The routine was established where his parents were present at the beginning and then again at the end of each session. It is very important for the continuity of his growth that Jonathan knew that his parents thought his therapy was important. It was equally important that the therapist have time each session with the family to teach new skills, answer questions and address any of the concerns they might have. The following April, Jonathan had his first assessment with a Speech and Language Pathologist. At the age of 15 months, he appeared to understand language at the 16 month level, receptive language, and vocalize at the 12 month level, expressive language.
Receptive language includes listening, following directions, and comprehension of words.
Expressive language is speaking, vocalizing, or communicating by sign language. A receptive skills usually precedes the ability to express that word. In May Jonathan was again assessed at the age of 18 months. It was apparent that he had made quite a bit of progress over the past 6 months. Jonathan had become very social in the past few month and in the area of fine motor he was now able to place blocks into a container.