Examination / Language Evaluation By Her Mother

A Sound Beginning is an assessment of phonological awareness at four different levels: Word Level, Syllable Level, Onset-Rime Level, and Phoneme Level. Phonological awareness is the manipulation of sounds in spoken language and is an important building block for reading. The assessment is administered orally that would include the student tapping, deleting, segmenting, and blending different sounds. Felipe’s score for each level is as follows:

Summary of Interpretation: Given the information provided in Interpretation A, the clinician diagnosed Kara-Lynn with a severe phonological disorder. This diagnosis was made based on evidence provided by testing results, clinician observations, and speech analyses. Kara-Lynn demonstrated phoneme collapses into /d/ in place of stops (/p/, /t/, /k/, /g/), fricatives (/s/, /z/, /θ/, /ð/), and some consonant clusters (/tr/, /gr/) across all word positions. For example, Kara-Lynn produced /diə/ for “seal,” /dædɚ/ for “treasure,” and /dədudɚ/ for “computer.” Kara-Lynn also presented with active phonological processes of final consonant deletion (/fɪ/ for “fish”), cluster reduction (/tul/ for “school”), vocalization (/ɛləkə/ for “helicopter”), and deaffrication (/ʃi/ for “cheese”). She also presented with inconsistent patterns of initial-consonant deletion (/ɑʊps/ for “house”, /ɪʒ/ for “bridge”). In most instances, Kara-Lynn presented with both final consonant deletion and another phonological process, which markedly impacted her speech intelligibility, as when she produced /lɑʊ/ for “clown,” demonstrating both final consonant deletion and cluster reduction. She also expressed a high percentage of CV (27%) and CVC (29%) syllable and word shapes, with little other variation. Analysis of Kara-Lynn’s speech sample revealed similar errors exhibited during formal assessment, including phoneme collapse into /d/, high occurrences of initial and final consonant deletion and cluster

The Sounds in Words subtest of the Goldman Fristoe Test of Articulation – Third Edition (GFTA-3) was administered to assess L.R.’s speech sound inventory. The Sounds-in-Words subtest was used to elicit L.R.’s spontaneous speech production of single words using pictures and/or verbal cues. The subtest also assesses articulation of speech sounds in all word positions at the single word

There, I had the privilege of seeing an Early-Intervention Speech Therapist work with one of my students. She would sit on the floor and play games with him. Through these games, she was able to elicit verbalization from this child who normally grunted to communicate. Over a course of a year, I witnessed his communication skills enhance little-by-little with the assistance of this therapist. I had not realized how much he had improved until I saw him interacting with his friends at the dress-up center. This little boy who would once play alone on the floor was now requesting different objects and laughing with his friends. Recollecting his progress was phenomenal. Inspired by what I saw, I researched more about the field. While doing so, my mother disclosed to me that she and her father had an articulation disorder. Although my grandfather did not receive services, my mother received therapy in school, which she recalls as an unpleasant experience. Taking into account all that I witnessed and learned about the subject, I realized that I had found the middle ground between teacher and therapist that I had been searching for in Speech-Language Pathology.

Auditory Processing Disorders, also known as Central Processing Disorders, are difficulties in the processing of auditory information in the central nervous system. The definition for an Auditory Processing Disorder is frequently changing and evolving. According to ASHA standards in 2005, a “central processing disorder refers to difficulties in the perceptual processing of auditory information in the central nervous system and the neurobiological activity that underlies the processing and gives rise to the electrophysiological auditory potentials (ASHA 2005).” Recent evidence has declared auditory processing disorders to be a legitimate clinical disorder resulting from confirmation of the link between well-defined lesions of the central nervous system and deficits on behavioral and electrophysiological central auditory measures (Musiek, F. Journal of American Academy of Audiology). An individual is likely to perform normally in tests including clicks and tones, rather than speech. There is a significant difference between the receptors for audition and speech processing. It is imperative that these disorders are diagnosed and treated early in a child’s development to eliminate developmental negative consequences.

Preschoolers with verbalization sound disorders have clinically consequential impairments in the engenderment of sound production of the ambient language. Although many of these produced sound errors resolve after several years (with or sometimes without intervention), developmental appropriate speech sound production is not always achieved. Some sound errors may continue into adulthood. Concretely, (Preston, Hull, & Edwards, 2013) intended to determine if preschool verbalization error types (e.g., atypical sound errors and distortion errors), which may reflect different levels of psycholinguistic processing, are indicative of school-age phonological awareness and verbalization sound outcomes.

Ava Bracciante, an eight year-one month old female, who has been attending Lehman College Speech and Hearing Clinic since spring 2014 due to parental concerns regarding her articulation. She is currently attending the clinic once a week for 50-minute sessions. Ava’s parents, Mr. and Mrs. Bracciante, provided the case history report and stated that Ava received a speech-language evaluation at the Ampark School in 2014. The evaluation revealed gliding of the lingua-palatal rhotic /r/ and vocalization of the rhotic diphthong /ɚ/; her intelligibility was not compromised; therefore, she did not qualify for services. Mrs. Bracciante reported that she has seen an improvement in Ava’s speech and is an active participant to her progress.

Kara-lynn is a 3 year; 6 month old female presenting with a severe phonological disorder. Her results from testing indicate that her speech intelligibility is significantly reduced due to multiple phoneme collapses into /d/ of the following phonemes and consonant clusters: /p/, /g/, /k/, /s/, /z/, /θ/, /ð/, /tr/,and /gr/. In addition, the use of multiple phonological processes, including: final consonant deletion, initial consonant deletion, cluster reduction, vocalization, and deaffrication also significantly contribute to her reduced intelligibility. Her speech intelligibility in known context was calculated to be 64%, which is low for a child who is 3 years; 6 months(consider adding reference). Reduced intelligibility can impact a child’s ability to communicate wants and needs, making Kara-Lynn’s speech intelligibility an area of need.

Language is beautiful and wondrous phenomenon. Not only is it a crucial component in everyday communication, but it also accentuates the culture of those that speak it. As a student pursuing a career in speech-language pathology, the aspects of communication, such as language, are the pillars of my future profession and will be deeply embedded into my daily life. There are many reasons I have chosen this path, but my childhood friend, Jasmine, can be accredited with my finishing decision to become a speech-language pathologist. When I was in elementary school, Jasmine was one of my closest friends, but I did not always get to play with her at recess because she frequently had to see an audiologist, or go to speech therapy. Jasmine had a congenital

Theories of language learning can further be broken into theories for speech-sound errors and treatment for these disorders. One of these theories is sensory-perceptual theory with sound production training. This relates to errors due caused by a breakdown in sensory and motor systems of individual sound units (Peña-Brooks & Hedge, 2015). In contrast, the phonological theory suggests errors unrelated to motor skill but, instead, to misrepresentations of phonological rules (MacReynolds, 1987). While neither approach has proven to be most effective in the generalization of correct productions of speech sounds, this paper will be using the sensory-perceptual theory of language acquisition.

Neurological systems were also evaluated to identify any existing health or comorbidities promptly and to utilize interventions such as referral to neurologists, ophthalmologists, or speech pathologists if necessary. Developmental red flags, in this case, would include the inability to understand the use of action words and being unable to follow two-step direction (Bellman et al., 2013). This would be indicative of receptive language delay. Expressive language delays are characterized by a child’s inability to ask for things by name, use no less than 200 words, or repeat phrases in response to questions (Stevenson & Richman, 2016). However, none of these red flags was reported by the child’s

The following information was derived from a review of Morgan’s academic record. Morgan attended Academy Nursery School in September of 2005. In October of 2005 Morgan was referred for a multidisciplinary evaluation due to concern regarding her speech and language development. As a result, she was administered the Goldman-Fristoe Test of Articulation-2 and the Clinical Evaluation of Language Fundamentals-Preschool-2 (CELF-P2). Results from the evaluation revealed her speech intelligibility was rated in the poor range and she demonstrated low language skills.

Ibrahim, Kilpatrick, Reilly, and Vogel (2009) performed a comparative study of the acoustic measures of hypernasality in the speech of school-aged children aged 2-14 years, some with cleft lip/palate and others without cleft lip/palate. Ibrahim, Kilpatrick, Reilly, and Vogel (2009) provided perceptual ratings of the hyper/hyponasality of vowel production in the children’s speech. Any child who was sick or had acquired an upper respiratory infection was excluded from the study, as was any child with cleft lip/palate who also had any other disorders or comorbidities. The study included a perceptual assessment in which two speech therapists were required to agree upon the perception of the phonemes the child produced. Each child held and sustained two vowels, followed by production of two CVC words without nasal phonemes. This process was repeated five times with each child. The

Communication is very crucial in life, especially in education. Whether it be delivering a message or receiving information, without the ability to communicate learning can be extremely difficult. Students with speech and language disorders may have “trouble producing speech sounds, using spoken language to communicate, or understanding what other people say” (Turkington, p10, 2003) Each of these problems can create major setbacks in the classroom. Articulation, expression and reception are all essential components for communication. If a student has an issue with articulation, they most likely then have difficulty speaking clearly and at a normal rate (Turkington, 2003). When they produce words, they

Woodcock Johnson Test of Psycholinguistic Abilities Revised. It has good high level tasks for specific drill down areas and strong norms including pediatrics /grade level equivalents but is not normed for ABI or other disease categories.