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Speech Language Pathology

SCES Speech-Language Pathologists:                                 

Linda Duffey
(678) 965 5020 x350320 
 

 

Holly Jordan
(678) 965 5020 x350311 
 
Sandy Tout
(678) 965 5020 x350320
 
 
 What is Speech-Language Pathology? 
Speech-Language Pathologists have the responsibility of evaluating and treating students that exhibit difficulty in one or more of the following areas: articulation, language, pragmatic language, fluency, and voice disorders.
  • Articulation - difficulties with the production of speech sounds (i.e. saying "thun" for "sun", "wabbit" for "rabbit").
  • Language - involves the inability to communicate effectively with peers or adults; may include weaknesses in vocabulary, grammar, listening comprehension, following directions, and verbal expression. 
  • Pragmatic Language (i.e. social language) - involves skills required for everyday communication (i.e. perspective taking, initiating, turn-taking, topic maintenance, active listening). Children who struggle with social skills often have difficulty interpreting facial expressions, body language as well as expressing/comprehending feelings. 
  • Fluency - the ability to speak smoothly or fluently; disruption in the rhythm of speech; also referred to as stuttering.
  • Voice - students referred by their doctors because of vocal hoarseness or harshness in voice quality.
     
Preschool Speech-Language Referrals: 
 
The Georgia Department of Public Health provides speech and/or language services for children from birth to three years of age through the Babies Can't Wait program.  The link below will provide more information about these services.
  
Forsyth County School System provides speech and/or language services for children starting at the age of three.  If you have speech and/or language concerns for your child who is at least 3 years of age, you may have the child screened to determine if services are needed.  Below is the link that will provide you with information about the registration process.   
 
 

Communication Development:

 

 
 
 
0-3 months
 

startled by loud noise

 

undifferentiated cry (0-1 month)

 

turns head toward speaker

 

produces throaty sounds and vowels

 

differentiated cry for pain, hunger, tired

 

 

 

3-6 months

 

looks directly at speaker

 

vocalizes in response to speaker

 

vocalizes pleasure and pain

 

initiated vocal play:  coos, chuckles, gurgles, and laughs

 

pitch and intonation vary

 

 

 

6-9 months

 

imitates familiar sounds

 

comprehends parental gestures

 

looks at objects, family members and pictures when named

 

stops behavior when told “no”                        

 

babbles /m/, /n/, /t/, /d/, /b/, /p/, /z/

 

vocalizes to another person

 

vocalizes differently for hunger, anger, contentment   

 

 

 

9-12 months

 

begins to relate names and objects

 

gives objects on request

 

claps hands and waves on command

 

articulates most speech sounds

 

gestures/vocalizes wants and needs

 

directs others physically: pats, pulls, pushes, tugs

 

 

 

12-18 months

 

points to 1-3 body parts when asked

 

points to objects when named

 

responds vocally to “wh” questions

 

acknowledges others speech by eye contact, speech, or repetition of the word said

 

uses sentence-like intonation (jargon)

 

imitates some words

 

uses single words: says 3-20 words

 

protests by saying “no”, shaking head, moving away or frowning

 

uses ritual words “hi” or “bye”

 

points to wanted object                                 

 

says “all gone” and asks for “more”

 

teases, scolds, warns using gestures and vocalizations

 

 

 

18-24 months

 

understands approximately 300 words

 

responds to the directions “in” and “on”

 

listens as pictures are named word said

 

points to 5 body parts

 

responds to yes/no questions by shaking or nodding head

 

produces words with consonant/ vowel/consonant

 

says 50 words

 

combines words to make 2 word phrases

 

mean sentence length 1.8  words

 

names familiar objects and vocalizations

 

uses commands (e.g. more), possessives (e.g. mine),  reactions (e.g. owee)

 

 

 

24-30 months

 

understands approximately 500 words

 

follows simple directions (“sit here, “bring it to me”

 

follows a series of two related commands (“Pick up the ball and give it to me”)

 

may omit some final consonants or substitute one consonant for another

 

says 200 words

 

mean sentence length – 3.1 words

 

answers “what” & “where” questions (“What do you hear with?”)

 

uses some regular plurals

 

asks basic questions ( “Daddy gone?”)

 

 

 

30-36 months

 

understands approximately 900 words

 

points to pictures of common objects described by their use (“Show me what you eat with”)

 

knows ”big/little”

 

knows third person pronouns (he, she

 

articulates /p/, /m/, /n/,/w/,/h/

 

says 500 words

 

mean sentence length 3.4 words

 

asks simple “what” & “where” questions

 

refers to self by own name

 

uses pronouns  (I, me, my, mine)

 

 

 

36-42 months

 

understands approximately 1200 words

 

responds to two unrelated commands (“Put your cup on the table and turn on the TV.”)

 

knows “in front of” and “behind”

 

uses final consonants most of the time

 

says 800 words

 

mean sentence length = 4.3 words

 

uses regular past tense forms

 

beginning of questions – asking stage using “what”, “who”, “why”, and “how” many”

 

 

 

42-48 months

 

understands 1500-2000 words

 

tells how common objects are used                

 

mean sentence length = 4.4 words                    

 

responds to three commands (”Pick up the spoon, put it in the cup, and bring it to me)

 

articulates /b/, /d/, /k/, /g/, /f/,

 

says 1000 words

 

does simple verbal analogies (Daddy is a man, mommy is a _________.)

 

 

 

48-54 months

 

understands 2000-2500 words

 

knows “between”, “above”, “below”, “top” & “bottom”

 

few consonant omissions or substitutions

 

says 1500 words

 

mean sentence length = 4.6 words

 

uses possessives consistently (boy’s, cat’s)

 

uses irregular plurals consistently (child/children)

 

 

 

54-60 months

 

understands 2500-2800 words

 

knows “heavy/light”, “loud/soft”, “like/unlike”, “long/short”

 

misarticulates a few difficult blends

 

says 2000 words

 

mean sentence length = 5.7 words

 

generates complex sentences (We went to the store and bought milk.)

 

uses contractions (I’ll, can’t)

 

tells familiar stories without picture cues

 

 

 

60-72 months

 

understands 13,000 words

 

understands “yesterday/tomorrow”, “more/less”, some/many”, "now/later”,“several/few”, “most/least”, “before/after”

 

articulates /th/,/ing/,/r/, /l/

 

mean sentence length = 6.6 words

 

understands the opposite of (the opposite of hot is _________.)

 

states similarities and differences between objects

 

uses superlative “est” (biggest, tallest)

 

uses all pronouns consistently

 

 

 

72-84 months

 

understands 20,000-26,000 words

 

is aware of mistakes in other people’s speech

 

understands roughly the difference in time intervals

 

understands the seasons of the year and what you do in each.

 

articulates voiceless /th/, /sh/, /ch/, /j/

 

mean sentence length = 7.3 words

 

uses mild slang and mild profanity

 

uses irregular comparatives correctly (good, better, best)

 

uses passive voice