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I have a Deaf kid on my caseload. What assessments do I give?

This is a question I get asked a lot! What assessments do I give to a Deaf or hard-of-hearing child? What should my assessment focus on?

With our field being so vast, it is hard to feel confident in how to assess and treat all areas. My goal is to help guide you in assessment and treatment when working with DHH kids that use spoken language.

Where should you start? First, you want to have a recent audiogram in hand prior to the assessment. This will allow you to know which sounds a child might have access to.

Let's do a breakdown based on speech (articulation) and language!


  • Arizona Articulation and Phonology Scale (Arizona-4)

  • Clinical Assessment of Articulation and Phonology (CAAP-2)

  • Phonetic Inventory

Why not give the GFTA? The Arizona formally assesses vowel production, whereas the GFTA does not.


Young Children

  • The Rossetti Infant-Toddler Language Scale

  • Receptive-Expressive Emergent Language Test (REEL-4)

  • The Cottage Acquisition Scales for Listening, Language and Speech (CASLLS)

  • Language Sample


Older Children

  • Comprehensive Assessment of Spoken Language (CASL 2)

  • Clinical Evaluation of Language Fundamentals (CELF-5)

  • The Cottage Acquisition Scales for Listening, Language and Speech (CASLLS)

  • Test of Early Grammatical Impairment (TEGI)

  • Language Sample

One thing to note is I mentioned language sampling as a method. Research has shown that kids with hearing loss often get missed when relying on standardized assessments alone.

Save this blog post to refer back to later.

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1 Comment

Rebecca Osei
Rebecca Osei
Nov 20, 2023

I’d be curious what your thoughts are about the TOLD! It was recommended to us by the non-profit our sons attend for AVT (to be given by an SLP, of course 😊).

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