| 58754 | | Plan Date: 02-25-2026 | | Speech Assessment Summary: Based on standardized assessment results, clinical observation, and parent report, Angel presents with a severe mixed receptive-expressive language disorder. Standardized scores fall in the 1st percentile, indicating language abilities significantly below those expected for his age. Angel demonstrates difficulty understanding higher-level language concepts including descriptive language, spatial concepts, inferencing, and negative sentence structures. Expressively, Angel demonstrates limited spontaneous language generation and relies heavily on echolalic or scripted language forms consistent with characteristics of Gestalt Language Processing. While these language patterns serve communicative intent, they limit Angel’s ability to generate flexible and functional language needed for conversation, academic learning, and social participation.
Angel also demonstrated difficulty sustaining attention to structured language tasks and required frequent redirection during the evaluation, which further impacts his ability to process and respond to spoken language. Parent report indicates ongoing difficulty with conversational engagement and reciprocal communication, which affects his ability to develop peer relationships and participate successfully in social interactions.
Due to the severity of Angel’s receptive and expressive language deficits, skilled speech-language therapy is medically necessary to address foundational language comprehension, support development of flexible language generation, and improve conversational communication skills. Without intervention, Angel remains at risk for continued language delays, reduced academic participation, difficulty establishing and maintaining peer relationships, and ongoing communication barriers across environments | | 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, Angel will improve receptive language skills in order to understand age-appropriate directions, questions, and language concepts during functional communication tasks. | | Expressive Language | Within 12 months, Angel will improve expressive language skills by increasing flexible language use and reducing reliance on scripted language to communicate wants, needs, and ideas. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Expressive Language | Within 6 months, Angel will produce novel 3–4 word utterances to comment, request, or describe during structured tasks with 60% accuracy across three consecutive sessions. | | Expressive Language | Within 6 months, Angel will answer simple questions verbally during structured communication tasks with 60% accuracy across three consecutive sessions. | | Play/Socialization | Within 6 months, Angel will maintain attention to structured communication tasks for at least 5 minutes in 3 out of 5 trials with minimal redirection across three consecutive sessions | | Receptive Language | Within 6 months, Angel will demonstrate understanding of descriptive concepts (e.g., big/small, hot/cold, clean/dirty) with 60% accuracy across three consecutive therapy sessions | | Receptive Language | Within 6 months, Angel will demonstrate understanding of spatial concepts (e.g., in, on, under, next to) with 60% accuracy across three consecutive therapy sessions. | | Play/Socialization | Within 6 months, Angel will participate in back-and-forth conversational exchanges for at least 3 conversational turns in 3 out of 5 opportunities with minimal cues. |
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