Evaluations

A Speech and Language evaluation examines a child's communication and learning skills. Specific tests are administered based on concerns a parent, referring physician, or teacher may have for the child. Various areas of skills are examined such as:

  • Oral-motor Functioning
  • Articulation
  • Phonological Processing
  • Fluency and Voice
  • Receptive Language
  • Expressive Language
  • Pragmatic Language
  • Written Language
  • Auditory Processing
  • Cognitive Skills
  • Sensory Processing
  • Feeding

Our Speech and Language evaluation includes standardized testing processes, language sampling, a hearing screening, behavioral observations, and informal data collection. Standardized tests can provide more information as to the possible causes of speech and language delays and disorders.

What can I expect at testing?

The Speech and Language evaluation lasts approximately two hours. Sometimes longer depending on the age of the child.

The parent or caregiver will be asked to complete a series of forms and questionnaires while the child is being tested or prior to the evaluation appointment. These include general information forms, as well as a historical questionnaire and a learning and behavior rating questionnaire. These questionnaires are part of the complete testing profile, and it is important to answer the questions as fully and as honestly as possible so that we may get a clear determination of your child's core needs. A parent or caregiver's perspective is a critical piece in the testing process.

Any additional information you would like to bring, such as your child's IEP, most current school or outside evaluation, is encouraged.

What if my child has already had a Speech and Language evaluation?

If your child's evaluation was conducted within the past 6 months, it is likely that your child will not have to undergo another comprehensive speech and language evaluation. However, it may be recommended that we administer one or two specific tests in the event that our Speech-Language Pathologist feels there are missing components in the evaluation you bring to us.

At little bit more about testing

Your child will enter one of our play therapy rooms with the Pediatric Speech-Language Pathologist and engage in floor play or sit at a table across from the test administrator, and will be asked to respond various test stimuli. Depending on the test being administered, he or she may be asked to wear headphones, look at pictures, remember and repeat information from a story, repeat a sequence of information, or other tasks. In the event that your child is unable to complete a particular test due to age or disability, alternative testing will be attempted in order to determine the underlying need. For example, if a child is unable to wear headphones for the auditory assessment, we can use another technique to determine the depth of phonological processing.

We prefer that the parent or caregiver not remain in the room when testing is being administered because we have found that it can be distracting for the child, or that the parent/caregiver feels compelled to "help" the child or "explain" a child's answers, all of which can sway, or invalidate, the results.

It is important to remember that testing and therapy have two very different objectives. During testing, we are probing for a ceiling, or limit, on a child's ability in specific areas. For example, a child might have to respond incorrectly to five questions in a row before the examiner stops asking questions and moves on to the next test. Testing must be conducted in a controlled environment, with no "coaching" beyond the practice items from the test administrator, in order to ensure accurate, valid results. We can't tell a child, for example, if the response is correct or not. We also cannot guide the child towards the correct response. It is critical that the child respond to all test questions from their own knowledge and skill base so that we can determine the areas of need. We have an observation window on all of our treatment room doors so parents may view their child during testing at any time.

What can I expect at the evaluation results consultation?

After the testing is complete and the results evaluated, we will schedule a follow-up results consultation. This may be a phone or in-person consultation, depending on circumstances.

At the consultation we will discuss the results of your child's Speech and Language evaluation and provide you with therapy and/or program recommendations, as needed. You will receive a full copy of the results report, a written proposal for any recommended programming, and information on each of the recommended programs. A list of parent and professional references is available upon request. We will also send a copy of the report to your child's physician, specialist, school or other professional after the consultation is complete, at your request and authorization.

What does a comprehensive Speech and Language evaluation cost?

The cost for the Speech and Language evaluation is $675.00 The service cost includes:

  • The testing time with the child.
  • Scoring and analysis of the data.
  • Publishing the findings to generate the written report.
  • Results consultation to discuss the findings, interpretation, and treatment recommendations.

If you are bringing us an existing outside Speech and Language evaluation, consultations are available to review the history, records, prior assessments, family concerns, etc. and recommendations for treatment options. Consultation rates are $130.00 per hour.

The recommended duration and frequency for speech therapy varies from child to child based on need and age. The rate of progress will also vary from child to child.

Therapy is a very encouraging and fun environment! Children receive support, coaching, tips and rewards for achievement, no matter how small. Every step forward is celebrated as a success, and every struggle is one that the therapist and child work through together. Our therapy philosophy is to build strengths and have the child experience success!