Tuesday, April 28, 2015

Speech Delay?

I debated on whether or not to even write a post about this as Kevin and I both aren't that concerned about this but thought I'd put it out there for us to remember what we were told and ways to help that might help someone else. I am in no way an expert about anything below but this is what I have gathered from our experience.

The day before Lillian's 2yr well check up I had to do a development survey from our doctor's office. Basically asked me a bunch of questions about what Lillian can do physically, cognitively and behaviorally etc. Can she kick a ball, stack 7 blocks, say 20 words, smile at strangers, questions like that. There was a second survey about autism as well. Going into this survey I had no concerns about Lillian except maybe verbally. She talks a lot but none of it makes much since to a stranger but she had about 10 words that were clear English. By age two I think they (doctors) say they expect about 20-30 words. At her appointment our doctor did say she scored low on the verbal part of the survey so they would send a request for Early Intervention services. Long story short i explained my concerns to them over the phone they scheduled an appointment to come out to our home to evaluate Lillian. A speech therapist came as well since that was my only concern. The EI coordinator said as she was leaving that she is pretty sure Lillian was not far enough behind to qualify for Early Intervention. She had to score at around 18 months or lower to qualify. We finally got both reports back from the assessment and here is essentially what they said.

The Test was called Battelle Developmental Inventory-2 in the following areas here is where Lillian as a new 24 month old scored:
Physical (movement) - 33 months old no delay
Cognitive (learning) - 25 months no delay
Communication (language) 28 months no delay
Adaptive (self-care)- 29 months no delay
Social/Emotional (relationships) - 28 months no delay

There was a second test apparently called Preschool Language Scale-5 they did and she scored at 23 months in the communication area. So there is a slight delay.
Auditory comprehension: raw score 30 standard score 100 percentile rank 50 age equivalent 2.3
Expressive communication raw score 23 standard score 80 percentile rank 9 age equivalent 1.7
Total Language  raw score 53 standard score 89 percentile rank 23 age equivalent 1.11

Receptive Language they had no weaknesses listed she scored about her age level. Her weaknesses were in expressive language verbally but since it was not greater than 25% she did not qualify for Early intervention but we could do outpatient speech therapy if we wanted.

Kevin and I discussed it and we decided against speech therapy. My sister in law is graduating with a masters in speech pathology this month so we asked for some tips and we are working with Lillian to help increase her vocabulary. Lillian has her own language for some words and we just use the correct word when we reply to what she says or asks. If you don't already know she says "ah may" for thank you, and "bah" for please so at least she is polite. :) one word we are really not sure how she came up with is her word for Airplane, helicopter, or truck. They are all the exact same word and what it sounds like is "hotdam**t." NO CLUE why that word, we NEVER use that word/language but somehow it stuck for her. We are working very hard to correct that one. lol. We have noticed that the words she does say that actually sound like English are words she picks up on her own. She knows and says the color blue which I think she got from a tv show she watches about colors. And ball and Elmo from a book we read.

The only concern the speech therapist said may develop is that Lillian will get frustrated easily while trying to communicate and us not being able to understand. Lillian is now 25 months and we have already seen some improvement in just a month. So like a said not a big concern so if your little isn't talking yet no biggy. but you can look for help if that's what you want. If there are any developmental delays they do say it is better to correct is sooner rather than later.

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