Recent Speech Therapy Re-Evaluation

Dated: June 9, 2010

Long term goals:
Randy will increase expressive language skills to an age-appropriate level (vocabulary, sentence length)-partially achieved
Randy will increase receptive language skills (vocabulary, understanding concepts, following directions)-partially achieved

Short term goals:
Randy will demonstrate appropriate play with toys with cueing 7/10 trials-partially achieved
Randy will follow one-step directions with moderate prompting on 7/10 trials-partially achieved
Randy will imitate CV combinations modeled to him by the SLP five times each therapy session-achieved

Randy has made nice progress during his enrollment in therapy.  His play skills are progressing as Randy activates cause and effects toys independently. However, he continues to need maximum assistance to participate in interactive games with adults such as rolling a ball back and forth.  He continues to explore toys during play through mouthing and banging.  Typically, children aged 6-9 months play without mouthing and banging.

In terms of receptive language, Randy is to follow one-step commands in the context of play.  The commands he follows are predictable given the context of the activity.  For example, he will put balls in a ball popper when requested to do so.  He is not following novel one-step commands in the context of play.  Same aged peers are typically demonstrating their understanding of language by identifying body parts, choosing one object from a group of five, and following two-step related commands.

Regarding expressive language, Randy ~10 words per therapy session.  This has increased since the last status report in April wen Randy was imitating ~5 words per therapy session.  Imitation is an important skill for increasing expressive vocabulary.  Currently, Randy is saying ~20 words independently.  At 24 months of age, children are typically saying 50 words independently.