I assessed M.S. on 03/26/2018. M is a 4:0-year-old female client who had been referred to me by her preschool teacher for concerns about her intelligibility during conversational speech. M’s teacher reported that she understood M about 50 percent of the time, and that she is hardly understood by the children at preschool. These same children have begun to ostracize her because of her speech issues. M’s parents are concerned that she will not be ready for kindergarten socially or academically if her speech does not improve.
Background Information
The case history that was given to me included the following: M is a 4:0-year-old female with an unremarkable medical history. Born on 03/12/2014, M’s parents report that she met …show more content…
The KLPA is a phonological assessment which evaluates production of phonological processes in words in a variety of positions. This assessment provides a raw score, standard score and corresponding percentile rank. The raw score indicates the number of phonological processes exhibited throughout the test. The standard score is based on a mean score of 100 with a range of +/- 15 (85-115) indicating scores falling within the normal range when compared to other children of the same age. A percentile rank of 50 corresponds with the mean score of 100; whereas, a percentile rank of 16 indicates 1 standard deviation below the mean. On the KLPA, M received a raw score of 152, standard score of 40, and a percentile rank of less than 0.1. M’s test age equivalent for the KLPA is the same as a child less than age …show more content…
Out of the total possible utterances, M deleted strident consonants 95% of the time, stopped fricatives, affricates, and fronted velar sounds 92% of the time. Palatal sounds were fronted 100% of the time. Stridency deletion is a phonological process that should be suppressed by age 4:0 to 4:5. Stopping of fricatives and affricates is typically suppressed by 3:6-4:6, and velar and palatal fronting by 3:6. Although two of these processes are still within typical limits for M, the rate at which she is substituting consonants is not. M stopped every fricative and fronted almost every velar and palatal sound she was asked to recite. She is showing large scale patterns for substitution of consonants in obligatory contexts. M could not say any fricative or affricate sounds in words, and it is unknown whether she is stimulable for these sounds in any other