Every evaluation is slightly different. However, there are some basic steps that occur in all evaluations:
A. Initially, there are several forms that need to be filled out, that give the Speech-Language Pathologist some detailed information about the client’s medical history (and developmental history for children), and describes the areas of concern.
B. An appointment for the evaluation is set up. Evaluations are split into two segments – 1) The parent (or adult client) interview. This is where we will discuss the history, areas of concern, and any prior evaluations. This portion is performed virtually (online). 2) The evaluation. This is typically performed in-person, but can be virtual if preferred. The evaluation appointment is approximately two hours in length.
C. At the time of the appointment, the Speech-Language Pathologist may ask the parent (or adult client) additional questions, and then proceeds with the examination and assessment portion of the evaluation.
D. At the conclusion of the evaluation, a discussion with the parent (or adult client) takes place, to review the findings of the evaluation, and recommendations are made regarding what the next steps should be. Lastly, you will receive a written report (typically received a few weeks after the evaluation) that outlines the results of the evaluation, the diagnosis, and recommendations.
The differences occur based on the age and type of evaluation that is needed:
1) Speech / Articulation / Oral-Placement Evaluations – The exact assessments that are administered will depend on the age of the client and the area(s) of concern. However, for all clients, there will be an examination of the oral cavity, looking at all structures and muscles. There will frequently also be an assessment of the strength, coordination, and functioning of these structures and muscles, using specialized oral-placement ‘tools’ designed specifically for use in and around the mouth. Lastly, there will be an assessment of the client’s speech production skills to determine where the areas of strength and weakness are.
2) Speech & Feeding & Tongue-Tie Evaluations: The format of these evaluations are similar to the speech, articulation, and oral-placement evaluation above. The primary difference is that there is also a more in-depth look at the oral structures (especially if determining the presence, and effect, of tongue-ties and lip-ties) and their functioning, as well as their impact on speech & feeding. For this evaluation, the parent (or adult client) will be asked to bring a variety of foods and drinks with them from home (you will receive an itemized list of what to bring). During the evaluation, the child (or adult client) will be asked to eat those foods, while the Speech-Language Pathologist observes. This allows the Speech-Language Pathologist the opportunity to see how the structures and muscles of the mouth are performing during eating and drinking tasks.
3) Orofacial Myofunctional Evaluations: The format of these evaluations are similar to the evaluations described above, but are specifically designed ONLY for children over the age of 4 years, teens & adults. These evaluations include an in-depth look at the facial & oral structures, including: facial symmetry, dental alignment, palatal shape, as well as the presence, and effect, of tongue-ties and lip-ties; and their impact on functioning. The evaluation will be assessing the strength, coordination, and dissociation of facial and oral muscles. Additionally, the parent (or adult client) will be asked to bring a variety of foods and drinks with them from home (you will receive an itemized list of what to bring). During the evaluation, the child (or adult client) will be asked to eat those foods, while the Speech-Language Pathologist observes. This allows the Speech-Language Pathologist the opportunity to see how the structures and muscles of the mouth are performing during eating and drinking tasks. There will likely also be assessment of speech production from both formalized testing and informal conversation and/or reading tasks.