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Can you provide some information on using RTI for speech/language therapy? What type of success has there been? Is it possible to describe the models that have been successful for SLPs?


Response from Judy Rudebusch, EdD, CCC-SLP:

Thanks for the question about speech-language pathologists being involved in RTI. I think there are some exciting possibilities as well as some promising practices already in place. Here are some examples from my experience in Texas:

 

SLPs have been providing an in-classroom Tier 1 support program helping students dictate and write stories in addition to developing questioning skills to help peers extend and expand their stories. The purpose of this approach is to catch oral language problems early and provide an intervention to prevent referral and placement in special education.  Here, SLPs are helping with academic difficulties by supporting language skills.  This approach is modeled after a program started in San Diego schools.

 

SLPs can also be involved in direct and indirect activities in an RTI framework to support balanced literacy interventions, especially in the areas of phonemic awareness, comprehension, and vocabulary.  SLPs also serve as important members of Problem Solving teams to look at individual student concerns when poor communication skills may result in academic or behavior problems.

 

Next year, the Pasadena Independent School District (TX)  is starting two language initiatives conducted by SLPs.  At one school, we will be looking at the effectiveness of using a story lab approach to strengthen English oral language production for ELL students in bilingual classes.  The SLP will work with the second grade bilingual classrooms and their teachers during ESL time and work on grammar, syntax, and story telling. At another school, the SLP is starting a program that boosts the phonological awareness and metalinguistic awareness skills, as part of a balanced literacy approach, through a program she is designing for struggling kindergarten students.  Again, these approaches demonstrate support of language skills which directly scaffolds academic issues a student may have, thus falling under RTI.

 

Finally, SLPs are also using the tiered framework of RTI to expedite articulation interventions. In one school district, they have an ArticLab in place for students with one, two or three sound errors which serves as a Tier 2 targeted intervention to clear up articulation errors and prevent referral and/or placement in speech-language therapy. In their initial cohort of 89 students, after about 14 hours of intervention, 9 students continued in the artic lab, 2 students were referred for individual evaluation (a special education referral), and 78 students improved their artic sound errors and required no further need of service.  The artic work uses the RTI framework  by utilizing Early Intervening Services (EIS) which then prevents referral or placement in special education. EIS is a funding strategy, and Tier 2 artic work serves as the activity for prevention of future problems.

 

In another district, SLPs are focusing on articulation to prevent referrals using approaches that center around practice with correct sound production.  This approach was developed by SLPs and implements an RTI-like framework but is not directly within RTI services.


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