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Children’s Speech and Language Therapy

Children’s Speech and Language Therapy. Language Development 18 Months. Expect at 18 months: 6-50 single word representations, e.g. ba = ball Can point to body parts. Refer soon after 18 months if: child can not respond to own name select an object from 3 by name

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Children’s Speech and Language Therapy

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  1. Children’s Speech and Language Therapy

  2. Language Development 18 Months Expect at 18 months: • 6-50 single word representations, e.g. ba = ball • Can point to body parts Refer soon after 18 months if: child can not • respond to own name • select an object from 3 by name • follow instructions in context • request things through any means, e.g pointing • use sounds to refer to people or objects • engage in turn taking in play

  3. Language Development 2.5 years Expect at 2 years: • Understands most everyday actions/words • follows a two part command, • e.g. give dolly a drink • Uses over 50 words and two to three words in a phrase • Speech is unclear Refer at 2.5 years if • Child can not follow simple instructions as above • Is not using short phrases • Is not playing constructively

  4. Speech Sounds Refer at age when the box ends or after the age of 3 years if child sounds very disordered and very unintelligible

  5. Language Development 3.5 years Expect at 3 years • Understands concepts like colours, size, position • follows commands out of context • singing songs/telling simple stories • make believe play • unclear speech (see sound chart) Refer at 3.5 if: • Can not follow commands out of context • Lack of imaginative play • Not engaging in stories/songs

  6. Language Development 4 years Expect: • Understands, shape colour, quantity, position • participates in social conversation • becoming grammatically correct and clear • forming friendships Refer soon after 4 if: • Speech is unclear for sounds which should be in place(see sound chart) • concerns with social communication • Difficulties in above areas

  7. Language Development School Age Children will continue to develop in: • Concepts e.g. hot, cold, size shape etc. • Story telling • ‘Wh’ questions - who what where when why etc • Speech should be clear by the age of 8 years Refer if: • Language skills are below average for their age and this is not attributable to a learning disability • Learning disability is severe and alternative communication is required • Speech difficulties - unclear or dysfluency (stammer)

  8. Other Reasons to Refer At any age refer if the child : • is stammering • has a voice disorder • has a cleft palate • is not interacting appropriately with others, • e.g no eye contact, not turn taking etc. • is selectively mute Go

  9. Inappropriate Referrals • Children with speech sound difficulties which are within normal limits (see sound chart) (especially ‘s’ ‘f’ ‘l’ ‘r’ ‘th’ or clusters ‘sp’ ‘cr’ • Children with lisps under 7 Years • Children with mild to moderate delay • Children with literacy difficulties only Stop

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