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Old 02-24-2010, 02:12 PM   #1
 
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Default question about speech evaluations/speech therapy *update/vent*

for those of you who have had your child's speech evaluated, how long did it take to get the ball rolling? im getting majorly frustrated and im very close to calling places back and flipping out on them.

i've been waiting for a call back from a particular private agency to simply schedule a speech evaluation for the past 2 weeks. she was supposed to follow up with me the next day.

since ive been waiting for the private agency to call me back, i contacted a statewide early intervention program. and like the first time, they took my information and told me they would call me back in 1-2 days and nearly a week later, im still waiting.

is this normal procedure?

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Old 02-24-2010, 03:38 PM   #2
 
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It's been so long, so I hope I'm remembering right. Our pediatrician sent a referral to the public early intervention (PIC). I'm not sure how long it took them to call me, but I had to go meet with the coordinator who filled me in on what services they provide, how it all works, filled out paperwork and then they scheduled the evaluation. The evaluation appt was one month or so after my initial meeting because they have like 2 or 3 people in there evaluating your kid (speech therapist, occupational therapist and maybe someone else) through play. What took so long was finding a time when all the people were available to do the evaluation.

How old is M now, almost 3? PIC tops out at 3, so if a kid needed services after they turned 3 they had to get an evaluation with the school district to see if they qualified for services.

ETA- I'd give them a follow up call just in case.
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Old 02-24-2010, 06:56 PM   #3
 
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I've found the process to be stupidly cumbersome and convoluted. We had him evaluated when he was 2, and he didn't qualify. The first person I talked to at the early intervention program acted like I couldn't make a self referral, and said I would have to pay to get him evaluated, which turned out NOT to be true.

Then when he turned 3, our pediatrician said he should be evaluated for speech because he wasn't as understandable as he should be. I'm going through that process with the school district. They did a screening, which is apparently only the first step. Someone has to look at his screening results and determine if he should be tested further, and depending on how he scores there, he may qualify. Who knows how long that will be. And they said they weren't concerned with his articulation, but with speech and language.

It's been such a PITA and we've been told so many conflicting things and my husband thinks we don't even need to be worried about him, that I don't know if the whole thing is worth it. I guess it is if Connor gets speech therapy or whatever that helps him. I don't want him to be behind when he starts kindergarten in a few years.

ETA: Sorry I'm such a Debbie Downer! You can tell I'm frustrated. I agree with calling the private agency and the state program to follow up. They shouldn't be keeping you waiting this long.
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Old 02-24-2010, 07:24 PM   #4
 
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In Florida, they have 30 days from the point of first contact to do the evaluation. Then if your child qualifies, they have 30 days to start services. For us, it took the 30 days to get him evaluated, but that was bc I insisted on a home eval, rather than have to drag him somewhere. It only took about two weeks to get the speech therapist.
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Old 02-24-2010, 09:38 PM   #5
 
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okay, so its sounding like its a long PITA process after all. majerle will be 3 in june, so she will be eligible to have an evaluation through the school system here.

and i'll be calling both the private agency and the state program tomorrow. again.

thank you guys for your input.

sarah42- before your pediatrician made the referral were you thinking that your son might need services? majerle has a huge vocabulary, but i just have to interpret everything for others. i just feel like shes not as intelligable as she should be.
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Old 02-24-2010, 09:57 PM   #6
 
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sarah42- before your pediatrician made the referral were you thinking that your son might need services? majerle has a huge vocabulary, but i just have to interpret everything for others. i just feel like shes not as intelligable as she should be.
Have you had her hearing tested?
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Old 02-24-2010, 10:12 PM   #7
 
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sarah42- before your pediatrician made the referral were you thinking that your son might need services? majerle has a huge vocabulary, but i just have to interpret everything for others. i just feel like shes not as intelligable as she should be.
Yes. I was concerned after he turned two and he was still speaking in mostly single words, not putting sentences together. That's also how I would describe Connor's speech--his vocabulary is good and now he makes long sentences, but he's hard for other people to understand.
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Old 02-25-2010, 10:41 AM   #8
 
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Have you had her hearing tested?
i havent, but im not worried about her hearing. i did do an impromptu and very non scientific "hearing test" with her last night. while she was using the bathroom i stood outside with my back turned and whispered "clap your hands". she started clapping. i was suprised she did it since it was totally random.
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Old 02-25-2010, 07:59 PM   #9
 
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If you've contacted the state program, there should be a timeline that they need to adhere to. If you tell me what state you're in, I can try to track down that information for you. She's close to 3 though, so you might need to go through the school district. Sarah summed it up nicely: stupidly cumbersome.
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Old 02-25-2010, 09:49 PM   #10
 
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the state program actrually called me back today (yay!) and they're coming to see her 3 weeks from now. which im not as thrilled about, but at least she finally has an evaluation scheduled.

thank you all for your input.
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Old 03-04-2010, 03:43 PM   #11
 
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okay, so both places ended up calling me back and monday a speech therapist from the private agency came and evaluated her.

1st she took out a barn toy and of course majerle named all the animals. there were a few sentences that majerle had said that the SLP had to ask me to translate for her. then she took out a book and did the part of the evaluation where they have they ask questions and the child points to the the correct answer. since majerle was doing so well with that, she would take breaks and give majerle a toy to play with. and thats when she would need me to translate, again. with the actual book test, majerle made it all the way to the 5 and half year old level. she told me how she's never had a child make it that far and majerle is so bright that she wasn't even going to continue on with the test (the part where she asks questions and majerle gives an answer). ultimately she said that she thinks she's fine and if im still worried when she goes off to school, then to have her evaluated again.

im so frustrated! i know her speech is behind for her age. my issue isn't her voacbulary or her comprehension. for the most part, once she gets talking shes unintelligable. and maybe i wouldn't be so stressed about it if she werent starting school in the fall. im just frustrated and upset and im not sure if i have any other options now.
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Old 03-05-2010, 06:49 AM   #12
 
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okay, so both places ended up calling me back and monday a speech therapist from the private agency came and evaluated her.

1st she took out a barn toy and of course majerle named all the animals. there were a few sentences that majerle had said that the SLP had to ask me to translate for her. then she took out a book and did the part of the evaluation where they have they ask questions and the child points to the the correct answer. since majerle was doing so well with that, she would take breaks and give majerle a toy to play with. and thats when she would need me to translate, again. with the actual book test, majerle made it all the way to the 5 and half year old level. she told me how she's never had a child make it that far and majerle is so bright that she wasn't even going to continue on with the test (the part where she asks questions and majerle gives an answer). ultimately she said that she thinks she's fine and if im still worried when she goes off to school, then to have her evaluated again.

im so frustrated! i know her speech is behind for her age. my issue isn't her voacbulary or her comprehension. for the most part, once she gets talking shes unintelligable. and maybe i wouldn't be so stressed about it if she werent starting school in the fall. im just frustrated and upset and im not sure if i have any other options now.
my friend's daughter didn't enter a structured daycare program until she was 3. until that point, she was in a home daycare setting with mostly infants and a caregiver who was more of a baby-sitter than a teacher (not knocking her. she is a kind woman, but her home environment was quite different than a classroom environment).

within 2 months of being in the classroom daycare setting, she was speaking in very coherent and intelligible sentences. i was able to exchange dialogue with her on the phone, the change was that immediate! i was amazed at how quickly being around other speaking children in a structured classroom setting could affect her speech.

don't fret too much. children pick up a lot of positive developmental skills when they are around other children in different settings. maybe that's all your daughter will need.

also, these ages are benchmarks for when children are expected to demonstrate/master developmental skills. they aren't etched in stone. for example, if 6 children are reading at 3 and 4 are reading at 5, by the time they are all 13, and assuming development in other areas are normal and healthy, you probably wouldn't be able to tell the difference between the kids who were reading at 3 from those who read later on. kids are all different. their motor skills, memory recall, dexterity, speech, etc., may develop around the same time, but some will master these things earlier than others. earlier doesn't necessarily mean they are destined to be the brightest and later doesn't necessarily mean they'll be labeled remedial.

good luck.
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Old 03-05-2010, 11:53 AM   #13
 
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I agree the process is overly tedious. The school might take it more seriously. I think a lot of kids have trouble with it a while. My son is in 1st grade this year. The first six weeks, one of the main goals was proper pronunciation for the entire class.

In my experience, once they start spending more time with other kids, a lot of skills might suddenly pick up. Kids can be excellent teachers to each other.

One thing that might help. Our ST told us to do that helped is to stop enabling speech problems. So stop translating, make her talk properly. You can go all out, or choose the important things to work on first, (basic necessities, favorite toy or activity). At the beginning make due with attempts. As you see improvement, raise the bar of quality. This will lead to tantrums but hold your ground.

Kids can have delays simply because lack of interest or laziness. That "too hard" attitude can come very early. Even with devolpmental milestones, some will only go as far as what they can get away with.

I once read that subsequent children often hit milestones earlier then 1st borns. One theory was basically firstborns were spoiled. Subsequent children rarely get the same level of attention. So their independence skills come earlier out of necessity.
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Old 03-05-2010, 01:41 PM   #14
 
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okay, so both places ended up calling me back and monday a speech therapist from the private agency came and evaluated her.

1st she took out a barn toy and of course majerle named all the animals. there were a few sentences that majerle had said that the SLP had to ask me to translate for her. then she took out a book and did the part of the evaluation where they have they ask questions and the child points to the the correct answer. since majerle was doing so well with that, she would take breaks and give majerle a toy to play with. and thats when she would need me to translate, again. with the actual book test, majerle made it all the way to the 5 and half year old level. she told me how she's never had a child make it that far and majerle is so bright that she wasn't even going to continue on with the test (the part where she asks questions and majerle gives an answer). ultimately she said that she thinks she's fine and if im still worried when she goes off to school, then to have her evaluated again.

im so frustrated! i know her speech is behind for her age. my issue isn't her voacbulary or her comprehension. for the most part, once she gets talking shes unintelligable. and maybe i wouldn't be so stressed about it if she werent starting school in the fall. im just frustrated and upset and im not sure if i have any other options now.
How old is she?

I tool my daughter when she was 18 months. The speech therapist told me she was ok and didn't refer her for treatment...but said I should bring her back when she was 2 yrs old if I still had concerns.

By the time she was 2, she was talking up a storm and was miles ahead of everyone else her age by 3 yrs.

Is she around lots of other kids during the day? Can you put her in daycare/preschool for a few hours a day until school starts?
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Old 03-06-2010, 09:37 AM   #15
 
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i think part of the reason im so frustrated i've done everything i know how to do. she's hit every milestone early, including talking. she didnt get her first tooth though until she was one and a half.
she will be 3 in june. i dont know if that has anything to do with it or what. she talks alot and asks a ton of questions.

i always correct her pronounciations and make her correct them too, i repeat what she says back to me the right way, i make her watch my mouth and then watch her own mouth in a mirror if its word she's having really hard time with. she goes to the little gym and she has a standing playdate weekly with kids her age (which is when i first noticed that she was behind), but she still spends time with cousins and friends throughout the week too.
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Old 03-06-2010, 01:59 PM   #16
 
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Does she talk really fast? For a while people had a hard time understanding my middle child (who had speech therapy) because he mumbled and spoke really fast. Once he slowed down it was a little easier to understand what he was saying.

I think if you're still concerned, you should contact the school district directly to see if you can have M evaluated by their people.
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Old 03-06-2010, 02:42 PM   #17
 
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i think part of the reason im so frustrated i've done everything i know how to do. she's hit every milestone early, including talking. she didnt get her first tooth though until she was one and a half.
she will be 3 in june. i dont know if that has anything to do with it or what. she talks alot and asks a ton of questions.
My completely unscientific observation has been that kids who talk earlier, enunciate less. I think its because they've caught onto the concept of communication so quickly and don't want to be bothered with slowing down to learn to say the words better.

My son was a later talker, but he seemed to have skipped over the whole baby-mouth phase and started off pretty clearly at about 2.5. I noticed that many of his friends who were speaking at 1.5, were still relatively unclear at 2.5. But their grasp of language and vocabulary were excellent. They all seemed to even out at about 3-3.5 although there are 4 year olds in DS's class that are still difficult to understand.

I think she'll get it - probably when she's not with you and has to repeat herself for others to understand her.

But of course, follow your Mommy gut.
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Old 03-06-2010, 03:44 PM   #18
 
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Hi Subbrock....sorry to hear about the frustrations you are having with your daughter's speech. I am based in the UK but used to be a speech therapist. She is still very little, so plenty of time for her speech to become clearer even though I know it can be worrying! The fact that her comprehension and vocabulary is so good is brilliant!

Are there any particular sounds that she has difficulty with....are you able to give any examples? I may be able to suggest some activities you can do with her if you give me a little more info....if that would help and you would like me too?

You are doing exactly the right thing by repeating back what she says. Some children can get a little disheartened if they are asked to correct their speech the whole time...so just be aware of that...it's more important that she hears you say it! I'm sure you would have picked up though if she was getting upset with being asked to correct herself.

I love that little picture of her, she's beautiful!
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Old 03-07-2010, 11:07 AM   #19
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subbrock...stick w/ it. As ms said, go w/ your instinct. Mine has never steered me wrong. It isn't easy but oh so worth it! The things we do for our kids, I tell ya...feel free to PM me...imho start out early so the child is not struggling later, ya know? Better to be safe than not...
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Old 03-07-2010, 06:48 PM   #20
 
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Hi Subbrock....sorry to hear about the frustrations you are having with your daughter's speech. I am based in the UK but used to be a speech therapist. She is still very little, so plenty of time for her speech to become clearer even though I know it can be worrying! The fact that her comprehension and vocabulary is so good is brilliant!

Are there any particular sounds that she has difficulty with....are you able to give any examples? I may be able to suggest some activities you can do with her if you give me a little more info....if that would help and you would like me too?

You are doing exactly the right thing by repeating back what she says. Some children can get a little disheartened if they are asked to correct their speech the whole time...so just be aware of that...it's more important that she hears you say it! I'm sure you would have picked up though if she was getting upset with being asked to correct herself.

I love that little picture of her, she's beautiful!
thank you. d's and t's in the middle of words give her a lot of trouble. she says them as a y sound. she says "wah-yer" for water, "lou-yer" for louder. she pretty much drops the endings on all of her words.

i'm starting to draw a blank. we just spent a portion of last night in the ER due to a severe anaphylactic reaction to tilapia. so now i'm going to have to switch my focus from her speech to getting her allergy tested again for new things. this mom stuff is exhausting!
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