Speech and Language Evaluation November 2021 School Sample Student D.O.B. Evaluator: Speech and Language Pathologist Test Dates: 10/13/2021, 10/20/21, 10/26/21 Background Sample Student is currently in seventh grade in the Cross Categorical Program at Richard Bernotas Middle School in Crystal Lake. Sample Student transferred into District #xx from District xx in June of 2019. He attended the ASPIRE program for 5th grade in xx and then transitioned into the Cross Categorical program for 6th grade and continues to be in that program for 7th grade. He has been receiving 438 minutes per trimester of speech and language services to address delays in his Receptive and Expressive language skills. Sample Student’s current primary eligibility is Autism. He has been evaluated for Speech and Language abilities as part of the three-year multidisciplinary re-evaluation process. Sample Student is of Hispanic descent and Spanish continues to be a language spoken in the home. The language of academic instruction is English. Sample Student receives ELL services and takes Spanish as one of his academic encores. He reports that he lives with his Mom and Stepdad and he primarily speaks English to them. Sample Student reports that he is learning Spanish. Occasionally his Mom will speak in Spanish to him. He visits his biological Dad often, who also speaks Spanish along with his grandparents and little sister. At Sample Student’s last tri-annual evaluation Jan 2019, he received the following scores: The Clinical Evaluation of Language Fundamentals-5th Edition (CELF-5) revealed these scores (average range=85-115): Core Language SS=77; Receptive Language Index SS=73; Expressive Language Index SS=83; Language Content Index SS=78; Language Memory Index SS=76. Sample Student received the following scaled scores on the individual subtests (average range=8-12, 7 is considered borderline/marginal/at risk): Word Classes ss=7; Following Directions ss=5 ; Formulated Sentences ss=5; Recalling Sentences ss=8; Understanding Spoken Paragraphs ss=5; Word Definitions ss=7; Sentence Assembly ss=9; Semantic Relationships ss=4. Sample Student also had articulation errors but his speech was intelligible to both familiar and unfamiliar listeners. His voice and fluency skills were informally judged to be age appropriate. This evaluation was completed in English. Current testing revealed a significant increase in speech and language skills compared to past achievements. The following report details the results from current speech and language testing. Testing Conditions Due to the Covid-19 outbreak and CDC safety guidelines, schools at the time of this test physically were in session however, mitigation rules were in place. Most testing was completed sitting 3-6 feet apart with both of us wearing masks covering our nose and mouth. The standardized tests 1 administered have not been normed under these testing conditions. Therefore, these scores may be an underrepresentation of actual ability and should be interpreted with caution. Articulation- Not formally assessed. No concerns regarding intelligibility or articulation have been noted or reported to have adverse educational effects. Sample Student is reported in the classroom to be 95% to 100% intelligible. Vocal Quality – is within normal limits, no concerns regarding voice. Fluency – is within normal limits, no concerns regarding fluency. Receptive and Expressive LanguageThe Clinical Evaluation of Language Fundamentals – 5 is a diagnostic battery which assesses a student’s receptive and expressive language abilities in multiple contexts. [A Standard Score between 85 and 115 is considered to be within the normal range.] Sample Student’s scores ranged from the mildly delayed range to the average range. He achieved average scores in core language skills, receptive language, and the language content index. He scored in the mildly delayed range on expressive language, and language memory. His strength was in the receptive language content index consisting of the subtests word classes, following directions, and semantic relationships. Sample Student’s most challenging area was in the expressive language index, which included the subtests, sentence assembly, formulated sentences, and recalling sentences. When broken down by subtest, Sample Student’s strongest areas were in following directions, semantic relationships, & sentence assembly. Core Language: Standard Score 85 Percentile Rank 16% Sample Student’s Core Language Skills were in the average range. Receptive Language: Standard Score 98 Percentile Rank 45% Sample Student’s Receptive Language Skills were in the average range. Expressive Language: Standard Score 80 Percentile Rank 9% Sample Student’s Expressive Language Skills were in the below-average range. Language Content Index: Standard Score 85 Percentile Rank 16% Sample Student’s Language content was in the average range. Language Memory Index: Standard Score 82 Percentile Rank 12% Sample Student’s Language Memory was in the below-average range. 8 Subtests: [Scaled Scores (ss) between 7 and 13 are in the normal range.] Word Classes ss 8 Following Directions ss 10 Formulated Sentences ss 4 Recalling Sentences ss 7 Understanding Spoken Paragraphs ss 7 Word Definitions ss 8 Sentence Assembly ss 9 Semantic Relationships ss 11 2 Pragmatics Profile ss 6 Word Classes – Receptive- The student chooses the two words that are related based on semantic class features such as function, place or time of occurrence. Having this skill allows the student to make connections between words, which aids in extending word meaning, naming synonyms, development of syntactic networks, and facilitation of word retrieval. Sample Student’s skills were in the average range. Scaled Score 8 Following Directions- This subset assesses the student’s ability to interpret spoken directions of increasing length and complexity. The student is expected the follow the stated order and focus in on a wide variety of colors, shapes, and/or location. These abilities reflect short-term and procedural memory capacities. Sample Student’s skills were in the average range. Scaled Score 10 Formulated Sentences - The student creates a sentence about the picture presented using target words or phrases given by the examiner. This allows a student to formulate semantically-, syntactically-, and pragmatically-acceptable spoken and written sentences of increasing complexity and integrate these into narratives, discourse, and written text. Sample Student was able to make sentences using the target word and picture presented. He was successful and forming sentences with nouns, pronouns, and verbs. He had difficulty using adjectives, adverbs, conjunctive adverbs, and coordinating, subordinating, and correlative conjunctions. Sample Student’s skills were in the below-average range. Scaled Score 4 Recalling Sentences - The student imitates sentences presented by the examiner. This subtest evaluates the student’s ability to listen to spoken messages of increasing length and complexity, and repeat the sentence without changing the meaning or content. The ability to recall spoken sentences is needed in order to follow directions, write to dictation, and learn vocabulary and related subject content. Anything above 12 words was difficult for Sample Student to repeat exactly as spoken. Sample Student’s skills were in the average range. Scaled Score 7 Understanding Spoken Paragraphs - The student responds to questions about a paragraph presented orally by the examiner. The questions target the paragraph’s main idea, details, sequencing, inferential and predictive information. Sample Student’s strength was in prediction, main idea, inference, and social context. He demonstrated the most difficulty in remembering details in sequence. Stories that were of high interest and/or he had background knowledge were a strength for him. Sample Student’s skills were in the average range. Scaled Score 7 Word Definitions – The student is given a word and is asked to define its meaning. Defining words help students learn to expand word meanings to form concepts and be able to develop in depth understanding to increase knowledge in literature. This subtest required Sample Student to be specific in his description of these vocabulary terms. Sample Student knew several of the terms and did his best to give me as many details about the word as possible. Sample Student’s skills were in the average range. Scaled Score 8 3 Sentence Assembly- The student is given sentence parts and is asked to manipulate the parts to make sentences that are grammatically and semantically acceptable and meaningful. Describing events and actions, responding to questions, and rephrasing with flexibility are emphasized in all academic subject areas. Sample Student’s skills were in the average range. Scaled Score 9 Semantics Relationships- The student is given a scenario and is asked to make comparisons, identify location or direction, specify time relationships, understand serial order, and identify passive voice. Interpretation of meaning (concept) relationships presented verbally or in text materials is required in core curriculum areas. Sample Student’s skills were in the average range. Scaled Score 11 Pragmatic Language Skills Sample Student exhibits a delay in pragmatic language. Based on my experience working with him and observing him often in the classroom, this area has improved over time. Sample Student is a kind and social young man who is very respectful to classmates and teachers. Sample Student continues to have some areas needing development and support, which include understanding humor, showing a sense of humor, giving reasons and causes for actions, using facial cues/gestures to express messages. Scaled Score 6 Rituals and Conversational Skills Some of Sample Student’s Strengths: ● Making and responding to greetings to/from others ● Maintain topics using typical responses (nodding, finger tap, etc) ● Observing turn-taking rules ● Participating in structured group activities when requested ● Introducing appropriate topics of conversation (limited) ● Participating in unstructured group activities on his own ● Using strategies to interrupt others ● Making relevant contributions to a topic (limited Responding to introductions and introducing others) Areas needing further development: ● Maintaining eye contact ● Showing a sense of humor related to the topic ● Modifying language based on the communication situation ● Telling jokes related to a situation ● Joining and leaving ongoing communication interactions Asks For, Gives, and Responds to Information Some of Sample Student’s Strengths: ● Understands posted and implied school rules ● Agreeing and disagreeing ● Apologizing ● Responding when asked to change his behavior ● Asking others to change their actions (please stop making that noise) 4 ● Expressions/responding to offerings of appreciation/affection ● Understands posted and implied school rules ● Offering to help others Areas needing further development: ● Reading the social situation correctly and responding typically ● Negotiating ● Responding to teasing, failure, and disappointment ● Asking for help or directions ● Asking for clarification if he is confused Nonverbal Communication Skills Some of Sample Student’s Strengths: ● Adjusts body distance according to situation ● Presents matching gestures/facial expressions with verbal messages ● Correct use of tone of voice and body posture ● Beginning and ending conversations ● Consistently responding to farewells ● Understanding tone of voice and body posture Areas needing further development: ● Presents appropriate facial cues ● Expresses messages by using gestures or facial expressions Vocabulary The Peabody Picture Vocabulary Test 5th edition [form A] was given. [A Standard Score between 85 and 115 is in the average range.] This test measured Sample Student’s understanding of vocabulary in English. Sample Student’s skills were in the average range. S.S. 87 PR 19% Expressive Vocabulary Test 3rd edition was given. [A Standard Score between 85 and 115 is in the average range.] This test measured Sample Student’s use of English vocabulary. Sample Student’s skills were in the average range. S.S. 90 PR 25% Behavior Observations Sample Student is a friendly and outgoing student in the class and demonstrates good participation with support and encouragement in all language groups. Sample Student follows directions and attempts most tasks in the classroom and on testing. He will comment when tasks are challenging for him and when he feels he is being successful. During this Speech and Language evaluation, Sample Student was attentive, cooperative, and engaged. SUMMARY Sample Student is currently in seventh grade in the Cross Categorical Program Middle School in . Sample Student transferred into School District #xx from school in June of 2019. He attended the ASPIRE program for 5th grade in School and then transitioned into the Cross Categorical program for 5 6th grade and now 7th grade. He has been receiving 438 minutes per trimester of speech and language services to address delays in his Receptive and Expressive language skills. Sample Student’s current primary eligibility is Autism. He is a friendly and outgoing student in class and demonstrates good participation. During this Speech and Language evaluation, Sample Student was attentive, cooperative, and engaged. These results are deemed reliable and an accurate description of Sample Student’s abilities but must be interpreted with caution. When interpreting the scores, take into consideration that administration of the test was done at a 3- 6 foot distance wearing face masks. When comparing previous test scores from 2018 to now, significant improvements have been made. Oral motor skills, fluency, and voice were informally evaluated and considered to be within the typical range with no concerns reported. Articulation skills were informally judged to be in the average range. No concerns regarding intelligibility or articulation have been noted or reported to have adverse educational effects. Sample Student is reported in the classroom to be 95% to 100% intelligible. Overall, Sample Student received a Core Language Score of 85 (confidence interval = 80 to 90, percentile rank = 16%). This places Angle in the mild-at-risk range of language functioning. His receptive and expressive language index scores were 98 and 80 respectively. Based on the achieved scores, Sample Student’s receptive language skills are much stronger than his and expressive skill ability. He demonstrated relative strength in the tests: Following Directions, Semantic Relationships, and Sentence Assembly. Sample Student’s most challenging areas were in Pragmatic Skills and Formulated Sentences. ○ Core Language Standard Score: 85 ○ Receptive Language Index Standard Score: 98 ○ Expressive Language Index Standard Score 80 Sample Student exhibits a delay in pragmatic language. Based on my experience working with him and observing him often in the classroom, this area has improved over time. Sample Student is a kind and social young man who is very respectful to classmates and teachers. Sample Student continues to have some areas needing development and support, which include understanding humor, showing a sense of humor, giving reasons and causes for actions, using facial cues to express messages. Receptive Vocabulary skills are in the average range. PPVT-4 Standard Score 87. Expressive Vocabulary Skills are in the average range. EVT-2 Standard Score 75. Receptive and expressive vocabulary skills are in the average range. Areas of Strength: ● Receptive and Expressive Vocabulary knowledge and retrieval ● Understanding the relationship of words in sentences to determine meaning (Semantic Relationships) ● Following basic 3 step directions 6 ● ● ● ● ● Comprehension of longer (paragraph) presentations of verbal information Using pronouns and possessives and verbs in sentences Articulation skills Fluency and Voice Oral Motor Skills Areas of Need: ● Pragmatic Social skills ● Formulation of grammatically correct sentences ● Understanding figurative language Delays in expressive and pragmatic language skills interfere with Sample Student’s ability to demonstrate what he has learned. Communicating both orally and in written form is compromised. This makes it challenging for him to demonstrate what he knows and for a listener to understand what is being communicated. It also negatively affects Sample Student’s ability to communicate effectively with peers and staff in the educational environment. These results will be shared at the Multidisciplinary Conference and recommendations will be made at that time. 7