Intervention Transcript & Assessment
Results
This comprehensive guide covers the "Oliver - Intervention" simulation,
including the complete intervention transcript, assessment results,
and detailed solutions with clinical rationales.
Case Overview
Client: Oliver
Age: 3 years old
Diagnosis: Developmental Delays (transitioning to public preschool)
Setting: School-based speech-language pathology evaluation
Primary Focus: Speech sound disorder intervention,
feeding/swallowing challenges, and developmental language delays
SECTION 1: COMPLETE INTERVENTION
TRANSCRIPT
Session Introduction
Clinician: "Hi Oliver, my name is [Clinician Name], and I'm so happy to
meet you today! We're going to play some fun games and do some
,activities together. Your mom/dad will be right here with us. Are you
ready to have some fun?"
Rationale: Establishes rapport, uses developmentally appropriate
language, reduces anxiety, and includes the caregiver as a supportive
presence. For a 3-year-old, play-based language is essential to engage
the child in the therapeutic process.
Assessment Results Review
Clinician: "Oliver, I've been looking at all the great work you did during
our assessment. You did such a good job! Today we're going to
practice some of the sounds and words that were a little tricky for
you."
Rationale: Reviews previous assessment findings with the child and
family, normalizes challenges, and sets a positive tone for
intervention.
Assessment Results Summary:
● Receptive Language: Delayed vocabulary comprehension,
difficulty following multi-step directions
● Expressive Language: Reduced vocabulary, speech sound errors,
difficulty with sentence formulation
● Speech Sound Production: Velar fronting (e.g., "tat" for "cat"),
stopping of fricatives, cluster reduction
● Feeding/Swallowing: Difficulty with textured foods, limited oral
motor control
● Pragmatics: Limited verbal initiation, difficulty with turn-taking
, Intervention Activity 1: Articulation Therapy (Speech Sound
Production)
Clinician: "Oliver, look! I have some fun pictures. Can you tell me what
this is?" (Shows picture of a cat)
Oliver Expected Response: "Tat!"
Clinician: "Good trying! That's a CAT. Let's try that sound together.
Watch my mouth. C-C-Cat. Can you say it with me? C-C-Cat."
Oliver Expected Response: "C-C-Tat" (emerging velar production)
Clinician: "Wow, Oliver! That was a great try! You're working so hard.
Let's try one more time. C-C-Cat."
Rationale: Uses a minimal pair and correct production model. Provides
positive reinforcement for attempts. Targets phonological process
(velar fronting) with cueing and repetition. Maintains a play-based,
encouraging tone.
Intervention Activity 2: Expressive Language Expansion
Clinician: "Oliver, I see a BIG dog in this picture! What is the dog
doing?" (Shows picture of a dog running)
Oliver Expected Response: "Dog go" (two-word phrase, reduced
grammatical complexity)
Clinician: "You're right! The dog is RUNNING. Can you say 'The dog is
running'?"