Dear Elise and Family,
We would like to provide you with an update on Luca's speech and language assessment conducted on November 10, 2023. Our session together was insightful and helped us understand Luca's communication skills better.
Background:Luca, who is two years and four months old, has made considerable strides in communication since his tongue-tie was addressed. However, you've noticed that he's been slower to talk, which prompted this assessment, especially with the addition of a new sibling in the family recently.
Assessment Findings:
Recommendations:We've suggested a few strategies to support Luca's speech and language development at home:
Next Steps:Let's continue to provide Luca with plenty of opportunities to talk and play in a language-rich environment. We'll reassess his progress in the spring and adjust our plan as needed. If you have any concerns before then, please feel free to reach out.
Thank you for your dedication to Luca's development. Your involvement is vital to his progress, and we're here to support you every step of the way.
Child's Information:
Background and Concerns:
Luca is currently 2 years and 4 months old and has been referred for speech and language assessment due to concerns with his speech sound production and vocabulary development. Post correction for a tongue-tie at an early age, Luca's speech development has been progressing, albeit with some noted delays.
Observations at Last Assessment:
Luca was reserved at the beginning of the assessment but did warm up with some encouragement. He demonstrated the ability to understand instructions and made choices in play that reflected his comprehension of language. However, he was reticent to use verbal communication during the session.
Current Communication Profile:
Recommendations for Nursery Staff:
Follow-Up:
We will continue to monitor Luca’s progress and recommend that nursery staff keep detailed records of any changes or improvements in his speech and language skills.
Child's Name: Luca Hamer Iles
Date of Birth: June 29, 2021
Date of Assessment: November 10, 2023
Assessor: Angela Whiteley, Speech & Language Therapist
Referral Source: Parental Concern
Medical History: Tongue-tie correction at four days old
Assessment Type: Virtual (Telehealth - Video Conference)
Assessment Tools Used:
Assessment Results:
Behavioral Observations:
Parental/Caregiver Input:
Recommendations:
Plan:
Therapist's Comments:The assessment highlighted areas of strength and development for Luca. The implementation of targeted strategies and consistent practice at home is expected to support his ongoing speech and language development. Continual monitoring and a structured follow-up will be beneficial in tracking progress and adjusting interventions as needed.
Attachments:
Therapist Contact Information:
Angela Whiteley
Email: angela@ogmatherapy.com
Distribution:
Please ensure this report is included in Luca's health and education records and is available for review by all professionals involved in his care.
Child's Name: Luca Hamer Iles
Date of Birth: Jun 29, 2021
Date of Assessment: Friday, 10 November 2023
Time of Assessment: 3:00 PM
Type of Assessment: Virtual (Telehealth - Video Conference)
Participants:
Background Information:
Luca is a 2-year-4-month-old male referred for a speech and language assessment by his parents. Concerns were raised regarding his speech sound production and vocabulary development. Luca's medical history includes a tongue tie that was corrected when he was four days old. Mum reported that Luca was slow to to talk and did not say his first words until the age of 14 months. The family welcomed a new sibling three weeks prior to the assessment.
Reason for Referral:
The referral was made due to concerns about speech clarity and vocabulary size for Luca’s age group, with specific difficulty noted in pronouncing blends and substituting certain sounds.
Observations:
During the session, Luca was initially reserved but became more engaged with encouragement. but still did not respond to the activities shown by the SLT. A speech sound assessment was attempted by using picture naming activities, play interaction, and natural conversation. Luca was very quiet and reluctant to engage fully, while his verbal responses were limited, he was able to follow directions and showed understanding of language through his actions and choices of toys.
Assessment Findings:
Summary:
Luca's language comprehension skills are well-developed, and he is capable of understanding everyday sentences. His expressive language skills are emerging, and his speech sound production is typical for a child at two years and four months, with no significant concerns at this time. The limited use of longer phrases in this session may be due in part to the quiet nature observed during the assessment, and ongoing monitoring is recommended.
Recommendations:
Next Steps:
If you continue to be worried about Luca’s progress, please schedule a follow-up appointment at your convenience for late spring to reassess Luca’s progress and update the plan as necessary. In the meantime, we encourage you to implement the recommendations provided and reach out with any questions or concerns.
Suggestions for at-home practice:
Implementing these strategies can significantly support and enhance your child's ability to understand and produce speech sounds effectively. Regular practice and positive reinforcement will help consolidate their skills and encourage speech development.
Therapist:
Angela Whiteley
Speech & Language Therapist
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