Speech and Language Screening, Evaluation, and Therapy

Breakwater Associates offers comprehensive Speech and Language services, which include Evaluation, Screenings, and Therapy for birth to young adults.

When working with clients, our speech therapist develops and implements individual treatment plans specific to each client’s identified strengths and needs. Breakwater Associates feels a team approach is the most comprehensive way to assess and address these needs. The speech and language therapeutic process includes consultation, assessment, and treatment. Additionally, by incorporating evidenced-based practice, multiple approaches, and creativity into therapeutic services, Breakwater ensures that the delivery of speech-language therapy will be an enjoyable experience for clients and their families.

What does a Speech and Language screening measure?

The screening will examine five specific areas including: Articulation of sounds, repeating sentences, responding to directives and answering questions, and describing actions and sequencing events. Collectively this screener will reflect the child’s receptive language skills, expressive language skills, and composite language skills based on their age.

Does my child need a Speech and Language Screening?

Early intervention is KEY in making a difference in not only speech development, but in literacy skills as well. Consider a speech and language screening if your child is delayed in any of the following milestones:

The following are additional and more specific milestones pre-school age children should meet.  

  • 3 – 4 Years
    • Should master sounds W, B, P, H, M, N
    • Talks about activities at school or at friends’ homes
    • People outside of the family usually understand child’s speech
    • Uses a lot of sentences that have 4 or more words
    • Usually talks easily without repeating syllables or words
    • Answers simple “who?”, “what?”, “where?”, and “why?” questions
  • 4 – 5 Years
    • Should master sounds K, G, T D, Y, F
    • Understands spatial concepts such as “behind,” “next to”.
    • Understands complex questions.
    • Speech is understandable but makes mistakes pronouncing long, difficult, or complex words such as “hippopotamus”.
    • Vocabulary of about 1500 words.
    • Uses some irregular past tense verbs such as “ran,” “fell”.
    • Describes how to do things such as painting a picture.
    • Defines words.
    • Lists items that belong in a category such as animals, vehicles, etc.
  • 5 Years
    • Understands more than 2,000 words
    • Understands time sequences (what happened first, second, third, etc.)
    • Carries out a series of three directions
    • Understands rhyming
    • Engages in conversation
    • Sentences can be eight or more words in length
    • Uses compound and complex sentences
    • Describes objects
    • Uses imagination to create stories
    • Retell a story or talk about an event
  • 5 – 6 Years
    • Should master sounds s, z, r, l, th, ch, wh
    • Articulate his/her thoughts with ‘adult like’ speech
    • Be aware that a word can have more than one meaning
    • Speech should be completely intelligible and socially useful
    • Often misunderstand words and uses them in a humorous way
    • Carry on conversations with others, yet still want to dominate

Private Preschools/Schools Administrators: Speech and language screenings may be conducted at our office or at your school.  We offer speech screenings and comprehensive speech evaluations and therapy for ages birth and older.