When a child or adult suffering with communication disorder, it is necessary to perform a speech & language evaluation. we perform it after case history. This assessment should be performed by a speech language pathologist. In this assessment a SLP is asked about mode of communication,language background,details about receptive and expressive verbal and nonverbal communication.There will be an assessment of all oral peripheral mechanism in the form of appearance and function.In the end there will be assessment of formal tests as REELS,SECS and many more.In the end SLP will give provisional diagnosis and recommendations.

1. SPEECH & LANGUAGE
EVALUATION
ANSHITA SINGH (ASLP)

2. CASE HISTORY
 All details from the starting of the
problem till the case came in front of
you…..
 Demographic details
 Family history
 Prenatal/natal/Postnatal history
 Medical history

3. CONT…
 Developmental history/milestones
(Physical/social-emotional/speech &
Language/cognitive)
 Educational history
 Complaint
 Recommendations

4. DEMOGRAPHIC DETAILS
 Name:
 Age/sex:
 Informant:
 Complaint:
 Case no:
 Date:
 Clinician:

5. SPEECH & LANGUAGE
DVELOPMENT HISTORY
 Vocalization:
 Babbling:
 First word:
 First sentence:

6. MODE OF COMMUNICATION
 Verbal ( )
 Nonverbal ( )
 Both ( )

7. VERBAL COMMUNICATION
Comprehension Expression
 Words
 Phrases
 Simple sentences
 Complex sentences
 Vocalization
 Words
 Phrases
 Simple sentences
 Complex sentences

8. NONVERBAL COMMUNICATION
Comprehension Expression
 Signs
 Gestures
 Facial expression
 Signs
 Gestures
 Pointing
 Dragging

9. LANGUAGE BACKGROUND
 Language exposure at home:
 Language used by the child:

10. SPEECH STIMULATION AT
HOME
 Adequate ( )
 Inadequate ( )

11. ORAL PERIPHERAL
MECHANISM
Appearance Function
 Lips
 Tongue
 Teeth
 Hard Palate
 Soft Palate
 Mandible

12. ARTICULATION AT
PHONOLOGICAL LEVEL
 Vowels:
 Consonants:
 Blends:

13. VOICE
 Pitch:
 Loudness:
 Quality:
 Breath control & Phonation Duration:
 Trial 1-
 Trial 2-
 Trial 3-

14. SUPRASEGMENTAL ASPECTS
 Accent:
 Emphasis:
 Intonation:
 Phrasing:
 Rate of speech:

15. SPEECH INTELLIGIBILITY
Intelligibility Rating Scale
1. No noticeable differences from normal.
2. Intelligible though some differences
occasionally noticeable.
3. Intelligible although noticeably different.
4. Intelligible with careful listening
although some words unintelligible
5. Speech is difficult to understand with
many words unintelligible
6. Usually is unintelligible.
7. Unintelligible.

16. CONT…
 Choose the item which best describes the
client's running speech in an unknown
context; do not use half intervals.
 When determining the intelligibility rating,
assume the listener is unaware of context or
topic.
 In the report refer to this scale in the following
way:
 "His intelligibility was rated a "5" (speech is
difficult to understand with many words
unintelligible on a 7 point rating scale where
"1" = no noticeable differences from normal,
"7" = unintelligible).

17. FORMAL TESTING
 ON REELS
 ON RELT
 ON GESTURAL SCALE
 ON 3D LAT
 ON SECS

18. REELS
 Ages: Birth through 36 months
 Testing Time: 20 minutes
 The Receptive–Expressive Emergent Language Test–
Fourth Edition (REEL-4) was designed to help you
identify infants and toddlers who have language
impairments or who have other disabilities that affect
language development. It is especially useful as an
assessment and planning instrument in Early Childhood
Intervention programs mandated under P.L. 99-457.
The REEL-4 has two subtests that make up the
Language Ability composite, Receptive Language and
Expressive Language, as well as a supplementary
Vocabulary Inventory test, composed of the Nouns and
Expanded subtests. Results are obtained from a
caregiver interview.

19. READING & WRITING SKILLS
Reading Writing
 Letter recognition
 Word recognition
 Reading comprehension
 Copying
 Writing to dictation
 Spontaneous writing

20. DIAGNOSTIC FORMULATION
 Summary of all speech and language
evaluation

21. PROVISIONAL DIAGNOSIS
 Delayed Receptive & Expressive
Speech & Language Development/
Skills
 Phonological /Articulation Disorder
 Voice Disorder
 Fluency Disorder
 Dysarthria
 Aphasia
 Apraxia

22. RECOMMENDATIONS
 Audiological evaluation
 Psychological evaluation
 Physical evaluation
 Educational Guidance
 Vocational Guidance
 Intensive speech & language
stimulation at home

23. CONT…
 Speech and language therapy
 Articulation /Voice/Fluency therapy at
nearest center
 Oral motor exercises
 Vocal hygiene
 Psychological counseling
 Audiological habilitation