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[quote=Anonymous]I know you said your DS was severely speech delayed but what exactly is the nature of the delay - is it expressive and receptive or only one of them?

The reason I ask is that I've got two kids with speech delays, one with a communication disorder that affects processing speed, work retrieval, working memory, etc. and one that is impacted mostly by working memory (and not nearly as much as his brother).  They get about as much ST as your DS gets but because the speech delay impacts their "ability to access the curricula", we have goals that touch upon speech without being pull out services - they are communication goals but are not speech goals.  For example, "with no more than 2 verbal/visual prompts per session, Johnny will use Subject-Verb-Object construction using the present progressive -ing and proper pronouns to share information about a recent personal event or a recently read story at least one time per week."  Or, "in a variety of settings, and given a who/what/where/when question involving at least 5-7 words, Johnny will answer appropriately, with no more than one verbal/visual prompt at least one tiem per week for three consecutive weeks."

You see where I'm going with this, right?  There are a lot of communication and social skills needs that require a lot of speech.  I'm not saying your DS shouldn't get additional ST hours but  there is a lot that can be done for his communication outside the SLP's office.

BTW - my severely delayed kindergartener (apraxia of speech, general developmental delays, executive functioning deficits, etc.) get 4 hrs/mo of speech pull out services in a group.  We supplement with private ST.  HTH.[/quote]

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