Screening Tests Reveal High Risk Among Adjudicated Adolescents of Auditory Processing and Language Disorders Purpose The study investigated the prevalence of risk factors for auditory processing and language disorders among adolescents residing at a local juvenile detention center. Method A total of 782 adjudicated adolescents with normal hearing were screened with the Randomized Dichotic Digits Test (Strouse & Wilson, 1999) and the ... Research Article
Research Article  |   April 17, 2018
Screening Tests Reveal High Risk Among Adjudicated Adolescents of Auditory Processing and Language Disorders
 
Author Affiliations & Notes
  • Deborah Moncrieff
    Department of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, PA
  • Elizabeth Miller
    Children's Hospital of Pittsburgh, PA
  • Earl Hill
    Shuman Juvenile Detention Center, Pittsburgh, PA
  • Disclosure: Deborah Moncrieff is the author of the Dichotic Words Test, which was used for screening individual participants in this study. The other authors have declared that no competing interests existed at the time of publication.
    Disclosure: Deborah Moncrieff is the author of the Dichotic Words Test, which was used for screening individual participants in this study. The other authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Deborah Moncrieff: dmoncrie@pitt.edu
  • Editor-in-Chief: Frederick (Erick) Gallun
    Editor-in-Chief: Frederick (Erick) Gallun×
  • Editor: Lori J. Leibold
    Editor: Lori J. Leibold×
Article Information
Hearing & Speech Perception / Hearing Disorders / School-Based Settings / Language Disorders / Attention, Memory & Executive Functions / Hearing / Research Articles
Research Article   |   April 17, 2018
Screening Tests Reveal High Risk Among Adjudicated Adolescents of Auditory Processing and Language Disorders
Journal of Speech, Language, and Hearing Research, April 2018, Vol. 61, 924-935. doi:10.1044/2017_JSLHR-H-17-0098
History: Received March 14, 2017 , Revised July 11, 2017 , Accepted November 28, 2017
 
Journal of Speech, Language, and Hearing Research, April 2018, Vol. 61, 924-935. doi:10.1044/2017_JSLHR-H-17-0098
History: Received March 14, 2017; Revised July 11, 2017; Accepted November 28, 2017

Purpose The study investigated the prevalence of risk factors for auditory processing and language disorders among adolescents residing at a local juvenile detention center.

Method A total of 782 adjudicated adolescents with normal hearing were screened with the Randomized Dichotic Digits Test (Strouse & Wilson, 1999) and the Dichotic Words Test (Moncrieff, 2015). A subset of 420 of those adolescents was also screened with the Clinical Evaluation of Language Fundamentals (CELF; Semel, Wiig, & Secord, 2003).

Results More than 70% of the adolescents produced weakness on at least 1 dichotic listening test. One third of those produced weakness across both dichotic listening tests, consistent with a binaural integration deficit pattern. Nearly 48% of the subgroup of adolescents produced CELF scores that fell below the criterion for age. Dichotic listening and language scores were more associated in participants with poor performance in both ears during dichotic tests, who also produced the lowest scores on the CELF. There was no main effect of race, but 17- and 18-year-old Black adolescents produced lower CELF scores than White adolescents of the same age.

Conclusions School-age children referred for disciplinary action may have undiagnosed deficits in auditory processing and/or language. Efforts to screen, diagnose, and remediate these deficits could lead to improvements in communication, learning, and language skills in this population.

Acknowledgments
This study was based on work that was partially funded by an Office of Special Education Personnel Preparation grant from the United States Department of Education.
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