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3 year old with inconsistent speech sound errors
Posted by dpslp on April 7, 2016, 12:58 pm
I am working with a 3 year old in one of my classrooms who is developing functional language. He uses 1-2 words to request and label. He is just beginning to understand Y/N questions based on personal preference. His receptive language is pretty delayed. His speech intelligibility is extremely reduced. His sound errors are so inconsistent. While he consistently produces /b/ in BUS and BYE, he then produces BUBBLES as KUKKLES. His attention to my visual and tactile cues is fleeting. I have tried to manually help him with lip closure just to make /b/ and it is very challenging. Additionally, he produces /k/ at the beginning of certain words but then deletes it from simple, salient words (for him), such as CAR. This is just the tip of the iceberg! I guess my big question is how to approach this since his attention is fleeting, even to make the sounds in isolation, not to mention syllables. Due to his delayed receptive language, I am having some challenges making progress here. Oh, and the parents are MOSTLY concerned about speech intelligibility. Not language development.
Thanks for any input you fellow SLPs may have!
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