| ID | Date | Type | Evaluation Diagnosis |
26290 | 02-18-2026 | Speech Initial Evaluation | F80.2 | | Speech Background History: Logan is a 2-year 1-month-old male who was referred by his pediatrician for a comprehensive speech and language evaluation due delayed milestones and limited language skills. Logan’s father served as the informant for the evaluation. The evaluation was performed in English, as that is the primary language spoken to him at home. Logan’s father reported that pregnancy was unremarkable, however, Logan’s mother required an emergency C-section due to her water breaking before dilation. He reported no complications after birth and no NICU stay required. Logan’s father reported concerns with his expressive language skills stating that Logan uses gestures and vocalization to communicate. He reported that Logan began using words (e.g., mama, dada) around 9 months, however, no longer uses these words or any words to communicate. He reported limited concerns with receptive language skills and that he tends to understand more than what he can say. |
| Speech Medical History: Logan’s father reported that there have been no major illnesses, accidents, surgeries, or diagnoses. |
| Speech Medications: None at this time |
| Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy, |
| Speech Communication Strengths: Auditory and visually alert and attentive, |
| Speech Communication Weaknesses: Diminished vocabulary, Poor use of eye contact, Poor vocabulary, Unable to follow commands, Unable to take turns, |
| Speech Background Summary: |
| Speech Diagnosis/Impressions: Based on formal assessment, parent interview, and clinical observation, Logan presents with profound mixed receptive/expressive language disorder. Speech therapy is warranted, as Logan does not communicate like other children his age. Without speech therapy, Logan's safety risk is high, as he may not be able to follow directions to safety and/or be understood when communicating pain, wants, needs, or the need for assistance to familiar and unfamiliar listeners. |
| Speech Diagnosis/Impressions: Based on formal assessment, parent interview, and clinical observation, Logan presents with profound mixed receptive/expressive language disorder. Speech therapy is warranted, as Logan does not communicate like other children his age. Without speech therapy, Logan's safety risk is high, as he may not be able to follow directions to safety and/or be understood when communicating pain, wants, needs, or the need for assistance to familiar and unfamiliar listeners. |
| Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions |
| ID | Plan of Care |
| 58470 | | Plan Date: 02-18-2026 | | Speech Assessment Summary: Based on formal assessment, parent interview, and clinical observation, Logan presents with profound mixed receptive/expressive language disorder. Speech therapy is warranted, as Logan does not communicate like other children his age. Without speech therapy, Logan's safety risk is high, as he may not be able to follow directions to safety and/or be understood when communicating pain, wants, needs, or the need for assistance to familiar and unfamiliar listeners. | | Speech Progress to Date: Initial evaluation completed. | | Speech Rehabilitation Potential: Rehabilitation potential is good with speech therapy and parental support. Logan will be discharged from speech therapy when he receives a standard score above -1.5 standard deviations from the mean for all impairments indicating that his speech and language skills will be in the mild to average range. | | 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 | In 1 years time, Logan will demonstrate age-appropriate receptive language skills in 9 out of 10 trials in order to increase understanding during day to day tasks with family and caregivers. | | Expressive Language | In 1 years time, Logan will utilize age-appropriate expressive language skills in 9 out of 10 trials in order to communicate effectively with family and caregivers regarding his wants and needs. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Play/Socialization | In 6 months time, Logan will maintain joint attention appropriately for 1-2 minute intervals in 2/5 opportunities in order to improve participation during play activities, shared reading, and learning opportunities. | | Play/Socialization | In 6 months time, Logan will engage in appropriate play (functional play, relational play, and self-directed play) 2/5 opportunities in order to participate in play activities with family, caregivers, and peers. | | Receptive Language | In 6 months time, Logan will follow 1-step directions to include "give me", “point to”, show me” etc. and inhibitory words (“no”, “wait", “stop”) with 30% accuracy in order to increase understanding when following directions from family and caregivers during day to day tasks. | | Receptive Language | In 6 months time, Logan will imitate environmental/non-speech sounds, gestures and/or words with 30% accuracy in order to increase imitation and word use. | | Expressive Language | In 6 months time, Logan will produce bilabials and combine sounds to form syllables with 30% accuracy in order to allow for progress towards approximation of words. | | Expressive Language | In 6 months time, Logan will use core vocabulary (functional words/phrases) (i.e “mom”, “more”, “all done”, “help me” etc.) with 30% accuracy in order to allow for functional communication regarding wants and needs with family and caregivers. |
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