Phonological Impairment

Pediatric Rehabilitation

Phonological Impairment

Contact Information
(608) 263-8412

UW Health's pediatric rehabilitation specialists in Madison, Wisconsin, provide a multidisciplinary approach to your child's rehabilitation.

A child with a phonological impairment has difficulty using appropriate rules for sound combination to form meaningful words. When a child has a number of phonological deviations, his/her speech is difficult to understand. The use of these deviations is common in the normal development of a child’s sound system until approximately 3-3 ½ years of age.

Typically by age 3 years, a child’s speech should be 80 percent intelligible and there should be very few, if any, deviations present.

Our specialized staff provides evaluations that identify the type and number of phonological process errors and determine if a treatment program is necessary. Our treatment program is highly individualized and follows a cycles approach. Process errors are targeted based on a hierarchy of normal development. Length of treatment depends on the severity of the child’s phonological impairment. A program may last 6 to 24 months depending on a mild to severe/profound impairment.