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Cat. II · Screening, Assessment, Eval & Dx4 min read
Receptive & Expressive LanguageSpeech Sound Production

Multilingual Service Delivery & Dialectal Variation

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Difference Is Not Disorder

A language, dialect, or accent difference is a rule-governed variation, not an impairment. A communication disorder is supported by evidence of difficulty learning or using language relative to the person's opportunities and experience. In a multilingual speaker, the pattern should be considered across the languages and varieties they use; the exact errors do not have to look identical in every language.

Expected variationConcern for disorder
Code-switching or translanguagingWeak learning despite meaningful teaching and support
Cross-linguistic transfer in sound patterns, word order, or morphologyDifficulties evident across languages when exposure is considered
A silent period during early additional-language learningLimited growth over time in both the home language and additional language
Features shared by the speaker's dialect communityErrors not explained by any language or dialect pattern
Uneven proficiency because languages are used for different purposesFunctional communication limitations across settings and partners

Decision rule: Compare the person with peers who have similar language, dialect, cultural, and educational experience, not automatically with monolingual speakers of the test language.

The rest of this outline 6

  1. High-Yield Case History
  2. Assessment Across Languages
  3. Working With an Interpreter
  4. Intervention Decisions
  5. Common Traps
  6. Sources to Know

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