Marshall University Session times out in: 1:34:30

CALIPSO
KASA for Goble, Eric
Printed for
Goble, Eric

KASA for Goble, Eric

Knowledge And Skills Acquisition (KASA) Summary Form
For Certification in Speech-Language Pathology
I. KNOWLEDGE AREAS

Other (e.g.
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
Standard IV-A. The applicant must demonstrate knowledge of the principles of:
Specific to
Biological Sciences Undergraduate
Institute
Specific to
Physical Sciences Undergraduate
Institute
Statistics Stats
Specific to
Social/behavioral Sciences Undergraduate
Institute
Standard IV-B. The applicant must demonstrate knowledge of basic human communication
and swallowing processes, including their biological, neurological, acoustic,
psychological, developmental, and linguistic and cultural bases
Basic Human Communication Processes
CD 570,
624, Specific CD 571,
to CD 670-
Biological
Undergraduate I, CD
Institute 674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Neurological 624 CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Acoustic 624
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Psychological 624
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Developmental/Lifespan 624
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Linguistic 624
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Cultural 624
I, CD
674, CD
675
Swallowing Processes
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
624, 691, CD 571,
Specific to CD 670-
Biological
Undergraduate I, CD
Institute 674, CD
675
CD 570,
CD 571,
CD 670-
Neurological 624, 691
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Psychological 624, 691
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Developmental/Lifespan 624, 691
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Cultural 624, 691
I, CD
674, CD
675
Standard IV-C. The applicant must demonstrate knowledge of the nature of speech,
language, hearing, and communication disorders and differences and swallowing
disorders, including their etiologies, characteristics, anatomical/physiological, acoustic,
psychological, developmental, and linguistic and cultural correlates. Specific knowledge
must be demonstrated in the following areas:
Articulation
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Etiologies 622
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics 622
I, CD
674, CD
675
Fluency
CD 570,
CD 571,
CD 670-
Etiologies 623
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics 623
I, CD
674, CD
675
Voice and resonance, including respiration and phonation
CD 570,
CD 571,
CD 670-
Etiologies 620
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics 620
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
Receptive and expressive language (phonology, morphology, syntax, semantics, pragmatics,
prelinguistic communication, and paralinguistic communication) in speaking, listening, reading
and writing
CD 570,
CD 571,
622, 625, 628, CD 670-
Etiologies
629 I, CD
674, CD
675
CD 570,
CD 571,
622, 625, 628, CD 670-
Characteristics
629 I, CD
674, CD
675
Hearing, including the impact on speech and language
CD 570,
CD 571,
CD 670-
Etiologies
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics
I, CD
674, CD
675
Swallowing (oral, pharyngeal, esophageal, and related functions, including oral function for
feeding; orofacial myology)
CD 570,
CD 571,
CD 670-
Etiologies 691
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Characteristics 691
I, CD
674, CD
675
Cognitive aspects of communication (e.g., attention, memory, sequencing, problem solving,
executive functioning,)
CD 570,
CD 571,
CD 670-
Etiologies 630
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics 630
I, CD
674, CD
675
Social aspects of communication (e.g., behavioral and social skills affecting communication)
CD 570,
CD 571,
CD 670-
Etiologies 628, 629, 660
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Characteristics 628, 629, 660
I, CD
674, CD
675
Augmentative and alternative communication modalities
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Characteristics 660
I, CD
674, CD
675
Standard IV-D: The applicant must possess knowledge of the principles and methods of
prevention, assessment, and intervention for people with communication and swallowing
disorders, including consideration of anatomical/physiological, psychological,
developmental, and linguistic and cultural correlates of the disorders.
Articulation
CD 570,
CD 571,
CD 670-
Prevention 622
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Assessment 622
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 622
I, CD
674, CD
675
Fluency
CD 570,
CD 571,
CD 670-
Prevention 623
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Assessment 623
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 623
I, CD
674, CD
675
Voice and resonance
CD 570,
CD 571,
CD 670-
Prevention 620
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Assessment 620
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 620
I, CD
674, CD
675
Receptive and expressive language
CD 570,
CD 571,
CD 670-
Prevention 622, 625
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Assessment 622, 625 CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 622, 625
I, CD
674, CD
675
Hearing, including the impact on speech and language
CD 570,
CD 571,
CD 670-
Prevention
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Assessment
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention
I, CD
674, CD
675
Swallowing
CD 570,
CD 571,
CD 670-
Prevention 691
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Assessment 691 CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 691
I, CD
674, CD
675
Cognitive aspects of communication
CD 570,
CD 571,
CD 670-
Prevention 630
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Assessment 630
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 630
I, CD
674, CD
675
Social aspects of communication
CD 570,
CD 571,
CD 670-
Prevention 660
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Assessment 660 CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 660
I, CD
674, CD
675
Augmentative and alternative communication modalities
CD 570,
CD 571,
CD 670-
Assessment 660
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Intervention 660
I, CD
674, CD
675
Standard V-B: The applicant for certification must complete a program of study that
includes supervised clinical experiences sufficient in breadth and depth to achieve the
following skills outcomes (in addition to clinical experiences, skills may be demonstrated
through successful performance on academic course work and examinations,
independent projects, or other appropriate alternative methods):
1. Evaluation (must include all skill outcomes listed in a-g below for each of the 9 major areas
except that prevention does not apply to communication modalities)
Articulation
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Fluency
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Voice and resonance, including respiration and phonation
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Receptive and expressive language (phonology, morphology, syntax, semantics, pragmatics,
prelinguistic communication, and paralinguistic communication) in speaking, listening, reading
and writing
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Hearing, including the impact on speech and language
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Swallowing (oral, pharyngeal, esophageal, and related functions, including oral function for
feeding; orofacial myology)
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Cognitive aspects of communication (attention, memory, sequencing, problem-solving, executive
functioning)
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities)
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Social aspects of communication (including challenging behavior, ineffective social skills, lack of
communication opportunities)
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 1a. Conduct screening and prevention procedures (including prevention activities) CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
Augmentative and alternative communication modalities
CD 570,
CD 571,
CD 670-
Std. V-B 1a. Conduct screening procedures
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1b. Collect case history information and integrate information from clients/patients, CD 670-
family, caregivers, teachers, relevant others, and other professionals I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1c. Select and administer appropriate evaluation procedures, such as behavioral CD 670-
observations nonstandardized and standardized tests, and instrumental procedures I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1d. Adapt evaluation procedures to meet client/patient needs
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 1e. Interpret, integrate, and synthesize all information to develop diagnoses and make CD 670-
appropriate recommendations for intervention I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 1f. Complete administrative and reporting functions necessary to support evaluation
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 1g. Refer clients/patients for appropriate services
I, CD
674, CD
675
2. Intervention (must include all skill outcomes listed in a-g below for each of the 9 major areas)
Articulation
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Fluency
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
623
prevention and intervention I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Voice and resonance, including respiration and phonation
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Receptive and expressive language (phonology, morphology, syntax, semantics, pragmatics,
prelinguistic communication, and paralinguistic communication) in speaking, listening, reading
and writing
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Hearing, including the impact on speech and language
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
the planning process I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Swallowing (oral, pharyngeal, esophageal, and related functions, including oral function for
feeding; orofacial myology)
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Cognitive aspects of communication (attention, memory, sequencing, problem-solving, executive
functioning)
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Social aspects of communication (including challenging behavior, ineffective social skills, lack of
communication opportunities)
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
Augmentative and alternative communication modalities
CD 570,
CD 571,
Std. V-B 2a. Develop setting-appropriate intervention plans with measurable and achievable
CD 670-
goals that meet clients'/patients' needs. Collaborate with clients/patients and relevant others in
I, CD
the planning process
674, CD
675
CD 570,
CD 571,
Std. V-B 2b. Implement intervention plans (involve clients/patients and relevant others in the CD 670-
intervention process) I, CD
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
Std. V-B 2c. Select or develop and use appropriate materials and instrumentation for CD 670-
prevention and intervention I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2d. Measure and evaluate clients'/patients' performance and progress
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2e. Modify intervention plans, strategies, materials, or instrumentation as appropriate CD 670-
to meet the needs of clients/patients I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 2f. Complete administrative and reporting functions necessary to support intervention CD 670-
I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 2g. Identify and refer clients/patients for services as appropriate
I, CD
674, CD
675
3. Interaction and Personal Qualities
CD 570,
CD 571,
Std. V-B 3a. Communicate effectively, recognizing the needs, values, preferred mode of
CD 670-
communication, and cultural/linguistic background of the client/patient, family, caregivers, and
I, CD
relevant others.
674, CD
675
 Other
Session times out in: (e.g.
1:34:30
labs,
Practicum
Knowledge/Skill Course # and research)
Standards Experiences
Met? (check) Title (include
# and Title
descriptions
of activity)
CD 570,
CD 571,
CD 670-
Std. V-B 3b. Collaborate with other professionals in case management.
I, CD
674, CD
675
CD 570,
CD 571,
Std. V-B 3c. Provide counseling regarding communication and swallowing disorders to CD 670-
clients/patients, family, caregivers, and relevant others. I, CD
674, CD
675
CD 570,
CD 571,
CD 670-
Std. V-B 3d. Adhere to the ASHA Code of Ethics and behave professionally.
I, CD
674, CD
675

Authored by: Laurel H. Hays, M.Ed., CCC-SLP and Satyajit P. Phanse, M.S. 2010 Calipso, LLC