What is a Speech Pathology Assessment?

A speech pathology assessment is a comprehensive evaluation used to identify a person's strengths and needs in relation to communication and/or swallowing. The goal is to determine whether therapy is needed, and if so, what kind of support would be most helpful.

Assessments are individualised, so no two are exactly alike, but they involve a combination of interviews, observation, and standardised testing.

We will typically start with a case history to gather background information. This is usually done through an intake form completed before the session and an interview with the client or caregiver. You’ll be asked about medical history, developmental milestones, academic or work performance, social interactions, and any specific concerns. This will help your speech pathologist tailor the assessment to your child.

Your speech pathologist will use observation throughout the initial interactions with your child to gain a picture of how they naturally communicate as well as to make them feel comfortable in the assessment setting. Depending on the age of the child, this might involve playing or talking with the child and/or parent, engaging in casual conversation. This step helps the speech pathologist to see how communication skills are used functionally, beyond what a test score might show.

Standardised Testing are the formalised, structured tools that help speech pathologists compare a person’s abilities to what’s typical for their age.

Some common areas we assess include:

• Speech sounds (how clearly a child pronounces words) 
• Receptive language (understanding what others say, like following directions or answering questions)
• Expressive language (using words and sentences to express thoughts, like telling a story or asking for help)
• Fluency (the flow of speech, such as stuttering or repeating sounds)
• Pragmatics (using language socially e.g. taking turns or understanding sarcasm)
• Literacy skills (how a person interprets written language (reading) or produces written language (spelling, writing))
• Voice quality (how the voice sounds, including pitch, volume, or hoarseness)
• Swallowing function (how safely and effectively a person chews and swallows food or liquids)

For young children, assessments are generally play-based and designed to feel fun and engaging. For older children or adults, tests may look more like traditional question and answer formats. 

After the session, the results will be analyzed and formed into a detailed report that will include a summary of findings, diagnoses (if appropriate), recommendations for therapy (if appropriate) and suggestions for home or school support. Once the assessment and report is complete, we will be able to discuss the results and recommendations in person or via the phone.

A speech pathology assessment is not something to worry about, it’s a supportive, information gathering process designed to gain a clear picture of how we can best help your child to thrive. Whatever the concern, the assessment provides the foundation for meaningful progress. If you’re considering an assessment, feel free to reach out. Taking this step can make a lasting difference in communication, confidence, and quality of life.

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