SPEECH & LANGUAGE EVALUATION.pptx

When a child or adult suffering with communication disorder, it is necessary to perform a speech & language evaluation. we perform it after case history. This assessment should be performed by a speech language pathologist. In this assessment a SLP is asked about mode of communication,language background,details about receptive and expressive verbal and nonverbal communication.There will be an assessment of all oral peripheral mechanism in the form of appearance and function.In the end there will be assessment of formal tests as REELS,SECS and many more.In the end SLP will give provisional diagnosis and recommendations.

1. SPEECH & LANGUAGE EVALUATION ANSHITA SINGH (ASLP)

2. CASE HISTORY All d etails from the starting of the problem till the case came in front of you….. Demographic details Family history Prenatal/natal/Postnatal history Medical history

3. CONT… Developmental history/milestones ( Physical/social-emotional/speech & Language/cognitive) Educational history Complaint Recommendations

4. DEMOGRAPHIC DETAILS Name: Age/sex: Informant: Complaint: Case no : Date: Clinician:

5. SPEECH & LANGUAGE DVELOPMENT HISTORY Vocalization: Babbling: First word: First sentence:

6. MODE OF COMMUNICATION Verbal ( ) Nonverbal ( ) Both ( )

7. VERBAL COMMUNICATION Comprehension Expression Words Phrases Simple sentences Complex sentences Vocalization Words Phrases Simple sentences Complex sentences

8. NONVERBAL COMMUNICATION Comprehension Expression S igns Gestures Facial expression Signs Gestures Pointing Dragging

9. LANGUAGE BACKGROUND Language exposure at home: Language used by the child:

10. SPEECH STIMULATION AT HOME Adequate ( ) Inadequate ( )

11. ORAL PERIPHERAL MECHANISM Appearance Function Lips Tongue Teeth Hard Palate Soft Palate Mandible

12. ARTICULATION AT PHONOLOGICAL LEVEL Vowels: Consonants: Blends:

13. VOICE Pitch: Loudness: Quality: Breath control & Phonation Duration: Trial 1- Trial 2- Trial 3-

14. SUPRASEGMENTAL ASPECTS Accent: Emphasis: Intonation: Phrasing: Rate of speech:

15. SPEECH INTELLIGIBILITY Intelligibility Rating Scale No noticeable differences from normal. Intelligible though some differences occasionally noticeable. Intelligible although noticeably different. Intelligible with careful listening although some words unintelligible Speech is difficult to understand with many words unintelligible Usually is unintelligible. Unintelligible.

16. CONT… Choose the item which best describes the client's running speech in an unknown context; do not use half intervals. When determining the intelligibility rating, assume the listener is unaware of context or topic. In the report refer to this scale in the following way: "His intelligibility was rated a "5" (speech is difficult to understand with many words unintelligible on a 7 point rating scale where "1" = no noticeable differences from normal, "7" = unintelligible).

17. FORMAL TESTING ON REELS ON RELT ON GESTURAL SCALE ON 3D LAT ON SECS

18. REELS Ages: Birth through 36 months Testing Time: 20 minutes The Receptive–Expressive Emergent Language Test–Fourth Edition (REEL-4) was designed to help you identify infants and toddlers who have language impairments or who have other disabilities that affect language development. It is especially useful as an assessment and planning instrument in Early Childhood Intervention programs mandated under P.L. 99-457. The REEL-4 has two subtests that make up the Language Ability composite, Receptive Language and Expressive Language, as well as a supplementary Vocabulary Inventory test, composed of the Nouns and Expanded subtests. Results are obtained from a caregiver interview.

19. READING & WRITING SKILLS R eading Writing Letter recognition Word recognition Reading comprehension Copying Writing to dictation Spontaneous writing

20. DIAGNOSTIC FORMULATION Summary of all speech and language evaluation

21. PROVISIONAL DIAGNOSIS Delayed Receptive & Expressive Speech & Language Development/ Skills Phonological /Articulation Disorder Voice Disorder Fluency Disorder Dysarthria Aphasia Apraxia

22. RECOMMENDATIONS Audiological evaluation Psychological evaluation Physical evaluation Educational Guidance Vocational Guidance Intensive speech & language stimulation at home

23. CONT… Speech and language therapy Articulation /Voice/Fluency therapy at nearest center Oral motor exercises Vocal hygiene Psychological counseling Audiological habilitation