2/6/2025 12:36PM-1:25PM
S: Alexandra was seen at the Batt School for a language screening assessment as well as initial therapeutic intervention for a speech sound disorder. She was eager to work with the SLP throughout the session. Play-based therapy techniques and language screening assessment were utilized to assist in developing an appropriate plan of care for Alexandra. Alexandra enjoyed playing with dinosaurs and unicorns throughout the session. O: Through play-based therapy and language screening assessment, Alexandra presented with a variety of language difficulties. These include receptive identification of prepositions (i.e. when provided a field of 4 answer choices (4 pictures) and a prompt to identify a specific preposition), expressive identification of prepositions (i.e. when provided a picture and a prompt to identify the location of a noun shown), expressive categorization (i.e. given a category, listing items within the category provided; e.g. name 3 items on a playground), identifying differences within similar objects (e.g. how are a plane and bird different), expressive use of the present progressive (-ing), and utilizing increased utterance length when discussing a picture scene. Through play-based activities, the /r/ sound continued to be addressed at the word level. Percentages across positions are as follows: initial /r/: 90%, medial /r/: 20%, and final /r/: 20%. /sh/ sound informally targeted. A: Alexandra presents with language difficulties that may impact her both socially and academically. The language concerns mentioned above will be addressed in her updated POC. P: Develop POC.