Taiona Farmer-jackson
tfarmerj@[Link]
Assessment Results
Client Name: Molly- Assessment (SLP)
Examination Date: July 15th, 2025
Mode: learning
Case History 94/100
Collaborators 71/100
Hypothesis ✓
Assessments 100/100
Diagnosis 100/100
Recommendations 100/100
Completion Time 25 Minutes
Your Competency Score 93%
Overall Competency Rating
Mastering Competency
Clipboard Contents
Case History
Reflective (+): 32
Acceptable (0): 5
Rejected (-): 0
Identifying / Family Information
12 minutes 2 seconds
Tell me about your family. Does Molly have any siblings?
Yes she has a sister and younger brother.
12 minutes 5 seconds
Is there any family history of speech-language, learning, or reading
problems? If yes, please describe.
Yes, I took speech therapy for a very short time in elementary
school for saying the s and th sounds.
12 minutes 8 seconds
Is there a family history of stuttering? If yes, please describe.
There is no family history of stuttering in our family.
Areas of Concern
12 minutes 15 seconds
What are your concerns?
She speaks really fast and gets stuck on the first words in a
sentence when talking.
12 minutes 18 seconds
How do you react when Molly stutters?
I don't bring attention to it and let her work through her
disfluencies.
12 minutes 20 seconds
When did the stuttering begin?
Five years ago.
12 minutes 24 seconds
Did Molly's speech problem develop gradually or appear suddenly?
I noticed it a little bit here and there at first but then it didn't go
away and she seemed to be getting stuck on words more often.
12 minutes 26 seconds
What changes have you seen in Molly's speech?
She has improved and can now control some of her stuttering.
12 minutes 29 seconds
Has Molly ever received diagnostic or therapeutic services for her
speech problem? If yes, tell me more.
Yes, at her elementary school. She has not had therapy since she
has been in middle school.
12 minutes 31 seconds
What are your goals for speech therapy?
I think it would be beneficial for Molly to continue to work on
I think it would be beneficial for Molly to continue to work on
decreasing her stuttering moments to make her life easier as she
becomes a teenager.
Developmental
12 minutes 41 seconds
Did Molly meet all of her developmental milestones? Please
describe.
From what I can remember Molly met all of her milestones on time
if not earlier than expected.
Hearing / Vision
12 minutes 45 seconds
Does Molly have a history of ear infections and/or hearing
problems? If yes, tell me more.
No.
12 minutes 50 seconds
Does Molly have any visual impairment, including wearing
corrective lenses? If yes, describe.
Yes, Molly wears glasses for distance.
Medical
12 minutes 57 seconds
Does Molly have any ongoing medical conditions? If yes, describe.
No, her health is excellent.
13 minutes 27 seconds
Has Molly had any previous illnesses, injuries, or surgeries? If yes,
please describe.
No.
13 minutes 29 seconds
Does Molly take any medications? If yes, which medications is she
taking?
No.
13 minutes 36 seconds
Has Molly ever been seen by a specialist such as a psychologist,
psychiatrist, ENT Physician, audiologist, physical therapist,
occupational therapist or neurologist? If yes, which specialist(s)?
Just her speech therapist in elementary school.
Feeding / Swallowing
13 minutes 41 seconds
Did Molly have any di!culty with feeding as an infant? Describe
any current eating issues.
No.
Speech, Fluency, and Voice
13 minutes 47 seconds
Would you rate the clarity of Molly's speech as excellent, good, fair,
or poor?
I would say good.
I would say good.
13 minutes 49 seconds
Does Molly's speech appear to be relatively fast, slow, or normal?
Molly's speech is very fast.
13 minutes 53 seconds
Does Molly ever hesitate, get stuck, or repeat sounds or words? If
yes, please describe.
Yes.
13 minutes 57 seconds
Describe Molly's speech in your own words.
She speaks really fast and gets stuck on inital sounds.
14 minutes 2 seconds
Does Molly appear to have di!culty with certain sounds or words?
If yes, please describe.
Molly repeats sounds. She has more di!culty with initial sounds in
words.
Language / Literacy
14 minutes 13 seconds
Do you feel that Molly can verbally express herself easily? If no,
describe.
Yes.
14 minutes 16 seconds
How does Molly communicate with family and friends?
Molly talks a lot at home and with her friends. She doesn't seem to
be bothered by her stuttering when she is with her friends.
14 minutes 18 seconds
How well does Molly follow directions and conversation with
others?
Excellent.
Social / Behavioral
14 minutes 24 seconds
How does stuttering a"ect Molly's life?
Molly loves to talk but I think her stuttering holds her back at
times. I think she feels badly about her ability to e"ectively
communicate with her teachers and peers.
14 minutes 28 seconds
Does Molly appear frustrated about her speech? If yes, please
explain.
She tries to say it doesn't bother her, but I think that is her way of
dealing with it.
14 minutes 30 seconds
How does Molly communicate with others outside of school?
She doesn't really like to talk on the phone. She keeps asking for a
cell phone so she can text her friends.
14 minutes 32 seconds
Does Molly avoid certain speech situations? If yes, tell me more.
She doesn't usually answer the phone unless she knows it's for
her.
14 minutes 34 seconds
Does Molly socialize with friends?
Yes.
14 minutes 38 seconds
Is there a di"erence in Molly's speech depending who Molly is
talking to? If yes, tell me more?
She has a harder time talking to adults and people she does not
know very well compared to talking with her friends or siblings.
14 minutes 43 seconds
Are there any specific situations that seem to create speech
problems? If yes, please describe.
She has a harder time talking to adults and people she does not
know very well. She also has a hard time if she is trying to win an
argument or state her opinion.
15 minutes 16 seconds
When Molly stutters, does she exhibit any other behaviors?
Sometimes she closes her eyes when she is in a stuttering
moment.
15 minutes 17 seconds
Do you have any concerns about Molly's behavior? If yes, please
explain.
No.
Education and Work
15 minutes 25 seconds
Does Molly have an IEP or is she currently enrolled in any special
education programs? If yes, please describe.
No.
15 minutes 30 seconds
What are Molly's feelings about school?
She generally likes school and does well in all of her classes. When
she was younger she was teased more and she would come home
from school upset.
Collaborators
Reflective (+): 18
Acceptable (0): 0
Rejected (-): 1
Educational
10 seconds
You contact the Speech-Language Pathologist in Elementary School
Hello, I am Sarah Walters. I was Molly's speech-language
Hello, I am Sarah Walters. I was Molly's speech-language
pathologist when she was in elementary school. I saw Molly for two
years before she was dismissed from speech. In treatment, her
goals were for articulation of s and z sounds and also using easy
relaxed speech to decrease her speaking rate. I will send you her
dismissal summary. How can I help you?
23 seconds
Describe Molly's stuttering.
She spoke with an increased rate of speech and had repetitions
and prolongations of initial sounds.
1 minutes 0 seconds
Describe Molly's communication abilities at the time of discharge?
When she was dismissed from treatment, she was having very
minimal stuttering moments and was able to utilize strategies to
decrease disfluencies.
1 minutes 17 seconds
What is Molly's reaction to stuttering?
Molly did not seem overly frustrated with her stuttering. She is an
easy going child who kept trying and was very motivated.
1 minutes 49 seconds
Did you target Molly's reactions to stuttering? If so, what did you
discuss?
We discussed her feelings and emotions about stuttering.
2 minutes 58 seconds
What techniques did you use in treatment?
What techniques did you use in treatment?
We focused on utilizing easy relaxed speech and utilizing
strategies. We practiced keeping her voice turned on, easy onset,
and light contact of sounds when talking. She did well with all of
the strategies we practiced.
3 minutes 7 seconds
What goals did you work on?
Molly had goals for using easy relaxed speech in the therapy room,
classroom setting, and also conversations with family members.
3 minutes 37 seconds
You contact the Classroom Teacher
Hi, my name is Mrs. Beck. Molly is in my sixth grade language arts
class. I referred Molly for evaluation because her stuttering seems
to still be a problem for her. Molly is doing well academically but
does not raise her hand often in class. I have a copy of her report
card from last school year that I will send to your inbox. Do you
have any other questions?
3 minutes 45 seconds
How is Molly's classroom participation?
She will ask for clarification of an assignment. She often stutters
when trying to ask questions but does not give up until her
question is answered.
6 minutes 36 seconds
What is the di"erence between Molly's written and verbal
communication abilities?
Molly does not o"er her ideas in class as freely as she does in her
Molly does not o"er her ideas in class as freely as she does in her
writing. She is very descriptive and supports her arguments when
writing, but does not share her thoughts during class discussions.
6 minutes 54 seconds
What is the di"erence in Molly's speech when she is reading aloud
compared to when she is talking in class?
She stutters both when reading and also spontaneous speech.
7 minutes 6 seconds
Describe her disfluencies.
She repeats the first sounds in words often and seems to have
more di!culty with words starting with s.
7 minutes 44 seconds
When Molly stutters, does she exhibit any other behaviors? If yes,
please describe her behaviors.
When stuttering, she will look down or close her eyes.
8 minutes 5 seconds
How is Molly's self esteem in communication situations?
She is very outgoing with her friends however she is reserved in
the classroom.
8 minutes 8 seconds
What is the other students' awareness of stuttering?
She is the only student in her class who stutters. She has a few
close friends in her grade who are accepting.
8 minutes 14 seconds
What are the reactions of other students in your classroom?
Her classmates are aware of Molly's stuttering however in the
beginning of the school year some students rolled their eyes or
giggled.
8 minutes 23 seconds
Are there any classroom accommodations to support Molly's in the
classroom? If yes, describe.
I do not call on Molly if she is not raising her hand.
16 minutes 59 seconds
You contact the School Psychologist
Hi. I am Thai Smith. I am the school psychologist. I observed Molly
in the classroom setting. I will send you a summary of my
observations to your inbox. How can I help you?
17 minutes 15 seconds
You contact the Speech-Language Pathologist in Elementary School
Hello, I am Sarah Walters. I was Molly's speech-language
pathologist when she was in elementary school. I saw Molly for two
years before she was dismissed from speech. In treatment, her
goals were for articulation of s and z sounds and also using easy
relaxed speech to decrease her speaking rate. I will send you her
dismissal summary. How can I help you?
17 minutes 19 seconds
How are Molly's current communication abilities?
I do not know the answer to your question.
I do not know the answer to your question.
Hypothesis
Hypothesis #1
11 minutes 1 seconds
Molly has a fluency disorder; advanced stuttering
Fluency
Assessments
Fluency
8 minutes 42 seconds
Overall Assessment of the Speaker's Experience of Stuttering
School Age Version (OASES-S)
Results: Total Impact Score: 2.4 Impact Rating: Moderate Notes:
Section 1: General Information: Impact Score 2.55, Impact Rating:
Moderate. Section 2: Reactions to Stuttering: Impact Score: 2.65,
Impact Rating: Moderate. Section 3: Communication in Daily
Situations: Impact Score: 2.95, Impact Rating: Moderate. Section 4:
Quality of Life: Impact Score: 1.45, Impact Rating: Mild
8 minutes 48 seconds
Stuttering Severity Instrument 4th Ed.
Results: Total raw score: 17 Percentile 24-40 Severity: Mild Notes:
Clinic Speaking Sample 1: 19/500=3.2%SS Clinic Speaking Sample 2:
7/328=2.1%SS Beyond Clinic Speaking Sample 3: 11/176 = 6.3% SS
Her average length of three longest stuttering events was .5
seconds-.9 seconds. Physical concomitants: 2 for facial grimaces
and 1 for head movements.
8 minutes 52 seconds
Behavior Assessment Battery: Behavior Checklist (BCL)
Results: Score of 24 Notes: 2 standard deviations above the mean
for CWNS. 11/2 SD above the mean for CWS. The client reports
using a significant amount of avoidance and escape behaviors.
Oral Peripheral
9 minutes 3 seconds
Oral Peripheral Exam
Classroom Performance
9 minutes 9 seconds
Classroom Observation
Results: Classroom observation was completed by school
psychologist. Consult psychologist within the collaborator section
for additional information.
Interview with Client
9 minutes 23 seconds
Previous Stuttering Therapy: When and Where?
9 minutes 27 seconds
Previous Techniques: Did they help?
9 minutes 38 seconds
Are Certain Words or Sounds Harder To Say?
9 minutes 44 seconds
Easiest Person To Talk To
9 minutes 48 seconds
Explain What Stuttering Is
9 minutes 55 seconds
Times When You Have More Stuttering
10 minutes 5 seconds
Stuttering Impact Life Goals
10 minutes 9 seconds
Does Stuttering Impact School Performance?
10 minutes 17 seconds
How Do You Feel When You Stutter?
10 minutes 27 seconds
10 minutes 27 seconds
What Happens If You Do Stutter?
Diagnosis
Fluency
14 minutes 58 seconds
Stuttering
Recommendations
Recommendations
15 minutes 7 seconds
Recommend consultative school-based services to review fluency
strategies, knowledge of stuttering, and feelings and emotions
related to disfluencies. Recommend modifications and
accommodations in the classroom.