Evidence-Based Intervention

Real Reading Requires Real Instruction: Why Accommodations Aren’t Enough

Timothy Shanahan’s recent blog post, Accommodating Reading Comprehension with Listening—Good Idea?, raises a critical concern: when schools and educators rely on listening comprehension or text-to-speech (TTS) as a substitute for direct reading instruction, they fail to address the root causes of students’ reading difficulties. While these accommodations may provide temporary access to content, they do […]

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Breaking Barriers: How Students with DLD Are Thriving and Achieving Their Dreams

For many parents of children with Developmental Language Disorder (DLD), the future can feel uncertain. Will their child get into college? Will they have a good job? Will they be able to pursue their dreams? Can they ever truly thrive in a world that demands strong language and literacy skills? The answer is a resounding

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Hard Truths, Stronger Futures: Why Facing Reality Helps Your Child Succeed

For many parents, hearing that their child is more impaired than they previously believed can be devastating. This is especially true when the children have been attending specialized private schools that failed to adequately identify and address their language and literacy deficits. The revelation often comes after an outside comprehensive language and literacy testing—an experience

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Beyond the Breakthrough: Why Language and Literacy Therapy Must Continue After Initial Success

Early progress in therapy can be misleading, as skills need reinforcement to prevent regression and keep up with academic demands. Research shows that discontinuing support too soon can lead to future struggles (Catts et al., 2012; Justice et al., 2009). Sustained intervention ensures long-term success, helping students retain and apply their skills as academic challenges increase (Stanovich, 1986). Therapy isn’t just a fix—it’s an investment in a child’s future.

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School SLPs vs. Private SLPs: Do They Really Target Different Oral Language Goals?

Recently I was in an IEP meeting for an elementary-aged student. During the meeting, I raised concerns regarding several non-evidenced-based oral language goals for the student and suggested modifying them to meet the student’s extensive academic needs better. To my surprise several IEP team members pushed back, emphasizing the supposed differences between school and private

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Dear Parents: Ask the Right Questions to Get the Right Services

As a parent, ensuring your child receives the right interventions for their reading or writing deficits is crucial. However, many narrowly focused reading and spelling programs emphasize isolated aspects of reading and writing. While these approaches can limitedly help with specific skills, they often fail to address the broader, critical contributions of oral language and

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Designing Contextualized Language and Literacy Interventions: Focus on Reading and Writing

Designing effective therapy sessions for students with Developmental Language Disorder (DLD) requires leveraging evidence-based, contextualized approaches (Rinaldi et al, 2021). By focusing on expository and fictional grade-level texts, speech-language pathologists (SLPs) can help students develop the skills needed to succeed academically and communicate effectively (Ward-Lonergan & Duthie, 2016). This post provides a practical framework for

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Why CBT Falls Short Without Language and Pragmatic Therapy

Cognitive Behavioral Therapy (CBT) has long been a well-researched gold standard in psychotherapy for addressing emotional regulation, anxiety, depression, and other mental health challenges. However, its effectiveness relies heavily on the individual’s ability to comprehend and engage with its cognitive and verbal demands. For individuals with language impairments and pragmatic deficits, CBT alone will fall

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Integrating Oral and Written Language Through CGI Films: Contextual Interventions in Action

In a recent post, I emphasized the the importance of contextualized language interventions over traditional, decontextualized therapy methods. I explained how embedding language goals into meaningful, real-world activities—such as literacy-based tasks and narrative therapy—results in greater engagement, better learning, and improved generalization of skills. Today I wanted to illustrate how incorporating engaging materials such as

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Why Contextualized Language Interventions Are Essential for Meaningful Therapy Gains

Understanding the Problem: Decontextualized Therapy Limitations Outdated traditional therapy methods often involve repetitive tasks such as following 2-3 step directions, answering comprehension questions without visual support, or listing descriptors and categories. While these activities may show short-term progress in the therapy room on the day they are done, they fail to promote lasting, functional gains

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