| 58667 | | Plan Date: 02-10-2026 | | Speech Assessment Summary: Based on standardized assessments, parent interview, and skilled clinical observation, Obed presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Obed's communication skills are significantly below age expectations. Without skilled speech-language intervention, Obed's safety risk is elevated, as his limited receptive language skills may impact his ability to understand directions and safety commands, and his expressive language deficits may prevent him from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in Spanish, as this is Obed's primary language of exposure, to ensure effective skill acquisition and generalization within his natural environment.
| | Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support | | Speech and Language Long Term Goals: | | Category | Goal Description | | Home Management Intervention Program | When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. | | Receptive Language | Within 12 months, Obed will demonstrate appropriate receptive language skills with 70% accuracy in order to omprove his overall understanding with peers and caregivers. | | Expressive Language | Within 12 months, Obed will demonstrate appropriate expressive language skills with 70% accuracy in order to increase his overall communication for ADLs. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Receptive Language | Within 6 months, Obed will follow simple one-step directions incorporating basic language concepts and core vocabulary (e.g., open, close, stop, go, sit, give) with 60% accuracy given moderate cues across 3 consecutive sessions to improve receptive language skills and participation in daily routines. | | Expressive Language | Within 6 months, Obed will imitate environmental sounds, animal sounds, exclamatory words (e.g., uh-oh, wow, beep), and simple word approximations using total communication methods (e.g., vocalizations, gestures, and/or signs) with 60% accuracy given moderate cues across 3 consecutive sessions to improve early expressive language skills. | | Receptive Language | Within 6 months, Obed will locate, retrieve, point to, or label common objects when named with 50% accuracy given moderate multimodal cues across 3 consecutive sessions to increase vocabulary development and comprehension of object labels. | | Expressive Language | Within 6 months, Obed will use 1–2 word utterances using total communication (e.g., gestures, signs, verbalizations, and/or AAC) during play or structured activities with 60% accuracy given moderate cues across 3 consecutive sessions to communicate wants, needs, and comments. |
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