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Good Speech,Inc.

  Kathie Harrington            435-8748                 fax: 436-9161              Kathieh2@cox.net




Independent Contractor: (IC)    Stephanie Rich              Date: August 1, 2009



Child: Nolan Truong            BD     6-5-06



Parent:          Ben and Holly Truong            phone 953-8558

Address: 3747 Wild Lily Ct. LV 89147

E mail : hollydtruong@yahoo.com

                                               *****

Screened/Tested on 7-31-09



                                               *****

Place of therapy:     Home                     Number of minutes per week: 60

              Days/hours of availability: Mon Tues Wed Thurs Fri Weekends after school

                                                  •   ***



Mother’s report:

Family is Vietnamese

Father is a dentist

Both mother, father, and brother speak fluently in both languages
speak to Nolan in Vietnamese about 90% of time at home (we discussed keeping the

        cultural language but making it about 50% of the time)

he watches videos/tv in English

school is in English

understands in both languages

Nolan is difficult to understand

some sentences are very clear but not clear when asked to repeat

will be in an Early Childhood program at Roger Bryan Ele. School now and in fall

very friendly




Screening results                         Articulation Language

Vowels: many vowels are right on target ~ however many are not with various consonant
combinations. I don’t look at it as an apraxic disability but rather as a cultural difference with
Vietnamese. Mrs. T. and I discussed the vowels in V. I feel that he needs practice with the long vowels
especially in order to get used to using them more with a variety of consonants. When practice drills
with d, k, p, m, n, Nolan could produce these with long e/o/u and some /i/. Drill might be considered.

Consonants: It appears that Nolan is leaving off most final consonants but this often varies which
makes me feel the process is emerging for him but needs assistance. Examples in single words are:
emission of final sounds in pig, ball, man, wagon, table, sun. Other articulation errors varied a great
deal from single words to phrases such as sh/s, h/k, h/l, and omission of many medial sounds. Some
words were very clear such as: bubbles, baby, mommy, big, egg, here, ball.



Nolan talks in 1, 2, 3 word phrases most of the time but longer phrases can be detected by the cadence
of his utterances although not understood by the listener. A language sample is as follows:

sheep

pig

big
that’s a baby

baby pig

big pig

donkey

doggie

house

no doggie out

a cat

ball

called a chick

egg

here

bubbles

sure

go

more bubbles

get more bubbles

please help



Nolan:

could match colors – I don’t think he knows the names of them however

could put puzzle pieces together

sat well at a table

enjoyed a variety of therapy mateials
smiled and had wonderful pragmatic skills

give high fives

follow instructions in English

point but needs more practice with using his “pointer”

could not count

knows animals and many animal sounds

helped put items away upon request

could blow bubbles

has a four year old sibling (I did not meet him) Nathan

is imitative and follows gross motor activities well

was a great deal of fun to work with

sat at a small table the entire hour +



                     Further articulation assessment to be determined by IC.


          You might want to eventually consider doing a phonological processing assessment.



Language:     Areas of language to consider are:

            vocabulary    MLU



                  Further language assessment to be determined by IC.



 Appropriate Benchmarks are determined by the client’s speech team: parent/caregiver and
                                         IC
*****




           An IC’s behavioral control with Good Speech, Inc. supports the IC to:

   Contact parent/caregiver to schedule appointments and to provide therapy
                                demonstrations
Select if and when further assessment is needed and determine appropriate tools.
     Determine benchmarks and strategies that best meet the client’s needs.
    Select appropriate data keeping methods and how therapy is performed.
    Conduct therapy in accordance with professional and ethical standards.




To the SLP:



You will adore working with this family. Holly is delightful and eager to learn strategies
she can use with her young son. I would not recommend dropping the cultural Vietnamese
language (as was one professional’s recommendation). Nolan appears to understand in both
and also appears to have a normal IQ to receive both languages.

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child information

  • 1. Good Speech,Inc. Kathie Harrington 435-8748 fax: 436-9161 Kathieh2@cox.net Independent Contractor: (IC) Stephanie Rich Date: August 1, 2009 Child: Nolan Truong BD 6-5-06 Parent: Ben and Holly Truong phone 953-8558 Address: 3747 Wild Lily Ct. LV 89147 E mail : hollydtruong@yahoo.com ***** Screened/Tested on 7-31-09 ***** Place of therapy: Home Number of minutes per week: 60 Days/hours of availability: Mon Tues Wed Thurs Fri Weekends after school • *** Mother’s report: Family is Vietnamese Father is a dentist Both mother, father, and brother speak fluently in both languages
  • 2. speak to Nolan in Vietnamese about 90% of time at home (we discussed keeping the cultural language but making it about 50% of the time) he watches videos/tv in English school is in English understands in both languages Nolan is difficult to understand some sentences are very clear but not clear when asked to repeat will be in an Early Childhood program at Roger Bryan Ele. School now and in fall very friendly Screening results Articulation Language Vowels: many vowels are right on target ~ however many are not with various consonant combinations. I don’t look at it as an apraxic disability but rather as a cultural difference with Vietnamese. Mrs. T. and I discussed the vowels in V. I feel that he needs practice with the long vowels especially in order to get used to using them more with a variety of consonants. When practice drills with d, k, p, m, n, Nolan could produce these with long e/o/u and some /i/. Drill might be considered. Consonants: It appears that Nolan is leaving off most final consonants but this often varies which makes me feel the process is emerging for him but needs assistance. Examples in single words are: emission of final sounds in pig, ball, man, wagon, table, sun. Other articulation errors varied a great deal from single words to phrases such as sh/s, h/k, h/l, and omission of many medial sounds. Some words were very clear such as: bubbles, baby, mommy, big, egg, here, ball. Nolan talks in 1, 2, 3 word phrases most of the time but longer phrases can be detected by the cadence of his utterances although not understood by the listener. A language sample is as follows: sheep pig big
  • 3. that’s a baby baby pig big pig donkey doggie house no doggie out a cat ball called a chick egg here bubbles sure go more bubbles get more bubbles please help Nolan: could match colors – I don’t think he knows the names of them however could put puzzle pieces together sat well at a table enjoyed a variety of therapy mateials
  • 4. smiled and had wonderful pragmatic skills give high fives follow instructions in English point but needs more practice with using his “pointer” could not count knows animals and many animal sounds helped put items away upon request could blow bubbles has a four year old sibling (I did not meet him) Nathan is imitative and follows gross motor activities well was a great deal of fun to work with sat at a small table the entire hour + Further articulation assessment to be determined by IC. You might want to eventually consider doing a phonological processing assessment. Language: Areas of language to consider are: vocabulary MLU Further language assessment to be determined by IC. Appropriate Benchmarks are determined by the client’s speech team: parent/caregiver and IC
  • 5. ***** An IC’s behavioral control with Good Speech, Inc. supports the IC to: Contact parent/caregiver to schedule appointments and to provide therapy demonstrations Select if and when further assessment is needed and determine appropriate tools. Determine benchmarks and strategies that best meet the client’s needs. Select appropriate data keeping methods and how therapy is performed. Conduct therapy in accordance with professional and ethical standards. To the SLP: You will adore working with this family. Holly is delightful and eager to learn strategies she can use with her young son. I would not recommend dropping the cultural Vietnamese language (as was one professional’s recommendation). Nolan appears to understand in both and also appears to have a normal IQ to receive both languages.