frustration and frustration and frustration and avoidance avoidance avoidance behaviors present. behaviors may be behaviors are Fluent speech present. present, typically predominates. noticeable and distracting. No apparent Mild Moderate Severe problem Transitory Frequent Habitual dysfluent Informal dysfluencies are dysfluencies are behaviors are Assessments observed in specific observed in many observed in a situations. situations. majority of situations. Speech or Language Impairment Eligibility Form/Severity Rating Scales Voice Severity Rating Scale When a is referred for a voice impairment, a medical referral is indicated. Voice impairment: The absence or abnormal production of voice characterized by: deviant initiation/duration, tonal quality, pitch, loudness and/or resonance for age or speaking situation. No voice To find the presence of an impairment, ratings in assessment Description of and Informal Assessments needed. MUST fall within the moderate or severe category. No apparent Mild Moderate Severe problem Voice production Inconsistent Persistent Persistent quality (tension, noticeable noticeable noticeable extreme Description of resonance), pitch differences in voice differences in voice differences in voice Voice and intensity are not production quality production quality production quality unusual. (tension, (tension, (tension, resonance), pitch resonance), pitch or resonance), pitch or intensity. intensity. or intensity. No apparent Mild Moderate Severe problem Voice difference Voice difference Voice difference including including including hoarseness, hoarseness, hoarseness, Informal Assessments pitch or pitch or pitch or intensity is intensity is intensity is distinctly somewhat significantly abnormal for the
frustration and avoidance behaviors present. Fluent speech predominates. frustration and avoidance behaviors may be present. frustration and avoidance behaviors are present, typically noticeable and distracting. Informal Assessments No apparent problem Mild Moderate Severe Transitory dysfluencies are observed in specific situations. Frequent dysfluencies are observed in many situations. Habitual dysfluent behaviors are observed in a majority of situations. Speech or Language Impairment Eligibility Form/Severity Rating Scales Voice Severity Rating Scale When a is referred for a voice impairment, a medical referral is indicated. Voice impairment: The absence or abnormal production of voice characterized by: deviant initiation/duration, tonal quality, pitch, loudness and/or resonance for age or speaking situation. No voice assessment needed. To find the presence of an impairment, ratings in Description of and Informal Assessments MUST fall within the moderate or severe category. Description of Voice No apparent problem Mild Moderate Severe Voice production quality (tension, resonance), pitch and intensity are not unusual. Inconsistent noticeable differences in voice production quality (tension, resonance), pitch or intensity. Persistent noticeable differences in voice production quality (tension, resonance), pitch or intensity. Persistent noticeable extreme differences in voice production quality (tension, resonance), pitch or intensity. Informal Assessments No apparent problem Mild Moderate Severe Voice difference including hoarseness, pitch or intensity is somewhat Voice difference including hoarseness, pitch or intensity is significantly Voice difference including hoarseness, pitch or intensity is distinctly abnormal for the
Speech-or-Language-Impairment-Eligibility-Form-10-5-20171.docx