Reply to Preschool options for Hard-of-Hearing 3 year old?

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Reply to "Preschool options for Hard-of-Hearing 3 year old?"

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[quote=Anonymous][quote=Anonymous]OP here:

To 13:41 - yes, my daughter's problem is (well moreso used to be) that she could say single words fine but when she combined them or had a multi-syllabic word, it all went to pot and came out crazy. So she scored well with single-word articulation tests, but still had clear problems.

To 15:55 - THANK YOU for such specific and helpful suggestions. I'm going to file away your post for future reference![/quote]

OP, the difficulty with combinations of words or multi-syllabic words is called oral/motor/verbal dyspraxia or developmental verbal dyspraxia.  Dyspraxia in general is the idea that the body has difficulty sequencing movements or ordering the movements from the brain to come out at the body part in smooth, fluent, sequenced motion.  It can be global or only in certain aspects (i.e. an overall problem or just with speech or just with gross motor, etc.)  My DS had this diagnosis in addition to  Mixed Expressive/Receptive Language Disorder, phonological disorder, and articulation disorder (as well as dysgraphia and ADD/Inattentive).  It comes out in speech as difficulty pronouncing or reading multisyllabic words -- sometimes the order of syllables is mixed up or syllables are dropped or added.  He also has difficulty with things like eating an ice cream cone (coordination of the tongue) and gross motor activities that require planned movement (instead of fluent movement like running) or multiple motions in different directions.  (Lacrosse is difficult, and swimming was very hard to pick up initially and required a private coach, but once the skill is acquired and automated, he can do it well.  Both lacrosse and swimming have too many body parts going in too many different directions at the same time.)

What kind of speech/language evaluation have you had -- only from the school or only on isolated tests?  IME, the school speech language testing is very weak.  If you come to DC, you might consider a full speech/language evaluation at the LAB school (which is very near River School).  It takes 1-2 days and costs about $1500.  I found that this evaluation fully identified all of DC's speech/language issues, many of which the school missed entirely and which likely were caused in part by early variable hearing loss due to ear infections for probably 6-9 months before ear tube remediation.[/quote]

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