2/10/2025 3:30PM-4:30PM
S: Noah was seen at the Batt School for a rapport building session, as well as for assessment to develop an updated plan of care. He was eager to talk to and work with the SLP throughout the session, telling the SLP about school, friends, family, etc. Play-based therapy techniques, speech sound screening assessment and structured language tasks were utilized to assist in developing an appropriate plan of care for Noah. O: Through speech sound screening assessment and play-based therapy, some speech sound difficulties were displayed. Errors patterns included deaffrication (e.g. a “stop” sound (/p/, /b/, /t/, /d/, /k/, /g/) replaces an affricate (/ch/, /j/) and incorrect production of /th/. Language probes were also provided. First, Noah was asked to spell his first name and completed the task with 100% accuracy. He then was asked to spell his last name given verbal cues (i.e. isolated letter sounds). He was able to spell his last name with 43% accuracy. Lastly, Noah completed a letter-sound correspondence activity where he was asked to identify the letter when provided with its sound and a field of 3 letter choices. He completed the activity with 54% accuracy A: Noah presents with both speech sound and language difficulties. Speech sound difficulties include production of affricates and production of /th/ across positions of words. Language difficulties include phonological processing skills such as letter-sound correspondence. P: Continue assessment and develop a plan of care.