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The MCPS 335-37 form serves as an essential tool for evaluating the speech and language skills of pre-kindergarten and Head Start students within Montgomery County Public Schools. Administered by a qualified speech-language pathologist, this form outlines a series of structured assessments designed to gauge various aspects of a child's communication abilities. It encompasses several sections, including general information, language comprehension, articulation, fluency, and hearing assessments. Each section includes specific tasks, such as identifying colors, following directions, and answering questions, which provide insight into a child's developmental progress. The form also allows for the documentation of the child’s responses, noting whether they are correct or incorrect, and provides space for additional comments and recommendations. This comprehensive approach ensures that each child's unique needs are recognized and addressed, fostering a supportive environment for early language development.

Mcps 335 37 Example

Pre-kindergarten/Head Start Speech-Language Screening Instrument

Division of Early Childhood Programs and Services

 

MONTGOMERY COUNTY PUBLIC SCHOOLS • Rockville, Maryland 20852

Page 1 of 2

INSTRUCTIONS: This screening test is to be administered by a speech/language pathologist. For each response, place a check ( ) in column “C” (Correct) or column “I” (Incorrect) as appropriate. Space is provided for child’s response. Write “NR” for no response.

Student’s name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current school

 

 

 

 

Birth date

 

 

/

 

 

/

 

 

Age

 

 

 

Test Date

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

Home school

 

 

 

 

Primary language

 

 

 

 

 

 

 

Teacher

 

 

 

 

 

 

 

 

 

 

Speech pathologist

 

 

 

PART I: LANGUAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check One

A. GENERAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correct/Incorrect

1.

Tells first and last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.





 

2.

Tells age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.





 

B. NUMBER CONCEPTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Rote counts to 10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.





 

4.

Counts blocks to 5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.





 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. COLORS (Display 6 colored blocks; point to each and ask:) “What color is this block?” (Circle correct responses.)

 

 

 

5.

Blue

Yellow

 

 

Purple Green

 

Red Orange

(Passing criteria: 3 correct)

 

 

 

 

 

 

 

(If not correct, ask child to point to colored blocks.)

 

 

 

 

/

 

 

 

 

correct

5.





 

D. PREPOSITIONS (Demonstrate with block and box and ask:) “Where is the block?”

 

 

 

6.

In

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.





 

7.

Under

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.





 

8.

On

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.





 

9.

Behind/In back of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If incorrect, ask child to place block in that position.)

 

 

 

/

 

 

 

correct

 

 

 

 

 

 

 

(Check correct responses: In  Under  On  Behind )

9.





 

E.IDENTIFIES BODY PARTS (Ask child to point to body parts. Check those identified correctly.) (Passing criteria: 6 or more correct)

 

Nose  Eyes  Ears  Mouth  Hair 

 

 

 

 

 

 

 

 

 

Finger  Knee  Elbow  Arm  Foot 

Total Correct

 

 

/10

 

10.





 

 

 

F. COMPREHENDS SENSES (Read practice sentence to child.) “We use our hands to (touch/feel.)”

11.





11.

“We use our eyes to

 

 

.“ (see/look)

 

 

 

 

12.





12.

“We use our nose to

 

 

.“ (smell/breathe)

 

 

 

 

13.

“We use our ears to

 

 

.” (hear/listen)

 

 

 

 

13.





G. CATEGORIES (Use picture provided and say:)

 

 

 

 

 

 

 

 

 

14.

“Show me all the animals.”

 

 

 

 

 

 

 

14.





15.

“Show me all the food.”

 

 

 

 

 

 

 

15.





H. ANSWERING QUESTIONS (Ask sample question.) “Who cries?” (Explain as necessary.)

 

 

 

16.

What flies in the sky?

 

 

 

 

 

 

16.





17.

What animal swims in the water?

 

 

 

 

 

 

17.





18.

What animal bites people?

 

 

 

 

 

 

18.





19.

What do you do when you are hungry?

 

 

 

 

 

 

19.





20.

What do you wear when it’s cold outside?

 

 

 

 

 

 

20.





21.

What do you do when you’re sleepy?

 

 

 

 

 

 

21.





I.LISTENING COMPREHENSION (Directions: “I’m going to tell you a story. It has no pictures. Listen carefully. When I’m finished, I will ask you some questions about the story.”) (Read:) “One day, a man was painting a house. He was standing on a ladder. A bee buzzed around his head. The man climbed down and waited until the bee flew away.”

22.

Who was painting the house?

 

22.





 

23.

Where was he standing?

 

23.





 

24.

Why did he climb down?

 

24.





 

 

 

MCPS Form 335-37, Rev. 8/05

DISTRIBUTION: ORIGINAL/Cumulative Folder; COPY 1/Pre-Kindergarten/Head Start Unit;

 

 

COPY 2/Speech-language pathologist

 

 

Student’s name

 

Signature, Speech-language pathologist

PART I: LANGUAGE (continued)

Check One

 

Correct/Incorrect

J.AUDITORY MEMORY FOR SENTENCES (Example—say: “Black cat”)

25.

“Toy...Chair...Light”

 

25.





 

26.

“Cars are big.”

 

26.





 

27.

“He sleeps in a bed.”

 

27.





 

28.

“The boy played ball with his dog.”

 

28.





 

K.EXPRESSIVE LANGUAGE SAMPLE (Use sequence picture provided. Point to each picture and say: “Tell me a story about these pictures.” Record responses on lines provided, including articulation errors. Give credit if the child uses a minimum of three phrases or sentences that include action words.)

29.

 

29.  

 

 

 

 

L. SYNTAX (Record any grammatical differences or errors on lines provided.)

 

 

 

 

 

 

 

 

 

 

M. FOLLOWING DIRECTIONS (Say: “Listen carefully. I want you to do three things.”)

 

 

 

30. “Clap your hands. Put your hands on your head. Touch your nose.”

30. 



 

(Passing criteria: Child performs all 3 directions.)

 

 

 

If incorrect, say: “Close your eyes. Clap your hands.”

 

 

 

TOTAL

Correct/Incorrect

PART II: SPEECH

A. ARTICULATION (Record sound errors.)

Spontaneous speech:  Intelligible  Not intelligible  Intelligible with careful listening  Not enough said to judge

If multiple errors, administer Pre-kindergarten/Head Start Articulation Screening and check oral motor functioning.

Adequate  Recheck

B. FLUENCY:  Fluent  Dysfluent Comments

C. VOICE:  Adequate If not adequate, describe quality.

PART III: HEARING





No known problem  Suspect problem

History of Problem

PART IV: FOLLOW-UP AND COMMENTS

 



1.

Speech and language is within normal limits.





3.

English Language Learner (ELL)



COMMENTS

2.Confer with team/observe further.

4.Administered in (language)

File Breakdown

Fact Name Details
Form Purpose The MCPS 335-37 form is designed for speech-language screening in pre-kindergarten and Head Start programs.
Administering Authority This screening must be administered by a qualified speech-language pathologist.
Language Assessment The form assesses various language skills, including general information, number concepts, and color identification.
Body Parts Identification Children are asked to identify body parts, with a passing criterion of six or more correct responses.
Listening Comprehension The form includes a section that tests a child’s listening comprehension through a story followed by questions.
Expressive Language Sample Children are required to narrate a story based on a sequence of pictures, demonstrating their expressive language skills.
Speech Evaluation Part III evaluates articulation, fluency, and voice quality, allowing for a comprehensive speech assessment.
Follow-Up Actions The form provides options for follow-up actions, including further observation or administering additional tests.
Distribution of Copies Original forms are kept in the cumulative folder, while copies are distributed to relevant educational units and professionals.
Governing Laws This form is governed by Maryland state education regulations pertaining to early childhood education and special education services.

Guide to Using Mcps 335 37

Filling out the MCPS 335-37 form is a straightforward process that requires careful attention to detail. This form is essential for documenting the speech-language screening results for children. After completing the form, it will be submitted to the appropriate educational personnel for further evaluation and follow-up.

  1. Begin by entering the child's name in the designated space.
  2. Next, fill in the current school and the child's birth date in the format MM/DD/YYYY.
  3. Indicate the child's age at the time of testing.
  4. Enter the test date using the same format as the birth date.
  5. Provide the name of the home school and the child's primary language.
  6. Write the name of the teacher and the speech pathologist administering the test.
  7. Proceed to Part I: LANGUAGE. For each item, place a check in either the Correct or Incorrect column as appropriate.
  8. For color identification, display six colored blocks and ask the child to name each color. Circle the correct responses.
  9. For prepositions, demonstrate with a block and a box. Ask the child where the block is and check the correct responses.
  10. In the section for identifying body parts, ask the child to point to the specified body parts and check those identified correctly.
  11. Continue through the sections for comprehending senses, answering questions, listening comprehension, auditory memory, expressive language sample, syntax, and following directions, recording responses as needed.
  12. In Part II: SPEECH, record any articulation errors, fluency observations, and voice quality comments.
  13. In Part III: HEARING, indicate if there are any known or suspected problems.
  14. In Part IV: FOLLOW-UP AND COMMENTS, check the appropriate options based on the child's performance and add any additional comments as necessary.
  15. Finally, have the speech-language pathologist sign the form, confirming the assessment.

Get Answers on Mcps 335 37

What is the purpose of the MCPS 335 37 form?

The MCPS 335 37 form is designed to assess the speech and language skills of young children, particularly those in pre-kindergarten and Head Start programs. It helps identify any potential communication delays or disorders, allowing for early intervention if necessary. This screening is administered by a qualified speech-language pathologist who evaluates various aspects of language and communication through structured activities.

Who administers the MCPS 335 37 form?

The form is specifically meant to be administered by a speech-language pathologist. These professionals have the training and expertise to conduct the screening accurately and interpret the results effectively. Their role is crucial in ensuring that the assessment is carried out in a supportive and appropriate manner for the child.

What kind of skills does the MCPS 335 37 form evaluate?

The form evaluates a range of language and speech skills, including:

  • General information such as name and age
  • Number concepts and counting
  • Understanding and identifying colors
  • Comprehension of prepositions and body parts
  • Listening comprehension and auditory memory
  • Expressive language abilities
  • Articulation, fluency, and voice quality

Each of these areas provides insight into the child's communication abilities and potential areas of concern.

What happens if a child does not meet the passing criteria?

If a child does not meet the passing criteria in specific sections of the screening, it may indicate a need for further assessment or intervention. The speech-language pathologist may recommend additional observations, consultations with the educational team, or targeted speech and language therapy. Early intervention is vital for addressing any identified issues.

How is the information recorded on the MCPS 335 37 form?

The speech-language pathologist records responses directly on the form by marking whether each response is correct or incorrect. For certain sections, such as expressive language, the pathologist will write down the child's responses to evaluate their use of language and storytelling ability. This systematic approach helps maintain accurate records for future reference.

What should parents know about the MCPS 335 37 form?

Parents should understand that the MCPS 335 37 form is a tool for identifying their child's speech and language development. It is not a pass or fail test but rather a means to assess and support their child's communication skills. Parents are encouraged to engage with the speech-language pathologist to discuss results and any recommendations for further support or intervention.

Is the MCPS 335 37 form available in multiple languages?

Yes, the MCPS 335 37 form can be administered in various languages, depending on the child's primary language. This flexibility ensures that the assessment is accessible and relevant to each child, allowing for a more accurate evaluation of their language skills.

How often should the MCPS 335 37 form be administered?

The frequency of administering the MCPS 335 37 form can vary based on individual circumstances. Generally, it is used during initial screenings for pre-kindergarten and Head Start programs. If a child shows signs of communication difficulties, follow-up screenings may be recommended to monitor progress and effectiveness of any interventions.

Where can I find more information about the MCPS 335 37 form?

Additional information about the MCPS 335 37 form can typically be found on the Montgomery County Public Schools website or by contacting the Division of Early Childhood Programs and Services. They can provide resources, guidance, and support related to the speech and language screening process.

Common mistakes

Filling out the MCPS 335-37 form can be a straightforward process, but many individuals make common mistakes that can lead to confusion or inaccuracies in the assessment. One significant error is failing to provide complete information in the general information section. This includes the child's name, current school, and birth date. Missing any of these details can cause delays in processing the form and could lead to issues in tracking the child's progress.

Another frequent mistake is neglecting to follow the instructions for marking responses correctly. The form requires a check in either the "C" (Correct) or "I" (Incorrect) column for each item assessed. Some people mistakenly leave items unchecked or use other symbols, which can complicate the interpretation of results. It is crucial to adhere strictly to the provided guidelines to ensure that the screening results are clear and actionable.

In addition, individuals often overlook the passing criteria outlined for various sections of the form. For instance, in the colors section, a child must answer at least three questions correctly to pass. Failing to note these criteria can lead to misinterpretation of a child's abilities and may result in unnecessary follow-up assessments.

Furthermore, many people do not take the time to record comments or observations in the designated areas. This section is vital for providing context about the child's performance and any specific challenges encountered during the assessment. Without these notes, valuable insights may be lost, making it harder for speech-language pathologists to tailor their recommendations effectively.

Lastly, some individuals mistakenly rush through the auditory memory section, failing to provide the necessary attention to detail. This section requires careful listening and accurate recording of responses. Inaccuracies in this part can lead to an incomplete understanding of a child's auditory processing skills, which are essential for language development. Taking the time to ensure each response is accurately captured can significantly enhance the quality of the assessment.

Documents used along the form

The MCPS 335-37 form is an essential tool for assessing speech and language skills in young children. However, it is often used alongside other important documents that help provide a comprehensive understanding of a child's needs and progress. Here are four forms commonly used in conjunction with the MCPS 335-37:

  • Speech-Language Evaluation Report: This document summarizes the findings from a formal evaluation conducted by a speech-language pathologist. It includes detailed observations, assessment results, and recommendations for intervention.
  • Individualized Education Program (IEP): If a child qualifies for special education services, the IEP outlines specific goals, accommodations, and services tailored to the child's needs. It is a legally binding document that guides the educational process.
  • Referral for Speech-Language Services: This form is used to initiate the process of obtaining speech-language services. It typically includes information about the child's background, concerns from parents or teachers, and the reason for the referral.
  • Parent Consent Form: Before any assessment or intervention can take place, this form must be signed by the child's parent or guardian. It ensures that they are informed about the services being provided and consent to the evaluation process.

These documents work together to create a clear picture of a child's speech and language development. Utilizing them effectively can lead to better outcomes for children in need of support.

Similar forms

  • IEP (Individualized Education Program): Similar to the MCPS 335-37 form, the IEP outlines specific educational goals and services for students with disabilities. Both documents involve assessments and recommendations to support a child’s learning needs.
  • 504 Plan: This document provides accommodations for students with disabilities to ensure they have equal access to education. Like the MCPS 335-37 form, it is tailored to the individual needs of the student based on assessments.
  • Speech and Language Evaluation Report: This report details the results of speech and language assessments, similar to the MCPS 335-37 form. Both documents assess a child’s communication abilities and identify areas that need improvement.
  • Developmental Screening Form: Used to assess a child's developmental milestones, this form is similar in purpose to the MCPS 335-37 form, focusing on identifying areas where a child may need additional support.
  • Behavioral Assessment Tool: This tool evaluates a child's behavior in different settings. Like the MCPS 335-37 form, it helps identify specific needs and informs strategies for support.
  • Child Find Referral Form: This form is used to identify children who may need special education services. It shares similarities with the MCPS 335-37 form in its focus on early identification of needs.
  • Kindergarten Readiness Assessment: This assessment evaluates a child's readiness for school. Both documents assess skills and provide insights into areas where a child may need further development.
  • Early Childhood Assessment Report: This report summarizes a child's skills and areas for growth. It aligns with the MCPS 335-37 form in its goal of informing educational planning and interventions.
  • Parent Questionnaire for Speech and Language: This document gathers information from parents about their child's communication skills, similar to the MCPS 335-37 form, which relies on input from various sources to assess a child's needs.
  • Progress Monitoring Tool: This tool tracks a child's progress over time. It is akin to the MCPS 335-37 form in that it helps educators evaluate the effectiveness of interventions and supports.

Dos and Don'ts

When filling out the MCPS 335-37 form, it is essential to follow specific guidelines to ensure accuracy and clarity. Here is a list of things you should and shouldn't do:

  • Do provide the child's full name and accurate birth date.
  • Do use clear and legible handwriting to avoid misinterpretation.
  • Do check each response carefully before marking it as correct or incorrect.
  • Do ensure that the primary language is correctly noted.
  • Do include any relevant comments in the designated section.
  • Don't leave any sections blank; if unsure, write "NR" for no response.
  • Don't rush through the form; take your time to ensure all information is accurate.
  • Don't forget to sign the form as the speech-language pathologist.
  • Don't use abbreviations or unclear terms that may confuse the reader.

Misconceptions

Here are four common misconceptions about the MCPS 335-37 form, which is used for speech-language screening in pre-kindergarten and Head Start programs:

  • Only speech-language pathologists can use the form. While the form is designed to be administered by a speech-language pathologist, it can also be used as a tool for teachers and caregivers to identify potential speech and language issues. They can observe and document behaviors that may warrant further assessment.
  • The form is only for children with obvious speech problems. This form is not limited to children who already exhibit clear speech issues. It serves as a preventive measure to identify children who may be at risk for language delays, allowing for early intervention.
  • All children should pass every section of the form. It is important to understand that the form includes various sections, each with different passing criteria. Children may excel in some areas while needing support in others. The goal is to identify specific strengths and weaknesses.
  • The results are definitive and final. The screening results from the MCPS 335-37 form are not meant to provide a conclusive diagnosis. They are a starting point for further evaluation and should be considered alongside other assessments and observations.

Key takeaways

When utilizing the MCPS 335-37 form, it is essential to keep several key points in mind to ensure accurate administration and effective outcomes.

  • Qualified Personnel: Only a licensed speech-language pathologist should administer this screening test. Their expertise is crucial for interpreting results accurately.
  • Correct Responses: For each item, responses must be marked as either correct or incorrect. This clear documentation helps in assessing the child's language skills effectively.
  • Passing Criteria: Be aware of the passing criteria for various sections, such as needing three correct responses for colors or six for identifying body parts. This information is vital for determining the child's language proficiency.
  • Follow-Up Actions: After completing the form, consider the follow-up options provided. Depending on the results, further observation or intervention may be necessary.

By adhering to these guidelines, the MCPS 335-37 form can serve as an effective tool in assessing and supporting children's speech and language development.