3:30PM-4:30PM
S: Noah was seen at the Batt School for a second 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. Play-based therapy techniques, language screening assessment and structured language tasks were utilized to assist in developing an appropriate plan of care for Noah. O: Through language screening assessment and play-based therapy, some language difficulties were displayed. They include: 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), expressive identification of attributes (e.g. what is the same/different between two objects), and initiating of questions/comments when given a picture scene. Noah was then given speech sound probes at the word level with an initial model. The speech sounds, position, and percentages are as follows: /sh/ initial: 90% ; /sh/ medial: 95% ; /sh/ final: 95% ; /ch/ initial: 85% ; /ch/ medial: 90% ; /ch/ final: 80% ; /j/ initial: 70% ; /j/ medial: 60% ; /j/ final: 60% A: Noah presents with both speech sound and language difficulties. Speech sounds should be targeted at the phrase level and higher with fading cues. Language difficulties include: expressive identification of prepositions, expressive categorization, expressive identification of attributes, and initiating of questions/comments when given a picture scene. P: Develop a plan of care. Assess to establish baselines.