| 58665 | | Plan Date: 02-26-2026 | | Speech Assessment Summary: Based on Israel’s standard scores on the PLS-5, parent report, and clinical observations, he presents with a PROFOUND expressive/receptive language disorder characterized by minimal functional verbal communication, limited spontaneous word use, reliance on echolalic phrases, and reduced use of language for pragmatic purposes. Israel is not consistently using words, gestures, or other communicative means to effectively express wants, needs, or thoughts. His current expressive language abilities are significantly below developmental expectations for his age. Speech therapy is medically necessary and habilitative in nature, as Israel has not yet developed foundational expressive or receptive language skills that are expected at his age. Skilled intervention is required to teach functional communication, increase spontaneous language use, support pragmatic development, and reduce maladaptive behaviors. Without intervention, Israel is at significant risk for persistent communication impairment and limited social participation. | | Speech Progress to Date: Initial evaluation was administered. | | Speech Rehabilitation Potential: Israel demonstrates fair to good rehabilitation potential. Although his language skills are profoundly delayed, he shows emerging imitation skills and benefits from structured support and caregiver involvement. With consistent, skilled speech-language intervention and caregiver carryover, he is expected to make measurable progress in developing functional communication skills. Prognosis for improvement is dependent upon therapy consistency, implementation of home strategies, and ongoing developmental 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 | In 12 months, Israel will demonstrate improved receptive language skills with 70% accuracy, given supports as needed to improve functional comprehension and safety across environments. | | Expressive Language | In 12 months, Israel will demonstrate improved expressive language skills with 70% accuracy, given supports as needed to increase effective communication and social participation. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Receptive Language | In 6 months, Israel will follow 1-step commands (e.g., “give me,” “come here,” “sit down”) with gestural cues in 5 out of 10 opportunities, across 3 consecutive sessions, to improve receptive language and functional safety skills. | | Receptive Language | In 6 months, Israel will identify common objects from a field of 2–3 items and/or label familiar objects with 40% accuracy, given cues as needed, across 3 consecutive sessions, to expand functional vocabulary. | | Expressive Language | In 6 months, Israel will use a gesture, sign, picture, or vocalization to request desired objects in 40% of opportunities, given prompts as needed, across 3 consecutive sessions, to reduce frustration and increase intentional communication. | | Play/Socialization | In 6 months, Israel will demonstrate simple pretend play actions (e.g., feeding a doll, making a dinosaur “sleep,” pretending to drive a car) for 1-2 play activities per session, given modeling and visual support, in 3 out of 5 opportunities, to improve symbolic play and language development. | | Pragmatic Language | In 6 months, Israel will engage in reciprocal turn-taking or joint attention activities (e.g., rolling a ball, shared book reading, play routines) for at least 3 consecutive exchanges, given visual and verbal supports, in 3 out of 5 opportunities, across 3 sessions, to increase social engagement and interactive communication. |
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