Arianna’s Story: Preschool Speech and Language
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How do I determine where to start with a preschooler who is hard to understand?
How do we help a child with speech and language delays when we don't know where to start? I'm Keri Clark, and on today's episode of the Speech and Language Kids podcast, I'm going to be sharing you a story called, I'm going to call it Ariana's story. That's not her real name, but this is the real story of one of my clients and how we figured out what to work on for a preschooler who was difficult to understand and had some speech and language delays. So that is what we're going to be going over today. I'm going to share her story with you as a case study, and I'll walk you through the process of how we figured out what to work on and how we addressed her particular challenges. So welcome, if you are new to our podcast, I am recording this live inside the Hub, which is our membership site over at hub.speechandlanguagekids.com.
I see Ola in here with me, welcome. We have a chat, so those of you who are joining me live, you can pop over to the chat and say hello if you'd like. and answer questions and if you are listening to this as a podcast and you would like to participate in our live recordings you can hop over into the hub we have free plans and our podcast recordings are available for the free plan membership as well as our full plan hey Cynthia Tiffany Jenny Tondaleo welcome all right you guys can pop over and ask questions as we go along in the chat Okay, so today I want to talk about preschool speech and language, and in particular, a little one named Ariana. Again, I'm changing the names for privacy, but we're going to call her Ariana today, and she is a client I worked with at a rural school district near me where I was going in as a contract SLP.
I was only there one day a week, so that whole piece of trying to figure out what to work on can be a challenge when you are not in the building all the time communicating with those staff and being around the child. So this is the story of how we went through the process of figuring all that out. Hi, Tiffany. Welcome, guys. A whole bunch of you. Awesome. Okay, so over the course of the last couple of months, you've probably heard me start to talk about the framework and the systems that we're creating inside the hub for basically taking all of these ideas that were in my head and that I've been sharing in blog posts and podcasts and worksheets and putting it all together in one big framework, one system that makes this whole process easy.
It makes the decision making easy and it gives us a guide when we are going through and trying to figure out how to help these children with speech and language delays in the most efficient way possible and the most functional way possible. Because test scores are not what we're looking for, right? We're looking for real meaningful progress on communication skills. And so that is what I've been working on and that is what is now available in full inside the Speech and Language Kids Hub. So if you'd like to check any of the pieces out, You can hop over, grab a free membership. We've got the first several steps there for free, including our screening checklist and our progress monitoring tools, which are a huge piece of this where do we start process, okay?
So let me tell you about Ariana. She was four years old when I started working with her. She had qualified the previous year through a speech language evaluation and And a few areas were identified, but in general, it was people describing her as, we just can't understand what she's saying. She's really hard to understand. And so if any of you have worked with a preschooler who's hard to understand, there's a lot that goes into it, right? It's not just speech sounds. It's not just phonology. It's not just language. There's all these different parts that are all working together to make it so that that child is hard to understand. So the very first thing that we do with the SLK framework and when we are looking at how to help a new child is that we need to start with figuring out which area of communication that they're struggling in.
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Chapters
8 chapters
1
How do I determine where to start with a preschooler who is hard to understand?
0:01–5:01
2
What are the main communication areas that impact Arianna’s intelligibility?
5:01–9:44
3
How does the SLK screening checklist help narrow down speech vs. language targets?
9:44–14:17
4
Which specific phonological processes did Arianna exhibit and why do they matter?
14:17–17:53
5
What grammar and syntax gaps were identified and how were they prioritized?
17:53–22:52
6
How can play‑based, flexible therapy sessions be structured for a 4‑year‑old?
22:52–26:55
7
How do I troubleshoot common preschool challenges like echolalia or AAC use?
26:55–30:50
8
What parent carry‑over strategies and resources support ongoing progress?
30:50–33:08