| 58778 | | Plan Date: 03-02-2026 | | Speech Assessment Summary: Based on standardized testing, clinical observation, and parent report, Derek presents with a severe mixed receptive-expressive language disorder characterized by significant delays in understanding language, following directions, identifying familiar objects, and using functional expressive language to communicate wants and needs. Derek demonstrates emerging communication skills; however, his expressive vocabulary remains limited to approximately 20–25 words, and he is not yet combining words into phrases, which is expected for children his age. Additionally, Derek’s speech intelligibility is significantly reduced, making it difficult for unfamiliar listeners to understand his verbal attempts. During the evaluation, Derek demonstrated difficulty attending to structured tasks, following verbal directions without repetition, and identifying familiar objects within pictures or groups, further indicating delays in receptive language development.
These communication deficits significantly impact Derek’s ability to effectively communicate his basic wants and needs, follow directions, participate in daily routines, and engage in age-appropriate social interactions with others. Parent report indicates that Derek frequently requires multiple repetitions of directions before responding, and his limited expressive vocabulary often results in reliance on gestures, vocalizations, or repetition of language heard in his environment rather than functional communication.
Given the severity of Derek’s receptive and expressive language delays, skilled speech-language therapy is medically necessary in order to facilitate the development of foundational communication skills. Without intervention, Derek is at risk for continued communication breakdowns, increased frustration, reduced participation in social interactions, and delays in overall cognitive, social, and academic development.
Speech-language therapy will target receptive language comprehension, expressive vocabulary expansion, early word combinations, and functional communication skills in order to improve Derek’s ability to communicate effectively across environments including the home, community, and future educational settings. | | 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. | | Expressive Language | In one year’s time, Derek will increase speech intelligibility by using 1-2+ word utterances with familiar and unfamiliar listeners in familiar settings to communicate a variety of pragmatic functions with 90% accuracy in 4/5 consecutive sessions. | | Receptive Language | In one year’s time, Derek will engage with peers and family and follow simple directions in familiar settings to communicate a variety of pragmatic functions with 90% accuracy in 4/5 consecutive sessions for the purpose of having meaningful communication and for his safety to be able to have his wants and needs understood by family, friends, peers and caregivers. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Receptive Language | In 6 months, Derek will follow simple directions incorporating basic language concepts and core vocabulary (open, close, stop, go, sit, give, etc) with 60% accuracy across 3 sessions when given min-no cues or the purpose understanding and improving functionally communicating with his family, friends and caregivers. | | Receptive Language | In 6 months Derek will increase vocabulary skills by identifying/using early concepts(i.e body parts. colors, etc.) with minimal to no cues at 60% accuracy across 3 consecutive sessions to assist with decreasing frustration and tantrum outburst | | Play/Socialization | In 6 months Derek will appropriately engage and turn take with therapist/play partner with 70% accuracy with minimal to no cueing, across 3 consecutive sessions to increase socialization skills with familiar and unfamiliar people | | Expressive Language | In 6 months time Derek will label common objects with 60% accuracy and minimal cues, across 3 consecutive sessions to assist with expressive language skills. | | Expressive Language | In 6 months, Derek will imitate/produce 1-2 word utterances via total communication (gestures, signs, verbal expression, AAC, etc.,) during activity with 60% accuracy, with minimal to no cues across 3 consecutive sessions to assist with requesting wants/needs | | Expressive Language | Within 6 months, Derek will produce early developing consonant-vowel (CV) or consonant-vowel-consonant-vowel (CVCV) word structures (e.g., mama, baba, cookie approximations) with 60% accuracy across three consecutive sessions |
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