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Literacy is the ability to read and understand written language. Difficulties with literacy skills look like: difficulty sounding out words accurately, slow and labored pace while reading, and difficulty understanding reading material. During an assessment for literacy concerns, an SLP will look at: your child’s ability to manipulate sounds (phonological awareness), your child’s ability to decode words of age-appropriate phonetic rules, and your child’s ability to read at an appropriate pace for their age.