EESA Assessment: Dr. Barbara Esch on Building Vocal Language and Avoiding Carrier Phrases

Free Workshop

Increase Talking &
Decrease Tantrums

in Young Children with

Autism &/or Speech Delays

Following up on the rebroadcast of Dr. Mark Sundberg’s episode last week, I am joined by Dr. Barbara Esch creator of the EESA assessment, The Early Echoic Skills Assessment which is part of the VB-MAPP. Dr. Esch is an SLP, BCBA-D who pulls knowledge from both professions to work with individuals with autism learning to speak.

Articulation and Speech Therapy

Too often parents and some providers are tempted to perfect articulation too early. Dr. Esch compares first words to first steps, you wouldn’t ask or expect a newly walking baby to run. This is the same for beginning babbling, sounds, and words. Word approximations are okay, especially for young or new speakers. I categorize these as Number 1 words and Number 2 words, 1 being perfected clear words and 2 being approximations to practice. There are a variety of setbacks and complications of natural development that can come from too much focus on articulation, such as a repeated Schwa ending.

Speech Therapy for Nonverbal Autism

It is often very unlikely that an individual is 100% mute. When beginning to work with a nonverbal learner, consider: Do they have any babbles? Sounds? Noises that signal communication or attention? ANYTHING is better than nothing and is a good place to start. Dr. Esch and I also agree not to rush into AAC before trying vocal speech. She refers to vocal speech as having the big 5 “fast, easy, cheap, always with you, and people can respond to it”, this is the gold standard when it comes to working on language, even with those considered to be nonverbal; it’s never too late.

Teaching Carrier Phrases

I am not an advocate for teaching carrier phrases, especially when it’s only to increase word utterances. I’ve discussed this in blogs and shows in the past. Dr. Esch is an advocate for focusing on syllables versus word utterances. Carrier phrases can set back natural development in mands and tacts. You can use strategies from my early learner activities like the shoebox which has multiple controls when a student gets a word that is part mand, part tact, and part echoic.

Dr. Barbara Esch’s new Early Echoic Skills Assessment manual will be available in May and can really help anyone who is helping teach speech whether that’s a parent, teacher, caregiver, SLP, or BCB.

EESA Assessment: Dr. Barbara Esch on Building Vocal Language and Avoiding Carrier Phrases

Dr. Barbara Esch on the Turn Autism Around Podcast

Dr. Barbara Esch is a behavior analyst and speech pathologist with over 30 years of experience in behavioral interventions for individuals with developmental disabilities. She has worked in school, home, clinic, and hospital settings. Her workshops, training symposia, and research have been presented in the US, Canada, Europe, and Australia and focus on the use of behavioral procedures to improve speech, language, and feeding skills for individuals of all ages with a wide range of medical and educational diagnoses. Dr. Esch received a Ph.D. in Applied Behavior Analysis from Western Michigan University and a Master’s degree in Speech Pathology from Michigan State University.

She is the author of the Early Echoic Skills Assessment, part of the Verbal Behavior Milestones Assessment and Placement Program: VB-MAPP (Sundberg, 2008/2014) and the upcoming Early Echoic Skills Assessment and Manual for Speech Acquisition, an expanded version of the original EESA, including a program planning guide. She is the founder and past chairperson of the Speech Pathology Special Interest Group of the Association for Behavior Analysis International. Her research on behavioral treatments for early speech acquisition appears in The Analysis of Verbal Behavior and the Journal of Applied Behavior Analysis.

You’ll Learn

  • The benefit of working with an SLP-BCBA trained provider.
  • What is the EESA Assessment?
  • Who can use the EESA Assessment and Manual?
  • Should you focus on articulation when teaching first words?
  • How can carrier phrases inhibit natural progression?
  • The difference in focusing on syllables versus word utterances.
  • Is AAC always the answer for “non-verbal” learners?

Resources

Free Workshop

Increase Talking &
Decrease Tantrums

in Young Children with

Autism &/or Speech Delays