Scenario: A child with a moderate hearing loss and significant developmental delays (age 7; overall functioning around 1.5 - 2 years).
Has a limited expressive vocabulary consisting of some labels and some exclamations.
In home therapy is working on imitation of selected consonant sounds (e.g. "b", "w" "h", "d") He invariably makes a whole word, and does not imitate just the consonant sound. So "Say "wa" produces "wow" or woah"; Say "hhh" results in "hah".
1. Is it important for this child to produce isolated sounds at this point in his development?
2. Is it important for a child to be able to produce isolated sounds instead of words? IF so when and why?
3. What would be a priority speech skill for such a child?
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