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What is the CELF-5 and Why is it Used in NDIS Speech Pathology Reports?

claire2876
Apr 14, 2025
2 min read

Therapy session
Therapy session

What is the CELF-5?

The CELF-5, or Clinical Evaluation of Language Fundamentals – Fifth Edition, is a standardised assessment tool used by speech pathologists to evaluate the language skills of children and adolescents aged 5 to 21 years.

It assesses both:

  • Receptive language (understanding what is heard or read)

  • Expressive language (using words and sentences to communicate)

The CELF-5 provides valuable insights into how a child processes, understands, and uses language — essential for participation in school, play, and daily interactions.


Why is the CELF-5 Used in NDIS Reports?

In the NDIS, reports from speech pathologists are required to:

  • Demonstrate the functional impact of a communication impairment

  • Justify the need for ongoing speech therapy

  • Support requests for assistive technology, such as augmentative and alternative communication (AAC)

  • Advocate for school-based supports and parent/carer coaching

The CELF-5 provides objective, age-standardised data that NDIS planners and early childhood partners can use when reviewing a participant’s funding needs.


What Does the CELF-5 Assess?

The CELF-5 is made up of multiple subtests, which assess key areas including:

  • Following directions

  • Understanding spoken paragraphs

  • Formulating sentences

  • Word structure and vocabulary

  • Recalling sentences

  • Understanding word meanings and relationships

The results help speech pathologists identify whether the child is experiencing:

  • Delayed language development

  • Language disorder

  • Difficulties with working memory, processing speed, or problem-solving


How CELF-5 Results Support NDIS Planning

CELF-5 results are often included in functional reports and initial assessments for NDIS participants. The results:

  • Provide baseline scores to support therapy recommendations

  • Show how communication difficulties impact school participation, friendships, and independence

  • Support therapy goals aligned with NDIS outcomes (e.g., “build communication for social connection” or “support classroom engagement”)

The NDIS does not fund therapy based only on a diagnosis — the report must clearly demonstrate how the difficulties impact daily functioning.


Case Example: Linking CELF-5 Results to NDIS Supports

Lucas is a 9-year-old student with expressive and receptive language delays. A speech pathology report using the CELF-5 reveals:

  • Difficulties following multi-step directions

  • Poor sentence formulation

  • Limited vocabulary

These language challenges are affecting his academic progress and social participation. The speech pathologist recommends:

  • Regular speech therapy sessions

  • Visual communication supports in the classroom

  • AAC trial for supporting complex instructions

  • Parent coaching on home-based communication strategies

The CELF-5 results strengthen the funding request by providing objective evidence of need.


Who Can Administer the CELF-5?

Only qualified speech pathologists trained in formal assessment tools can administer and interpret the CELF-5. They use it in combination with:

  • Parent interviews

  • Teacher feedback

  • Observations of real-life communication

  • Other standardised tools, such as the PPVT or CCC-2


What Should Be in an NDIS Report That Uses the CELF-5?

A high-quality report includes:

  • Background information and functional concerns

  • Summary of CELF-5 results with percentile ranks

  • Observations of communication in natural settings

  • Impact on daily life, learning, relationships

  • Recommendations for therapy and supports

  • Link to participant goals and NDIS outcomes


Final Thoughts

The CELF-5 is more than a test — it’s a gateway to understanding how a child communicates and participates in everyday life. For NDIS participants, it plays a vital role in securing communication supports that make school, friendships, and daily routines more accessible.

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