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Upcoming DDS Certification Workshop
October 22, 2009
Sponsor: Saskatchewan Society of Occupational Therapy
Contact:
bev.lamb@gov.sk.ca or
Joanna.helland@fhhr.ca

The Dysphagia
Disorders Survey and The Dysphagia Management Staging Scale
are standardized screening
tests for feeding and swallowing disorders in children and adults with
developmental disabilities. The Dysphagia Disorders Survey (DDS) and The
Dysphagia Management Staging Scale (DMSS) were developed by Justine Joan
Sheppard, Ph.D., to provide cost-effective and efficient clinical
identification of dysphagia and other feeding and swallowing disorders, to
track changes in these disorders and to help determine the necessity for
clinical, medical, and instrumental evaluations. These tools have been in
use since 1986 for research and clinical management. They are used currently
in the United States, The Netherlands, Australia, New Zealand and Canada.
The DDS is used by individually Certified clinicians and as integral
components of the nutritional management programs at Certified residential
and day treatment sites and schools. This assessment package also includes
the Choking Risk Assessment (CRA) and the Pneumonia Risk Assessment (PRA).
These tools are available only through Certification Workshops. They are
published and distributed by Nutritional Management Associates, LLC.
About the Dysphagia
Disorders Survey (DDS) and the Dysphagia Management Staging Scale (DMSS)
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The DDS is a quick test for dysphagia, unsafe eating
behaviors and delayed development of eating skills that has been
standardized on over 800 people, including children and adults, with
developmental disabilities. It can be administered in as little as 10
minutes.
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The DDS is appropriate for use for ages, 2-years through
adulthood.
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The DDS is a task analysis tool that describes the
characteristics of the disorder and provides raw and standardized scores
that are numerical measures of severity. The scores permit test-re-test
comparisons, and comparisons between individuals and between groups of
individuals.
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The DMSS is a five-level scale for rating severity of
involvement for feeding and swallowing disorder based on management
needs and health related outcomes. It is used in conjunction with the
DDS.
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The CRA and PRA are short check lists that predict the
likelihood that an individual will have a choking episode or pneumonia
within a five year period. They are standardized only on adults
with developmental disability.
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Speech-language pathologists, Occupational therapists,
Physical therapists, Dieticians, Nurses, and other licensed
professionals who have attended a Certification workshop can administer
the DDS. Facilities certified to subscribe for use of the DDS are
renewed annually.
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The DDS has been used in peer reviewed, published
research studies involving children and adults (see references below)
The Certification
Workshop for The Dysphagia Disorders Survey, and The Dysphagia Management
Staging Scale
Workshop title: SCREENING ASSESSMENT
FOR CHILDREN AND ADULTS
WITH DEVELOPMENTAL DISABILITIES, A Certification Workshop For The
DYSPHAGIA DISORDERS SURVEY And The DYSPHAGIA MANAGEMENT STAGING SCALE
Contents of the DDS/DMSS
workshop:
Nutritional Management Associates provides Certification workshops for the
use of The Dysphagia Disorders Survey and The Dysphagia Management Staging
Scale to facilities, agencies and individual professionals. Use is
restricted to Certified providers.
About the
Certification workshop for the DDS and DMSS
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The workshop includes discussion, training and practice
in:
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Feeding and
swallowing disorders in children and adults with disabilities
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The full range of
assessment options for feeding and swallowing disorders
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The Nutritional
Management Program for people with disability and how this screening
assessment can improve efficiency and effectiveness of management
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Use of the CRA and
PRA as part of a screening protocol
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Procedures for
administering the DDS and DMSS
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Administering the
DDS and DMSS using videotapes of individuals with disabilities
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Using the results
for developing management plans
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Participants are invited to bring videotapes of cases
for presentation and practice.
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The registration fee includes admission, The DDS and
DMSS manual and test forms, The CRA and PRA forms and User’s Guide,
registration as a trained user, and the Certificate, suitable for
framing, that documents the participant’s qualification.
Note:
Training workshops for
agencies and facilities are arranged on request. Training workshops for
certifying individual providers are scheduled regularly.
Research Studies Using the Dysphagia Disorders Survey
Balandin, S., Hemsley,
B., Hanley, L. & Sheppard, J. J. (2009). Understanding Mealtime Changes for
Adults with Cerebral Palsy and the Implications for Support Services.
Journal of Intellectual & Developmental Disability, 34(3), 1-32.
Calis, E., Veugelers,
R., Penning, C., Sheppard, J., Tibboel, D., & Evenhuis, H. (2008). Dysphagia
in children with severe generalized cerebral palsy and intellectual
disabilities. Developmental Medicine and Child Neurology, 50(8),
625-630
Sheppard, J. J. (2002).
Swallowing and Feeding in Older People with Lifelong
Disability. Advances in Speech Pathology, 4(2), 119-121.
Sheppard, J.J. (1998). Natural History of Dysphagia in Developmental
Disability. Dysphagia Research Society Meeting, New Orleans, Oct.
Sheppard, J. J. & Hochman, R. (1989). Clinical Symptoms of Dysphagia in
Mentally Retarded Individuals. Paper presented at the American
Speech-Language-Hearing Association Annual Convention, St. Louis, Nov.
Sheppard, J. Liou, J., Hochman, R., Laroia, S. & Langlois, D. (1988).
Nutritional correlates of
dysphagia in individuals institutionalized with mental retardation.
Dysphagia, 3, 85-89.
Sheppard, J. J. & Hochman, R. (1988b). Screening Large Residential
Populations for Dysphagia. Paper presented at the American Academy for
Cerebral Palsy and Developmental Medicine, 42nd Annual Meeting, Toronto,
Oct.
Sheppard, J. J. & Hochman, R. (1988a). Dysphagia Disorders in a Large
Residential Setting. Paper presented at the 112th Annual Meeting of the
American Association on Mental Retardation, Washington, D.C., May
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