![]() Selective auditory attention: The ability to focus and recall target stimuli while blocking out competing stimuli.Sequencing: The ability to maintain speech sounds, words, or directions in correct order.Auditory-linguistic integration: The ability to integrate information across different auditory/language processing regions.Short-term/working memory span: The volume of information that can be retained in short-term/working memory.Lexical decoding speed: The ability to process the words of speech quickly and accurately.Phonemic Synthesis: The ability to blend individually presented speech sounds and derive the target whole word.Phonological Awareness: The awareness of and the ability to manipulate the speech sounds that make up words of a language. ![]() Temporal resolution: The ability to detect rapid changes in the speech signal.The various processes assessed during the evaluation are: The goal is to derive an understanding of why a child or adult is struggling at school, work, or home, and to provide individualized recommendations that will guide clients and those around them (teachers, parents, colleagues) on how to optimize spoken communication. Medwetsky derives a composite profile of the client’s processing strengths and weaknesses. By determining the specific deficit that is present, Dr. Medwetsky’s approach envisions the intertwining of auditory, cognitive, and language processing skills, as well as their involvement with other systems, and has developed a testing approach based on this conceptualization. Medwetsky has presented on this topic at numerous national and regional conferences, published numerous chapters and articles on spoken-language processing, and has served on two national committees concerning central auditory processing.ĭr. The Spoken-Language Processing (S-LP) evaluation is based on a conceptual model developed by Larry Medwetsky, Ph.D. The diagnosis of an auditory processing disorder is made in accordance with the diagnostic criteria established by The American Speech-Language-Hearing Association and The American Academy of Audiology.įollowing diagnosis, the clinician will meet with the client and/or guardian to determine an appropriate intervention and accommodation plan, while addressing each client’s professional, academic, and personal needs. Performance in each area tested is then ranked and evaluated as compared to the average across a population set. During this time a series of short tests are conducted to evaluate the client's strengths and weaknesses in a number of auditory skill areas. The central order processing evaluation takes approximately 1 1/2 to 3 hours. If not yet completed, an assessment of the peripheral hearing system and hearing sensitivity is conducted. Academic records review, such as IEP and 504 plan documents. ![]() Standardized listening difficulty questionnaires | checklists.Completion of parent or teacher observation forms.During this process we may collect relevant information in the following ways: Prior to beginning the traditional central auditory processing evaluation, an intake process is completed. ![]() This traditional approach is covered by many health insurance providers. The traditional approach is a battery of auditory processing tests, which seeks to determine if a central auditory processing disorder is present and identify difficulties with specific aspects of auditory processing.
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