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'S COMMUNICATION PROFILE COVER SHEET
IDENTIFYING INFORMATION
sitet O RT eerie: lo
Directions: CSS Communication Profile
‘This document is intended to summarize and monitor a sludent’s sliengths and weaknesses- It is nota test. RIOT (Review,
Interview, Observation, Test) procedures should be followed throughout the profile. The CSS Communication Profle 1
designed for students with a cognitve-linguistic level of approximately 3.8 years. The majority of ekils represented within the
profile, have been taken from: MeLean, J and Snyder McLean L. (1092) Best Practoes in Communication Inervention for
‘Students with Severe Developmental Disablties. A key of + (consistently has skill, +/-(skile inconsistent or emerging) and
= (Bkil not demonstrated) is recommended to help wih the prirtization of skis o address. Typically +/- skis (emerging
‘kils) are skils that should be targeted as possible goals. For more severoly involved students + skis are sometimes
iden
in order to actualze the skill !o more environments and with more peop
Semester/Vear [Pen Color | Speech Therapist
20/3-20)4| 3 pai
adi -20i S Kb |
[3015 2010 | Black | 0.és8avis
samy va tray
LaSENSORY/IOTOR
(In this section = present or wot present)
Vision tmpairment describe)
Motor Iepairments/ Fee
Sensory Procesing Integration sues
(C1 Helphtened autor’ sensitivity
Bl yporeaton to aiory’vlul information
Fpiarng tmparment i)
o
Haperetviy/Disracsbiy
Difficulty with transitions
Pesistnt ef stimulation
Poor motor planning
Does the sade avoid crave
‘ouch, movement, sounds, lilt, foodvsmel
oes hese have se atimadating behaviors
such at racking, ger lapping?
‘TO ASSESS” ene BSERVATIONS
| toot nsdn’ s recon fr eves | sul Lowes Oe
| sates casera ce reaho to be.
Nate he reste a oh ‘ Sedboligge
Look nthe rece fr dingorisofmorm | “Pe coach «
tmpamens fires den Ree Ray dichacled
attanst afler (obeteer
Ogre her arte ti -
easily dusheatiod ~ lots
LEVEL OF COMMUNICATION INTENTIONALITY
[DN nents communication — des not uses hit
othe can have an effect a altes als mune wt
‘eden wan),
(Climentiona commonicavn withot wordsymbos (oes
tet recopnie or ndetand wordt yes wie
presented siden uses none gests)
neta communication with wordssymbos when
remade avalable understands wodssybois
[EASIC Pretanguage27, 10,11
Nonpeech Tet Esprnte 10, 20,21 22
PIS-4" Reape HL) 16.2 Bape 11,1, 97-19 |
‘riganc Early Development El,
Took for presence or snc of purpose
‘ommcaton palling. inn creping
Determine patil or as of eboewar
pica bole sige Tes rcpt ange
Sine nm apating sudo an parton tae
pisnresmbat.Touneyneedio model the weof
{he symbols may tines ere the sade eas
"he meaning of te sya Ty PECS. Compare
ead
ses |
ie rung ils |
igi osc ons
Vural.
w{ visual sigewe
< expernd utterahcos
hravla tery voces 2
5) Unpredictable emotional outbursts
Pececveration Above behoubYs skill owed
Tote
INTEREST INVENTORY “Tein washers and caregivers RESULTS OBSERVATIONS
Favorite Foods, Beverages Gos sudent in msrctred sation | Lowys, puygehs, di nosaat>y
“oni fral enter eesmen hand | PAE EATE S| ts
Favorite Toys and or Actives det sero fader mnfocditens ee [AE ATOKES dnl |
PECs mana Tacy teal tite Gov
Fre Time Choices Be sre you evaluate avaren oto oats, FV" hye | PAD
normal range of interests [restricted interests | msi stsry simulation ater - Onething princess (frozen
ABLLS: Secon 4 _ Bing ates |
es smn eit niednty thiyo
RTMENTOFEDUCATION INHICT CIFYWIDL SPRACHSHRYICHS-SCHLLER LONDON IUISON NROWIEEL LS SERNA NOTO- See m8[FORMS OF COMMUNICATION
| cose pin
teens Cle eprouegarive
| ety boron nem
tye pining
Ea Rape recat
Echolaliager immediate EE-Delayed
| Gestures Et contact vista reach) ]
‘Conventional pointing, waving, showin)
| ChRic esol system Combines estes
[manual sens
ah
Blossom
Fave spr anc ane
Number and typeof symbol student me:
Ore Oss ‘Pp.ie Girs2 0 sor
| i object C1 Towis CT photopraphs|
| ine drawings Ll rien words
| Sileotsymbols
| Colarcoting of mol
amber of symbols presented atone tne
Or2 D4" Cs8 Ep20 [20+
using AAC, note environments fa which iis used
Speech oom [] Casstoom [1 Lanstvoom
| Ciome [Communi
fcingepe psig C1 Ober
jaca D pining Cscamsing Ceye
ey gem tea
L
TO ASSESS
Observe the student ina variety of
‘environments and interview
caregiverslother staff, Note specific
fevamples. A student may use more than
fone mode, Interview caregivers.
RESULTSIOSERVATIONS,
he student has challenging behaviors,
conduct a Punctional Behavioral
‘Analysis. Do these behaviors appear to
serve a communicative purpose?
Ihe stents non-speaking and uses
‘estures, note the gesture he student
uses (how rch he gesture system is.
feb student is using PBCS or has a
‘communication board or device, note ifhe
ses it spontaneously. Is heshe effective
using i? How well do hisher
‘communication partners respond othe
students communication? Does it have
‘messages fora variety of communicative
situations? attach copies of overlays if
possible)
the stent is non-speaking and does
nat have a picture or word:based system,
Took for ability.
use line drasing symbols, TOBL symbols,
‘objects to objet symbols ~ model the use
‘ofthe symbols n a meaningful activity
‘and look for the students ability to
‘associate the symbol with the object or
SIEERAN & NOTO - Spe 3[pa eta oF Clon Comin) —] TOASESS RESULTS OBSERVATIONS
| Rate Prosody, Fueney (esi) Spontaneous Speech Sample
| Integy: 2 anise Speech Mechanian Checks
Dlonly in coiext [] wna tenes
Goldanan-Fistoe Test of Articulation
| sathbitee CAP (Cine Assesment of
Clone’ Clevo (Bh tree “Atiulation and Phonoloay)
| ris4
ese Moving Across Stables
| even SPT Kaufman Speech Praxis Test
ee Sve Meck ST ta F29, E119 E20
| Bicveve’ Fevevev
| crataator panning an pes)
| Olin nt mre
| Orat-motor planning speech)
imitate speech suns
itate words
Orat-motor skis [rooting
| pst aor
Bpoor ort posture] ering
| path controt for speceh
fdequate [| poor 4 =
| “ACTIONS ON OBJECTS "This section i only for students who do | RESULTS/OBSERVATIONS:
Early Cognitive Skills | not appear to understand oF use
| language!
FeAtents te | ABLLS-R: Ki, K3, K4, KS, K7
fpable of Actag on Objects: ASIC Prelanguage Hi, 12
[Er Alobjoas inthe same manner PUE4 Come aay, 19
Different objects i diferent ways Nenopessh Test -426
Franctionalconventional ways Adanaster the Sewery-Motor Probes &
Demonstrates ret meansend pie eo
(ere ondEARLY INTERACTIONS WITH PEOPLE
Tanda pre nt eton
| ts eve-comtacttace regard
[Er Looks at objets ha soreove ees ners in:
ed focus
GiShins cus (dual focus) fom shared objstctvity
1 partner
‘Takes turys within a simple imeracton with or without
objects oh adults [) with pours
atin within a teraction atin 1 parte)
Totates frequent tars in friar stations
"Efi aut [wth peer
jn" Bcc
|
Fffections on objects
ih uti {Zi pose
Maina ineruction
ith faa dale pose
‘Term
familar ada Cit peer
[lsmares own interest and fein with thers
| Eisen tteress of ters
| [Greets famitiar adits 2) peers
Fics dered neo ots] pes
Sweperantan
ASIC Prtmgunge #2428
ke Daconrse
i Comp. 1.2.46, 18 Bp
Comm. 11,18 2
onspush Fest - Re 111 ap. 10,16
Brigace Fay Deslpmen Gt
Suc ts Cher Pon DATA Unerayo
+ Doe stake toward move nar prie?
Dowden oo apo?
Boar mn jn he be?
Seton er omen
par
Peasimpe ation Fat maria fat of
dove hte tm Does sade
wot he pare ths at?
Nie rey de tates
ern nt ing fom tty or
omrsaton wach hse har empl
Toc hehe tap th prt ne
Inaconmmain change or acto”
Sarthe sy wh tayo ar
Sorat theory ar ceraton ones
ough svt nes?
vw dct he show that he
fase ith te acy? farm, 50
Something)
(Pia
shu haa dthcukhy Show
oS 19/ Peers.
Neots promphro to fe
turns Wjty + wnieiace
poser icon ety
wegen
app = Pear wet
(visuads PiusdedyEARLY COMMUNICATIVE
FUNCTIONS (May be non-verbal)
—
rc toes pcien ype
sacra
Seana
Self objects/actions/people
al wets please, hans, hi bye, sory)
7
proximal bjecpereon ("distal oberon
Requesting answer (aking a qusstia)
Civeroaty looavertally
Repairs communication breakdowns
by repeating [by doing something le
“Administer The Interactive Evaluation ‘RESULTS/OBSERVATIONS
Aisne rime
ASIC Peanunge 2127 Shu wats RECS bo ceqest
roe asin jc hart fe
ater Sef the akonoa ? j nv
‘oer rap Cec on prop -
| Pershing hace geht ing | P>
te dit ret nat wore. Ser Te aut
esr prs
Inertia rt one ott
Jonas tig) ee sndon artery | SAPPIF TOC vate eG
‘attention. moet shor 2
“Md la ese wl 0
om
“oe song ma ana pen,
Praendntte ner Ye one pat
‘COMPRENTENSION RECEPTIVE LANGUAGE
Anticipates next sep in familiar routine
B Responds appropriately to gesture a object cues
B-Understands single words
Understands muiple-word combinations
(Bnderstandsietions when presented as viru
‘pinto (visual schedules, supersymbo}s)
stands ina is
"ones SomivisE] ToBI CI phos
1 Line Drawings [] Writen words
ULTSOBSERVATIONS
EASIC Presngnge~
EAstC hecopne Lvl lesen leis whee to fll
fiscecinint, is eet eee wo defied
ongect Tet Rope np
SeeP tee Lmge Si
(gered of cone? te dt doen
Strand a ble mas pte
“Seat armresdees dooming | Oooh. TD ceqesire visuaap
es
Lis"?
“oma tne iar grin
SESS MA AR a Easistening Skil
as poor ator tenon
culty listening in the presence of backround
BGives sow or delayed responses
"May pa and ove ars wa stations
Doesnt tom wh nae ale, even though
sudent Ens mame
‘Thy mld ampifenion to see ft increaes
| epi faction faeion derstanding)
RESULTS Gene AE
aes easily dis med
Later Communicative Functions
RESULTSIOWSERVATIONS
ABLISR isis
BMake a stsiemem ASIC Exp. Level I - #33; Exp. Level IE
Bask question Wha? Where? a
‘Brnswer aston Wha? Where?
‘Bell someone ato do sonahng sere he sadn eri of seins
stan neon ‘nthe varie ofpuners Hy nat bo
Paver yoo eons onic ober ontny, bar,
Geyer caren Observes fo fcon ol ge general
Ghiakeasuggestn tet of fencing. Comparcgenera tet
ter someting ‘Teonnancte fants rcp
Mak int eves Sha ape ncaa ond re
DEapendserbe flngs
SAL wos _
Conversation Skills TASC En Leal RESULTSORSERVATIONS
nay sto & no Sci Cntr Peja Uarap at | DESMA, SOONG | wines
[OWith help can alk about aii ings tha st
secured
{Wit help aks abou speci past events routine
{psoming evens
opie Maintenance
bet take one or two ts
‘Can ake afew tums by inroducngo changing the
topic
[Can go beyond sow rms
(haf Seco Papa Language Behn fr
‘sda th Snr rp
Fer students who are speaking, observe the
sudent having conersations with snr
ffomiliar communication pines
| Inormally probe fr information not obtained
from observation
Ogermpicately
Social Skills
Social Skills ae embedded throughout this
‘communication profile. Social skis encompass
Mitualy every arpet of dally Ue. Therefor its
recommended tha you student's socal
sls while you assess al ofthe ther sections in this
Profle. Wesuest that you begin by using some of
thes chechlists referenced Inthe adjacent column.
ep seat tinny it yo prac sey
Seca Lange Domes Tes Fleet
Sn iChat rae DATA Uae of
RESULTSOBSERVATIONS
[¥see soctal stiits
Choektise
ANC ouraRTENT oF EDENTON atRCT CN SHECH SEREES “SEMAN. LONDON RON TRBRS A ELSON & NTO St mt