Your logo goes here [PROGRAM] [SITE] Address City, State Zip PH: FX: SPEECH-LANGUAGE EVALUATION REPORT Student: Parent(s): Date of Birth: Address: Evaluation Date: Click here to enter a date. Phone: Referral Source: Choose an item. Primary Concern(s): Choose an item. BACKGROUND INFORMATION: XX resides with XXX XX was born Choose an item. via Choose an item. delivery with a birth weight of XX Family history Developmental milestones were reported as the following: first words at XX Medical history is reportedly significant for: Parent concerns BEHAVIORAL OBSERVATIONS: DIAGNOSTIC INFORMATION: Preschool Language Scale-5 (PLS-5) The PLS-5 is a comprehensive developmental language assessment that evaluates Auditory Comprehension (what language the child understands) and Expressive Communication (what the child is able to express) for children ages 0-7;11. Standard Score Percentile Rank Subtest Auditory Comprehension Expressive Communication Total Language Score Standard Scores range from 85—115 with a mean of 100 Clinical Evaluation of Language Fundamentals-Preschool (CELF-P2) Receptive Subtests Sentence Structure Concepts & Following Directions Basic Concepts Scaled Score Percentile Rank Average scaled scores range from 7—13 with a mean of 10 Expressive Subtests Word Structure Expressive Vocabulary Recalling Sentences Scaled Score Percentile Rank Average scaled scores range from 7—13 with a mean of 10 Language Standard Scores Core Language Receptive Language Expressive Language Language Content Language Structure Scaled Score Percentile Rank Average standard scores range from 85-115 with a mean of 100 Expressive One-Word Picture Vocabulary Test The EOWPVT assesses the child’s speaking vocabulary of objects, actions and concepts through picture naming. The child is presented with a picture and asked to name the object and/or express its function/action or category. Standard Score Percentile Rank Goldman-Fristoe Test of Articulation-2 (GFTA-2) The GFTA-2 provides information about a child’s articulation ability by sampling both spontaneous and imitative sound production. The child responds to picture and verbal cues with single-word answers that demonstrate common speech sounds. Additional sections provide further measures of speech production. Standard Percentile Score Rank CLINICAL OBSERVATONS: Answering WH- Questions During this evaluation, an informal WH- question activity was also completed to assess XX’s ability to respond appropriately to a variety of question types. He/She was asked variety of questions without visual support. Accuracy in answering these types of questions is listed below: Question Type What Where Who When Why How Correct Responses Language Sample During informal interactions with this examiner, XX also demonstrated the following communication skills: Pragmatic Language ☐ appropriate eye contact ☐ joint attention ☐ play-based turn-taking (e.g. rolling ball back and forth with another person) ☐ requests attention (e.g. taps arm or says “Mom!” to request attention) Verbal Language Spontaneous utterances observed during this assessment include: INTERPRETATION OF TEST RESULTS: Receptive Language Results from testing suggested Choose an item. receptive language skills at this time with respect to chronological age. The following skills were noted on structured assessment tasks (and/or through observation): Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Difficulty was noted for the following receptive language tasks: Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Expressive Language Results from testing suggested Choose an item. expressive language skills at this time with respect to chronological age. The following skills were noted on structured assessment tasks (and/or through observation): Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Difficulty was noted for the following expressive language tasks: Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Articulation & Phonological Development Overall, articulation and phonological skills were clinically determined to be Choose an item. at this time with respect to chronological age. Intelligibility of connected speech was clinically judged to be Choose an item. in known and Choose an item. in unknown contexts during this evaluation. The following sounds/syllables were marked as errors in imitation of isolated words in English: ☐p ☐b ☐t ☐d ☐k ☐g ☐ ch ☐ j ☐ sh ☐ th ☐ l ☐m ☐n ☐ ng ☐ w ☐y ☐h ☐f ☐s ☐ L-blends ☐ R-blends ☐ S-blends ☐v ☐z ☐r ☐ multisyllabic words The following table provides examples of specific errors noted during this evaluation: Sound Produced Target Sound Initial Position Medial Position Final Position Note: Blank spaces indicate correct production of the sound in that position of the word. The dark gray cells indicate that the corresponding sound was not assessed in that position. Stimulability was assessed to determine if XX was able to accurately produce a target sound when given a model for that sound. This is assessed in isolation, syllables, words, and phrases. The following table outlines his/her performance: SOUND ISOLATION SYLLABLE WORDS PHRASES I M F I M F I M F I M F CLINICAL IMPRESSIONS Results from this evaluation suggest the following: Receptive Language Skills ☐ age-appropriate ☐ delayed Expressive Language Skills ☐ age-appropriate ☐ delayed Articulation & Phonological Skills ☐ age-appropriate ☐ delayed Fluency of Speech ☐ age-appropriate ☐ delayed Vocal Quality/Voice ☐ age-appropriate ☐ delayed [Informal Observations/Concerns] RECOMMENDATIONS: It is recommended that the educational team review this evaluation in conjunction with other relevant assessments and information provided by other team members. A meeting will be scheduled to discuss and determine eligibility for special education services. Suggestions to assist with your child's articulation/ pronunciation include: Do "model" the appropriate articulation for your child. In simpler words, repeat the sentence correctly without the error. Do not actively correct your child if he makes speech or language errors. If a child is constantly being corrected when he speaks then the child may start to feel self-conscious and hesitate before speaking. For example if your child says, "Get in the tar," instead of "Get in the car," Do say, "Yes, get in the car." Do not say, "It's not tar, it's car." During these activities, overemphasize and model the correct production of the sound, do not require your child to repeat it Model good speech for your child using an understandable rate of speech and audible level of volume. This is particularly important if your child typically uses a very fast rate or low volume which decreases their intelligibility. Monitor your child’s hearing ability. If your child frequently has colds or nasal congestion or a history of middle ear fluid or infections, they may not consistently be hearing all the sounds around them. Seek medical attention if these concerns arise. Gain your child’s attention before speaking and have your child look at you as you speak. Your child can pick up important cues about the way you use your lips, teeth, tongue, etc. to produce speech sounds as they watch you speak. Get down to your child’s level as you speak rather than always speaking from above so your child can hear and see your speech productions more easily. If you cannot understand your child’s full utterance, repeat back to them conversationally the part that was intelligible. If your child says, “My brother’s coming down the dreet.”, you can respond “Oh, your brother’s coming down the …?” with a rising intonation or “Your brother’s coming down the what?”. This way, your child can attempt to fill in the misunderstood word and also realize that most of their message was successful. Minimize background noise and distractions when speaking with your child. Turn off the TV or stereo which may create extraneous noise that makes it more difficult for your child to be understood. Refrain from over-correcting or using negative feedback such as "you said it WRONG" Model positively, emphasizing the sounds that are in error Do not allow friends or relatives to "mock" your child. Point out the letters and sounds in words that are difficult for your child while reading to them Children often find it fun to give sounds names "snake sound" for /s/ or "panting dog" for /h/ Get down to your child’s level and let them see your mouth movements as you are saying the sounds/words Suggestions to assist with your child's language development include: Talk about activities as you are doing them, labeling objects, and talking about what is happening. Expand on what your child says by adding more words to make the sentence clearer. For example if the child says, "car." You say, "car go." Only model, do not require your child to repeat you. Use good speech that is clear and simple for your child to model. Help your child understand and ask questions. Play the yes-no game. Ask questions such as "Are you a boy?" "Are you Marty?" "Can a pig fly?" Encourage your child to make up questions and try to fool you. Ask questions that require a choice. "Do you want an apple or an orange?" "Do you want to wear your red or blue shirt?" Expand vocabulary. Name body parts, and identify what you do with them. "This is my nose. I can smell flowers, brownies, popcorn, and soap." If appropriate for your child, you can introduce a new word and offer its definition, or use it in a context that is easily understood. This may be done in an exaggerated, humorous manner. "I think I will drive the vehicle to the store. I am too tired to walk." When your child starts a conversation, give your full attention whenever possible. Make sure that you have your child's attention before you speak. Acknowledge, encourage, and praise all attempts to speak. Show that you understand the word or phrase by fulfilling the request, if appropriate. Offer a description or clues, and have your child identify what you are describing: "We use it to sweep the floor" (a broom). "It is cold, sweet, and good for dessert. I like strawberry" (ice cream). The television also can serve as a valuable tool. Talk about what the child is watching. Have him or her guess what might happen next. Talk about the characters. Are they happy or sad? Ask your child to tell you what has happened in the story. Act out a scene together, and make up a different ending. Take advantage of daily activities. For example, while in the kitchen, encourage your child to name the utensils needed. Discuss the foods on the menu, their color, texture, and taste. Where does the food come from? Which foods do you like? Which do you dislike? Who will clean up? Emphasize the use of prepositions by asking him or her to put the napkin on the table, in your lap, or under the spoon. Identify who the napkin belongs to: "It is my napkin." "It is Daddy's." "It is John's." While shopping for groceries, discuss what you will buy, how many you need, and what you will make. Discuss the size (large or small), shape (long, round, square), and weight (heavy or light) of the packages. Repeat your ideas often and in different ways (for example, “Please put on your sneakers before you go out to play.” “Shoes on first. Then go play.”) Exaggerate important words with your voice (for example, “Time for lunch.” “Wear the blue shirt.”) Point out things that are the same or different. Play games incorporating these concepts that he or she will encounter later in the classroom in reading readiness. Sort items into categories. Now try to sort them by pointing out more subtle differences between objects (e.g., rocks that are smooth vs. those that are rough, heavy vs. light, big vs. small). Again, have your child identify the object that does not belong in a given category, but now ask him or her to explain why the item does not belong. Read stories with easy-to-follow plots. Help your child predict what will happen next in the story. Act out the stories, and put on puppet shows of the stories. Have your child draw a picture of a scene from the story, or of a favorite part. You can do the same thing with videos and television shows, as these also have plots. Ask "WH" questions (who, what, when, where, or why) and monitor his or her response. Expand on your child’s comprehension and expressive language skills by playing "I Spy": "I spy something round on the wall that you use to tell the time." After your child guesses what you have described, have him or her give you clues about something that he or she sees. Read books frequently so that new vocabulary words and concepts can be learned. Ask XX questions about what you have read. When reading to your preschooler, invite him/her to join in on completing and repeating phrases. Repeating makes a book predictable, and your child loves knowing what comes next. Your child may think that he knows how to read because he knows what comes next. Pretending to read is an important step in the process of learning to read. As your child’s interest grows, read books with longer stories. Have XXX follow multi-step directions in the home. For example you can tell him/her to “go to your room get your shoes and bring them to me.” The following are suggestions on how to improve your child’s success at following directions: o Try to remove distractions before giving directions. Distractions, such as TV or other people talking, make it more difficult for a child to concentrate on your directions. o Make sure you have your child’s full attention before giving directions, e.g., say your child’s name or remind your child to look at you. If you need to squat down to look directly in your child’s face, then do it o Gesturing and/or pointing to the object while giving a direction helps a child to understand the message, e.g., holding out your hand while saying, “Give me truck.” As your child gets better at following directions, you can use fewer and fewer gestures. o Keep it simple. Use words that your child understands and use short simple sentences. For example: “Get teddy” as opposed to “Go over there and pick up the teddy.” Eventually add longer and complex directions as he/she is successful. Give feedback. Let your child know when he is right. Praise him/her for what he is able to do. If there are any questions or concerns about this report, please feel free to contact me. Speech-Language Pathologist [email] [phone]