Therapy approach-Lucas’ phonology assessment indicates a moderate to severe phonological delay. His intelligibility appears to be significantly impacted with his percentage of phonemes correct 68.9%, compared to the average for his age of 93.51% (Dodd, Holm, Hua & Crosbie, 2003). It is also noted in the case history that Lucas is very aware of his speech difficulties and this is impacting on his communication and participation within the classroom environment. Bishop and Adams (1990) emphasises that intelligibility is a strong predictor of future literacy success. A child of 5 and a half years is likely to have difficulties with decoding and spelling if they are low in intelligibility (Bishop & Adams, 1990). Review of the phonological processes impacting Lucas’ speech showed that there were four primary processes consistently evident within the …show more content…
In each ensuing cycle, patterns and the target phonemes are generally recycled depending on the child’s progress, adding complexity as appropriate (Bowen, 2015). At the end of each cycle phonological assessment is done to track progress and plan for future cycles. /s/ clusters, velars, and liquids are likely to be recycled 2 or 3 times (Bowen, 2015). Cycles can on average take 6-18 hours (Bowen, 2015). Typically 3 or 4 cycles (requiring approximately 30-40 hours) are required for clients with extremely disordered phonological systems to become