Welcome to Mrs Teller's home page!

On this website you will find many activities under the following topics: Speech therapy homework, Articulation, Language, Phonological Awareness, Vocabulary, Sequencing, Writing, and AAC. Use these to practice with your child at home in a fun way in areas they need to improve.

Let me give you a little information about myself. My name is Karen Teller and I have been a speech language pathologist for 14 years. I received my master's degree in speech pathology from Purdue University in West Lafayette, IN in 1995. Go Boilers! My training at one of the top 5 programs for speech pathology in the country not only provided me with a top notch education, but in addition, I received specialized training in the area of augmentative and alternative communication (AAC) on a grant for special educators and speech pathologists. I thave worked in many settings - skilled nursing facilities, home health care, United Cerebral Palsy developmental center, group homes for adults and children, and schools. I have worked with ages 3 months to 103 years with numerous disabilities and disorders. My most fulfilling jobs have been working with children with moderate and severe communication difficulties and children with speech and language disorders which are inhibiting their ability to communicate and make academic progress. More recently I have become very interested in the area of literacy and it has been very exciting to learn more information and incorporate it into the work I do.

Below you will find some general information about articulation (speech), language and AAC. I love getting to know parents and keep them informed. If you ever have any concerns or questions, or find anything on this website that isn't working correctly, please contact me through email (kteller@wcpss.net) or by calling my office (570-2216)

Articulation

The Sounds of Speech

Most children learn to use different speech sounds by fairly predictable ages. A four or five year old child who is distorting a sound -- saying "wabbit" for "rabbit", or "thikth" for "six", is not nearly as worrisome as if he is leaving quite a few sounds out -- saying "a-uh" for "water", or "tuh" for "cup".

It isn't unusual for three year olds, especially boys, to be "non-fluent" (stutter), and six months later, be fine. However, if a child is becoming stressed by these problems, or if stuttering continues, intervention may be appropriate.

Approximate Treatment Ages in Wake County (some sounds have a range of recommended treatment age)
4 yrs	5 yrs	6 yrs	7 yrs	8 yrs
b,h,m,n,p	d,f,g,k,t,w	ng	ch,sh,j,l, s,bl,z,r,v	s blends, r blends, l blends, th

Language Development Chart

Age of Child	Typical Language Development
6 Months	Vocalization with intonation Responds to his name Responds to human voices without visual cues by turning his head and eyes Responds appropriately to friendly and angry tones
12 Months	Uses one or more words with meaning (this may be a fragment of a word) Understands simple instructions, especially if vocal or physical cues are given Practices inflection Is aware of the social value of speech
18 Months	Has vocabulary of approximately 5-20 words Vocabulary made up chiefly of nouns Some echolalia (repeating a word or phrase over and over) Much jargon with emotional content Is able to follow simple commands
24 Months	Can name a number of objects common to his surroundings Is able to use at least two prepositions, usually chosen from the following: in, on, under Combines words into a short sentence-largely noun-verb combinations (mean) length of sentences is given as 1.2 words Approximately 2/3 of what child says should be intelligible Vocabulary of approximately 150-300 words Rhythm and fluency often poor Volume and pitch of voice not yet well-controlled Can use two pronouns correctly: I, me, you, although me and I are often confused My and mine are beginning to emerge Responds to such commands as "show me your eyes (nose, mouth, hair)"
36 Months	Use pronouns I, you, me correctly Is using some plurals and past tenses Knows at least three prepositions, usually in, on, under Knows chief parts of body and should be able to indicate these if not name Handles three word sentences easily Has in the neighborhood of 900-1000 words About 90% of what child says should be intelligible Verbs begin to predominate Understands most simple questions dealing with his environment and activities Relates his experiences so that they can be followed with reason Able to reason out such questions as "what must you do when you are sleepy, hungry, cool, or thirsty?" Should be able to give his sex, name, age Should not be expected to answer all questions even though he understands what is expected
48 Months	Knows names of familiar animals Can use at least four prepositions or can demonstrate his understanding of their meaning when given commands Names common objects in picture books or magazines Knows one or more colors Can repeat 4 digits when they are given slowly Can usually repeat words of four syllables Demonstrates understanding of over and under Has most vowels and diphthongs and the consonants p, b, m, w, n well established Often indulges in make-believe Extensive verbalization as he carries out activities Understands such concepts as longer, larger, when a contrast is presented Readily follows simple commands even thought the stimulus objects are not in sight Much repetition of words, phrases, syllables, and even sounds
60 Months	Can use many descriptive words spontaneously-both adjectives and adverbs Knows common opposites: big-little, hard-soft, heave-light, etc Has number concepts of 4 or more Can count to ten Speech should be completely intelligible, in spite of articulation problems Should have all vowels and the consonants, m,p,b,h,w,k,g,t,d,n,ng,y (yellow) Should be able to repeat sentences as long as nine words Should be able to define common objects in terms of use (hat, shoe, chair) Should be able to follow three commands given without interruptions Should know his age Should have simple time concepts: morning, afternoon, night, day, later, after, while Tomorrow, yesterday, today Should be using fairly long sentences and should use some compound and some complex sentences Speech on the whole should be grammatically correct
6 Years	In addition to the above consonants these should be mastered: f, v, sh, zh, th,1 He should have concepts of 7 Speech should be completely intelligible and socially useful Should be able to tell one a rather connected story about a picture, seeing relationships Between objects and happenings
7 Years	Should have mastered the consonants s-z, r, voiceless th, ch, wh, and the soft g as in George Should handle opposite analogies easily: girl-boy, man-woman, flies-swims, blunt-sharp short-long, sweet-sour, etc Understands such terms as: alike, different, beginning, end, etc Should be able to tell time to quarter hour Should be able to do simple reading and to write or print many words
8 Years	Can relate rather involved accounts of events, many of which occurred at some time in the past Complex and compound sentences should be used easily Should be few lapses in grammatical constrictions-tense, pronouns, plurals All speech sounds, including consonant blends should be established Should be reading with considerable ease and now writing simple compositions Social amenities should be present in his speech in appropriate situations Control of rate, pitch, and volume are generally well and appropriately established Can carry on conversation at rather adult level Follows fairly complex directions with little repetition Has well developed time and number concepts