Debunking some myths when parents ask questions…..

Let’s debunk some common myths about children and speech/language/communication development.

As an early childhood educator, you will need to be ready to accept a range of reactions from parents and caregivers when raising your concerns about a child’s development.

Every response from a parent or carer is valid and can be accepted without judgement.  These conversations definitely flow more smoothly, however, if educators are equipped with knowledge and helpful information for families.

Unfortunately, there is much available at our fingertips that is not accurate.  Let’s dispel a few of these common myths now.

My child has a speech delay.  Does this mean that something is ‘wrong’ with my child or that my child is not intelligent?

There is nothing ‘wrong’ with a child who has speech, language or communication difficulties and a delay or disorder in communication abilities does not necessarily also correlate with a child’s cognitive abilities.  We see many very bright children who just happen to have specific areas of their development requiring support.  If your child has a delay in the development of his or her speech, language or communication skills….we now know that early intervention is really key and that we can help them to make great progress if we start early.

I was late to talk.  Won’t my child just ‘grow out of it’?

Maybe.  Maybe not.  We cannot know the answer to this question.

What we do know though, is that communication skills underpin academic, social skills and are crucial to one’s quality of life.

The earlier we offer support to a child who is struggling to develop these skills, the better the outcome we can expect.

Some children will ‘catch up’ on their own but we don’t know who will and who will not.  Children who will not just ‘grow out of it’ usually respond really well to the support that a speech pathologist can provided.

Have I caused my child’s speech delay?

Speech delays are not caused by poor parenting, a parent working long hours, birth order, parents not talking enough to their children or the provision of screen time.  Instead, delays in speech, language and communication are caused by a range of factors including hearing loss and genetics.  Parents blaming themselves for their child’s delays is simply not helpful in any way.  Working towards acceptance of a child’s difficulties and developing a plan to support a child is far more positive and will result in better outcomes for all.

Isn’t my child too young to be concerned about this?

No!  The sooner we identify children who are lagging in their development of these vital skills, the better our chance of supporting them to make terrific progress.  Significant gaps are apparent in the vocabulary knowledge and use by the age of only 3 years of age.  These discrepancies tend to persist and even widen across a lifetime with implications across academic, social and emotional areas.  Early Identification and Intervention is so important.

Prepare for your conversation with families and answer their questions honestly, accurately and confidently.

If you […]

2023-04-09T19:37:16+00:00

Considering Parent Perspectives when Discussing Speech and Language Concerns

“I was waiting for my child’s early childhood educator to tell me that they had concerns”

Too often, this is what we are told by parents and carers when seeing a child for the first time at age 8 in our speech pathology clinics.

By then, the child often dislikes learning….feels they are a poor reader….avoids participation in the classroom ….. is a challenge for parents to get any homework completed….is disinterested in the classroom.

The list goes on!

It is vital for children to be identified as early as possible with speech, language and communication difficulties in order for them to access the support they need.

Support provided in the early years can prevent the cascade of social and emotional difficulties that sadly, often follow, if these difficulties are left unaddressed until the early Primary School years.

Yes, it can be a difficult topic for Early Childhood Educators to broach with parents and there may be a range of reactions from parents.

That doesn’t mean the conversation should never happen.

Here are some tips for Early Childhood Educators when scheduling a meeting a family to discuss concerns about speech, language and communication skills.

Parent/Carers may have noticed some of these concerns themselves

If so, encourage the parent to share his or her observations and concerns with you.  Acknowledge these concerns and reassure the parent/s that you will work together to come up with a plan to support the child’s development.

Parents may feel defensive

Hearing concerns being raised about your child’s development can be overwhelming and may trigger defensive responses from parents.  Educators can assist by remaining neutral and positive in the interaction and listening to the parent.  Let the parent express their concerns and feelings and acknowledge their perspective.

Follow Up

After the initial conversation, follow up with families to see how they are doing and whether they have any questions or concerns.  Not all families will be ‘ready’ to hear the information that you need to share with them at the time you decide to share it.  If you are consistently available and have a positive relationships with the family, the parents/carers will know you are there to confide in when and if needed.

Be Informed

Educate yourself on what speech, language and communication skill development looks like, what the signs of delay may be and what are the most appropriate ways to support the child who shows these signs of delay.

Our Learn2Communicate website is the perfect place for you to start https://learn2communicate.com.au/ and our social media pages are also full of evidence based information and helpful tips for educators and parents. https://www.instagram.com/learn2communicate/

Beware of common myths https://www.thespeechdynamic.com/fact-or-fiction/

Arm yourself with information so that you feel informed and equipped to answer questions that parents may have.  Be honest when you do not know the answer and offer to find out for the parent by consulting with your local Speech Pathologist or contacting us via our website.

Having ‘that’ conversation can be challenging but…

It is so important.

Parents are often waiting for an educator to raise […]

2023-03-26T04:22:49+00:00

So you have some concerns about a child you educate…..

The first step is always to start documenting your observations

As an early childhood educator, you cannot accurately identify and support children who have speech, language and communication difficulties without first collecting and documenting your observations.

Before you approach parents, it is essential to document your observations about the child’s communication skills.  To make it a little easier, we have a free comprehensive guide for early childhood educators that you can download from our website https://learn2communicate.com.au/product/identifying-speech-and-language-difficulties-a-practical-guide-for-early-childhood-educators/ or a quick cheat sheet if you want to opt for something a little quick simpler https://mailchi.mp/a872b26cca98/speech-and-language-milestones-0-5-years .

Schedule a meeting with the parents

Conversations with a parent about concerns you may have regarding their child should not be attempted during drop off / pick up times.  Instead, schedule a meeting with the parent.  This will allow for a more personal, detailed conversation and provides parents with notice so that they can prepare themselves emotionally.

It also goes without saying that such meetings and conversations can only be scheduled when there is a high element of trust and positive rapport between the early childhood educator and the parent.  The importance of pouring your energy into establishing these positive relationships with families cannot be understated!

Use Positive, Encouraging Language in the meeting but be HONEST

Framing your observations in more positive language whilst still clearly communicating your concerns is important.

Instead of “I am worried about your child’s development”  try “I have some observations that I would like to share with you”.

You can then share your observations and provide specific examples to help parents understand why you have concerns about their child’s development.  Encourage parents to also share their observations with you.

Listen more than you Speak

Make some open ended comments and questions to encourage parents to share information with you about their child.

Actively listen to this information.  Remember that the parent is always the expert when it comes to their child.  They can always provide us with more information to help us understand their child’s strengths and challenges as well as other factors which may be impacting their child’s development.

Be Empathetic

Remember that discussing a child’s development can be sensitive topic for many parents.  Try to understand and accept a variety of responses from parents and shown them that you are there to support them and their child.

Offer to Help

It is one thing to raise a parent’s awareness about a child’s developmental challenges.  It is another to have the parent understand, acknowledge and come to terms with this information.

Once these two first steps have been worked through, parents can feel very overwhelmed about where to start in order to help their child.  It is important for early childhood educators to have some helpful resources, contacts, service provider options and information at their fingertips so that parents feel supported in addressing their child’s developmental concerns.

Once again, our free resources (books, home programmes) can be of assistance https://learn2communicate.com.au/ as can our social media pages https://www.facebook.com/Learn2Communicate and https://www.instagram.com/learn2communicate/ .

Keep an eye out for next week’s Chatterbox […]

2023-03-26T03:32:26+00:00

Speech Therapy: Is your child getting the right dose?

Dosage and Speech Pathology?  Isn’t dosage a term used when we are talking about medicines?

Yes, getting the dosage just right is really important when you are requiring a prescription from your doctor to manage a physical illness.

Getting the correct dosage of therapy is also really just as important for your child when managing his or her communication disorder.

What do we mean by dosage in Speech Pathology?

Dosage in Speech Pathology can refer to a few things.  It can refer to the number of planned sessions for your child, the frequency of those treatments, the time during therapy targeting a specific skill and the number of learning opportunities your child experiences during therapy, at home and at school / preschool.

Just like when medications are prescribed; different doses of treatment can be prescribed for different disorders to achieve better results.  There are also several factors that impact treatment dose.

Factors that Impact Dosage

Many factors require consideration by your child’s Speech Pathologist when prescribing dosage for your child.  These may include but are not limited to your child’s:

Disorder  / Diagnosis

Severity

Attention Level

Age

Co-morbid conditions

Other factors external to your child such as your other family commitments, work hours and access to services also need to be considered when making a decision about treatment dose.

What do we know about dosage in Speech Pathology?

This area of research in our profession is still relatively new.  We need to know much more about the optimal doses of therapy for various speech, language and communication disorders.  We perhaps know the most about treatment doses for children with speech sound disorders.  There is an excellent review of the literature here https://www.theinformedslp.com/review/everything-you-want-to-know-about-treatment-approaches-for-speech-sound-disorders

The evidence base for treatment dose when working with children who have language disorders is also growing.  Interestingly the ‘more therapy the better’ mantra is not necessarily true in this case.  Research is showing that children with language disorders may actually benefit mores so to low dose/high frequency or high dose/less frequency interventions than to high dose/high frequency approaches.

The bottom line?

Discuss treatment dose with your child’s Speech Pathologist today.

2023-03-12T05:44:20+00:00

Less can be More

I am finding myself coming back to this theme more and more over recent weeks both in my work as a Speech Pathologist and in my personal life.

Take small steps every day and eventually you will get there.

When things feel overwhelming you can focus on this…just taking the next step.

Wow!  What a good reminder for all of us; busy Allied Health Professionals or parents of children who have complex and challenging communication difficulties.

Small Steps and AAC

Has your child been recently prescribed a high-tech speech output device?  Maybe you have been introduced to LAMP, SNAP Core, TouchChat or Proloquo2Go.  Does that sound like another language to you?  Well, learning to use AAC can be likened to learning another language.  It is another way of communicating and is quite different to using only spoken language.  Learning how to use an augmentative and alternative communication system is a BIG GOAL but…if you break it down into small steps it can be achievable in a manner that is not overwhelming for parents, educators or children.

Families we work with who have seen success with introducing AAC all seem to have one thing in common; they have taken it slowly and persisted with small steps over time.  If it is all feeling overwhelming right now, work with your Speech Pathologist to choose focus words and try introducing only 1 word at a time.  Model as well as encourage your child’s functional use of this word in everyday routines and take it slowly.

Less can be more.  We can focus upon building your child’s use of all the vocabulary that AAC has to offer step by step.  It doesn’t have to be all at once!

Small Steps and Speech Pathology Goals

So your child has been diagnosed with a communication impairment… therapy is recommended.  The next stage will be to decide upon goals.

My advice is that less is more.  Choose no more than 3 small things to achieve.  Choose goals that are important, that have meaning and that will make a significant difference for your child but keep them small and really specific.

Achieving these small goals helps your child to inch towards achieving those big, longer term goals whilst being motivated by small wins and success along the way.

This is far more effective than standing at the bottom of the ladder, looking up and giving up because it all feels too hard.

Remember

Choose a small number of goals that are specific, small and achievable.  This applies if your child is in therapy or if you are feeling overwhelmed with your role in all of this as a carer of a child who requires the services of a Speech Pathologist or other service provider.

You can say ‘no’

There are no quick fixes in therapy..not when it comes to Speech Pathology.  Families need to be able to fully commit and engage in the therapy process for children to make good progress. It is okay if now is the not the right time […]

2023-03-06T03:46:58+00:00

Why does my child have a Communication Disorder?

There are many reasons why your child may have a communication disorder.

Some children may have a communication disorder which is secondary to another developmental condition.  These conditions include but are not limited to:

Hearing impairment, Clefts of the lip / palate, Intellectual Disability, Autism Spectrum Disorder, other neurological conditions and syndromes including Fragile X Syndrome, Down Syndrome and Cerebral Palsy.

Some children may acquire communication disorders as a result of a brain insult e.g. stroke or head injury.

Exposure to toxins such as drugs and alcohol whilst in utero can contribute to the development of communication disorders for children as can exposure to trauma, neglect and/or abuse.

Most Communication Disorders have no identifiable cause

This can be quite frustrating for parents, carers and educators who often want to know ‘why’ their child or a child they care for has challenges with speech, language and/or communication skills.

Sometimes knowing the causes can be helpful….

This is especially true when we can put remediation in place that address the root cause of the issues.  A good example of this may be a child who has delays in his or her speech development due to conductive, fluctuating hearing loss. Often getting this identified early and working with an ENT specialist can result in this type of hearing loss being improved.

In many cases, however, even when the root cause can be and is addressed, a child may still require assistance with the communication challenges that have already resulted.

In most cases, even when a cause can be identified, quick fixes are not to be found.  This is not a very popular message to broadcasting but the truth is that communication disorders and challenges take lots of time, dedication and the commitment of the entire village around the child to support.

If you have any niggling doubts about a child’s communication skills…

Download our free guide and educate yourself about what can be expected at different ages and stage.  https://learn2communicate.com.au/product/identifying-speech-and-language-difficulties-a-practical-guide-for-early-childhood-educators/

Don’t blame yourself!

Remember that the vast majority of communication disorders have no identifiable cause.  Genetics play a very strong role but there can be huge differences in personalities, learning styles and skill levels across individuals even within the same family.  Don’t waste time blaming yourself.  This gets you and your child nowhere!  Accept your little person for who they are.  Nurture their strengths and get the help you need to support any areas of challenge and difficulty.

Contact a Speech Pathologist for a chat

You can email us at Learn2Communicate any time for free confidential advice info@learn2communicate.com.au and, if you are in Australia, you can contact your local Community Health Centre to speak to a Speech Pathologist who services your local area.  If you are wanting more support, your child’s Early Childhood Educator is a great first port of call to discuss any concerns you might have.

As we have previously mentioned in The Chatterbox…your child is not being lazy and it is highly unlikely that you, as the parent, have […]

2023-02-27T05:17:33+00:00

Should I teach my baby Sign Language

The short answer to the first question here is ‘No’…Sign Language is not something we SHOULD be teaching our babies or young toddlers.  The long answer is a tad more complex.  Using natural gestures to accompany what you say when communicating with your child WILL help him or her to understand language more readily.  Modelling such gestures may also assist your little one to start communicating earlier than if you only modelled spoken words.

For those children who are late to acquire spoken language, the use of more of these natural gestures and sometimes the introduction Key Word Sign can be of enormous benefit.

What is Key Word Sign?

Key Word Sign adds signs to spoken english.  In Australia, we use signs from the Deaf community’s sign language called Auslan.   Key Word Sign can be used to support children to understand language and can also help them to get their message across to others more successfully.  We say the full sentence and sign just the key words using Auslan signs https://auslan.org.au/

What is Makaton

Key Word Sign was formerly known a Makaton.  Sometimes these terms are still interchanged in our community but it is important to know that if you are teaching Key Word Sign to children in Australia, that you draw upon the signs of Auslan.  Makaton was originally derived from British Sign Language so it can be very easy to get confused. The last thing we want is for Speech Pathologists, Parents/Carers and Educators teaching different signs for the same word.  To keep consistent, it is best to keep the lines of communication open so that all working the child know which signs are being taught and that we borrow the signs from Auslan.

What Signs should I Teach my Child?

The answer to this one is pretty clear…whichever signs your child needs in order to communicate effectively with others.  So often I see ‘finished’ and ‘toilet’ as the only signs being targeted.  How functional are these are words we need to communicate to others?  Sure…we need to understand them but if we are wanting to teach our children signs to communicate with others, there are far more useful words to start with.  We will often recommend ‘Core’ words.  These are words that can be used across various situations with different people.  How often do you need to use ‘colour’ words when communicating to others versus a Core word such as WANT, MORE, GO, NO, LOOK, GET, COME, and HELP?  Sit down with your child’s team and look at the reasons why your child is communicating and how?  Where are the gaps?  What might be causing frustration?  Could you perhaps teach a simple sign for those moments?

How Do I Teach Key Word Signs?

Always Say and Sign simultaneously.  Slow your speech rate down.  Get face to face with your child to maximise […]

2023-03-05T22:50:24+00:00

Is your child a Gestalt Language Learner?

Gestalt Language Processors

Despite what this term sounds like; it is NOT a term to describe the newest piece of technology on the market!

Several of the children we work with at Learn2Communicate are Gestalt Language Learners. This means that they learn language in ‘chunks’ much easier than they do single words.  Instead of learning single words and then gradually combining these words into short phrases and eventually, sentences, Gestalt Language Learners often start speaking in complete phrases.  It can seem to carers and educators that they have ‘skipped’ the single word stage when in fact they acquire language differently to other children.

Gestalt Language Learners may also, but not always, be diagnosed as being on the Autism Spectrum.

Some are also hyperlexic; showing a strong interest in the the alphabet and reading well before their school years.

Yes, these children are fascinating!  They are often late to start speaking but then start speaking  in complete phrases before single words have even been acquired.  If this sounds like your child or a child you educate, there is so much you can do to support language to grow.

What is Echolalia?

Echolalia is a term that is used to describe when a child uses ‘copy cat’ speech i.e. words and phrases that they have heard elsewhere.  Sometimes a child will copy a line from a favourite TV show or song.  At other times they might imitate the question you have asked instead of answering the question.  You might notice that your child imitates words and phrases immediately or that these phrases are used at other times of the day.  Often children will repeat the words and phrases in the same intonation each time.

Echolalia is very commonly noted for Gestalt Language Learners.

How to respond to Echolalia

The most helpful way to respond when you notice that your child is using Echolalia is to do your best to first understand the intent of the message.

Is your child trying to convey an emotion?  Happy, Sad, Excited, Frustrated…..

Perhaps your child is trying to comment on something that is happening.

Remember that using spontaneous language can be tricky for these children when they are first learning to use language.  In these early stages you will need to act like a detective.  Look for the ‘clues’ in the scripts that your child is using to help understand what your child is trying to communicate.

Advocate for your child.  Let others who care for and educate your child understand what your child’s most commonly used scripts mean.  This is where our previously discussed idea of developing a Personal Communication Dictionary may be helpful.  https://learn2communicate.com.au/personal-communication-dictionaries/

Understand the Intent

What is your child trying to communicate?

Interpret the Intent ‘as he/she would if he/she could’

Using simple language with a sing – song voice (as gestalt language learners are often drawn to pitch and intonation patterns in speech), interpret your child’s gestalt / echolalic phrase / script.  Where possible, reduce your use of questions.  Comments that match your child’s intent e.g.  “Oh….feeling […]

2023-02-12T22:34:11+00:00

My Child is Difficult to Understand

There can be many reasons why your child’s speech may be difficult to understand.

Your child’s age and stage of speech and language development are one of the first things we will consider.

Children gradually become easier to understand.  By school age, we expect that your child’s speech will be easily understood by all conversational partners.  There may still be a few tricky sounds and longer words may still be unclear at times but, as a general rule of thumb, by the time a child starts school we can understand most of what he or she says.

There is quite a wide amount of variety around when children acquire speech and language milestones.  If you have any concerns it is best to seek the advice of your child’s educator as a first port of call.  Educators have the benefit of working with a large group of children a similar age to yours.  If your child is more difficult to understand than other children his or her age, then it may be worthwhile to seek a Speech Pathology opinion.

When do Speech Sounds develop?

Different sounds develop at different stages.  We often refer to the early, middle and late sounds when working with young children.

Most consonant sounds are acquired by the age of 5;0 years (years;months).  The consonants /b, n, m, p, h, w, d / are usually acquired between the age of 2 and 3 years followed by /g, k, f, t, ng, y/ which are heard in child speech by the age of 3;11.  By the age of 5 years, children are using /v, j, s, ch, l , sh and z/ accurately.  The ‘r’ sound is usually used with accuracy by 6 years of age and the ‘th’ sound by 7 years of age.

My child is speaking in ‘gobbeltygoop’!

Some children need assistance to learn how to use words in simple sentences.  When using spoken language is difficult or lagging in development, they may substitute what sounds like ‘gobbeltygoop’ for words at times.  Speech Pathologists may refer to this as ‘jargon’ and it simply means that your child is likely to be using combinations of sounds and syllables to communicate instead of words.  Often children will do so using correct intonation and facial expressions to help the listener understand what is being communicated.  These children often respond well to a focus upon building up their vocabulary and sentences first before focusing upon specific speech sounds.  Our popular ’10 Tips for Talking’ https://learn2communicate.com.au/product/10-tips-for-talking-poster-series/resource may be an appropriate place for you to start if this sounds like your child.

Tune in and Listen

Are there any particular sounds that your child has difficulty in using accurately?  Perhaps start a little list, noting words that are misarticulated.  You might start to see a pattern.

Do I need to be concerned?

Check out our developmental checklists and further information in our guide available for free download https://learn2communicate.com.au/product/identifying-speech-and-language-difficulties-a-practical-guide-for-early-childhood-educators/  or contact us https://learn2communicate.com.au/contact-us/  The earlier your child receives assistance; the better […]

2023-02-06T02:03:02+00:00

Back to School

Those long summer days

where lunch boxes do not need to be packed, children are sometimes able to stay up on weeknights until a little later than normal and routines are not as clear are over.

School is back across the country!

Some children will be starting school for the first time whilst others will be transitioning to new classrooms, classmates and teachers.  Whatever the scenario is for you and your child, there is sure to be a period of adjustment for everyone over the next few weeks.  Luckily there are plenty of simple things you can do to help make the next few weeks run as smoothly as possible.  Here are some ideas for you to consider:

Create a Routine

When children know what to expect, they tend to feel more in control of their environment.  Creating a simple routine and sticking to it where possible, can really work wonders when it comes to helping children get used to changes in their lives.

Get bedtimes back on track.  Sleep is just so important for our overall health and wellbeing.  Unless children are well rested their brains will not be ready to learn.

Organise your shopping list to include those healthy snacks for the lunchboxes so you are not scrambling at the last minute and opting for less nutritious or satisfying options.

If your child has activities before and/or after school, draw a simple visual calendar using a whiteboard or a strip of cardboard that you can attach to the fridge.  This helps your child to understand when activities are happening in their lives and also assists in understanding concepts of time and sequence.

Add Story Time to your Daily Routine

The benefit of a bedtime story cannot be underestimated.  These special moments can be used not only as lovely moments to connect with your child but also provide you with opportunities to expose your child to new vocabulary, sentence structure and ideas.  Feel free to flesh out the story themes by discussing when your child perhaps had similar experiences to the main character or visited a similar location.  Tempt your child’s imagination by engaging in some ‘think alouds’; “Imagine if….” or “I wonder how…..”.  Understanding how stories are organised also assists children to learn how to engage in higher levels of discourse and can really provide a boost to your child’s language development, all without them knowing that it is ‘work’!

Listening Practice

School requires much more sitting and listening than perhaps other settings your child has been used to, especially if this is your child’s first year of school.  Practice listening and waiting for your turn to talk in general conversations and maybe at the dinner table when talking about your day.  No need to raise your hand to speak in these situations (haha) but learning to wait can be a tricky skill for many children!

Taking Care of Things

Learning how to organise and take care and responsibilities of one’s own belongings is a terrific life skill that you […]

2023-01-30T03:12:47+00:00
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