Assessing stimulability in toddlers

This article describes the development and use of a novel, script-based stimulability task for toddlers. A detailed description of the task and procedures for administration is provided. The task assesses stimulability for fricatives, affricates, and liquids in isolation and single words through presentation of toys and objects in a script format during play. Three different levels of cueing are provided to elicit the desired sounds/words. Selected findings from examination of the performance of 10 toddlers with normal speech-language development and 10 with delayed development at an initial assessment and a 6-month reassessment are also described. Results suggest that stimulability testing may be successful with toddlers through the use of a scripted task and that they are more responsive to direct elicitations. Both groups added stimulable sounds; however, there was considerable individual variation with respect to specific sounds added and the addition of nonstimulable sounds as well. Stimulability testing is clinically useful as a dynamic assessment tool for toddlers because it may reveal information regarding a child's speech that is not obtainable with other measures and is also beneficial for individualized intervention planning.