Evaluating Communicative Abilities of a Highly Unintelligible Preschooler

Abstract

Procedures to examine the communication abilities of a highly unintelligible 4-year-old during a 90-minute evaluation session are explained in this article. Phonology, metaphonology, speech rate, stimulability, and receptive language are evaluated formally and informally. A conversational speech sample is used to provide information for assessing intelligibility/understandability, fluency, voice quality, prosody, and mean length of response. Methods for determining treatment goals are discussed in the final section.

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