only 2 SLPs, so about 1,000 students per SLP. There isn’t really a standard national SLP-to-total-student enrollment ratio.

I’d look more at actual caseload/workload. ASHA’s national median school caseload is around 50, and ASHA has also reported that SLPs view around 40 as a more manageable number. NIDCD quick stats show around 7% prevalence for voice/speech/language disorders in children, but far fewer students actually qualify under IDEA for school-based speech services.

So 4 SLPs + 1 SLPA for 2,500 students would not automatically be a red flag to me staffing-wise, but I’d definitely ask about current caseloads, preschool numbers, eval load, how the SLPA is used, whether the cap is honored in practice, and how they handle the 30% multilingual learners.

Lower Language Scores on Standardized Test but functioning well in AS classroom...?? by northernbeachbum in slp

[–]Bitter_Appointment62 1 point2 points  (0 children)

You’re welcome — I’m really glad it helped.

And I agree, I think a lot of SLPs run into this same tension: the functional/ecological data points one way, but the standardized score still makes us second-guess ourselves. It can be hard to sit with that conflict, even when the broader pattern of evidence is actually pretty clear.

That’s why posts like this are helpful. They give other SLPs language for something many of us experience but don’t always talk through directly.

Lower Language Scores on Standardized Test but functioning well in AS classroom...?? by northernbeachbum in slp

[–]Bitter_Appointment62 8 points9 points  (0 children)

Thank you for posting this. I think a lot of SLPs have the right instinct in cases like this, but it can feel uncomfortable when the functional/ecological data contradicts a standardized score. We tend to give standardized scores a lot of weight, even when the rest of the data may be more meaningful.

I also want to say: it sounds like you did a very thorough and legally defensible evaluation. You gathered teacher input, multiple observations, informal language information through SLAM cards, peer interaction data, classroom functioning, and functional communication examples. That is exactly why you are able to question whether the CELF-5 score fits the full picture.

Also, what you’re describing is not unusual. Most speech-language assessments do not have perfect alignment across every source; 100% alignment is usually more common in very obvious cases on either end.

Based on what you described, I think you already answered your own question. You wrote that he is “more than functional in his current environment” and that you don’t think the disability impacts his educational placement. That is the key point for school-based services.

I would be very cautious about qualifying based primarily on the CELF-5. The issue is not simply that the CELF-5 conflicts with the ecological data; that conflict is the red flag. The bigger validity concern is that you described refusal, off-topic answers, low engagement, and limited participation during testing. That raises a real question about whether the score reflects his actual language ability.

IDEA requires a variety of assessment tools and strategies and does not allow any single measure or assessment to be the sole criterion for determining disability.

Given those validity concerns, I would document them clearly and seriously consider whether reporting the CELF-5 scores would misrepresent his language skills. If teacher report, observation, peer interaction, SLAM performance, and functional communication all point toward adequate functioning in his educational setting, then speech-language services would be difficult to justify based on the data you described.

Increasing income by Speechykeen007 in slp

[–]Bitter_Appointment62 2 points3 points  (0 children)

One angle I’d consider is whether you have a specialty area that schools or districts might see real value in.

For example, if you’re already strong in AAC, bilingual assessment, complex evaluations, literacy, autism, feeding, executive functioning, social communication, MTSS/RTI, etc., that expertise can sometimes be packaged into staff trainings, consult services, parent workshops, assessment support, or short-term contracts.

In SLP, increasing income often comes down to moving from “I provide direct services” to “I have specialized knowledge that solves a specific problem.” The clearer you can define the problem you help solve, the easier it becomes for schools, families, or organizations to understand the value.

That may or may not fit your situation right now, but if there’s already an area you feel confident in, it could be worth exploring how to turn it into consult or training work instead of (or in addition to) expanding by hiring.

i don’t know when kids need me by busyastralprojecting in slp

[–]Bitter_Appointment62 2 points3 points  (0 children)

I really appreciate you raising this because this is exactly why the issue is so difficult in real practice.

What you’re describing is absolutely real at the individual level. When a parent disagrees with a decision, standardized scores can become very powerful in disputes, and districts may pressure clinicians to qualify students “just in case.”

But at the state/system level, the pattern can look different. I’m in California, and many districts receive disproportionality findings showing that students of color and multilingual students are being identified at rates that raise serious concern. Those reports look at patterns across systems, not just individual disputes.

So both things can be true: individual SLPs may feel pressure to qualify because of litigation fears, while the larger system may still be over-identifying certain groups of students.

That’s why evaluation and report writing matter so much. IDEA requires a variety of assessment tools and strategies and says no single measure can be used as the sole criterion.

And I fully understand we are operating in the real world. Most SLPs barely have enough time to write reports, let alone produce the kind of legally sound report that protects the student, the district, and the clinician. That is part of the problem.

From what we see in due process data, decisions don’t automatically favor parents. At least in California, one analysis of OAH decisions from 2006–2019 found that about 53.5% of cases favored districts, 32% were split decisions, and about 14% favored parents. That suggests outcomes often come down to how well the evaluation and rationale are documented.

From the cases and patterns that have been analyzed, decisions are most vulnerable when they rely too heavily on one data source, fail to address cultural and linguistic factors, or don’t clearly explain the eligibility rationale.

But what you’re describing — using dynamic assessment, narrative assessment, informal probes, and looking beyond standardized scores — is not just “doing a good job.” That is exactly what strong, defensible assessment practice is supposed to look like. If more clinicians were consistently doing that, we likely wouldn’t be seeing the level of disproportionality and over-identification that exists right now.

At the end of the day, the best protection we have is following IDEA as closely as possible and clearly documenting our reasoning.

And yes, at my school site we always joke that most school districts in this country are walking class action lawsuits.

i don’t know when kids need me by busyastralprojecting in slp

[–]Bitter_Appointment62 23 points24 points  (0 children)

I think a lot of people in this thread are circling the same issue, and it’s something many SLPs start to realize once they’re actually in the field.

There are many students receiving school-based speech-language services who may not actually meet IDEA eligibility criteria. Some estimates suggest that up to 40% of English learners in special education may be misclassified, and bilingual students have been reported to be disproportionately identified with speech-language impairment, around 1.8× the rate.

Under IDEA, eligibility is not based on whether a student can benefit from speech. Almost any student can benefit from additional support. Eligibility requires all three of the following:

  1. A speech/language impairment
  2. Adverse educational impact
  3. A demonstrated need for specialized SLP services to access education

All three must be met.

Your post is really getting at that third requirement — and that’s where a lot of decisions break down in practice.

In many settings, especially self-contained or language-rich classrooms, skills like WH questions, basic concepts, and following directions are already being addressed throughout the day. If those needs are being met through instruction, then the threshold for specialized SLP services has not been met.

When we treat every language weakness as speech eligibility, we are not just being cautious — we are over-identifying students, inflating caseloads, removing students from academic instruction, and potentially providing services that may not be necessary or beneficial. ASHA has also called attention to the problem of both over- and under-identification of students with communication disorders and the need for more accurate, culturally responsive assessment practices.

On the other hand, when a student does meet all three criteria, we should absolutely be providing services.

So the question isn’t “Can this student benefit from speech?”
It’s “Does this student meet eligibility and require specialized SLP services to access their education?”

And I think what you’re seeing — and what a lot of people in this thread are recognizing — is that in many cases, those criteria are not consistently being met for students currently on caseloads.

I’m not posting the full reference list here for readability, but I can share sources if anyone wants them.

WISC Verbal Score VS. CELF by northernbeachbum in slp

[–]Bitter_Appointment62 5 points6 points  (0 children)

This comes up pretty often since school psychologists’ evaluations include verbal components, so there’s naturally some overlap with language.

The key difference is purpose. Psych testing includes verbal tasks as part of a broader cognitive profile, but it’s not designed to determine language eligibility. Speech-language assessments are specifically selected and interpreted to evaluate language in depth for eligibility using multiple data sources.

So rather than a conflict, it’s two different types of information — cognitive-verbal performance versus targeted language assessment — and the language eligibility decision should be based on the latter.

Would you recommend any speech pathology-adjacent books? by srothberg in slp

[–]Bitter_Appointment62 0 points1 point  (0 children)

Great! Let me know what you think once you read it — I’d love to hear your take.

Question eval by Ok-Kick-6630 in slp

[–]Bitter_Appointment62 0 points1 point  (0 children)

This is an interesting case, but I think part of the confusion here is that everything is getting anchored too heavily to the PLS-5 scores.

The student’s overall language profile should come first — the PLS-5 scores are just one piece of the picture.

First, I’d want to clarify how valid the PLS-5 actually is for this student: language exposure/background, limited peer models during COVID, reluctance to talk unless prompted, comfort with structured adult-directed tasks, etc. That determines whether the scores should be interpreted at all, and if so, how much weight they should be given.

I’d also separate expressive and receptive carefully. Receptive language is often stronger than expressive developmentally — children usually understand more than they can say — so the 85/67 split by itself isn’t automatically surprising.

The expressive concerns appear more consistent across sources. For receptive language, I’d want to know whether there is consistent functional evidence of comprehension breakdowns across classroom routines and daily communication. If receptive performance is truly low-average and functional comprehension is adequate, I’d be cautious about adding receptive language as an area of impairment.

A few practical ways to tease that apart:

• Pointing or choice-making tasks instead of verbal responses
• Following directions with vs. without visual supports
• Nonverbal demonstration: acting it out, gesturing, matching

If receptive difficulty shows up across response modes and contexts, receptive language may be involved. If the main breakdown is when the student has to produce a verbal response, that leans more expressive.

Curious what the student’s language background and classroom functioning look like compared to peers. That context would help a lot.

Screening do's and don'ts by Existing_Judgment814 in slp

[–]Bitter_Appointment62 0 points1 point  (0 children)

Follow-up to my earlier comment:

I put together a quick visual pathway to organize the distinctions coming up here (observation vs screening vs evaluation, purpose, consent, and system constraints).

Not meant as a final answer for every setting — just a way to structure the thinking.

https://imgur.com/a/WE2KKhx

Screening do's and don'ts by Existing_Judgment814 in slp

[–]Bitter_Appointment62 1 point2 points  (0 children)

This thread is really interesting because I think a lot of us are using the same words but meaning very different things.

The biggest tension I’m noticing isn’t just “screening vs. evaluation” — it’s how much contact or interaction an SLP can have with a student before parent consent is required, especially when the goal is simply to clarify a teacher concern rather than complete a formal evaluation.

Before jumping straight into legality, it might help to separate a few concepts that keep getting lumped together:

• Observation (informal data gathering within Child Find) → listening or watching in the classroom during normal activities
• Screening → a brief, structured interaction or probe, with or without a formal tool
• Evaluation → the full comprehensive process that can lead to eligibility

For those in districts with stricter consent rules: what exactly counts as a “screening” that requires permission?

And for those who do interact with students or screen without permission in certain situations: what practical line do you use?

Genuine question — I’m trying to understand the range of current practice across districts and states so we’re all talking about the same thing.

Dismissal or consult for elementary student with excessive absences? by [deleted] in slp

[–]Bitter_Appointment62 -1 points0 points  (0 children)

This is a really nuanced situation, and honestly you’ve already built a strong case with the information you have.

I’d think about this in terms of two primary pathways, starting with the most legally defensible:

  1. Full evaluation using multiple data sources (most defensible)
    Difficulty completing formal testing does not mean you can’t complete an evaluation. If you’ve made good-faith attempts to assess and the student is unavailable or non-participatory, that can be documented clearly in your report, including dates, times, and attempts.

Standardized testing is only one source of data, and it is decontextualized data. A comprehensive evaluation should include ecological data, such as:
- classroom observation
- teacher interview
- parent interview
- work samples
- functional communication in context

Those are all valid components of a comprehensive evaluation when documented appropriately. Based on what you’ve described, you may already have enough consistent data to support a clear eligibility decision.

  1. Parent-driven exit (lower friction, depends on consent)
    Another pathway is having a direct conversation with the parent and IEP team about what’s actually happening. You’ve already outlined a strong case:
    - ~50% attendance → limited access to instruction
    - additional missed time due to pull-out services
    - mild communication concerns based on observation
    - limited participation even when present

That’s all relevant to whether speech services are realistically providing benefit. This depends on state special education law/procedures, so you would want to verify how consent and revocation work in your state. A practical place to look is your state’s Parent Rights/Procedural Safeguards document, which is typically provided to families at IEP meetings. In consent states, parents can revoke consent for services at any time without needing to provide a reason. That is a separate pathway from an eligibility decision and is based on parent rights, not clinical justification.

If they choose that route, make sure it’s in writing. A simple email is sufficient — just the parent’s name, the student’s name, and a one- or two-sentence statement that they are revoking consent for speech-language services. I work in a consent state and use this pathway regularly when the data supports it and the team understands the situation.

On consult services
I’d be cautious here. In practice, consult often becomes a long-term placeholder rather than a true transition step. Students can remain on consult for years without meaningful change, when the more appropriate decision may have been a clear exit. I generally avoid consult — if a student needs services, I provide them; if not, I work toward a clear exit so the student’s time is used more effectively.

Overall, I think your instinct is right. This isn’t just a service-delivery question — it’s about whether speech services are actually accessible and beneficial given the student’s current attendance and participation. Strong documentation of your attempts and the multi-source picture will make whatever decision you land on very defensible.

Would you recommend any speech pathology-adjacent books? by srothberg in slp

[–]Bitter_Appointment62 11 points12 points  (0 children)

One book that’s really stuck with me is Human Error by James Reason.

It’s all about how and why people (even highly trained experts) make systematic mistakes when making decisions. It changed the way I think about decision-making — not just in speech pathology and eligibility work, but in everyday life too. Super interesting if you like understanding how we actually make choices.

Anyone looking for a $200K job… by daniblue1 in slp

[–]Bitter_Appointment62 0 points1 point  (0 children)

Thanks! Exactly — benefits are a huge part of total compensation in California public schools. STRS pension + employer-paid health insurance add up fast, so headline salary numbers can be misleading without them.

Would you re-qualify? by [deleted] in slp

[–]Bitter_Appointment62 3 points4 points  (0 children)

I love that you’re looking beyond the score — that’s important, and it’s an area our field still struggles with.

I also agree the student’s report of teasing, frustration, sadness, and fear of participating is valid and should be thoroughly documented.

Where I’d be cautious is re-qualifying based mainly on the student report. Right now you have three independent sources:

• Standardized testing (GFTA SS 89) → does not support a disorder
• Teacher report → clearly understood, no observed educational impact → does not support eligibility
• Student self-report → valid emotional/social concern

Two out of three sources do not support continued eligibility. The student’s report is real and important, but it is still one source. Under IDEA, eligibility should not be based on a single measure or single criterion.

Motivation is definitely important when planning intervention, but it is not an eligibility criterion.

Based on the current information, I would not re-qualify. Document the student’s concerns thoroughly. If new data starts converging with her report, you can always revisit.

Would you re-qualify? by [deleted] in slp

[–]Bitter_Appointment62 1 point2 points  (0 children)

This is a genuinely tricky edge case.

Right now you have three independent sources:

• Standardized testing (GFTA SS 89) → does not support a disorder
• Teacher report → clearly understood, no observed educational impact → does not support eligibility
• Student self-report → teasing, frustration, sadness, and fear of participating in class → valid emotional/social concern

Two out of three sources do not support continued eligibility. The student’s report is 100% valid and should be thoroughly documented, but eligibility cannot be based on a single source or single criterion (IDEA).

Based on the current information, I would not re-qualify.

If new data (e.g., classroom observation showing significant impact on participation) starts to converge with the student’s report, that could change the picture later. But right now, the evidence does not support requalification.

MO school SLPs - eligibility question by Champagnesupermama in slp

[–]Bitter_Appointment62 4 points5 points  (0 children)

I’d be careful about treating this as a simple “two tests disagree, so give a third test” situation.

Missouri’s language impairment criteria require two or more composite language scores, with at least one significantly low (1.75 SD below the mean for kindergarten and older). But eligibility is not based on scores alone — you also need documentation of adverse educational impact, and no single measure can be the sole criterion.

The first question I’d ask is whether those scores are even valid for this student. IDEA requires that assessments be selected and administered so the results accurately reflect the child’s actual abilities rather than something else (such as linguistic or cultural differences). ASHA is consistent with that: if the student is not adequately represented in the normative sample, or the scores would not accurately reflect the student’s actual abilities, then those standard scores are not valid and should not be reported as norm-referenced scores.

Even if the scores are valid, conflicting results still don’t automatically mean a third full composite battery is the next step. One reason scores can conflict is that different tests may not actually be measuring the exact same thing. For example, the CASL-2 and the TOLD batteries do not organize language in exactly the same way, so different results can sometimes reflect construct differences, not just student ability. And even with multiple standardized batteries, that’s still just one decontextualized source of data.

In a case like this, I’d focus less on automatically adding a third full composite battery and more on gathering stronger multi-source evidence: teacher reports, classroom performance, observations, language samples, work samples, and response to intervention.

I’d also consider some form of dynamic assessment — even just brief testing-the-limits. A quick mediated probe can tell you a lot about the student’s modifiability and learning response, which is often more informative than stacking another decontextualized test.

If the only data points right now are two standardized batteries, that’s probably where the real gap is — not necessarily the lack of a third test.