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CALIPSO

Knowledge And Skills Acquisition (KASA) Summary Form


Hannah, Ashley

Standards Knowledge/Skill Course # and Title Practicum Experiences # and Title Other (e.g. labs, research) (include
Met? (check) descriptions of activity)
Standard IV-A. The applicant must demonstrate
knowledge of the principles of:
Biological Sciences X Specific to Undergraduate Institute
Physical Sciences X Specific to Undergraduate Institute
Statistics X Stats
Social/behavioral Sciences X Specific to 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
Biological X 624, Specific to Undergraduate CD 570, CD 571, CD 670-I, CD 674,
Institute CD 675
Neurological X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Acoustic X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Psychological X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Developmental/Lifespan X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Linguistic X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Cultural X 624 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Swallowing Processes

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Biological X 624, 691, Specific to Undergraduate CD 570, CD 571, CD 670-I, CD 674,
Institute CD 675
Neurological X 624, 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Psychological X 624, 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Developmental/Lifespan X 624, 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Cultural X 624, 691 CD 570, CD 571, CD 670-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
Etiologies X 622 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 622 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Fluency
Etiologies X 623 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 623 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Voice and resonance, including respiration and
phonation
Etiologies X 620 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 620 CD 570, CD 571, CD 670-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

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Etiologies X 622, 625, 628, 629 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 622, 625, 628, 629 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Hearing, including the impact on speech and language
Etiologies X CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X CD 570, CD 571, CD 670-I, CD 674,
CD 675
Swallowing (oral, pharyngeal, esophageal, and related
functions, including oral function for feeding; orofacial
myology)
Etiologies X 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Cognitive aspects of communication (e.g., attention,
memory, sequencing, problem solving, executive
functioning,)
Etiologies X 630 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 630 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Social aspects of communication (e.g., behavioral and
social skills affecting communication)
Etiologies X 628, 629, 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Characteristics X 628, 629, 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Augmentative and alternative communication
modalities
Characteristics X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675

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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
Prevention X 622 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 622 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 622 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Fluency
Prevention X 623 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 623 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 623 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Voice and resonance
Prevention X 620 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 620 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 620 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Receptive and expressive language
Prevention X 622, 625 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 622, 625 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 622, 625 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Hearing, including the impact on speech and language
Prevention X CD 570, CD 571, CD 670-I, CD 674,
CD 675

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Assessment X CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X CD 570, CD 571, CD 670-I, CD 674,
CD 675
Swallowing
Prevention X 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 691 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Cognitive aspects of communication
Prevention X 630 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 630 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 630 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Social aspects of communication
Prevention X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Assessment X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Augmentative and alternative communication
modalities
Assessment X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675
Intervention X 660 CD 570, CD 571, CD 670-I, CD 674,
CD 675

Page 5/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


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
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Fluency
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals

Page 6/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Voice and resonance, including respiration and
phonation
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Receptive and expressive language (phonology,
morphology, syntax, semantics, pragmatics, prelinguistic
communication, and paralinguistic communication) in
speaking, listening, reading and writing
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675

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Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Hearing, including the impact on speech and language
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Swallowing (oral, pharyngeal, esophageal, and related
functions, including oral function for feeding; orofacial
myology)
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675

Page 8/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Cognitive aspects of communication (attention,
memory, sequencing, problem-solving, executive
functioning)
Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Social aspects of communication (including challenging
behavior, ineffective social skills, lack of communication
opportunities)

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Std. V-B 1a. Conduct screening and prevention X CD 570, CD 571, CD 670-I, CD 674,
procedures (including prevention activities) CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
Augmentative and alternative communication
modalities
Std. V-B 1a. Conduct screening procedures X CD 570, CD 571, CD 670-I, CD 674,
CD 675
Std. V-B 1b. Collect case history information and X CD 570, CD 571, CD 670-I, CD 674,
integrate information from clients/patients, family, CD 675
caregivers, teachers, relevant others, and other
professionals
Std. V-B 1c. Select and administer appropriate evaluation X CD 570, CD 571, CD 670-I, CD 674,
procedures, such as behavioral observations CD 675
nonstandardized and standardized tests, and instrumental
procedures
Std. V-B 1d. Adapt evaluation procedures to meet X CD 570, CD 571, CD 670-I, CD 674,
client/patient needs CD 675
Std. V-B 1e. Interpret, integrate, and synthesize all X CD 570, CD 571, CD 670-I, CD 674,
information to develop diagnoses and make appropriate CD 675
recommendations for intervention
Std. V-B 1f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support evaluation CD 675
Std. V-B 1g. Refer clients/patients for appropriate X CD 570, CD 571, CD 670-I, CD 674,
services CD 675
2. Intervention (must include all skill outcomes listed in
a-g below for each of the 9 major areas)

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Articulation
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Fluency
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X 623 CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675

Page 11/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Voice and resonance, including respiration and
phonation
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Receptive and expressive language (phonology,
morphology, syntax, semantics, pragmatics, prelinguistic
communication, and paralinguistic communication) in
speaking, listening, reading and writing
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675

Page 12/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Hearing, including the impact on speech and language
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Swallowing (oral, pharyngeal, esophageal, and related
functions, including oral function for feeding; orofacial
myology)
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675

Page 13/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Cognitive aspects of communication (attention,
memory, sequencing, problem-solving, executive
functioning)
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Social aspects of communication (including challenging
behavior, ineffective social skills, lack of communication
opportunities)
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients

Page 14/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley


Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
Augmentative and alternative communication
modalities
Std. V-B 2a. Develop setting-appropriate intervention X CD 570, CD 571, CD 670-I, CD 674,
plans with measurable and achievable goals that meet CD 675
clients'/patients' needs. Collaborate with clients/patients
and relevant others in the planning process
Std. V-B 2b. Implement intervention plans (involve X CD 570, CD 571, CD 670-I, CD 674,
clients/patients and relevant others in the intervention CD 675
process)
Std. V-B 2c. Select or develop and use appropriate X CD 570, CD 571, CD 670-I, CD 674,
materials and instrumentation for prevention and CD 675
intervention
Std. V-B 2d. Measure and evaluate clients'/patients' X CD 570, CD 571, CD 670-I, CD 674,
performance and progress CD 675
Std. V-B 2e. Modify intervention plans, strategies, X CD 570, CD 571, CD 670-I, CD 674,
materials, or instrumentation as appropriate to meet the CD 675
needs of clients/patients
Std. V-B 2f. Complete administrative and reporting X CD 570, CD 571, CD 670-I, CD 674,
functions necessary to support intervention CD 675
Std. V-B 2g. Identify and refer clients/patients for X CD 570, CD 571, CD 670-I, CD 674,
services as appropriate CD 675
3. Interaction and Personal Qualities
Std. V-B 3a. Communicate effectively, recognizing the X CD 570, CD 571, CD 670-I, CD 674,
needs, values, preferred mode of communication, and CD 675
cultural/linguistic background of the client/patient,
family, caregivers, and relevant others.
Std. V-B 3b. Collaborate with other professionals in case X CD 570, CD 571, CD 670-I, CD 674,
management. CD 675
Std. V-B 3c. Provide counseling regarding X CD 570, CD 571, CD 670-I, CD 674,
communication and swallowing disorders to CD 675
clients/patients, family, caregivers, and relevant others.
Std. V-B 3d. Adhere to the ASHA Code of Ethics and X CD 570, CD 571, CD 670-I, CD 674,
behave professionally. CD 675

Page 15/15 * July 30 2017 * KASA Summary Form * Hannah, Ashley

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