Intervention Approaches for Children with Auditory Processing Disorder

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Treatment of children with (Central) Auditory Processing Disorder (APD) fall into the scope of practice of speech-language pathologists. A speech-language pathologist working in the public school system may have students diagnosed with APD on their caseload and will have to assist in evaluation of APD and provide services. Thus, all speech-language pathologists must be aware of intervention approaches for APD. Similar to other communication disorders, there is no one cure-all method of treating APD. Instead, intervention should include a combination of multiple approaches and should be based on the needs of the child. Intervention approaches for APD include environmental modifications, compensatory strategies and central resources training, and direct skills remediation (ASHA, 2005a). This paper will provide information for the school-based speech-language pathologist regarding each therapy approach and provide suggestions for how they can be used Environmental modifications serve as one type of intervention for APD (Bellis, 2003). These modifications are “intended to improve the individual’s access to auditory information by enhancing the clarity of the acoustic signal and facilitating listening and learning in the academic, home, work, or social environment” (ASHA, 2005a). Examples of environmental modifications include preferential seating, use of visual aids, use of assistive listening systems, architectural intervention to “reduce reverberation and improve the signal-to-noise ratio” (ASHA, 2005a). When serving clients in the school system, the speech language pathologist should ensure that all students with APD have a personal FM system to “amplify and transmit the teacher’s voice at intensity levels well above the envir... ... middle of paper ... ...-language pathologist should be knowledgeable of both informal and formal AT intervention approaches and employ a mix of strategies when treating students with APD (Miller et al., 2005). In conclusion, speech-language pathologists have a responsibility to be knowledgeable regarding to intervention approaches for auditory-processing disorders. Intervention should incorporate “comprehensive programming, incorporating bottom up (e.g. acoustic signal enhancement, auditory training) and top-down (i.e. cognitive, metacognitive, and language strategies) approaches” (ASHA, 2005a). The school-based speech-language pathologist should employ aspects of informal and/or formal auditory training, environmental modifications, and compensatory strategies and central resources training to create an individualized intervention approach for the students with APD on their caseload.

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