(Bold denotes qualifying delay/atypical development)
Cognition: 15-17 months; 2-4 months behind
Expressive Language: 13 months; 6 months behind
Gross Motor: 10-11 months; 8-9 months behind
Fine Motor: 18 months; age level
Social: 16-18 months; 0-2 months behind
Self-Help: 16-17 months; 2-3 months behind
This year, age 31 months.
Cognition: 31-32 months; age level
Expressive Language: 28-29 months; 2-3 months behind*
Gross Motor: 25 months; 6 months behind
Fine Motor: 31 months; age level
Social: 31 months; age level
Self-help: 24-26 months; 5-7 months behind
Long story short, KayTar will continue to receive services until she switches into the district in February. Everything will remain the same with the addition of HI services. HI services are hearing impaired services with a teacher from the district. I was told it streamlines the transfer when there is already someone from the school involved in KayTar's therapy regimen, and because she qualifies for this, it is the best way to start the transition. Her delays are slightly smaller than they were last year, except for self-help which has actually gotten larger. She still qualifies in the same areas, regardless of the slight shifts.
*Expressive language was the tricky one. The therapist who evaluated her is not her normal ST, but she was extremely thorough and knowledgeable. She was able to identify those areas of KayTar's language development that nag at me. There is a feeling of something being not quite right, but for me it is hard to really pinpoint. I attempted to do so in this post, though. She said that to the outside observer, someone who is not trained as a speech therapist or who does not work with KayTar daily, she will appear to have normal speech abilities at this point. KayTar accomplishes this through an impressive use of echolalia and scripting. She is catching up in number of words and length of sentence, too. But she does not have the following skills:
Relates experiences using phrases
Answers open ended questions
The fluidity of language does not flow through her; it is cut and pasted from prior instances.
She also has articulation difficulties when using multiple words. It all become one word. Like "What color is it?" it all comes out together in a blur, because she thinks of it as one word. "Whacasit?"
She can't follow multi-step commands or understand concepts that are not concrete, either. A good example of this is her hearing tests. Most children by this age are able to be tested in a sound booth, but because KayTar cannot understand the instructions or respond reliably, it nulls the test.
It is all very intricate and difficult to explain, but the good news was that a new therapist coming into contact with KayTar for the first time was able to see it without my mentioning it. When people interact with KayTar remark that she is caught up speech-wise, I alway cringe internally, because I know that things aren't quite right, although they might appear that way to the casual observer. It makes me feel a wee bit neurotic, to say, "Well, not exactly." Trying to explain it is difficult, especially when I can't articulate exactly what is or is not happening properly. Suffice it to say, the ST said to keep up the speech therapy and that twice a week will be excellent for her. She also highly recommended the HI program as well, since they tackle speech as well. She made a few suggestions for the transition into the district and things to request at her IEP (like an FM system).
She's doing great, though, and making strides. Having all of her ECI therapists here, with the addition of two new ones was great fun. KayTar thought it was party and she had a blast going from one to the next; playing, laughing, and cuddling. They oohed and ahhed over how intelligent she is and bragged about her reading and phonics skills. It was nice to hear them all discussing her with such pride. A year ago, she couldn't stand them for the most part, and now they are great friends. It is heartwarming to watch. All in all, it went really well.
Among her vast and varied accomplishments, she has also grown an impressive head of hair this year.