| ID | Date | Type | Evaluation Diagnosis |
26122 | 01-23-2026 | Speech Initial Evaluation | F80.0 | | Speech Background History: Emilio is a 4-year-old 2-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Aguirre and Mr. Duran accompanied him and served as the primary informants for the evaluation. The parents expressed concerns that Emilio has difficulty producing certain speech sounds and is unintelligible to unfamiliar listeners. During the evaluation, Emilio’s expressive language was characterized primarily by the use of 4-5 word sentences with NUMEROUS speech errors. According to developmental norms, a typically developing child of Emilio’s age should have an expressive vocabulary of approximately 1500 words and produce utterances of 4-5words in length and be approximately 75% intelligible. Emilio was evaluated using the Goldman-Fristoe Test of Articulation third edition. LANGUAGE BACKGROUND: LANGUAGE INPUT: Emilio’s parents reported that he is exposed to English and Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Emilio was observed primarily communicating in English and demonstrated limited spontaneous use of Spanish. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. |
| Speech Medical History: According to the parent report, Emilio was born without any complications prior to, during, or following the delivery. |
| Speech Medications: None |
| Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL, |
| Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Follows verbal command without cues, Interactive, |
| Speech Communication Weaknesses: Unintelligible, |
| Speech Background Summary: Emilio was accompanied by his parents for the evaluation, which was conducted in the clinic room. He required SOME prompting to engage in specific evaluation tasks. Emilio demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. He also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION throughout the session. |
| Speech Diagnosis/Impressions: Emilio is a 4-year-old 2-month-old male who was referred by his pediatrician for a speech and language evaluation due to language delay. Mrs. Aguirre and Mr. Duran accompanied him and served as the primary informants for the evaluation. The parents expressed concerns that Emilio has difficulty producing certain speech sounds and is unintelligible to unfamiliar listeners. During the evaluation, Emilio’s expressive language was characterized primarily by the use of 4-5 word sentences with NUMEROUS speech errors. According to developmental norms, a typically developing child of Emilio’s age should have an expressive vocabulary of approximately 1500 words and produce utterances of 4-5words in length and be approximately 75% intelligible. Emilio was evaluated using the Goldman-Fristoe Test of Articulation third edition. LANGUAGE BACKGROUND: LANGUAGE INPUT: Emilio’s parents reported that he is exposed to English and Spanish within his home environment. During the evaluation, Emilio primarily communicated in English and demonstrated limited spontaneous use of Spanish. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Emilio required SOME prompting to engage in specific evaluation tasks. Emilio demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. He also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION throughout the session. Emilio was evaluated using the Goldman-Fristoe Test of Articulation, Third Edition (GFTA-3). Emilio received the following standard score on the GFTA-3: 75 (raw score: 50, percentile: 5, age equivalent: 2 years 8 months to 2 years 9 months). According to the standard score that Emlio received on the GFTA-3, he presents with a MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER.
RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Emilio’s MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Emilio would greatly benefit from speech therapy that targets the following ageappropriate concepts: suppressing and discriminating the following processes: dentalization, cluster reduction, final consonant deletion, and devoicing and accurately producing the phonemes /s/, /z/, and /v/,/b/, /d/, /g/, and /? (ng)/ at the isolation syllable level. Speech therapy is highly recommended at this time, as Emilio’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Emilio’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Emilio’s parents will be responsible for his Home Exercise Program (HEP).
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| Speech Diagnosis/Impressions: Emilio is a 4-year-old 2-month-old male who was referred by his pediatrician for a speech and language evaluation due to language delay. Mrs. Aguirre and Mr. Duran accompanied him and served as the primary informants for the evaluation. The parents expressed concerns that Emilio has difficulty producing certain speech sounds and is unintelligible to unfamiliar listeners. During the evaluation, Emilio’s expressive language was characterized primarily by the use of 4-5 word sentences with NUMEROUS speech errors. According to developmental norms, a typically developing child of Emilio’s age should have an expressive vocabulary of approximately 1500 words and produce utterances of 4-5words in length and be approximately 75% intelligible. Emilio was evaluated using the Goldman-Fristoe Test of Articulation third edition. LANGUAGE BACKGROUND: LANGUAGE INPUT: Emilio’s parents reported that he is exposed to English and Spanish within his home environment. During the evaluation, Emilio primarily communicated in English and demonstrated limited spontaneous use of Spanish. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Emilio required SOME prompting to engage in specific evaluation tasks. Emilio demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. He also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION throughout the session. Emilio was evaluated using the Goldman-Fristoe Test of Articulation, Third Edition (GFTA-3). Emilio received the following standard score on the GFTA-3: 75 (raw score: 50, percentile: 5, age equivalent: 2 years 8 months to 2 years 9 months). According to the standard score that Emlio received on the GFTA-3, he presents with a MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER.
RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Emilio’s MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Emilio would greatly benefit from speech therapy that targets the following ageappropriate concepts: suppressing and discriminating the following processes: dentalization, cluster reduction, final consonant deletion, and devoicing and accurately producing the phonemes /s/, /z/, and /v/,/b/, /d/, /g/, and /? (ng)/ at the isolation syllable level. Speech therapy is highly recommended at this time, as Emilio’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Emilio’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Emilio’s parents will be responsible for his Home Exercise Program (HEP).
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| Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions |
| ID | Plan of Care |
| 58075 | | Plan Date: 01-23-2026 | | Speech Assessment Summary: Emilio is a 4-year-old 2-month-old male who was referred by his pediatrician for a speech and language evaluation due to language delay. Mrs. Aguirre and Mr. Duran accompanied him and served as the primary informants for the evaluation. The parents expressed concerns that Emilio has difficulty producing certain speech sounds and is unintelligible to unfamiliar listeners. During the evaluation, Emilio’s expressive language was characterized primarily by the use of 4-5 word sentences with NUMEROUS speech errors. According to developmental norms, a typically developing child of Emilio’s age should have an expressive vocabulary of approximately 1500 words and produce utterances of 4-5words in length and be approximately 75% intelligible. Emilio was evaluated using the Goldman-Fristoe Test of Articulation third edition. LANGUAGE BACKGROUND: LANGUAGE INPUT: Emilio’s parents reported that he is exposed to English and Spanish within his home environment. During the evaluation, Emilio primarily communicated in English and demonstrated limited spontaneous use of Spanish. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Emilio required SOME prompting to engage in specific evaluation tasks. Emilio demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. He also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION throughout the session. Emilio was evaluated using the Goldman-Fristoe Test of Articulation, Third Edition (GFTA-3). Emilio received the following standard score on the GFTA-3: 75 (raw score: 50, percentile: 5, age equivalent: 2 years 8 months to 2 years 9 months). According to the standard score that Emlio received on the GFTA-3, he presents with a MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER.
RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Emilio’s MODERATE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Emilio would greatly benefit from speech therapy that targets the following ageappropriate concepts: suppressing and discriminating the following processes: dentalization, cluster reduction, final consonant deletion, and devoicing and accurately producing the phonemes /s/, /z/, and /v/,/b/, /d/, /g/, and /? (ng)/ at the isolation syllable level. Speech therapy is highly recommended at this time, as Emilio’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Emilio’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Emilio’s parents will be responsible for his Home Exercise Program (HEP).
| | Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Emilio will be discharged when he achieves 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 and that he will have met all long-term therapy goals. | | 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. | | Oral Motor/Articulation | Within 1 year, Emilio will demonstrate the acquisition of developmentally appropriate articulation and improved speech intelligibility in conversational speech with 50% accuracy. |
| | Speech and Language Short Term Goals: | | Category | Goal Description | | Oral Motor/Articulation | Within 6 months, Emilio will develop auditory discrimination of the following target phonological processes: dentalization, final consonant devoicing, and cluster reduction with 30% accuracy across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio. | | Oral Motor/Articulation | Within 6 months, Emilio will suppress the following target phonological processes: dentalization, final consonant devoicing, and cluster reduction to less than 80% of the time across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio. | | Oral Motor/Articulation | Within 6 months, Emilio will produce target phoneme(s) in initial syllable position: /v/, /s/ and /z/ with 30% accuracy across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio. | | Oral Motor/Articulation | Within 6 months, Emilio will produce target phoneme(s) in initial syllable position: /b/, /d/ , /g/ and /ng/ with 30% accuracy across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio | | Oral Motor/Articulation | Within 6 months, Emilio will produce target phoneme(s) in isolation level: /v/, /s/ and /z/ with 30% accuracy across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio. | | Oral Motor/Articulation | Within 6 months, Emilio will produce target phoneme(s) in isolation level: /b/, /d/ , /g/ and /ng/ with 30% accuracy across 3/5 consecutive sessions with decreasing multisensory cues in order to promote independence so that that an unfamiliar listener can understand Emilio |
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