If you're wondering whether you or your child needs speech therapy, the first step is a comprehensive evaluation. Knowing what happens during this assessment can reduce anxiety and help you prepare effectively.
What is the first step in a typical speech therapy evaluation?
Select one answer.
What is a speech therapy evaluation?
A speech therapy evaluation is a formal assessment conducted by a licensed speech-language pathologist (SLP) to determine if a communication disorder exists and what type of intervention is needed. The evaluation covers speech sound production, language comprehension and expression, social communication, fluency, voice, and sometimes feeding or swallowing skills.
The three main components of an evaluation
According to ASHA's Preferred Practice Patterns, a comprehensive speech-language assessment includes three core parts: case history, client/family interview, and administration of standardized or non-standardized measures ASHA.
1. Case history and caregiver interview
The SLP will ask about developmental milestones, medical history, family background, and specific concerns. You may be asked to complete a case history form beforehand. This information guides the entire evaluation Speech Pathway.
2. Observation and play-based assessment
For children, the SLP observes communication skills during natural play. This might involve structured activities, conversation, or interactions designed to assess speech and language abilities in a comfortable setting Blossom Children's Center.
3. Standardized testing
The SLP uses formal tests to compare your child's skills to age-based norms. These tests provide objective data that insurance companies and school districts often require to qualify for services. Non-standardized measures like language samples and checklists are also used Achieve Beyond.
How to prepare for the evaluation
Bring these items to make the most of your appointment:
- Photo ID and insurance card
- Pediatrician referral if required
- Previous speech, medical, or educational reports (IEP, IFSP)
- A list of your concerns and questions
- A favorite toy or comfort item for your child
- An audio or video recording of your child communicating at home
- Contact information for other providers who should receive the report
What happens after the evaluation?
The SLP analyzes the results and writes a detailed report. You'll receive feedback on whether therapy is recommended, what areas need support, and how often sessions should occur. The report typically includes identifying information, reason for referral, test results, and clinical impressions.
How long does it take?
Speech-language evaluations usually take 1–2 hours, depending on the areas being assessed and the child's cooperation Charlotte Speech and Hearing Center.
Quiz: Test your knowledge
What is the first step in a typical speech therapy evaluation?
- Standardized testing
- Case history and caregiver interview
- Play-based observation
How the Featured Expert Can Help
Domino Therapy offers speech therapy services for families, schools, and therapists in Philadelphia, with both in-person and virtual support. Their team can guide you through the evaluation process and create a personalized plan. Visit Domino Therapy to learn more.