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Speech-Language Evaluation

Comprehensive evaluations are the first step in evidence-based treatment. Evaluations consist of: gathering medical/developmental history, identifying areas of concern, using standardized assessments to determine how the client compares to same-age peers, and using informal assessments/observation for additional information about strengths/weaknesses. All clients are recommended evaluations at the beginning of services, with reevaluations every 6 months to 1 year. 


"What can I expect when it's time to do an evaluation?"

Here's our typical evaluation procedure:

  1. We will interview parents/caregivers to determine areas of concern

  2. Assessments will be administered, this may take 45 minutes - 2 hours, depending on complexity of the case and the areas of concern

  3. Clinician reviews the results with the parent/caregiver

  4. Clinician completes the report and emails it to the parent/caregiver, along with suggested goals

  5. Parent/caregiver and Clinician determine the frequency and length of sessions

"What kinds of things can you test for?"

Lots of things! Here are a few examples:

  • Intelligibility
    • Articulation: the accuracy of the child's individual speech sounds
    • Phonology: the accuracy of the child's speech sound patterns 
    • Apraxia: whether a neurological condition is impacting the child's speech sound production
    • Dialect: whether exposure to other languages/dialects is impacting the child's speech sound production
  • Receptive Language
    • Vocabulary: the amount and types of words the child understands
    • Following Directions: whether the child is able to follow directions, and the kinds of directions they are able to follow
    • Comprehension: the child's ability to recall and answer questions about information they heard or read when they are given choices
    • Morphology/Syntax: the child's understanding of word endings and word order
    • Dialect: whether exposure to other languages/dialects is impacting the child's understanding of English
  • Expressive Language
    • Vocabulary: the amount and types of words the child uses
    • Comprehension: the child's ability to recall to recall and answer questions about information they heard or read when they are not given choices
    • Morphology/Syntax: the child's use of word endings and word order
    • Dialect: whether exposure to other languages/dialects is impacting the child's use of English
  • Pragmatic Language
    • Body Language/Vocal Emotion: the child's understanding and use of nonverbal language and tone
    • Social Inferencing: the child's ability to infer how people are feelings, how they know each other, what they might do next in a situation, or why they might have done something
    • Social Scenarios: the child's understanding of what to say/do in a social situation, both hypothetical and in real time
    • Emotions: the child's understanding of emotions within themselves, recognizing and inferring the feelings of others, and how to manage feelings
  • Reading
    • Sound-letter knowledge: the child's knowledge of the alphabet and the sounds each letter makes
    • Reading Comprehension: recalling and answering questions about what the child has read
    • Decoding: the child's ability to read an unfamiliar word and to determine the meaning of unfamiliar words
  • Writing
    • Spelling: the child's knowledge of the conventions of English spelling
    • Content: the child's ability to respond to a prompt as well as the complexity of their response
    • Grammar: the child's use of the conventions of English grammar, including: word order, capitalization, punctuation, and sentence structure

Payment

Speech Bubble Therapy is a private-pay clinic. A private-pay clinic does not go through insurance - meaning you get the services that best suit your child's needs, not just what insurance will allow your child to receive. An evaluation is typically an hour long and includes the interview, formal assessments, informal assessments, in-session family consultation, evaluation report, and plan of care. Additionally, a family can book the clinician to attend their child's IEP meeting to share results (family consultation). 

Ways to Pay:

  • Cash

  • Credit

  • Paypal/internet payment service

Did you know?

  • Speech Bubble Therapy can provide a "superbill" (a list of dates of services with what you paid for those services) for reimbursement from your insurance. To find out more, call your insurance and discuss private therapy reimbursement options.