2/4/2025 12:36PM-1:25PM
S: Alexandra was seen at the Batt School for an additional rapport building session as well as a speech sound screening assessment. She was eager to work with the SLP throughout the session. Play-based therapy techniques and speech sound screening assessment were utilized to assist in developing an appropriate plan of care for Alexandra. Alexandra enjoyed playing with dinosaurs, unicorns, and magnetic tiles throughout the session. O: Through play-based therapy and speech sound screening assessment, a variety of speech sound difficulties were displayed. Errors patterns included incorrect pronunciation of /r/ and /v/ across all positions at the word level, deaffrication (e.g. a “stop” sound (/p/, /b/, /t/, /d/, /k/, /g/) replaces an affricate (/ch/, /j/), and depalatization/palatal fronting (/s/ for /sh/ and /z/ for /zh/). When the assessment was completed, stimulability for the /r/ sound was tracked at the word level via a play-based approach. Alexandra was stimulable in 10% of opportunities. A: Alexandra presents with speech sound difficulties that may impact her both socially and academically. The speech sound concerns mentioned above will be addressed in her updated POC. P: Begin language screening assessment and develop plan of care.